Nursing Jobs in Jaffrey, NH
Hiring Registered Nurses (RNs) for Long Term Care Facilities Hourly pay rate: $44 Make a difference on your own schedule and terms. As one of FS Nursing’s Registered Nurses, you will have access to: · 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 · Lucrative Referral Bonuses RN/ Registered Nurse Requirements: Currently holds an active RN license to work in New Hampshire Meets all State and Federal requirements for US employment in a Nursing Facility Ability to communicate effectively Reliable transportation to worksite location Strong patient assessment skills and demonstrated clinical competency We look forward to hearing from you soon. Apply today! 
Alliance Health at Baldwinville is a 94-bed skilled nursing facility We are seeking Per Diem Certified Nursing Assistants to provide high-quality resident care and support our nursing team as needed. Responsibilities Provide assistance with activities of daily living Observe and report changes in resident condition Support nursing staff with routine care tasks Maintain a safe, respectful, and professional environment Qualifications Current Massachusetts CNA certification Strong communication and teamwork skills Long-term care experience preferred Availability for varied shifts, including weekends We Offer Flexible per diem scheduling Supportive work environment Opportunity to make a meaningful impact in resident care Sick time Free EAP Program We offer new competitive per diem rates and generous shift differentials including weekends. For immediate consideration apply today. Baldwinville Accomplishments : 5 Star QM rating Deficiency Free Annual DPH and Life Safety Code survey Silver Quality Award Winners 2023 ACO (UMMACO) affiliated. JACHO Credentialed Silver Quality Award Winners 2023 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign-On Bonus! Hours: 24-Hours, Nights, 7:00pm - 7:30am, (2) 12 hour shifts, Every third weekend and holiday $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patient’s response to medication. Provides appropriate care to the postpartum and gynecological patient. Safely cares for surgical and postpartum patients, recognizes complications and initiates appropriate nursing interventions in collaboration with physicians. Provides appropriate information and education to patients and families based upon individual needs so they may effectively care for themselves during hospitalization and following discharge. Ensures new mothers and families have the basic understanding of newborn care and resources available after discharge. Demonstrates knowledge of medications and the correct administration based on age of patient and their clinical condition. Demonstrates proper technique for assessing fundal height, and fundal massage. Demonstrates ability to assess lochia, perineum, breast, bowel, bladder and emotional status. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Provides assessment and planning for individualized patient care in collaboration with physicians and other disciplines. Assesses the normal stages of labor, delivery and recovery, as well as, identifies any deviation of the normal pattern and progress and takes appropriate action. Utilizes fetal monitoring equipment, external and internal (FSE and IUPC), and correctly interprets FHR patterns and initiates appropriate nursing interventions as needed. Assists in the stabilizing of high-risk patients and accompanies them during transfer to a level two or tertiary care center as appropriate. Communicates with physicians about changes in patients’ clinical condition. Safely administers and demonstrates knowledge of medications used in labor and delivery. Implements appropriate procedure for labor checks, inductions, augmentations, NSTs, external cephalic versions and epidurals. Able to articulate care for patients with fetal demise based on perinatal loss protocol and appropriately provides care when applicable. Performs a systematic and thorough newborn assessment based upon knowledge of expected adaptation to extrauterine life so that deviation can be recognized. Communicates appropriately and clearly with physicians concerning any changes in newborn condition and/or abnormal diagnostic test results. Performs neonatal resuscitation, assisting physician as necessary. Identifies newborn problems, initiates appropriate nursing interventions, and assists in the stabilization of a critical newborn. Provides care and support to mother in her chosen method of infant feeding so that learning is enhanced. Demonstrates to new mothers appropriate feeding techniques using literature and teaching videos as appropriate (frequency and symptoms of adequate intake). Provides teaching to new mother on newborn care based upon individual patient/family needs so that new mother is able to care for newborn upon discharge. Utilizes informative discussions, videos, handouts, one on ones, teaching class to individualize newborn teaching. Utilizes appropriate nursing interventions for infants experiencing difficulty adjusting to extrauterine life. Sets up phototherapy, monitors vital signs, including pulse oximetry, according to policy and procedure; demonstrates proper technique for administering CPAP via mask or RAM cannula Demonstrates knowledge of medications and their correct administration based on age of newborn and his/her clinical condition. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience Minimum one year med/surg experience required Maternity experience preferred Minimum Licenses and Certifications Current MA license IV competent, ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire NRP certified or ability to obtain NRP certification within 90 days of hire. For nurses working L&D, must have/complete AWHONN’s Introduction to Fetal Monitoring and also must have/attend AWHONN’s Intermediate Fetal Heart Monitoring within 1 year Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 32-Hours, Evening, 3:00pm - 11:30pm, Every other weekend and holiday $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending provider. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience 1 year Med/Surg experience preferred 1 year Telemetry experience preferred 1 yr Pediatrics experience preferred Minimum Licenses and Certifications Current MA RN license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire PALS preferred Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy) Promotes a positive working environment Hiring Licensed Practical Nurses (LPNs) for Long Term Care Facilities Hourly pay rate: $36 Make a difference on your own schedule and terms. As one of FS Nursing’s Licensed Practical Nurses, you will have access to: · 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 · Lucrative Referral Bonuses LPN/ Licensed Practical Nurse Requirements: Currently holds an active LPN license to work in New Hampshire Meets all State and Federal requirements for US employment in a Nursing Facility Ability to communicate effectively Reliable transportation to worksite location Strong patient assessment skills and demonstrated clinical competency We look forward to hearing from you soon. Apply today! 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Other Holiday, Weekends - Every Other Weekend Scheduled Hours: 19-07 Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 24050 - 1420 Progressive Care Union: MNA-HealthAlliance Leominster (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference. GENERAL SUMMARY: The Registered Nurse is responsible for the planning, delivery and management of direct patient care using the nursing process and adhering to the standards of nursing practice within a specific unit or clinical area. PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS: Nursing Process: Utilizes the nursing process for the delivery and management of patient’s care. Maintains assignment of patients and caseload according to unit guidelines and established standards of practice. Uses positive customer service skills when communicating with patient and patient’s family. Utilizes the nursing process for the delivery and management of the patient’s care. Utilizes clinical reasoning and critical thinking. Involves patient, family/significant others and other disciplines in decision making related to the patient’s plan of care. Serves as a patient and family advocate. Implements interventions consistent with hospital standards of practice and prescribed medical plan of care and evidence based practice . Documents the patient assessment, plan of care, and response to intervention. Meets all unit documentation standards. Communicates and coordinates the patient’s plan of care to ensure continuity of care. Maintains competency in management of clinical emergencies. Provides complete communications in SBAR format (Situation, background, assessment, recommendations) to relieving staff members and demonstrates advanced planning for the patient. Navigates through the critical elements of the patient medical record software and HealthAlliance-Clinton Hospital Intranet. Clinical Practice: Demonstrates/applies the skill and judgment necessary to implement the medical/nursing plan of care, nursing interventions and procedures necessary for the care of the patient. Bases clinical practice on evidence, unit guidelines, and professional standards to improve the quality of care and to guide clinical judgments. Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient’s response. Maintains competency with technology and equipment. Utilizes equipment in a safe manner. Uses appropriate infection control and safety practices in all duties. Acts as a charge nurse as requested by the nursing management team. Collaboration: Delegates responsibilities to others according to Massachusetts general laws and practice guidelines with an understanding of their roles, knowledge and capabilities. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care. Works weekends, holidays and off-shifts as required by unit staffing needs. Climate: Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development. Holds self accountable for professional practice. Presents self in a calm and professional manner and effectively verbalizes relevant problems during daily interactions, and/or staff meetings. Interacts and copes effectively with diverse populations in stressful situations resulting from trauma and illness. Participates in performance improvement activities utilizing principles to support and improve patient care. Demonstrates knowledge of unit goals and is active in committees and projects to achieve these goals. Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend. Keeps current with literature regarding changing practices, interventions and best practices in patient care. Assumes responsibility for seeking out educational and professional opportunities for personal learning needs and growth. Assumes responsibility for meeting mandatory education requirements and unit specific education and competencies. Acts as a preceptor as requested. Job duties for all positions: The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serve as a role model for the CARES - It Happens Here customer service initiative. Demonstrates excellent work attendance and attends and actively participates in a variety of meetings and training sessions as required. Demonstrates a friendly, responsive, service-minded attitude to all customers. Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback. Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards. Complies with established policies and procedures and all health and safety requirements. Maintains, and fosters, a clean, safe work environment. Actively contributes to the development and application of process improvements. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment. Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work and lifestyles. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Performs a variety of related duties as assigned. JOB REQUIREMENTS: JOB KNOWLEDGE AND SKILLS: Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging process, human development stages and cultural patterns in each step of the care process. Ability to provide care for a designated group of patients according to the unit guidelines and hospital policies, procedures and protocols. Ability to lead, guide and motivate staff. Ability to read, write and speak clearly in English. EDUCATION: Must be a graduate of a recognized school of Nursing A Bachelor’s degree (BSN) in Nursing is preferred. EXPERIENCE: 2-3 years of Nursing experience preferred. An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements . LICENSES, ETC.: Must have a current Massachusetts Registered Nurse License. Certification in a nursing specialty desired. 7p-7a, 24 HPW, EOW/EOH All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Other Holiday, Weekends - Every Other Weekend Scheduled Hours: 3:00pm-11:30pm Shift: 2 - Evening Shift, 8 Hours (United States of America) Hours: 24 Cost Center: 24050 - 0224 Med Surg Unit Union: MNA-HealthAlliance Leominster (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. Addendum for Milford Regional: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN within 30 days of hire. 3. ACLS required in select areas (Gannett, MP1, ICU, ED, Cath Lab, Endo, IR, PACU) within 6 months or first scheduled course offering whichever is sooner. 4. PALS required in select areas (PACU, ED) within 6 months or first scheduled course offering whichever is sooner. 5. NRP required in select areas (Maternity) within 6 months or first scheduled course offering whichever is sooner. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday, Thursday, Tuesday, Wednesday Scheduled Hours: on call Mon-thurs 430p-8a Shift: 2 - Evening Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 24100 - 4376 Hospice RN Per Diem This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. I. Major Responsibilities : 1. Assures case coordination and provides direct nursing care to patients and families on a 7 day per week (Sunday to Saturday) basis including day, evening, night, weekend, and holiday duty. 2. Meets patient care productivity standards established by the agency. 3. Collects comprehensive data pertinent to the patient’s health or the situation. 4. Analyzes assessment data to determine the diagnoses or issues. 5. Identifies expected outcomes in a plan individualized to the patient, family and/or caregivers and the situation. 6. Develops a plan that prescribes strategies and alternatives to attain expected outcomes. 7. Implements the individualized patient plan of care. 8. Coordinates care delivery. 9. Employs strategies to promote health, comfort, and a safe environment. 10. Evaluates progress towards attainment of outcomes. 11. Systematically enhances the quality and effectiveness of his/her nursing practice. 12. Attains knowledge and competency that reflects current nursing practice. 13. Evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. 14. Interacts with peers and colleagues and contributes to their professional development. 15. Collaborates with the patient, family, and others in the conduct of nursing practice. 16. Integrates ethical principles into all areas of practice. 17. Integrates best practices and/or research findings into practice. 18. Considers factors related to safety, effectiveness, and impact on practice in the planning and delivery of nursing services. 19. Provides leadership in the professional practice setting and the profession. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education : Required: 1. Diploma or Associate’s Degree in Nursing. 2. Valid and unrestricted licensure as a registered nurse in the Commonwealth of Massachusetts. 3. Valid and unrestricted driver’s license recognized by the Commonwealth of Massachusetts and access to a reliable, insured vehicle. Preferred: 1. Bachelor’s, Master’s, or Doctorate in Nursing. 2. Specialty nursing certification as a home health nurse, hospice and palliative care nurse or case manager. 3. Completion of the Certified Oasis Specialist certificate. Experience/Skills : Required: 1. Ability to perform all duties according to American Nurses Association Scope & Standards of Practice for Home Health Nursing professional standards and HAHHH policies and procedures. 2. Ability to use a laptop computer. 3. Ability to proficiently utilize or learn to proficiently utilize MS Office applications, e-mail, Point-of-Care software applications, and other wireless applications. 4. Ability to perform comprehensive physical and psychosocial assessments. 5. Ability to work autonomously. 6. Ability to communicate professionally and effectively with a diverse patient population. 7. Ability to read, write and speak clearly in English. Preferred: 1. 2-5 years of recent (within the past 18 months) medical-surgical experience either in an acute or subacute setting or same experience working in a certified home health agency or licensed hospice. 2. Previous case management or program management experience. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Home Health and Hospice RN on call coverage All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team to provide medical care to patients in long term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Nurse Practitioners provide medical services to patients living in long term care facilities. NP ROLE AND RESPONSIBILITIES: Provide primary and preventative care for long term care patients residing in skilled nursing facilities. Manage Residents with acute change in condition. Advanced care planning and chronic care management. Prescribe appropriate medications, including controlled substances in accordance with NH Law. Order, review and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with primary care physician. NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of New Hampshire. Board Certification. DEA licensure. Clinical background in adult, family or geriatric specialties. Experience working in a long-term care setting. Ability to work with an EMR. Ability to manage patients with advanced illness and multiple chronic conditions. Ability to work within an interdisciplinary care team to coordinate patient care. Full Time NP BENEFITS Continuing education credits Recertification Reimbursement Malpractice insurance Health, Vision, Dental Insurance Paid time off 
DESCRIPTION Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long-term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team provides medical care to patients in long-term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Wound Care Nurse Practitioners to provide wound services to patients living in long-term care facilities. WOUND NP ROLE AND RESPONSIBILITIES: Provide wound care services for long-term care patients residing in skilled nursing facilities. Prescribe appropriate medications, including controlled substances in accordance with NH Law. Order, review, and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with the primary care physician. WOUND NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of New Hampshire. Board Certification. DEA licensure (Optional) Clinical background in adult, family, or geriatric specialties. Clinical background of wound care; including but not limited to chronic, debilitating, stalled, or infected wounds Must be comfortable with diagnosing and treating diabetic, arterial, venous, and mixed etiology wounds or Kennedy Ulcers. Must be comfortable staging pressure injuries according to the NPIAP Must be familiar with wound care best practice and advanced wound care products; collagens, alginates, foams, silvers, etc. Must have experience with wound vacs and other DME, such as pressure relieving/ reducing devices Strong preference to having wound certification or be open to getting certified Experience working in a long-term care setting. Ability to work with an EMR. Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS Recertification Reimbursement Continuing Education Credits Malpractice Insurance Bonus Pay Disability Insurance Paid Time Off $5000 Sign On Bonus Mileage Reimbursement 
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $105,705.60 - $190,278.40 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 8:00am-4:00pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 24050 - 0110 Nursing Admin This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. The Nurse Manager is responsible and accountable for the 24-hour planning, organizing, directing, and coordination of clinical and administrative performance of assigned unit(s). Facilitates collaboration with medical and administrative leadership to assure patient needs are met and evaluates nursing care and patient outcomes. The scope of responsibilities includes clinical and safety practices of nurses and other members of the clinical team, professional nursing practice, leadership and professional growth, human resource management, financial performance, system coordination and clinical performance (safety, satisfaction and quality) improvement. I. Major Responsibilities: Clinical Practice, Patient Flow, Patient Experience: 1. Leads with high reliability principles framework with goal of zero harm. 2. Is responsible for a positive work environment that is safe for patients, visitors and staff. 3. Accountable for clinical practice and deployment of resources at the unit level to ensure ongoing implementation of nursing process and adherence to standards. 4. Conducts daily patient care rounds, assessing patient care requirements and monitoring nursing & ancillary staff performance to achieve safe, cost effective and quality patient care. 5. Directs the oversight of clinical practice through continuity of nursing assignments to optimize the patient plan of care. 6. Responsible to oversee that the nursing process is being utilized for each patient and a plan of care is established, coordinated, and delivered to each patient and family. 7. Creates and sustains a collaborative, patient-focused environment supporting excellence in clinical and service practices. 8. Assures the efficient daily operations of assigned unit(s), including appropriate staffing levels, equipment and supplies, bed and/or examination room management, workflow and productivity to meet patient needs. 9. Implements nursing standards, policies and procedures. 10. Accountable to hold multidisciplinary rounds for team lead review of care plans on the unit with providers, nursing, and ancillary team. 11. Maintains compliance with regulatory standards including, but not limited to, JC and DPH. 12. Ensures unit-based standards of care are in accordance with departmental, organizational and/or compliance related standards. 13. Maintains and displays knowledge of current profession/clinical issues and practices through participation in professional organization and certification in field of nursing. 14. Demonstrates and role model’s principles of ethical professional nursing practice. 15. Participates in Nursing Staff Organization; a shared governance model of practice through membership in nursing leadership council. Represents the department of nursing in various committees and task force activities throughout the medical center. 16. Coordinates team huddles during the day and in the evening to review new admissions, patient progression towards goals and discharge plan. Reports significant huddle outcomes to unit-director. 17. Accountable to patient experience outcomes in designated area Leadership/Management, Human Resources 1. Responsible for appropriate staffing levels, scheduling, hiring, and budgeting. 2. Assesses candidates, through behavioral and peer interviewing, for appropriate positions within the unit and makes recommendations for hire, transfers, promotions and/or other staff changes. 3. Partners with Safety Specialists for orientation of new clinical staff. 4. Provides clinical and administrative oversight of all staff and completion of specific performance reviews. 5. Assures appropriate orientation, competence assessment, in-service training and continuing education for all staff. 6. Ensures the proper documentation for recruiting, on-boarding, evaluating and terminating staff are completed timely and thoroughly. (i.e. position requisition, orientation checklist, separation). 7. Assures licensing certification for all staff is current. 8. Ensures job descriptions are reflective of current job duties and responsibilities and performance evaluations are completed for staff timely according to HR policies. 9. Fosters an awareness of the diversity that exists within the organization and strives to increase it by including culture, ethnicity, gender and age; promoting an environment that is sensitive to the needs of diverse populations. 10. Leads and influences the development of staff by creating a practice climate of responsiveness and learning which supports retention and recruitment of competent nurses and team members. 11. Develops staff by assisting them to identify goals and appropriate opportunities for learning. 12. Provides forums for individual and team recognition. 13. Coaches and supports staff by removing barriers and addressing issues. 14. Promotes communication and feedback through regularly scheduled staff meetings and other venues. 15. Informs Director and Associate Chief Nursing Officer of staff concerns. 16. Maintains current knowledge of labor and employment laws impacting staff in own unit and/or those that impact areas across the medical center. Maintains knowledge of current union contracts within own area of responsibility. 17. Establishes a climate for open, two-way communication and builds relationships at all levels of the organization. 18. Develops, implements and updates recognition initiatives valued by the unit/area. 19. Ensures and is accountable to staff participation in Nursing Staff Organization Governance councils. 20. Accountable for staff attendance at in-service programs, teaching opportunities, staff meetings and rounding. 21. Uses tools such as employee surveys to measure staff morale with a focus toward recognition and developing action plans for improvements. Budgetary Planning and Financial Performance 1. Develops annual departmental budgets based on established patient care indicators, projected volumes and patient populations. 2. Maintains cost effective staffing patterns based on department of nursing approved staffing budgets. 3. Maintains master staffing plans, position control and produces monthly staffing schedule aligned with departmental standards. 4. Demonstrates fiscal responsibility via monitoring of salaries and supply expenses, prepares and submits Corrective Action Plans on time and on schedule. 5. Develops capital budgets in collaboration with medical staff for assigned units/areas. 6. Educates staff regarding unit and medical center budgets in order to promote awareness and instill accountability for the financial performance of the unit. Seeks medical leadership and staff feedback on changes that impact such performance. 7. Prioritizes projects in line with financial goals and resource allocation of staff and material. Quality, Safety and Experience Improvements 1. Responsible for VMS safety, quality idea boards on unit. 2. Accountable for the execution of daily and shift safety and clinical care huddles. 3. Rounds on existing and new patients, addressing issues or concerns of patients and/or families on the unit. 4. Responsible for the closure of Safety Intelligence reports and appropriate Corrective Action Plans in place. Responsible for reporting all Serious Reporting Events (SRE) to leadership and provide feedback to staff on results. 5. Links departmental goals to department of nursing/organizational goals and strategic plans. 6. Actively coordinates clinical quality improvement and safety efforts on the unit with defined medical center quality and safety goals. 7. Facilitates patient flow through timely admissions and discharges in collaboration with medical staff and case management to assure proper utilization of resources. 8. Works collaboratively to solve problems, improve processes and integrate services within the department and with other departments. 9. Develops and implements service initiatives on unit using/tailoring organizational tools and programs such as Because We Care, Our Commitments, etc. 10. Creates and sustains an environment that encourages feedback, problem-solving, self-evaluation and innovation as the way work is accomplished and improvements achieved. 11. Leads patient satisfaction initiatives at the unit level to address metrics identified below target goals. 12. Actively seeks information about the underlying needs of patients, families, and employees and seeks to match those needs. 13. Collaborates with other disciplines to ensure quality and continuity of care. 14. Communicates quality and safety reports to staff and facilitates active participation of staff to improve metrics and outcome measures. 15. Communicates the importance of Nursing Quality Indicators, Patient’s First Reports, Core Measures and patient satisfaction data to staff. 16. Submits data for annual PPR, corrective action plans and clinical performance metrics as identified by the Department of Nursing. 17. Articulates patient care standards as published by JC, CMS and professional nursing literature. 18. Understands, articulates, and ensures compliance with the State Nurse Practice Act, State Board of Nursing regulations, state and local regulatory agency standards and policies of the organization. 19. Supports initiatives to incorporate research and evidence-based practice knowledge into nursing practice. 20. Establishes and maintains effective relationships with community agencies, groups, professional affiliations, etc as appropriate. Encourages staff participation and support to meet community needs in conjunction with medical center initiatives. Standard Management Level Responsibilities: 1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities. 2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met. 3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved. 4. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with system-wide initiatives. 5. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc. 7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations. 8. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Develops and maintains procedures necessary to meet regulatory requirements. 9. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures. 10. Ensures adequate equipment and supplies for department. 11. Develops and maintains established departmental policies, procedures, and objectives. 12. Ensures compliance to all health and safety regulations and requirements. 13. Maintains, regular, reliable, and predictable attendance. 14. Performs similar or related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Master of Science in Nursing (MSN), or Bachelor of Science in Nursing (BSN) with employee currently enrolled in a qualified MSN program. 2. Master’s Degree completion within 5 years of employment at Nurse Manager level. 3. Massachusetts Registered Nurse License. Experience/Skill: Required: 1. Broad and thorough knowledge of the discipline of Nursing. 2. Previous leadership/management experience. 3. Must possess the interpersonal and communication skills to provide effective participative leadership and to interact with patients, families, physicians, and other visitors and staff. 4. Strong analytical skills required to perform various data analysis techniques, review statistical and budgetary information and synthesize information appropriately. Preferred: 1. Minimum 3 years of directly related work experience in the field of specialty. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered moderate, frequent walking, standing, lifting and potential exposure to hazardous materials including infectious diseases. Position requires work indoors in a patient care environment. Position requires use of computer, and therefore requires ability to use keyboard, printer, various information system programs (Onestaff, Visionware, Kronos). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $6,250 Sign On Bonus! Hours: 24-Hours, Day/Evening, 7:00am - 7:00pm, (2) 12 hour shifts a week, Every third weekend and every third holiday $28.27 - $37.30 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan in conjunction with RN and team to address such issues. Safely administers medications in accordance with physician’s orders, protocols & policies, done within scope of practice. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to RN & provider in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Assists patients with personal hygiene, eating and drinking and provides emotional support while listening to concerns. Institutes appropriate measures in life threatening situations, ie; calls a CODE when necessary. Evaluates, reports to RN & provider, and takes appropriate action for patients with chest pain or other cardiac related symptoms. Institutes and documents cardiac patient/family education. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the charge RN & provider of changes in a timely manner. Performs assessment of psychiatric and physical needs on each patient upon admission and uses data collected to create and/or revise nursing plan of care. Takes instruction from and reports updates to registered nurse and or overseeing provider Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors. Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient. De-escalates volatile situations and/or individuals using non-violent techniques. Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care. Meets with families and significant others and residential providers in planning appropriate disposition and discharge. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications J ob Requirements Minimum Education Completed state-approved LPN education program Minimum work Experience One year med/surg experience with skilled nursing care and post-op orthopedics experience preferred Previous experience in inpatient Hospital or Skilled Nursing setting is preferred Required Licenses Current LPN license to practice in MA Current American Heart Association CPR certification card 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $7,500 Sign On Bonus! Hours: 24-Hours, Nights, 7:00pm - 7:00am, (2) 12 hour shifts per week, Every third holiday, Every third weekend, Weekends are Friday and Saturday night $28.27 - $37.30 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan in conjunction with RN and team to address such issues. Safely administers medications in accordance with physician’s orders, protocols & policies, done within scope of practice. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to RN & provider in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Assists patients with personal hygiene, eating and drinking and provides emotional support while listening to concerns. Institutes appropriate measures in life threatening situations, ie; calls a CODE when necessary. Evaluates, reports to RN & provider, and takes appropriate action for patients with chest pain or other cardiac related symptoms. Institutes and documents cardiac patient/family education. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the charge RN & provider of changes in a timely manner. Performs assessment of psychiatric and physical needs on each patient upon admission and uses data collected to create and/or revise nursing plan of care. Takes instruction from and reports updates to registered nurse and or overseeing provider Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors. Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient. De-escalates volatile situations and/or individuals using non-violent techniques. Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care. Meets with families and significant others and residential providers in planning appropriate disposition and discharge. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications J ob Requirements Minimum Education Completed state-approved LPN education program Minimum work Experience One year med/surg experience with skilled nursing care and post-op orthopedics experience preferred Previous experience in inpatient Hospital or Skilled Nursing setting is preferred Required Licenses Current LPN license to practice in MA Current American Heart Association CPR certification card 
Now Under New Ownership! Exciting Opportunity: Licensed Practical Nurse (LPN) at Langdon Place of Keene Position: Licensed Practical Nurse (LPN) Location: Langdon Place of Keene, 136A Arch St, Keene, NH 03431 Licensed Practical Nurse (LPN) Available Shifts: Full Time & Per Diem Evening shift: 3:00 P.M. - 11:00 P.M. Full Time & Part Time Overnight shift: 7:00 P.M - 7:00 A.M Part Time & Per Diem Weekends Sign on Bonus available: $6,000 Langdon Place of Keene is thrilled to announce that we are now under new ownership and are seeking dedicated and compassionate Licensed Practical Nurses (LPNs) to join our revitalized team. If you are committed to providing exceptional care and are looking for a supportive and dynamic work environment, we want to hear from you! About Us: At Langdon Place of Keene, we are dedicated to delivering high-quality care in a warm and welcoming environment. With our new ownership, we are enhancing our services and approach to care to ensure a positive experience for both our residents and our staff. What We Offer Licensed Practical Nurse (LPN): Modified Compensation Shift Differential Competitive Salary: Modified Compensation, Attractive pay rates with opportunities for career advancement. Flexible Scheduling: Various shift options to fit your lifestyle. Comprehensive Benefits: Health, dental, and vision insurance, paid time off, and retirement plans. Supportive Work Environment: Be part of a team that values your skills and fosters your professional growth. New Ownership: Join a refreshed team focused on innovation and excellence in care. Licensed Practical Nurse (LPN) Available Shifts: Weekend Warrior positions available for day/evening shifts Per diem positions available for all shifts Licensed Practical Nurse (LPN) Responsibilities: Provide high-quality, compassionate care to residents. Administer medications and treatments as prescribed by physicians. Monitor and document patient conditions, and collaborate with healthcare providers to adjust care plans as needed. Assist with daily living activities and support residents’ overall well-being. Ensure compliance with all regulatory standards and facility policies. Educate residents and their families about health management and care plans. Licensed Practical Nurse (LPN) Requirements: Valid LPN license in New Hampshire. Strong clinical skills and a compassionate approach to patient care. Excellent communication and interpersonal skills. Ability to work effectively both independently and as part of a team. Previous experience in long-term care or a similar setting is preferred but not required. If you’re passionate about making a positive impact in patient care and are excited about joining a newly revitalized team, apply today! Langdon Place of Keene 136A Arch St Keene, NH 03431 Langdon Place of Keene is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $6,250 Sign-On Bonus! Hours: 24-Hours, Days, 7:00am - 3:30pm, Every other weekend and holiday, Varied schedule, Monday - Sunday $29.27 - $39.06 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan in conjunction with RN and team to address Safely administers medications in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collects patient information from all available resources to assist in formulation of the comprehensive database, ongoing treatment plan, and ensures that all care delivered is appropriate to identified patient needs, standards of care and standards of practice Assures that all care is coordinated with the patient care provider (PCP), outpatient providers, and other services Responds to all case management within Heywood Hospital for the provision of differential diagnostics, treatment planning and disposition to appropriate level of care Identifies insurance and obtains approval and/or a referral for services provided Provides individual and group therapies according to Mental Health Unit standards to meet identified patient needs Takes instruction from and reports updates to registered nurse and or overseeing provider Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient De-escalates volatile situations and/or individuals using non-violent techniques Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care Meets with families and significant others and residential providers in planning appropriate disposition and discharge Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Organizational Expectations Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. Funct ional Demands Physical RequirementsExerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands). Occasional stooping (bending the body downward and forward by bending the spine at the waist), crouching (bending the body downward and forward by bending legs and spine). Qualifications Job Requirements Minimum Education Completed state-approved LPN education program Minimum Work Experience Six months skilled nursing care with dementia and behavioral health experience preferred Minimum Licenses and Certifications Current LPN license to practice in MA American Heart Association CPR certified 
Are you looking for something new? Have you been spending long hours on your feet, rushing from patient to patient with no time to provide quality care? It's time for a change. Join CureCare, a trusted home infusion nursing provider that has been serving patients across the Northeast for over a decade. At CureCare, we value your expertise and offer a supportive work environment that allows you to make a meaningful difference in patients' lives. CureCare is searching for hardworking RNs to join our team of dedicated Home Infusion nurses. As a Home Infusion RN, you will have the opportunity to provide infusion therapy and nursing services to patients in the comfort of their own homes, ensuring the highest quality of care and patient satisfaction. With CureCare, you'll have a great deal of flexibility in your per diem role. Our nurses are expected to have at least 20 hours of availability per month to see patients. This position will require you to build your book of business; no hours are guaranteed.* Step away from the hectic pace of traditional nursing and experience the rewarding work of providing personalized care in a home setting. Join us at CureCare to experience a fulfilling work environment and make a difference in patients’ lives. Don't miss this opportunity to enhance your nursing career with a company that values your expertise and focuses on patient-centered care. Hourly Pay Range: Pay is based on experience. Responsibilities: CureCare’s nursing team provides best-in-class clinical care. As a member of the nursing team, you will: • Build rapport with patients, provide infusion therapy, education, and monitoring. • Establish and maintain vascular access devices as prescribed. • Administer medications, assess for side effects. • Maintain knowledge of infusion therapies. • Assess patient appropriateness for home infusion. • Document patient history and clinical information. • Provide skilled care as ordered. • Communicate patient response to care promptly. Why CureCare: Join CureCare as an infusion nurse and enjoy the perks: • Flexible work schedules • Reimbursement for travel expenses based on the IRS standard mileage rate • Digital nurse documentation • Incentivized nurse referral program • Convenient access to infusion materials, delivered directly to patients' homes • Supported by both CureCare's Clinical and Corporate Teams Qualifications: • Active and unrestricted RN licensure in state(s) of practice • Valid Driver’s License and ability to commute to patient’s house • Minimum 2+ years of general Infusion Experience in clinical care setting (e.g. medical surgical unit, emergency department, intensive care unit) • Ability to work independently in home • Able to complete nursing documentation using electronic medical record documentation • Proficient with peripheral IV insertion • Current CPR Certification • Covid vaccination preferred, but not mandatory • Home Infusion experience preferred 
RN/LPN Registered Nurse Licensed Practical Nurse Leominster Rehabilitation and Nursing Center is the home where people work together to make great things happen every day. We offer a pleasant, family-friendly environment and a wonderful reputation providing services to our residents, families and local community. TEAMWORK EXCELLENT BENEFITS STABLE WORK ENVIRONMENT Daily Pay option available!! RN/LPN Registered Nurse Licensed Practical Nurse Duties and Responsibilities: Provides nursing care to patients as assigned. Administers and records medications and treatments as assigned. Prepares for and assists Physicians and others with diagnostic procedures and treatments. Reinforce supports and provides health care instructions to patients and their families. Participates with other team members in planning, implementing and evaluating nursing care and other patient activities. Assists in the admission, transfer, and discharge of patients. Observes and reports patients’ vital signs, symptoms and general condition to the appropriate individual(s). Records on patient charts observation of patient’s responses to nursing care rendered. Maintains environmental conditions conducive to the comfort and safety of patients. Assists with unit management and/or assume charge of unit as assigned. Experience: RN/LPN Registered Nurse Licensed Practical Nurse : 1 year (Preferred) License: RN/LPN Registered Nurse Licensed Practical Nurse (Required) Benefits: Health insurance Dental insurance Vision insurance Retirement plan/401k Signing bonus Paid time off Flexible schedule Other #CJ24 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Night, (2) 12 hour shifts, 7:00PM-7:00AM, Every third weekend, Every third holiday, Saturday through Friday, Every third Friday and Saturday Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Med/Surg. patients. Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to Med/Surg. patients. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Experience 1 year med-surge experience preferred. Previous telemetry experience preferred. Skilled Nursing experience preferred. Basic Dysrhythmia Course completion within 6 months of hire if no telemetry experience Required Licenses Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire $90,000 - $120,000 / hour
Director of Nursing-Nursing Home Located in Leominster, MA Salary: $90K - $120K; Based on prior experience Requirements of the Director of Nursing: Must have a current Massachusetts RN License Must have Director of Nursing experience in long-term care Must have excellent leadership skills Must have strong clinical background Must have strong written and verbal communication skills A strong understanding of skilled nursing standards of care Responsibilities of the Director of Nursing: Supervises all nursing staff in the facility Development and implementation of nursing policy and procedure Overseeing the hiring and continued employment of nursing staff Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident #3757 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 40-Hours, Days/Evenings, (4) 10 hour shifts, Monday - Thursday, 7:15am - 5:45pm $20.00 - $26.39 JOB SUMMARY: Under the direction of Management, Physician and/or Nursing, incumbent is responsible for assisting with patient care and medical office clinical support and clerical functions. Clinical duties include: Scheduling tests, obtaining and recording patient health information, including vitals and injections and rooming patients; performing in office testing, supporting providers; performing tasks /schedule management to help providers run on time; bucket management, schedule review; materials management and any other duties and locations as assigned. Must learn and perform new standards and processes as they are implemented and participate in customer service and patient satisfaction initiatives. Complete any assigned training. Perform phlebotomy services and administer vaccines. Clerical duties include: Answering phones, appointment scheduling, providing patient education. For complete description see below. Responsibilities ESSENTIAL FUNCTIONS Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe practice and hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Heywood Healthcare Attendance and Tardiness Policy. Completed all Heywood Healthcare and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Provides patient care by assisting with implementation of care plans. Assesses health status, documents interventions and evaluates patient progress following standard procedures. Performs basic office laboratory procedures such as urinalysis, urine culture, hematocrit, sed rate, mono spot, pregnancy tests, throat cultures and related procedures. Performs basic clinical procedures such as venipuncture/phlebotomy. Prepares documents and administers vaccines/non-intravenous injections as directed. Performs a variety of clerical functions to support office such as typing, filing, scheduling appointments, making phone calls and related duties as required or directed. Coordinates patient flow and prepares patient for examination. Takes and records vital signs and EKG’s. Documents intake assessment. Assists physician and others in clinical procedures as required or directed. Assist in triaging medical calls as per office protocol. Returns patient calls and documents in patient record as required or directed. Calls in prescriptions and refills as directed. Document prescription calls. Reviews laboratory results. Ensures abnormal results are brought to the attention of the physician and others as appropriate. Maintains records, reports, logs and other statistical information as required or directed. Processes Medical Records incoming and outgoing according to practice guidelines and regulations. Schedules and coordinates patient visits and medical procedures, for both inpatients and outpatients. Registers patients for each patient visit, utilizing computer based registration/scheduling system. Verifies patients insurance coverage and eligibility. Maintains assigned office and/or clinical supplies including vaccines. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items. Issues and verifies patients managed care referral. Collects copays from patients for visits, maintains records and reconciles daily deposits. Completes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner. Instruments and equipment are prepared and sterilized according to procedure to support infection control. Attends variety of meetings, conferences, and seminars as required or directed. Complies with established departmental policies, procedures, and objectives. Demonstrates use of quality improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Provide coverage when needed at other locations within Heywood Medical Group. All other duties and locations as assigned. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications JOB REQUIREMENTS Minimum Education High School diploma or equivalent required or must obtain within six months of employment Completion of accredited program in Medical Office Assisting (MOA) at an accredited school, or relevant job experience preferred. Required Certifications CMA/RMA or equivalent required. (Candidates with appropriate training or experience can obtain certification within six months of employment). BLS through American Heart Association required or must obtain within six months of employment Minimum Work Experience Experience in a medical office preferred. Required Skills Excellent written and verbal communications skills preferred. Proficiency with computers and electronic medical records is required. Ability to work flexible shifts, evening, and weekends required. Reliable transportation for travel between locations required. FUNCTIONAL DEMANDS Physical RequirementsExerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands). 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 8-Hours, Mornings, Weekends, 4 hour shifts on Saturdays and Sundays Responsibilities Essential Functions: Utilization Management- Utilization Review and Care Transitions & Coordination Providing clinical information to payers, monitoring length of stay, seeking necessary care authorizations and utilizing the InterQual Program; appealing denials as indicated within a timely fashion. Reviews all new admissions and Observation patients within 24 hours of admission against High Risk Screening Criteria and documents outcome within the UM EMR. Completes assessments on re-admissions within 30 days including reasoning for re-admission documents findings and provides data to the department for stratifying data. Follows-up on lack of documentation for medical necessity, supporting documentation with discipline identified. Trackand trend opportunities for improvement resulting in late Insurance Reviews, longer lengths of stay; including educating providers to Interqual Criteria used for determining Admission or Observation status. Completes utilization reviews daily and/or as required by insurer, (concurrent and retro) for medical and/or psychiatric appropriateness according to Hospital's approved criteria timely and efficiently. Assesses, intervenes, evaluates and determines level of care to establish accurate admission and/or observation status; demonstrates basic knowledge of DRG reimbursement, evidenced by standardized measures for length of stay and acuity level status designation. Demonstrates clinical expertise specific to the issuance of ABN/HINN notice to patients and/or legal significant other and care progression. Keeping physician and team informed of status change and documenting status. Provides education and information to patient, family and care providers as it pertains to continuing care, care management, LOS, re-hospitalization and assure understanding of disease management Multidisciplinary Team Rounds-participates in discharge planning rounds daily. Works collaboratively with multidisciplinary team to determine each patient's needs concurrently including post-acute care when needed; addresses LOS issues, appropriate leveling of patient status; addressespotential needs, resources, referrals for other disciplines etc. Quality & Statistical Data: Reviews medical record for abnormal findings,complications, delays and deviations from expected clinical outcomes reports such to Provider and/or Director to maintain an efficient, cost effective episode of care for each patient and documents intervention provided. Acquires knowledge to keep up with changes in technology and regulations. Utilizes knowledge to redesign systems for improving performance. Continuously prioritizes projects, activities, and tasks to ensure deadlines and customer needs are met. Assists with preparation of reports/statistics as it pertains to staff specific workflow. Denials/Appeal Process: Completes assessment of denial within 1 week providing supporting documentation with outcome of review; documents intervention in the UR EMR section. Prepare written appeal letters, termination letters, discharge notices, MOON and IMs when appropriate as per regulatory standards and department policies. Report any variances, trends to director. Submits denials/appeals when completed to the department secretary for processing. Discharge Planning:Communication: builds rapport and responds to needs of physician, reviewers for managed care plans, healthcare team members, 3rd party payers, outside reviewers and vendors to enhance internal and external customer service satisfaction. Responsible for completing nursing sections of the SNF Level of Care forms for Mass Health patients in need of care SNF placement, timely and efficiently and other forms assisting in transition of care as identified and collaborates with the social worker. In the event of an emergency, Care Coordinator may complete the form in full and process it to help expedite discharge planning process and length of stay. The Discharge Planning Process:Completes discharge planning assessments timely, efficiently and completely following regulatory standards and departmental policies assuring appropriate patient flow. Appropriately levels patient for home discharge with or without services or to another type of facility such as a SNF, Acute Rehab etc. Develops coordinates and implements discharge plan on cases assigned with patient and/or family/so caregiver. Identifying patient preference and selection choice for HHA/SNF placements having patient preference form checked off and signed/dates by patient and/or so. When plan is in place, notify provider establish and determine anticipated readiness for discharge, keeping patient/family/so informed and documenting such in the EMR. Closes case out using appropriate forms for transition of care communication timely and efficiently. The Care Coordinator collaborates with the team to assist the Multidisciplinary Team in providing discharge planning activities to assist in expediting a patient’s discharge as part of the care transitions process. It is the expectation that the Care Coordinator remains current and proficient in the discharge planning process in the event coverage is needed. Performs any and all other duties as assigned by director and/or designee. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or up to 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking. Qualifications Job Requirements Minimum Education BSN preferred Minimum Work Experience Previous UR/QA experienced required 2 years of healthcare experience within the Acute Care, SNF, HHA, Behavioral Health and/or Insurance Industry preferred Minimum License and Certifications Current Massachusetts Registered Nurse License Required Skills Interqual experience or equivalent preferred Meditech Expanse experience preferred Proficient computer skills required Must have effective written, verbal and interpersonal communication skills Excellent critical thinking Ability to multitask and flexibility essential Discharge planning experience as it pertains to the care transitions, referral process, patient preference/choice services, patient & family satisfaction, post discharge follow-up etc. 
Join, stay, and grow with Benchmark. Connect with your calling. Leominster Crossings is looking for Per Diem Nurses (RNs/LPNs) to join our team! LPN: $35-39/HR RN: $40.50-44.50/HR As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Nights, 11:00pm - 7:30am, 3 shifts per week, Every other weekend and holiday, Shifts Sunday - Saturday, Weekend is Friday and Saturday nights $37.26 - $76.63 Job Summary: The telemetry RN will provide competent and caring nursing skills while upholding the mission, vision, and values of Heywood Hospital. Able to interpret cardiac rhythm strips and to act/react to those findings including knowledge of IV drip titration as appropriate to W1/telemetry patient needs. This position includes assessment, interpretation of physiologic elements, development of nursing plan of care, patient education, communication with physicians, etc. Responsibilities ESSENTIAL FUNCTIONS Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on physician orders. Institutes appropriate measures in life threatening situations. Evaluates and takes appropriate action for patients with chest pain or other cardiac related symptoms. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications JOB REQUIREMENTS Minimum Education• Graduate of an accredited school of nursing Minimum Work Experience• 1 year med-surge experience preferred• Previous telemetry experience preferred Minimum Licenses and Certifications Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire 
Job Title: Resident Care Associate Department: Resident Care Date Revised: July 2024 Reports To: TCD/RCD/RSD/MMD/DON FLSA Status: Non-Exempt Job Code: 7109 Harbor; 7010 Trad; 7210 SNF Job Summary: The Resident Care Associate provides the service and care required to each resident in a timely and efficient manner. Principal Duties/Responsibilities: Schedule: 3pm to 11pm, Part Time with every other weekend rotation. Starting at $18.50/hr. Provides ongoing supervision of residents’ health related activities; complying with health care instructions explained by health care professionals and promptly and appropriately seeking and obtaining medical attention when needed Recognizes and can assist in the prevention of elder abuse, neglect, and exploitation Recognizes and reports a resident’s change of condition particularly as it relates to needing more time to deliver care Assists residents with Activities of Daily Living (bathing, grooming, hygiene, dressing, toileting, mobility/transfers, dining) Participates in functional evaluation and service plan reviews Removes, launders, folds, and properly returns resident linens and personal laundry Serves residents food as directed, including feeding skills, if regulations permit Receives and gives report of on-going shifts by oral and/or written log Effectively handles resident behavioral expressions Reacts calmly and effectively in emergency situations Assures resident information is communicated to the staff through the report process and calendar (i.e. appointments, outings, etc.) Efficiently documents and provides accurate record-keeping as appropriate Checks all residents daily for cleanliness, appropriate clothing, and any continence issues Uses proper sanitary procedures to wipe tables, and sweep and mop dining room and life enrichment kitchen after meals Checks on resident rooms daily for general cleanliness and neatness; ensures high risk rooms are double checked Communicates and documents residents’ material needs (i.e. briefs, clothing, toothpaste, pads, etc.) Measures and accurately records vital signs (temperatures, pulse, respiration, blood pressure, weight and height) where appropriate as per state regulations Accurately communicates and documents residents’ status Assesses resident safety/risk in a proactive manner Effectively communicates with residents, families and friends of residents Accurately completes incident reports prior to the end of the working day Participates with Programming staff and residents in daily programs and recreational activities as directed. Utilizes the program staff for assistance and supplies and activity boxes Responds to emergencies and personal emergency response system and knows when to call for backup Serves as mentor to new Resident Care Associates Special projects/assignments as delegated Education/Experience/Licensure/Certification: Must have current certification as a nursing assistant or have successfully completed the certified home health aide or homemaker/personal care homemaker training program In Rhode Island, all Resident Care Associates must be a Certified Nursing Assistant (CNA) High School education preferred Required Skills/Abilities: Demonstrates proficiency at reading and understanding a Resident Care Service Plan or assignment (e.g., ADLs and introductory visits) Understands advanced directives and end-of-life care Understands the nursing function in assisted living, memory care and/or skilled nursing Understands quality of care and life objectives Reviews and demonstrates understanding of the use of Resident Care Standards and Practices with the Resident Care Director/Director of Nursing and/or supervisor Demonstrates knowledge of Benchmark Standards and Practices Demonstrates working knowledge of state regulations as they pertain to the job Has sound working knowledge of policies in the Resident Handbook Possesses current First Aid, and Heimlich certification, if required by state regulations PHYSICAL JOB ANALYSIS JOB TITLE: Resident Care Associate, Lead Aide, Universal Worker The principal duties and responsibilities are listed in the formal job description. This form is intended to provide a summary of the physical demands of the job. Frequency Frequency Unanticipated Seldom (1-5% of time) Occasional (6-33% of time ) Frequent (34-66% of time) Constant (67-100% of time) Unanticipated Seldom (1-5% of time) Occasional (6-33% of time ) Frequent (34-66% of time) Constant (67-100% of time) LIFT/CARRY (OBJECTS) EQUIPMENT Objects up to 10 lbs. X Transfer Devices/Gait Belts X Objects 11-20 lbs. X Kitchen Equipment X Objects 21-35 lbs. X Ladders X Objects 36-75 lbs.* X Maintenance Equipment X Objects 76-100lbs.* X Tablets/Computers/Office X *Weights in excess of 35 lbs. will be reviewed for 2-person or mechanical assist Vehicles/Driving X PUSH/ PULL FORCE ** ENVIRONMENTAL EXPOSURES Wheelchair with Resident 10-50lbs. X Indoors X Resident Lift Equipment 10-60 lbs. X Outdoors X 2 Wheel Dolly/ 4 Wheel Cart 5-35lbs. X Extreme Heat X Floor Cleaning Equipment 5-25 lbs. X Extreme Cold X **Push/pull force is measured as the peak force required to start object moving Dusty X POSTURES Excessive Noise X Sitting X RESIDENT MOBILITY ASSISTANCE Standing X One/two person manual transfer (up to 35 lbs. lifting force per person) X Walking on even surface X Bed positioning (lateral movement of resident in bed) X Walking on uneven surface X Chair boosting (assisting resident to sit up in a chair) X Climbing/Stairs X Assist Walking with Gait Belt X Bend/Stoop/Twist X ADDITIONAL CONSIDERATIONS Crouching/Squatting X Physical Exams or Health Screenings (as required by state) Kneel/Crawling X TB Test Reach Above Shoulders X Annual Flu Shot Reach Waist to Shoulders X COVID Vaccinations and Boosters Reach Below Waist X Personal Protective Equipment (nitrile gloves, gown, mask, etc.) Repetitive Arm Use X N95 Respirator (must be clean shaven such that any facial hair does not impact the respirator seal) Repetitive Wrist/Hand Use X Exposure to House Pets Hand grasping (power grip) X Exposure to Needles and Sharps Fine manipulation hands/fingers X When working with our resident population, you may on occasion be exposed to certain risks related to medical conditions or progressive diseases such as Alzheimer's disease. These risks include communicable diseases as well as agitation and/or aggressive behaviors which may be verbal or physical. Because you are working so closely with the resident, you may be the target of this aggression. Understanding that these behaviors are related to a medical condition and/or disease process and are not in any way personal, is key to maintaining dignity and respect for our residents in all avenues of care. Benchmark is committed to workplace safety, and to the extent there is any concern relating to safety hazards in the performance of the job, you should immediately report your concerns as directed in the Employee Handbook. I ______________________________ have read this job description and understand the duties and responsibilities of the position of Resident Care Associate. I further understand that it is my responsibility to perform my duties consistent with the highest standards of Benchmark Senior Living. ________________________________ _______________ Employee Signature Date ________________________________ _______________ Supervisor’s Signature Date 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $12,500 Sign On Bonus! Hours: 24 hours, Day, 7:00 am - 3:30 pm, every third weekend, every other holiday Hourly Rate: $37.26-$76.63 per hour. Responsibilities Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers and demonstrates understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of unit specific drips in accordance with provider's orders, protocols, policies and guidelines.. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the attending provider. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Institutes appropriate measures in life threatening situations. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders. Evaluates and takes appropriate action for patients with chest pain or other cardiac related symptoms Performs assessment of psychiatric and physical needs on each patient upon admission and uses data collected to create and/or revise nursing plan of care. Performs pre-admission screenings and appropriate insurance procedures. Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors. Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient. De-escalates volatile situations and/or individuals using non-violent techniques. Creates and updates the Master Treatment Plan, coordinating with hospital and community providers and significant others. Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care. Meets with families and significant others and residential providers in planning appropriate disposition and discharge. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing. Minimum Work Experience 1 yr Med/Surg experience preferred Previous telemetry experience preferred Pediatric experience preferred Minimum Licenses and Certifications Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire PALS preferred