Nursing Jobs in Lower Manhattan, NY

Priority Care Staffing New York, NY

CNA, LPN, RN Urgent Hiring in New York

$22 - $25 / hour

Responsibilities of a CNA: · Provide patient care under direction of nursing staff · Administer prescribed medications to patients · Assist in the transport of patients · Provide companionship and basic care to patients Qualifications of a CNA: ü CNA certification and ü Licensed to work as a CNA current state ü Ability to build rapport with patients ü Compassionate and caring demeanor Responsibilities of an LPN: · Licensed Vocational/Practical Nurse will care for ill, injured, or convalescing patients · Licensed Vocational/Practical Nurse will provide basic patient care and treatment · Licensed Vocational/Practical Nurse will collaborate with registered nurses to administer prescribed medications · Licensed Vocational/Practical Nurse will educate and update patients on medical treatments Qualifications of a LPN: ü Currently licensed as an LVN/LPN ü Certification program completed as an LVN/LPN ü CPR/BLS certification Responsibilities of a RN: Registered Nurse (RN) is responsible for supervision of care given to residents by Licensed Practical Nurse, CNA, and other members of the team. Registered Nurse (RN) develops resident's daily assignment sheets and makes changes as indicated based on staffing patterns and resident acuity. Registered Nurse (RN) evaluates resident's response to medication and treatment. Registered Nurse (RN) is responsible for ensuring administration of medication, treatments, and evaluating resident’s response to medication and treatment. Qualifications of a RN: Associate Degree in Nursing or Bachelor of Science in Nursing Licensed in the State of New York as a Registered Nurse (RN) CPR/BLS certification Requirements to Apply: Updated Resume NY License & Registration 2 Valid IDs & Social Security Card 2 Reference Letters Physical, PPD/QuantiFERON, MMR, Flu Shot (Flu Season or option to decline), and Covid Vaccination Card Why work with us: Priority Care Staffing aims to create an environment that provides our employees autonomy in choosing the facility that works best for their location and availability. If you’re looking for an agency who will PUT YOU FIRST, join our TEAM today.

Northwell Health Manhasset, NY

Registered Nurse

$67 / hour

194691 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy; collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion; performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary; administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions; participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

IMMEDIATE WORK FOR HHA/PCA

Castle Rock Home Care NY

$20.34 / hour

APPLY NOW!! GREAT PAY - $20.34 AN HOUR LOTS OF CASES AVALIBLE IN ALL BOROUGHS!! $100 BONUS UPON HIRING!

Registered Nurse Community Based Behavioral Health

Bond Health New York, NY

$48 - $60 / hour

Registered Nurse needed in Brooklyn Full time position! The Registered Nurse (RN) provides comprehensive nursing services across the Crisis Respite/Transitional Program (CRTP), Intensive Case Management (ICM), and Critical Time Intervention (CTI). This full-time role supports individuals with dual diagnoses of intellectual and developmental disabilities (IDD) and severe mental illness (SMI) needs by integrating skilled nursing care, crisis stabilization, transitional planning, and intensive care coordination. The RN collaborates with interdisciplinary teams to promote health, safety, dignity, and successful community integration. The RN ensures that complex medical, behavioral, and psychiatric needs are met during the transition from an inpatient setting to the community. ESSENTIAL RESPONSIBILITIES Clinical Care Screen individuals who are being considered for admission to the CRTP and the Transitional Respite Program. Active member of the "intake” team. Conduct initial and ongoing nursing assessments for individuals admitted to CRTP. Oversight of self-medication administration program, monitor therapeutic response, and document outcomes. Provide direct nursing interventions such as wound care, diabetes management, respiratory illness support, and chronic disease oversight. Monitor early signs of medical or psychiatric crisis and initiate appropriate interventions. Regularly reviews medication administration records, logs documenting vital signs, elimination, glucose readings, weight, menses, and other records as individually specified. Reports significant issues to appropriate clinicians and team members, including the need for ordering medications, renewing or updating prescription orders, and people-supported specific drug information sheets. Monitor and manage medication storage and disposal procedures in accordance with federal and state law. Develop and monitor health goals that are person specific. Review, update, and revise these documents to ensure they are reflective of the current person supported status. In compliance with OSHA mandates, monitors infection control, environmental changes, and ensures that all guidelines regarding universal precautions are appropriately followed. Order and maintain necessary first aid and medical supplies as needed. 24/7 availability via phone for consultation and basic direct care. Case Management & Transitional Support Partner with ICM teams to address both medical and behavioral health needs in service planning. Deliver health education and coaching to individuals, families, and direct support staff to promote independence and wellness. Facilitate hospital discharge and community reintegration through CTI, ensuring continuity of medical, psychiatric, and social support. Coordinate follow-up care with primary care providers, specialists, and community-based resources. Collaboration & Training Serve as the clinical liaison among providers, families, and program staff. Participate in interdisciplinary treatment planning and case conferences. Train and mentor direct support professionals (DSPs) on health-related tasks and emergency response. Maintain timely and accurate documentation in compliance with OPWDD, OMH, and DOH regulations. Qualifications: Current New York State RN license (unrestricted). Minimum 2 years of nursing experience; background in IDD, behavioral health, crisis care, or community health preferred. Familiarity with OPWDD, OMH, and DOH nursing regulations and program requirements. Strong clinical assessment, crisis intervention, and care coordination skills. Excellent communication, organizational, and documentation skills. Ability to work independently while thriving in a team-based environment. Valid driver's license preferred (travel to multiple program sites may be required). For more information and to apply please contact Yash Mistry Account Manager, Bond Health Staffing 5824 12th Avenue Brooklyn, NY, 11219 Office: 1-718-302-0040 ext. 206 Fax: 1-718-302-0070 Yash@bondhealthstaffing.com

Richmond University Medical Center New York, NY

Nursing Assistant

$25.13 - $26.46 / hour

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Evening Shift - 7.5 Hours (United States of America) Under the supervision and direction of the registered nurse perform various duties and functions in the treatment and care of patients. Specific duties include: Taking & recording vital signs, assisting patients with hygienic and clothing needs. Requirements: High School diploma or GED required. Current BLS certification required. 1 - 2 years experience working as a Nursing Assistant in a hospital setting preferred Eves w/ eo wknd & hols; 3p-11p Salary Range: $25.134/hr - $26.461/hr Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Now Hiring: Companion Caregiver – Make Every Day Meaningful

UniversaCare New York, NY

Kindness isn’t just a trait—it’s a job description. Do you have a heart for helping others feel safe, supported, and seen? Join a team that values compassion, connection, and the simple power of being present. What You’ll Do: Share conversation, laughter, and emotional support Assist with light tasks like errands, meals, and tidying up Provide companionship during walks, appointments, or quiet moments Help create a calm, joyful daily routine Who You Are: Warm, reliable, and naturally empathetic A great listener with a gentle presence Experience in caregiving or customer service is a plus—but heart matters most Ready to make a difference, one person at a time What You’ll Get: Flexible hours and supportive team culture Paid training and growth opportunities The chance to bring comfort and connection to someone’s life If you believe that care starts with kindness, we want to hear from you. Apply now and help us turn everyday moments into something extraordinary. Call (718) 224-3758 ext. 2 — leave a voicemail and we’ll call you back! About Us Universacare is proud to be an Equal Opportunity Employer, celebrating diversity and inclusion across all aspects of employment.

ICU

RWJBarnabas Health Belleville, NJ

Registered Nurse (RN) Post Intensive Care- III (2N) Full Time Night

$47.62 - $63.73 / hour

Req #: 0000250457 Category: Nurses Status: Part-Time Shift: Night Facility: Clara Maass Medical Center Department: Post Intensive Care- III Pay Range: $47.62 - $63.73 per hour Location: 1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109 Job Title: RN Location: Clara Maass Medical Center Department Name: Post Intensive Care- III Req #: 0000250457 Status: Hourly Shift: Night Pay Range: $47.62 - $63.73 per hour Pay Transparency The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview Located in Belleville, Clara Maass Medical Center is a facility of RWJBarnabas Health and provides a complete continuum of care to residents of northern New Jersey. With over 700 physicians and 2,100 employees, we offer advanced treatment for a wide variety of medical conditions. Our facility includes centers for advanced wound care, sleep disorders, bariatrics, orthopedics cardiac services, cancer care, emergency services, and more. In 2017, the Medical Center completed a state-of-the-art campus expansion featuring a new four-story 87,000 square foot building with a private, 32-bed Intensive Care Unit, new Main Entrance and Lobby, Retail Pharmacy, Patient Registration Area and newly expanded Emergency Department. Qualification Required: Graduate from an accredited School of Nursing Associate degree in nursing Preferred Bachelor’s degree in nursing Minimum one (1) year RN experience on a Telemetry unit Excellent verbal communication, interpersonal, and demonstrated writing skills Certifications And Licenses Required Active NJ RN License or Multistate RN License with NJ Endorsement BLS certification through American Heart Association ACLS or obtain within 6 months of hire Scheduling Requirements Full Time Night Shift 7:00pm – 7:30am Every other weekend required. Schedule during the week will vary depending on department needs Essential Functions The Registered Nurse (RN) organize and administers individualized age-specific professional care to patients within an assigned unit of the hospital in support of medical care. Supports philosophy, objectives and the mission and vision of Saint Barnabas Medical Center and the Department of Nursing. Practices in accordance with the State Nurse Practice Act, American Nurses Association Standards of Practice, Code of Ethics for Nurses, Department of Health Regulations, TJC requirements and other regulatory agencies. Participates in patient teaching and discharge planning. Participates in unit Performance Improvement evaluation activities. Benefits And Perks At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees’ physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon ….and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer

LPN

Citadel Care Centers West Orange, NJ

Licensed Practical Nurse

Green Hill Seinor Living & Rehabilitation is currently seeking a Part-Time LPN's for day (11am-7pm) shifts to join our dynamic organization. OVERVIEW: Under the leadership of the Registered Nurse, the LPN will be providing coordinated care to residents in a skilled nursing facility. RESPONSIBILITIES: · Provide direct care responsibilities to patients · Supervise CNA’s · Administer medications and treatments timely and according to policy · Receive, transcribe, and carry out physician orders · Follow established procedure for charting · Complete patient assessments, coordination of care · Identify and reports changes in condition · Follows environmental health & safety and sanitation standards and procedures · Oversees clinical and non-clinical acute operations and continuum of care REQUIREMENTS: · Valid LPN License in New York · CPR/BLS certified · 1 + year nursing experience in a hospital, nursing home or other healthcare setting

Hospice

Northwell Health Westbury, NY

Hospice Care Registered Nurse - Fee for Service

$75 - $100 / hour

193908 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Please note: The 'minimum’ rate and 'maximum’ rate refers to a 'per-visit' rate for regular assignments in this role. Voluntary work opportunities, outside the normal scope of duty, may pay an alternate ‘per-visit' rate, depending on multiple factors (region, type of visit, discipline, etc.), and may be offered on an occasional, as-needed basis. There is an hourly rate paid for certain administrative tasks (orientation, training, meetings, etc.), which is $30.00, following completion of new hire orientation. Job Responsibility Conducts pre-admission screening and initial nursing health assessment on new patients; assesses body systems (cardiac, vascular, neurological, and gastrointestinal, etc.); develops nursing plan of care and goals based on patients' needs. Provides nursing care to patients to include but not limited to supervising diet, medication, activity level of client, supervising safety in the home, and activities of daily living. Evaluates the provision of nursing care to patients, including but not limited to Evaluation of physical therapy, occupational therapy, speech therapy, nutrition counseling, and respiratory therapy, Contracting agency nurses. Trains and evaluates home health aides, homemakers, and personal care workers in the patient’s home, recommending personnel changes to the administration of Hospice as is necessary. Determines the need for, and recommends the rental or purchase of medical equipment and/or supplies for patients. Provides ongoing evaluation of equipment for defects, repairs, or additional needs. Recommends to the Hospice IDG (Interdisciplinary Group) when physical therapy, occupational therapy, speech therapy, nutritional counseling and respiratory therapy are warranted, as per his/her clinical assessment; requests physician written orders for changes in the plan of care as is appropriate; reports to and consults regarding patient status; participates in on-going orientation and in-service training offered both within and outside the Hospice. Participates in on-call coverage system on a rotating basis; serves as a liaison in maintaining the Hospice patient's Plan of Care while inpatient; refers major or recurrent problems to the Hospice supervising nurse. Participates in the ongoing Quality Improvement Program. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related, are not essential functions. Physical Demands are constant – standing and walking; frequent – stooping, bending, stretching, lifting, pulling, pushing, and turning; lifting of objects from 10 lbs. to 150 lbs. and pushing objects up to 200 lbs.; occasional – sitting; lifting with assistance of objects greater than 150 lbs. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 2 + years of nursing experience: med/surge, hospice, home care preferred. Minimum one year of experience in acute care – med/surg strongly preferred. Experience in inpatient facilities and hospice care. This is a Field position. May need to see Pediatric patients Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).

The HHA/PCA job you've been looking for!

Community Care Home Health Services White Plains, NY

$16 - $18 / week

Urgent need in Lackawanna! Apply Today! Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Weekly Pay 401k Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!

United Care ABA-New York New York, NY

Certified Nursing Assistant Technician

$22 - $28 / hour

A New Path for CNAs: Transition Into ABA Therapy At United Care ABA, we know many Certified Nursing Assistants (CNAs) are ready for a fresh opportunity—to use their compassion and skills in a new way while building a long-term career. We are actively hiring Behavior Technicians (BT) who are passionate about working with children and ready to transition into the field of Applied Behavior Analysis (ABA). This is a great fit if you’re looking for a second job to balance with day or night CNA shifts, or if you’re ready to make a full career change into ABA. Why United Care ABA? We’re not just offering a job—we’re offering a career path. At United Care ABA, we’re proud to support Behavior Technicians with tools, mentorship, and a team-based culture that helps you succeed and grow. Hands-On Training: Learn while you work and prepare for RBT certification with guided support. Regular Check-Ins and Clinical Supervision: You’ll have access to experienced BCBAs every step of the way. Clear Path for Growth: We support your advancement from BT to RBT—and beyond. Strong Team Culture: You’ll be surrounded by people who care about your development and client success. We help you grow your skills so you can help children grow theirs. What We Offer to Behavior Technicians: Career Development: Structured support to help you become a certified RBT and explore long-term clinical roles. Flexible Scheduling: Full-time and part-time positions available, with in-home and center-based work options. Perfect if you’re balancing CNA shifts while transitioning into a new field. Supportive Work Environment: Training, guidance, and responsive administrative support. Collaborative Culture: You’ll be part of a team that values communication, consistency, and client impact. Paid Time Off and benefits for eligible full-time employees. Competitive Hourly Compensation: Pay starting at $22–$26 per hour, based on experience, with potential for increase upon certification and performance. What We’re Looking For: A passion for working with children and a desire to make a lasting difference. Willingness to pursue RBT certification within your first few months of employment (required). High school diploma or equivalent (college coursework in psychology, education, or related fields is a plus). Strong communication skills and a friendly, professional demeanor. Dependability, attention to detail, and the ability to follow clinical guidance. A long-term interest in growing within the field of ABA, including pursuing advanced care roles such as RBT and eventually BCBA. Behavior Technician Responsibilities: Work directly with children under the supervision of a BCBA to implement individualized ABA therapy. Follow treatment plans and interventions designed to improve communication, behavior, and daily living skills. Accurately record session data and provide feedback to supervisors. Build strong, consistent relationships with clients and families. Maintain professionalism and compassion in all interactions. Participate in team meetings and complete required training. Why You Should Join Us: This is more than a job—it’s the start of a career with purpose. Whether you’re seeking a second job to complement your CNA shifts or planning a full transition into ABA, we want to meet you. At United Care ABA, you’ll gain the experience, mentorship, and support you need to thrive—starting from day one. Ready to begin your journey? Take the first step toward becoming a Registered Behavior Technician—apply today! Work Available In: [Insert City, State]

New Carlton Rehabilitation & Nursing Center New York, NY

CNA (Certified Nursing Assistant)

$21 - $23 / hour

*Make up to $23 an hour* * $1,500 Sign on Bonus * *NEW- Shift diffs of $2/hr!* New Carlton Nursing Home is located at 405 Carlton Ave, Brooklyn, NY 11238 At New Carlton Nursing Home, we take pride in our employees and our residents. We look for the best in staff members and ensure proper communication to continue our passionate legacy. We work closely with families and supply proper training for our staff members. We offer an extensive mentor program where new hires will be paired with a preceptor who will work at YOUR pace, to ensure you are comfortable on our floor. Our CNA shifts are 8 hours, with flexibility on schedules and shifts. Carlton Nursing Home also offers a weekend warrior program- all decided by you! We offer sign-on bonuses and shift diffs for each shift! We also ensure safe patient-to-staff ratios, to prevent an unsafe work en vironment. What makes us stand out from the crowd? Staff lunch Fun Activities for staff medical insurance, dental insurance, vision insurance At New Carlton Nursing Home, you will feel welcome and at home with residents and management. You will be viewed as a person and not just another employee. You will have people you can go to and management you can rely on. Actual Employee Reviews: “ BEST QUALITY OF CARE .” - Current Employee, Google Reviews “ I was very impressed how Professional and to the point they were with me I felt welcome with open arms .” - Family Member , Google Reviews “ I had excellent bosses, and I loved my patients ” - Past Employee, Indeed Review Must hold current and active CNA license in the state of NY. The Next Steps? Once you apply, you can fill out a brief questionnaire and our hardworking recruiters and our human resources director will reach out to schedule an in-person interview with you. Where you can come see our facility, meet our team, and discuss what will work best for you in our facility. We may also schedule times for you to job shadow our long-term employees to see if Carlton Nursing Home is right for you!

The HHA/PCA job you've been looking for! Community Care is hiring aides to work 12-20 hrs./wk. in Westchester! Flexible schedule, 1199 Union membership, sign-on and referral bonus!

Community Care Home Health Services White Plains, NY

$20.27 / hour

Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!

Manager/Supervisor

Citadel Care Centers New York, NY

Registered Nurse Unit Manager

The Plaza Rehab and Nursing Center is currently seeking a Full -Time RN Unit Managers for day (7am-3pm), evening (3pm-11pm) night (11pm-7am) and Weekend shifts to join our dynamic organization. OVERVIEW: Unit Manager is primarily responsible for overseeing day to day patient care, supervising, directing and developing nurse staff, and reporting to the Director of Nursing to ensure quality patient care within a long-term care center, skilled nursing facility or assisted living community. RESPONSIBILITIES: · Identify patient service requirements by establishing personal rapport with potential and actual patients as well as nursing staff in a position to understand service requirements. · Assure quality of care by enforcing adherence to state board of nursing and state nurse practice act requirements · Maintain nursing staff by recruiting, selecting, orienting, scheduling and training nurses and auxiliary staff. · Maintain safe and clean working environment · Ensure operations of medical and administrative equipment verifying emergency equipment availability; completing preventive maintenance requirements. · Maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. REQUIREMENTS: · Valid RN License in the State of New York · CPR/BLS certified · Minimum 2+ years in nursing home or other healthcare setting and a minimum 1-year experience as a nurse supervisor

Correctional

NYC Health + Hospitals New York, NY

Staff Nurse - CHS

$112,775 / year

Marketing Statement NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers. NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts. Duties & Responsibilities Work in collaboration with physicians to provide patients with care, education, and support. Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Coordinating and assigning duties to other health care personnel, such as licensed practical nurses, nursing aides, and patient care associates. Responsibilities include: (Detailed Task) Comply with procedures, regulations, and rules in maintaining medical records Monitor, record and report symptoms and changes in patients' conditions. Record patients' medical information and vital signs. Modify patient treatment plans as indicated by patients' responses and conditions. Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans. Monitor all aspects of patient care, including diet and physical activity. Direct and supervise less skilled nursing/health care personnel, or supervise a particular unit on one shift. Prepare patients for, and assist with, examinations and treatments. Observe nurses and patients to ensure that proper nursing care is provided. Instruct individuals, and other groups on topics such as health education, disease prevention and childbirth, and develop health improvement programs. Prepare rooms, sterile instruments, equipment and supplies, and ensure that stock of supplies is maintained. Administer local, inhalation, intravenous, and other anesthetics. Provide health care, first aid, immunizations and assistance in convalescence and rehabilitation. Conduct specified laboratory tests. Direct and coordinate infection control services, advising and consulting with specified personnel about necessary precautions. Perform administrative and managerial functions, such as taking responsibility for a unit's staff, and planning. Provide or arrange for training/instruction of auxiliary personnel. Refer patients to specialized health resources or community agencies furnishing assistance. Consult with institutions or associations regarding issues and concerns relevant to the practice and profession of nursing. Work with individuals, groups, and families to plan and implement programs designed to improve the overall health of communities. Triage nurse works to assess patient needs and provide clear patient information and education providing the patient with clinical advice on the management of their care Engage in research activities related to nursing. EMERGENCY RESPONSE Responding to/addressing medical emergencies, such as falls, heart attacks, strokes, and burns as well as recovering post-operative patients Evaluate a patient’s condition in order to determine the right course of treatment When clinically indicated, provide care, such as CPR, AED, prevent shock, control severe bleeding, prevent spinal damage, etc. Monitor patient’s condition and keep it stable while in route to the clinic Aid in the preparation of the transfer of patients by Urgicare and/or EMS to the emergency units or hospitals Document medical treatment given to the patient Keep the equipment clean after use; check and replace damaged and used supplies. Collaborate with pharmacy to replenish supplies. ACTIVITIES: Assisting and Caring for Others -- Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers (civilian/correction staff) and/or patients. Documenting/Recording Information -- Entering, transcribing, recording, storing, or maintaining information in written or electronic form. Getting Information -- Observing, receiving, and otherwise obtaining information from all relevant sources. Updating and Using Relevant Knowledge -- Keeping up-to-date technically and applying new knowledge to your job. Organizing, Planning, and Prioritizing Work -- Developing specific goals and plans to prioritize, organize, and accomplish your work. Identifying Objects, Actions, and Events -- Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events. Making Decisions and Solving Problems -- Analyzing information and evaluating results to choose the best solution and solve problems. Communicating with Supervisors, Peers, or Subordinates -- Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. Establishing and Maintaining Interpersonal Relationships -- Developing constructive and cooperative working relationships with others, and maintaining them over time. Monitor Processes, Materials, or Surroundings -- Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems. Interpreting the Meaning of Information for Others -- Translating or explaining what information means and how it can be used. Training and Teaching Others -- Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others. Developing and Building Teams -- Encouraging and building mutual trust, respect, and cooperation among team members. Coordinating the Work and Activities of Others -- Getting members of a group to work together to accomplish tasks. Performing General Physical Activities -- Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials. Evaluating Information to Determine Compliance with Standards -- Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Coaching and Developing Others -- Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills. Resolving Conflicts and Negotiating with Others -- Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others. Analyzing Data or Information -- Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts. Communicating with Persons Outside Organization -- Communicating with people outside the organization, representing the organization to customers, the public, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail. Interacting with Computers -- Using computers and computer systems, enter data, or process information. Handling and Moving Objects -- Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things. Inspecting Equipment, Structures, or Material -- Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects. SKILLS Active Listening -- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Reading Comprehension -- Understanding written sentences and paragraphs in work related documents. Critical Thinking -- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems Instructing -- Teaching others how to do something. Speaking -- Talking to others to convey information effectively. Time Management -- Managing one's own time and the time of others. Service Orientation -- Actively looking for ways to help people. Monitoring -- Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action. Social Perceptiveness -- Being aware of others' reactions and understanding why they react as they do. Writing -- Communicating effectively in writing as appropriate for the needs of the audience. Active Learning -- Understanding the implications of new information for both current and future problem-solving and decision-making. Coordination -- Adjusting actions in relation to others' actions. Judgment and Decision Making -- Considering the relative costs and benefits of potential actions to choose the most appropriate one. Learning Strategies -- Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things. Complex Problem Solving -- Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions. Negotiation -- Bringing others together and trying to reconcile differences. Operation Monitoring -- Watching gauges, dials, or other indicators to make sure a machine is working properly. Equipment Selection -- Determining the kind of tools and equipment needed to do a job. ABILITIES Problem Sensitivity -- The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.’ Oral Expression -- The ability to communicate information and ideas in speaking so others will understand. Oral Comprehension -- The ability to listen to and understand information and ideas presented through spoken words and sentences. Inductive Reasoning -- The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). Speech Clarity -- The ability to speak clearly so others can understand you. Deductive Reasoning -- The ability to apply general rules to specific problems to produce answers that make sense. Written Expression -- The ability to communicate information and ideas in writing so others will understand. Speech Recognition -- The ability to identify and understand the speech of another person. Written Comprehension -- The ability to read and understand information and ideas presented in writing. Selective Attention -- The ability to concentrate on a task over a period of time without being distracted. Information Ordering -- The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations). Time Sharing -- The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources). WORKING CONDITIONS Because patents require round the clock care, working hours include days, nights weekends and holidays. RNS are required to stand for long periods of time. Employees are encouraged to safely move patents and use alternative methods whenever possible; alternative methods include requesting assistance to roll/lift/transfer patients. RNs may face hazards from exposure to chemical and infectious diseases. In addition, they have to treat patients that are confused, irrational, agitated and/or uncooperative PHYSICAL DEMANDS Ability to lift fifty (50) pounds. Moving, lifting or transferring of patients may involve lifting of up to 100 pounds Ability to stand for extended periods Fine motor skills Visual acuity Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note: For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note: For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

NYC Health + Hospitals New York, NY

Staff Nurse - Emergency Services, Adults

$112,775 / year

Marketing Statement NYC Health + Hospitals/Bellevue is America’s oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 700,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue’s clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children’s Psychiatric Emergency Program; and Cancer Services. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply One year of post-licensure, acute care experience preferred. If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

Manager/Supervisor

Meadow Park Rehabilitation and Health Care Center New York, NY

Registered Nurse (RN) Supervisor 8am-4pm Shift

$55 - $60 / hour

Registered Nurse (RN) Supervisor $2,000 SIGN ON BONUS!! Are you an experienced and compassionate Registered Nurse seeking a leadership role? Join our team at Meadow Park Rehabilitation & Health Care Center as a Full Time RN Supervisor for the Morning shift! Meadow Park Rehabilitation & Healthcare Center is actively seeking an RN Supervisor to manage our subacute unit. As an RN Supervisor you will be responsible for: Managing the individualized resident care by promoting and monitoring residents' health through the nursing process. Utilizes clinical resources in implementing patient care and provides rationale for patient care decisions. Collaborating with physicians and interdisciplinary team members to resolve all residents' problems and needs Providing physical and psychological support to patients and their family members Monitoring residents' conditions and administering medication & treatments Supervising assigned team members. Completes Frequent Observations and the Intake/Outtake Record according to established protocols. Performs related duties, as required. Requirements: Licensed as a Registered Nurse in the State of NY Past experience working as an RN Supervisor in a Long Term Care Nursing Facility Knowledge of EMR systems BCLS, ACLS or PALS, required. Excellent communication skills Job Type: Full-time Pay: $55.00 - $60.00 per hour Expected hours: 35 per week Benefits: 401(k) Dental insurance Flexible schedule Health insurance Paid time off Vision insurance Schedule: 8 hour shift Work setting: In-person Nursing home Rehabilitation center Work Location: In person

NYC Health + Hospitals New York, NY

Staff Nurse - Operating Room

$112,775 / year

Part-time

Richmond University Medical Center New York, NY

Nursing Assistant

$25.13 - $26.46 / hour

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Night Shift - 7.5 Hours (United States of America) Under the supervision and direction of the registered nurse perform various duties and functions in the treatment and care of patients. Specific duties include: Taking & recording vital signs, assisting patients with hygienic and clothing needs. Requirements: High School diploma or GED required. Current BLS certification required. 1 - 2 years experience working as a Nursing Assistant in a hospital setting preferred Nights w/ eo wknd & hols; 11p-7a Salary Range: $25.134/hr - $26.461/hr Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Five Star Nursing New York, NY

RN / Registered Nurse

$40 - $60 / hour

Hiring Registered Nurses (RNs) for Skilled Nursing Facility Make a Difference on Your Own Schedule and Terms! We are seeking compassionate RNs / Registered Nurses to work within our client's facilities, providing follow-through of the physician-established plan of treatment and working under the supervision of the RN Supervisor. Five Star believes that qualified nurses are advocates and health educators for patients, families, and communities. Hourly pay rate: $40-$60 We would love to hear from you and see how we can help you advance your career in the medical field and earn money while caring for your community! As one of Five Star’s Registered Nurses, you will have access to: • Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) • Paid Orientations • Competitive Weekly Pay with Direct Deposit • Paid Sick Leave in accordance with NY law. • 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 York. • CPR Certified (BLS or ALS accepted) • Meets all State and Federal requirements for US employment in a Nursing Facility • Strong patient assessment skills • Ability to communicate effectively • Demonstrated clinical competency Five Star RNs are expected to carry out the following tasks: • Accurately record medical histories. • Take and record vital signs, collect samples for lab testing. • Administer medications and perform approved procedures and care. • Monitor patient condition and compose patient charts. • Provide emotional and psychological support when needed • Communicate with patients’ families to provide advice, comfort, and release instructions • Provide supervision to CNAs and LPNs and assist as necessary We look forward to hearing from you soon. Apply today!

Citadel Care Centers New York, NY

Certified Nursing Assistant

The Plaza Rehab and Nursing Center is currently seeking a Full -Time CNA's for day (7am-3pm), evening (3pm-11pm) night (11pm-7am) and Weekend shifts to join our dynamic organization. OVERVIEW: CNA is responsible for providing direct resident care including clinical, personal, nutritional and restorative care. RESPONSIBILITIES: · Help patients use the restroom · Clean and bathe patients or residents · Maintain patients' hygiene and change bedding · Turn, reposition, and move patients between wheelchairs, seats, and beds · Serve meals and help patients eat their food · Measure vital signs like blood pressure and temperature · Listen to patient’s health concerns and report details to a RN or Doctor REQUIREMENTS: · Valid CNA License in the State of New York · CPR/BLS certified · Minimum 1 year nursing experience in a Long term care Facility.