Nursing Jobs in Mansfield, NJ

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations , we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Lourdes Health System - 1600 Haddon Ave Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 24 Additional Locations: Job Information: PACU or Critical Care experience required 24 hours per week with on call rotation Job Summary: The Registered Nurse (RN) is responsible for assessing, planning, implementing and evaluating the delivery of nursing care. The professional nurse assumes the responsibility and accountability for the appropriate delegation of patient care to other members of the health care team. Position Responsibilities Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care. Administers, monitors and documents therapeutic interventions and regimes. Participates in clinical decision-making. Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc. Delegates and monitors care rendered by other members of nursing department and healthcare team. Participates in orientation, education and development of healthcare team. Identifies and participates in the performance improvement activities. Maintains professional and departmental level competencies. Position Qualifications Required: Required Experience: 0-1 years’ experience required, 2-4 preferred Required Education: Associate’s degree required, Bachelor’s degree preferred Training/Certification/Licensure: NJ RN License; Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual Hourly Rate: $47.55 - $66.06 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data. Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here . 
Certified HomeHealth Aide needed for a male client in Columbus 9am-12pm & 5pm-8pm Monday-Sunday Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate Home Health Aides like YOU! When you join the SYNERGY HomeCare team as an HHA, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring full support for fuller lives and to elevate their confidence knowing they have a Home Health Aide like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? SYNERGY HomeCare offers Home Health Aides, HHA: Competitive pay Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching Home Health Aides with nearby clients Employee recognition programs As a Home Health Aide, HHA with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Provider personal care to clients as needed Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts Applicants has to have New Jersey HomeHealth Aide license. 
Liberty Pointe Rehab and Nursing in Doylestown, PA is hiring Certified Nurse Aides (CNAs) to join our long-term care team. Pay & Benefits: · Up to $25.50 per hour · Health, dental, vision, and life insurance · 401(k) with employer match · Paid time off · Tuition reimbursement · Daily pay available · Wellness program & pay perks All shifts available: 6:00am–2:00pm FT and PT 2:00pm-10:00pm FT and PT 10:00pm–6:00am FT Why work at Liberty Pointe? · Supportive, team-focused environment · Consistent schedules · Leadership that values and supports CNA staff · Build meaningful, long-term relationships with residents Responsibilities: · Assist residents with activities of daily living (ADLs) · Provide compassionate, hands-on care · Support nursing staff and care teams · Maintain resident dignity, comfort, and safety Requirements: · Active Certified Nurse Aide (CNA) certification · Long-term care or skilled nursing experience preferred (not required) · New CNAs welcome – training and orientation provided Apply today for immediate consideration. Quick and easy Indeed Apply. We are an Equal Opportunity Employer (M/F/Veterans/Disabled). #PH2024 Looking for Certified Home Health Aides - Full time/Part time work available - Weekly pay for Certified Home Health Aides - Supportive environment - Flexible schedules - Sign on bonus Seeking a great company to work for? - Join our growing team of Certified Home Health Aides - Top dollar paid weekly - Supportive office staff - Flexible schedules - Sign on bonus for Certified Home Health Aides Looking to get paid to do what you love? - Sign on bonus - Best pay in the market - Evening hours available - Immediate openings for Certified Home Health Aides Pay range: $14-$17/hour Sign on bonus of $100 - $150 
Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Entity: Clinical Practices of University of Pennsylvania Department: Med Genetics Location: Hospital of the University of Pennsylvania- 3400 Spruce St Hours: Full-Time (Monday through Friday, 8:30 AM to 5:00 PM) Summary: The Ambulatory Nurse II will join the Division of Translational Medicine and Human Genetics, a specialty practice caring for patients with hereditary cancer, cardiovascular, and rare genetic conditions. This full-time position (Monday through Friday, 8:30 AM to 5:00 PM) serves as a key member of the multidisciplinary genetics team, providing patient triage, symptom assessment, care coordination, management of clinical communications, patient education, and support for both in-person and telehealth visits. The nurse will partner closely with physicians and genetic counselors to facilitate timely, high-quality care for a complex patient population. The Ambulatory Nurse II Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Ambulatory Nurse II Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Ambulatory Nurse II position description addendum. The Ambulatory Nurse II Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. The Ambulatory Nurse II Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Ambulatory Nurse II Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). The Ambulatory Nurse II Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients. Accountabilities: Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Informatics/Technology: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Continuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Performs duties in accordance with Penn Medicine and entity values, policies, and procedures Other duties as assigned to support the unit, department, entity, and health system organization Qualifications: Diploma or ASN from an accredited school of nursing (Required) More than 15 months of relevant professional nursing experience (Required) BSN from an accredited school of nursing (Preferred) Licenses, Registrations, and Certifications: RN with Multi-State Compact License (Required) BLS through the AHA (Required) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. Epic Healthcare NOW HIRING: Director of Nursing Are you working as a Director of Nursing and looking for THE BEST JOB OUT THERE? Apply today! Share your personal talent! Apply to learn more Outstanding Benefits PTO Competitive Salary NEW HIRE BONUS Qualifications: RN Certification in PA Now Hiring: DON - Director of Nursing in Long term care facility 
York Nursing and Rehabilitation Center is committed to being the leading provider of quality long term care and related health care services. Our care givers will be encouraged to learn and develop their individual skills as a vital part of our healthcare team to participate and assist in the continual evolution of innovative health care services and practice. We are seeking a Registered Nurse (RN) Supervisor to join our commited staff and provide exceptional care to our residents. Qualifications: Active PA RN license required Minium 3 years experience Ability to perform all requirements of the RN-Supervisor job description Available Shifts: Full-time Night Benefits: Competitive Salary Medical, Dental, Vision Benfits 401K PTO Free parking Easy Access to Septa RNs with nursing home experience of all levels of experience are welcomed to apply. Same day interviews are candidates with an active PA RN license available upon application. 
QUALIFICATIONS: Graduated of an accredited school of nursing and licensed by the state of PA as a LPN/RN. Current CPR or certified within 90 days of hire Other certifications may be required for other areas of the organization POSITION SUMMARY: The Unit Manager assumes responsibility for a specific unit or area within the organization to include assessment (under the supervision of the DON/ADON), medication distribution, treatment clinical documentation, and supervision of CNA’s and other staff. PART I: JOB RESPONSIBILITIES AND STANDARDS 1. Uses dual identifiers to confirm resident/guest identify prior to medication administration and treatments. 2. Practices SBAR (situation, background, assessment, recommendation), the preferred method of communication when interacting with members of healthcare community. 3. Encourages resident/guest to be involved in their own care when possible. 4. Receives full and detailed report from the outgoing nurses to ensure proper communication and necessary follow-up of resident’s/guest’s care. 5. Recognizes and responds competently to changes in resident’s condition and documents appropriately. 6. Initiates Plan of Care on admission. Reviews, evaluates & updates plan & interventions as needed. 7. Interacts and partners with all multidisciplinary service teams, internal and external, to assure continuum of care. 8. Practices Standard Precautions and adheres to infection prevention strategies. 9. Demonstrates compliance to Resident’s Rights. 10. Refers to Nursing/Administration/IV/Emergency Management Policy and Procedures (Public Folders, Hard Copy manual) to assure standard of care. 11. Transcribes physician orders correctly on MAR & TAR. 12. Faxes POS to Pharmacy provider to ensure timely delivery and administration. 13. Maintains a safe environment for residents/guests and reports unsafe situation for resolution. 14. Follows chain of command. 15. Adheres to proper hand washing technique. 16. Administers medications according to policy and procedure. 17. Notifies responsible party of changes in patient’s condition. 18. Works closely with Social Worker in trying to resolve residents’/guests/ needs. 19. Checks syringes, and counts narcotics at end of shift. 20. Orders stock medications and prescription medications; as needed. 21. Admits and discharges residents/guests according to facility procedure. 22. Reviews report with CNAs prior to their assignment activation. 23. Performs assessments related to: 1. Skin 2. Cardiac 3. Respiratory 4. GI 5. Neurological 6. Muscular Skeletal 7. Renal 8. Pain 24.Accurately documents on the following forms: 1. Ambulation/Restorative care 2. Pyschotropic Monitoring 3. Pain Management 4. Pressure Ulcer Management/skin assessment 5. Fall Prevention Strategies 6. Antibiotic documentation 7. Incidents/accident 8. Nurses Note day 1-5 and day 6 -Discharge Documentation. 25. Accurate and timely completion of Nursing assessment and data collection upon admission: 1. Fall Risk assessment 2. Side Rail screen 3. Braden Scale 4. Bowel and Bladder 5. Elopement Risk Profile 6. Pain Evaluation 7. Smoking Evaluation 8. Data collection 9. Immunization Record Sheet 26. Contacts physician for admission orders: 1. Reconciles medications 2. Documents legibly onto POS 3. Read back and verifies Telephone Orders 4. Make appropriate referrals 5. Transcribes all orders. 6. Fax back (new admissions) PART II. FACILITY –WIDE RESPONSIBILITIES & STANDARDS EMPLOYEE IS REQUIRED TO: 1. Speak English in patient care areas. 2. Attend mandatory and scheduled in-services/meetings. 3. Arrive to work on time as scheduled 4. Demonstrate ability to work with others cooperatively. 5. Demonstrate flexibility in assignment to meet resident/family needs. 6. Wear ID at all times appropriately when working. 7. Position is Monday-Friday with occasionally "on-call weekends" Benefits : $8000 Sign On Bonus Shift diffrentials Paid Time Off Medical/Dental/Vision 401K New Higher Competitive Rates #IND123 $66,575 - $142,576 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care team member operating within a Value-Based Care model, which prioritizes patient health outcomes and long-term wellness. In this model, the Center Nurse supports the health of patients by utilizing standards, guidelines and pathways for care delivery to prevent complications before they occur. Our Center Nurses drive quality care through clinical assessments, chronic condition management, and collaborating with the care team to reduce avoidable hospitalizations. You will foster an engaging and welcoming environment through effective team communication and delegation, empowering everyone on the team to deliver the best care to our patients. Our Center Nurses report to the Practice Manager. Core Responsibilities: Support patient assessment and prioritization for both walk-in and telephonic triage to ensure patients receive the right level of care and avoid unnecessary hospital visits. Execute protocol-driven chronic condition management. Perform skilled nursing procedures including wound care and medication administration (including vaccines). Provide comprehensive patient and caregiver education regarding chronic conditions and preventative care in person, over the phone, or in group settings. Conduct medication reviews within nurse-led visits to ensure patient safety and adherence. Conduct onsite testing (including point-of-care labs, EKGs, and specimen collection) and use patient data to identify and close gaps in preventative screenings, ensuring compliance with state scope of practice. Review and act upon high-priority abnormal laboratory results in a timely manner to maintain patient safety and continuity of care. Partner with providers and the interdisciplinary team to manage complex care plans and coordinate weekly transitions for patients moving from the hospital back to the clinic. Utilize standardized protocols for medication management, prescription renewals and prior authorizations. Ensures clinical communications are managed, tasks are completed and patient visit encounters are closed in a timely manner. Delegates to medical assistants and phlebotomists as needed to support patient flow and efficiency. Performs other related duties as assigned. Clinical Responsibilities: Supports the coordination, integration, communication, and implementation of nursing practice and standard operating procedures. Identifies barriers to optimal care, e.g. physical, cognitive, language, literacy, socioeconomic, cultural, and or behavioral. Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are. Deliver an exceptional patient experience through service, responsiveness and respectful care. Serve as a key clinical voice in daily care team meetings to align on patient priorities and clinic operations. Serves as a support and resource for nursing, other clinical staff and providers. Ensures clinical compliance with Patient Safety initiatives and reporting. Provides emergency care in accordance with organizational procedure. Professional Responsibilities: Engages in self-evaluation and participates in activities to promote own professional growth and development. Seeks, acquires and maintains current nursing knowledge and competence to fulfill responsibilities as a Center Nurse. Maintains awareness of current patient centered, evidence-based practice and considers applicable research data to patient care delivery. Fulfills obligation to identify and report professional misconduct appropriately. What we're looking for Required Qualifications: Active, Unrestricted Registered Nurse Licensure in the state that you reside BLS or CPR Certification Fluent written and spoken English language skills. US work authorization Electronic Medical Record (EMR) experience Ability to maintain patient confidentiality and process information in a confidential manner Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: Ability to collaborate and communicate with members of an interdisciplinary care team Excellent computer skills with ability to read, interpret and analyze data from various computer systems Effective problem solving and prioritization skills 2+ years of healthcare experience, working as an RN Preferred Qualifications: Previous experience in clinic setting Ability to work independently Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 11/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 
SYNERGY Home Care Bordentown is looking for CHHA's for morning shift Mon-Fri. We have a male client in Bordentown. CHHA's must have a driver's license and a car and willing to provide transportation. Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate Home Health Aides like YOU! When you join the SYNERGY HomeCare team as an HHA, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring full support for fuller lives and to elevate their confidence knowing they have a Home Health Aide like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for HHA’s who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means as an HHA, you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking Home Health Aides to join our independently owned and operated national agency. SYNERGY HomeCare Bordentown offers Home Health Aides, HHA: Competitive pay Time-and-a-half pay for overtime and holidays Flexible schedules and matching Home Health Aides with nearby clients Employee recognition programs Employee Retirement Programs As a Home Health Aide, HHA with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Provider personal care to clients as needed Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare Bordentown, apply today! 
Faithful Home Care Solutions is seeking a reliable, compassionate, and experienced male or female caregiver to provide part-time care for a client in the Elkins Park area. Services are needed ASAP. This opportunity is ideal for a caregiver looking for a part-time schedule with flexible daytime hours. Position Overview The Direct Care Worker will provide non-medical personal care and supportive services to help the client remain safe, comfortable, and independent in her home and community. The caregiver will assist with transportation to appointments, medication reminders, light meal preparation, household tasks, and general supervision and companionship. Primary Responsibilities Provide companionship and supportive supervision Assist with fall prevention and safety awareness Provide medication reminders according to the care plan Drive the client to physical therapy and doctor's appointments Assist with making the bed and changing linens Assist with laundry and other light household tasks Prepare simple meals, such as sandwiches, soup, or other light lunches Assist with activities of daily living as needed Provide support related to the client's left-side neglect following a stroke Encourage independence while providing appropriate assistance Maintain a safe, clean, and comfortable home environment Communicate effectively with the client, family, and care team Maintain strict client confidentiality Follow the individualized care plan and agency policies Shift Requirements Part-Time Schedule – Elkins Park The client is seeking one of the following scheduling arrangements: 2–3 days per week, approximately 4 hours per day OR 4 days per week, approximately 2 hours per day Schedule and days will be discussed and finalized based on client needs and caregiver availability. Start Date: ASAP Qualifications Education High School Diploma or GED preferred Ability to read, write, and communicate effectively Experience Previous caregiving experience preferred Experience caring for stroke survivors preferred Experience working with clients who are at risk for falls Comfortable providing medication reminders Comfortable assisting with transportation to medical and therapy appointments Ability to assist with light housekeeping and simple meal preparation Compassionate, patient, dependable, and attentive to client safety Licensure & Other Requirements Valid driver's license Reliable and insured transportation Clean driving record preferred Satisfactory background check Professional references Benefits Competitive pay Paid overtime, when applicable Medical and dental insurance for eligible full-time employees Ongoing training and professional development Supportive office team Employee and client referral bonuses About Faithful Home Care Solutions Faithful Home Care Solutions is a licensed, Medicaid-certified, non-medical home care agency based in Glenside, Pennsylvania . We are committed to providing compassionate, personalized care that helps clients remain safe, comfortable, and as independent as possible in their own homes. Equal Opportunity Employer Faithful Home Care Solutions is committed to fostering an inclusive and diverse workplace. We do not tolerate discrimination or harassment based on race, color, religion, age, sex, or any other protected status. Ready to Make a Meaningful Impact? Apply today and join a team that values professionalism, compassion, and excellence in care. 
Accela Rehab & Care Center at Somerton Address: 650 Edison Ave, Philadelphia, PA 19116 Now Hiring: RN Cart Nurse We are seeking a compassionate and detail-oriented Registered Nurse (RN) Cart Nurse to join our skilled nursing team. If you are dedicated to providing exceptional resident care and thrive in a fast-paced environment, we'd love to hear from you! Responsibilities: Administer medications and treatments as prescribed Monitor and assess residents' health status Accurately document care and maintain medical records Collaborate with physicians, nursing staff, and interdisciplinary team members Respond promptly to resident needs and changes in condition Ensure compliance with facility policies and state/federal regulations Qualifications: Active RN license in PA with good standing Long-term care or skilled nursing experience preferred Strong clinical, organizational, and communication skills Ability to work effectively in a team environment Compassionate and resident-centered approach to care What We Offer: Competitive pay Comprehensive benefits package Paid time off and holiday pay Supportive team environment Opportunities for professional growth and advancement We are an equal opportunity employer and welcome applicants from all backgrounds. Diversity makes us stronger, and we’re committed to creating a workplace where everyone feels valued and respected. Apply today, and let’s do something meaningful together! Looking for Certified Home Health Aides - Full time/Part time work available - Weekly pay for Certified Home Health Aides - Supportive environment - Flexible schedules - Sign-on bonus Seeking a great company to work for? - Join our growing team of Certified Home Health Aides - Top dollar paid weekly - Supportive office staff - Flexible schedules - Sign on bonus for Certified Home Health Aides Looking to get paid to do what you love? - Sign on bonus - Best pay in the market - PTO - Health Insurance - Time-and-a-half rate for overtime - Evening hours available - Immediate openings for Certified Home Health Aides How to Apply: To apply for this rewarding opportunity. Please click here to join our team today! 
Hiring Certified Nurse Aides (CNAs) for Skilled Nursing Facility Make a Difference on Your Own Schedule and Terms! We are seeking compassionate CNAs/ Certified Nurse Aides to work within our client's facilities, providing support with daily living tasks and personal care. Hourly pay rate: $20-$24 Advance your career in the medical field and earn money while caring for your community! As one of FS Nursing’s Certified Nurse Aides, 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 NJ law · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Lucrative Referral Bonuses CNA/ Certified Nurse Aide Requirements: Currently holds an active CNA certificate to work in New Jersey Meets all State and Federal requirements for US employment in a Nursing Facility Ability to communicate effectively Reliable Transportation to worksite location We look forward to hearing from you soon. Apply today! 
SIGN ON BONUS UP TO $1000 Have you ever imagined working for a company that values your BIRTHDAY and PAYS you to be off and enjoy your day? Look no further because we cherish our workers, so relax and enjoy your day worry free! Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate caregivers like YOU! When you join the SYNERGY HomeCare team, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring the full support for fuller lives and to elevate their confidence knowing they have a caregiver like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for caregivers who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking caregivers to join our independently owned and operated national agency. SYNERGY HomeCare offers: Birthday off paid! Flexible Scheduling Competitive Compensation Careers Advancement Referral Bonus Paid time off Overtime pay Holiday pay Caregiver Recognition Direct deposit As a Caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today! • Attractive pay rate • Supportive office staff • Flexible schedules and the ability to work full or part-time • Paid time off (PTO) • Comprehensive medical insurance Responsibilities: • Provide personal care and hygiene assistance to clients, including bathing, dressing, and grooming • Assist with daily living activities such as meal preparation, light housekeeping, and laundry • Ensure that clients take prescribed medications as directed • Provide companionship and emotional support • Other duties as assigned 
Employment Type: Part time Shift: Rotating Shift Description: Job Title: Registered Nurse Unit: Emergency Department Employment Type: Per Diem Shift: As needed - weekdays and weekends (12 hour shifts) Location: Nazareth Hospital - Philadelphia, PA Position Purpose The Registered Nurse (RN) is responsible for assessing, planning, implementing and evaluating the delivery of patient care. The professional nurse assumes the responsibility and accountability for the delegation of patient care to other members of the healthcare team. As a Registered Nurse, you will: Provides total, comprehensive care to patients by applying the nursing process in an organized and systemic manner according to hospital policy. Communicates proactively to the health care team, plan of care, changes in patient condition, the patient progress, the discharge plan and other relevant information. Documents assessment/reassessment, plan, interventions and outcomes according to policy and interprets and utilizes clinical data in the plan of care: Documents pain assessment and plan of care. Documents fall risk and plan of care Documents wound risk and plan of care. Interprets & utilizes clinical data in the plan of care. Assesses patient for potential risk factors. Performs accurate and thorough nursing physical assessment. Participates in discharge planning, using a multi-disciplinary approach. Minimum Qualifications: Bachelor's degree in nursing required. Current RN Pennsylvania state license required. Current BLS required or obtained by completion of orientation. ACLS required or obtained by completion of orientation if Applicable to Area of Practice. Previous ER experience required. Position Highlights and Benefits: Work/Life balance with flexible schedules. Free onsite parking. Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all. Referral Rewards Program About us: Nazareth Hospital serves Northeast Philadelphia and the surrounding region. With over 160 inpatient beds and many outpatient services, Nazareth Hospital has a broad range of specialties to meet patients’ health care needs. Nazareth Hospital offers outstanding diagnostic, medical, surgical and therapeutic care with state-of-the-art technology. With the dedication of 1,200 employees and 350+ physicians and specialists, Nazareth Hospital treats patients and their families with respect and compassion while providing health care services in response to the changing needs of our community. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. 
Gardenview Home Care is seeking a reliable and compassionate Home Health Aide (HHA) to provide quality in-home care to our clients. The ideal candidate is professional, patient-focused, and committed to supporting individuals with their daily needs while maintaining dignity, safety, and comfort. Responsabilities: Assist clients with activities of daily living (bathing, grooming, dressing, toileting) Provide mobility assistance and support with transfers if needed Perform light housekeeping related to client care Assist with meal preparation as needed Offer companionship and emotional support Follow care plans and agency policies Requirements Active HHA license Reliable and punctual, with a strong sense of responsibility. Compassionate and patient centered. Ability to assist with daily living activities. Excellent communication skills, both with the patient and care team. Apply now for immediate start! https://www.cognitoforms.com/GardenviewHomeCare2/ZGardenviewCaregiverApplication 
New Jersey Certified Home Health Aide / CHHA HIRING BONUS $$$ PLEASE CALL OFFICE FOR DETAILS Amada Senior Care Monmouth is a non-medical in-home care company that is currently seeking experienced, compassionate, and dedicated CAREGIVERS / HOME HEALTH AIDES to join our team. "We need you" Our mission is to enrich the lives of others. Our clients and their families depend on our expertise and support 24/7 and we take that responsibility seriously. We are committed to providing the highest quality of care to our clients; and that means employing the most qualified and compassionate caregivers. In Amada, our caregivers are superheroes in disguise that change the lives of our clients every day and we will show you just how much we appreciate you! We are the only A+ rated Home Care Agency by Home Care Standards Bureau in the Middlesex and Monmouth County areas and you are very much welcome to join us. Why you'll LOVE being on the Amada Team Flexible hours Competitive to above-average pay One on One Patient Care Employee Appreciation- Caregiver of the month, Cash Prizes, etc Paid Orientation On-going Free Caregiver Education/Career Grown Opportunities Performance-based bonus opportunity A FUN and SUPPORTIVE Team AMADA's Caregivers provide: Help individuals enjoy life by assisting them perform simple daily functions: Help with their activities of daily living, including: Meal preparations Light exercise Social interactions Light housekeeping Transportation Personal care Medication reminders AMADA's Ideal Caregiver will have: Passion for serving others Excellent Customer Service New Jersey state Certified Home Health Aide Current Driver's license Current Medical Documents Must be a Certified Home Health Aide We're excited to hear from you! Amada Senior Care is an equal opportunity employer and does not discriminate against applicants for any reason. All employment is decided based on qualifications, merit and business need. 
Employment Type: Part time Shift: 12 Hour Night Shift Description: Accepting applications for experienced OR RN's seeking opportunity to work part time! The Operating Room Registered Nurse is responsible for assessment, planning, implementation, and evaluation of patient care delivery in the surgical area. The professional nurse assumes responsibility for that charge and is accountable for providing a safe environment for the delivery of care to all surgical patients. Part time OR RN Nights working 24 hours per week including weekend and holiday rotation and on-call requirement. We offer competitive benefits which include the following: Medical/Dental/Vision 403b - Retirement Savings Plan PTO - Paid Time Off Tuition Reimbursement Position Requirements: 1-2 years OR experience BSN PA RN License BLS - issued by the American Heart Association Fingerprint Clearance Child Abuse History Clearance Preferred: CNOR & Trauma Certification Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. 
Job Title/Position: Nurse Practitioner Reports To: Clinical Director JOB DESCRIPTION SUMMARY The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/She provides hospice care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, management of health problems by directing and developing the plan of care, prescribing medications or treatments, coordinating and collaborating with patients, families and other healthcare practitioners. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face to face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The nurse practitioner builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Provides medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. 2. Completes history and physical examinations by evaluating the patient's medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient's medical record. 3. Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating hospice care services. 4. Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification. 5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners. 7. Assures that patients receive appropriate measures to control symptoms, through collaboration with interdisciplinary team members. 8. Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician. 9. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in hospice interdisciplinary group meetings. 5. Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 10. Serves as a nursing resource for consultation and education to members of the interdisciplinary team and other healthcare practitioners in the community. 11. Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 4. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. 5. Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes. 6. Fulfills the obligation of requested and/or accepted assignments. 7. Demonstrates knowledge in communication and counseling patients/families in dealing with end-of-life issues. POSITION QUALIFICATIONS 1. Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. 2. Has a current DEA license, if applicable to state regulations 3. Current nursing licensure in State and CPR certification. 4. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 5. Accreditation from an approved certifying body for advanced practice nursing as required by State. 6. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) 7. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 8. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 9. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 
JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer) 
lways Best Care (ABC) is a home health agency. At Always Best Care, we are committed to delivering the highest quality care to our clients. We’re proud to say our approach to care helps our clients achieve better outcomes and stay in their homes. We are seeking services of caring professionals such as Certified Home Health Aides and Companions Type: Full Time / Part Time Early Start - 7AM shifts also available Location: All Camden/ Burlington and Gloucester Bonus Incentive : $500 Bonus when you complete 1000 hours of work with Always Best Care Job Type: Full-time/ Part Time Medical Specialty: Home Health Qualifications: CHHAs Company's website: https://www.alwaysbestcare.com/nj/marlton/ Responsibilities include: - Patient Care – assisting with personal hygiene, ambulating, eating, dressing, toileting, shaving, and physical transfer - Companionship - Medication Reminders - Errands and Transportation - Light Housekeeping duties Requirements: - Completion of an approved State of New Jersey Home Health Aide certification program is required. - Must be able to pass background check - Team Player - Dependable - Sympathetic to patient care - Ability to read, write, and carry out directions. Work Remotely · No 
FS Nursing Seeks Registered Nurses (RN) for Nursing Home Facilities Our team at FS Nursing is committed to building lasting relationships to help connect Registered Nurses with opportunities that align with their personal and professional goals. Focused on nding the right role, schedule and team for each nurse, the recruiting team oers a smooth process with quick interviews and remote onboarding. Additionally, your team provides ongoing support and clear communication to help ensure each individual thrives in their position to be able to make a lasting impact on patient care. Pay Rate: $50-$52/hr RN/ Registered Nurse Requirements and Responsibilities · Currently holds an active state issued RN license · CPR Certified (BLS or ALS accepted) · Meets all State and Federal requirements for US employment in a Nursing Facility 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, accurately record medical histories. Provide supervision and support to other nurse staff when necessary Registered Nurse Schedule and Benefits: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit · Paid leave provided as required by applicable laws · Dedicated Office staff & 24-hour On-call Service · Medical, dental, vision, and other insurance options available · Lucrative Referral Bonuses 
Employment Type: Part time Shift: Description: Posting Are you an experienced Registered Nurse looking for premium compensation and maximum flexibility? Explore FirstChoice – Trinity Health's mobile staffing solution! FirstChoice RNs are utilized to fill short and long-term assignments throughout the health system, and we need you to be a part of this innovative program! Nationwide and Regional opportunities available! What you will do: Qualified and willing to float throughout the hospital and/or throughout multiple hospital locations and/or regions Knows, understands, incorporates & demonstrates standard elements of professional practice: Assess, Outcomes Identification / Solutions, Plan, Implement, Evaluate Acts independently & appropriately within license, scope of knowledge & experience in practice area Retains accountability for delegation, choices, decisions & outcomes Collaborates with key stakeholders & contributes to quality & improvement practices & outcomes Exhibits agility & willingness to take on new & additional responsibilities Embraces new ideas & cultural differences while managing competing priorities Minimum Qualifications: Graduation from an accredited school of nursing. Valid RN licensure authorized in the applicable state(s) of practice/employment. Minimum of eighteen (18) months of recent clinical experience for Med Surg, Tele and PCU. Minimum two (2) years of recent clinical experience for all remaining specialties including Critical Care, Surgical Services, Maternal Services, Emergency Department and Behavioral Health. Required to have and maintain the credentials required per their specialty area (ex: ACLS, TNCC, etc). BLS, ACLS and PALS must be obtained through American Heart Association Position Highlights and Benefits: Premium Pay Flexible Scheduling Travel and Per Diem opportunities available Variety of Practice Settings Learning Opportunities DailyPay available Reimbursement of License and Certifications available per assignment Opportunity to participate in 403B program Ministry Information: FirstChoice offers rewarding Nursing, Respiratory Therapist, Surgical Technologist, and Health Care Professional travel positions with a flexible schedule to fit your life. FirstChoice travel Health Care Professionals fill critical positions when unforeseen or unplanned circumstances occur; or, when there is a position open due to an extended leave-of-absence. You’ll get to experience a variety of practice settings while traveling within your local region or traveling nationally – your choice! Pay Range: $59.00 - $67.00 (based on assignment option and shift). Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Job Details: Location: Nazareth Hospital Philadelphia, PA Start Date: ASAP Weeks: 12 Hours: 3x12 Shift: Night Gross Weekly Rate: $2808.00 Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.