Nursing Jobs in Newington, CT

Patient Care Associate - Behavioral Health

Scope Of Position Provide general patient care following standardized procedures that do not require state licensure for assigned unit, under the direction of an RN, according to the assigned patient population. Primary patient procedures may include ADL's, nutritional support, vital signs, phlebotomy. Responsibilities Under the direction of an RN, perform selected tasks and activities to obtain and report information to assist the nurse in the assessment, planning and evaluation of patient needs, treatment and response to treatment. Under the direction of the RN, perform selected patient related activities, diagnostic testing and therapeutic treatments which contribute to safe and efficient delivery of patient care. Utilize initiative to respond to patient needs, effectively communicating with other team members to provide excellent quality service. Responsible for following all organization and department precautions and procedures in the performance of all job duties to ensure a safe work environment for self and others. Order and maintain supplies/equipment within budget parameters. Ensure cost-effective utilization of resources within own control. Participate in staff meetings, attends in-services and maintains required general/unit/department specific competencies. Support and participates in the QI process. Perform related duties as required. Requirements Good oral and written communication and interpersonal skills. Knowledge of medical terminology. CPR certified. Ability to read and write English with a command of verbal English. Ability to work well and collaboratively with other members of the health care team Ability to maintain patient confidentiality. Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures. Perform automated functions that fall within job responsibility. Ability to work in a time oriented environment including exposure to all patient elements i.e., blood borne pathogens, physical requirements include lifting and pulling of patients, pushing of stretchers, standing and walking. May be exposed to environmental hazards such as anesthetic gases or elements. Ability to meet the care needs of the patient populations served. High School Diploma or equivalent required. Successful completion of Certified Nursing Assistant Program required. Successful completion of a formal training program to include direct patient care activities and technical procedures such as: O2 Saturation, EKG testing, Phlebotomy and finger stick testing.

CNA

Full-time

1 week ago

CNA - Full Time 2nd Shift

Benchmark Senior Living Waterbury, CT

$18.50 - $19.75 / hour

Connect with your calling ! Join, stay, and grow with Benchmark. The Village at East Farms is hiring Full Time CNA to join their team. We are hiring on 2nd Shift, 3p-11p. We are looking for a compassionate CNA to join our team! As a Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. CNA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique.

CNA

Other

1 week ago

CNA - Sign on bonus up to $1500

Summit at Plantsville Center for Health & Rehabilitation Plantsville, CT

- A Great Place to Work The Summit Center for Health & Rehabilitation is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - Full time and Part time shifts available What You'll Do: As a Certified Nursing Assistant (CNA), you will play a crucial role in delivering compassionate and personalized care to our residents. You will assist residents with activities of daily living, monitor their health, provide emotional support, and collaborate with other healthcare professionals to ensure the highest quality of care. Key Responsibilities: Assisting residents with activities of daily living, including bathing, dressing, and grooming Monitoring and recording vital signs Providing emotional support and companionship to residents Assisting with mobility and transfers Collaborating with the nursing team to develop care plans Maintaining a clean and safe environment for residents If you are passionate about making a real difference in people's lives in an environment where compassion, care and expertise come together, we invite you to join our team as a Certified Nursing Assistant (CNA)! - What We Offer As an affiliate of National Health Care, our Summit at Plantsville family will enjoy: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Certified Nursing Assistant (CNA) include: Valid state certification as a Nursing Assistant (CNA) Compassionate and empathetic nature Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Excellent communication and interpersonal skills Ability to work effectively in a team environment Dedication to upholding high standards of care - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

Patient Care Associate - Behavioral Health

Waterbury Hospital Waterbury, CT

Scope Of Position Provide general patient care following standardized procedures that do not require state licensure for assigned unit, under the direction of an RN, according to the assigned patient population. Primary patient procedures may include ADL's, nutritional support, vital signs, phlebotomy. Responsibilities Under the direction of an RN, perform selected tasks and activities to obtain and report information to assist the nurse in the assessment, planning and evaluation of patient needs, treatment and response to treatment. Under the direction of the RN, perform selected patient related activities, diagnostic testing and therapeutic treatments which contribute to safe and efficient delivery of patient care. Utilize initiative to respond to patient needs, effectively communicating with other team members to provide excellent quality service. Responsible for following all organization and department precautions and procedures in the performance of all job duties to ensure a safe work environment for self and others. Order and maintain supplies/equipment within budget parameters. Ensure cost-effective utilization of resources within own control. Participate in staff meetings, attends in-services and maintains required general/unit/department specific competencies. Support and participates in the QI process. Perform related duties as required. Requirements Good oral and written communication and interpersonal skills. Knowledge of medical terminology. CPR certified. Ability to read and write English with a command of verbal English. Ability to work well and collaboratively with other members of the health care team Ability to maintain patient confidentiality. Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures. Perform automated functions that fall within job responsibility. Ability to work in a time oriented environment including exposure to all patient elements i.e., blood borne pathogens, physical requirements include lifting and pulling of patients, pushing of stretchers, standing and walking. May be exposed to environmental hazards such as anesthetic gases or elements. Ability to meet the care needs of the patient populations served. High School Diploma or equivalent required. Successful completion of Certified Nursing Assistant Program required. Successful completion of a formal training program to include direct patient care activities and technical procedures such as: O2 Saturation, EKG testing, Phlebotomy and finger stick testing.

Clinical Reimbursement Coordinator MDS RN LPN

Complete Care at Kimberly Hall North Windsor, CT

MDS Coordinator Full Time Day Shift Must Have Active RN Registered Nurse Or LPN Licensed Practical Nurse License MDS Experience within a long-term care facility required Pay Based Upon Experience Complete Care at Kimberly Hall North is a pillar in the community of Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment. We are committed to your growth and success. Come join employees who have become family! Work today, get paid today! Now Hiring: MDS Coordinator RN LPN Clinical Reimbursement Coordinator Responsibilities: Monitor and guide the completion of resident assessments in a timely manner. Involvement and supervision of inputting MDS assessments. Transmit MDS assessments to the state and obtain receipt of validation. Schedule and facilitate care plan conferences on a quarterly and annual basis. Other duties as assigned by Director of Nursing and Administrator. Qualifications: Strong working knowledge of Case-Mix, Federal Medicare PPS process, and medical reimbursement required. Previous long-term care experience is required. License: Must have an active RN Registered Nurse/LPN Licensed Practical Nurse for the state of CT RAC-CT Certification a positive; but not required Complete Care at Kimberly Hall North is an equal opportunity employer. Now Hiring: MDS Coordinator RN Registered Nurse LPN Licensed Practical Nurse Clinical Reimbursement Coordinator #LI-GM1 #CC2024 51226 MDS Coordinator RN LPN Clinical Reimbursement Coordinator

LPN

Per Diem

1 week ago

Licensed Practical Nurse PT and Per Diem LPN

Complete Care at Kimberly Hall South Windsor, CT

LPN Licensed Practical Nurse Part Time 2nd Shift Openings Per Diem/Casual Positions Also Available Opportunities for Growth Complete Care at Kimberly Hall South is located at 1 Emerson Drive in Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: LPN Licensed Practical Nurse Responsibilities: · Administer medication to residents in accordance with their care plan. · Perform treatments, as assigned per physician’s orders, within scope of practice. · Accurately report and record the resident’s condition and care including signs and symptoms which may be indicative of change. · Perform all duties in accordance with local, state, and federal guidelines. · Other duties as assigned by the Unit Manager, Director of Nursing and Administrator. Qualifications: · Ability to work independently or part of a group. · Computer knowledge. · Previous long-term care experience is preferred but not required. Licensure Requirements: · Must have an active LPN Licensed Practical Nurse license for the state of Connecticut Now Hiring: LPN Licensed Practical Nurse Complete Care at Kimberly Hall South is an equal opportunity employer. #LI-GM1 #CC2024 12525

LPN

Full-time

1 week ago

Licensed Practical Nurse (LPN)

Ledgecrest Health Care Center Kensington, CT

Join Our Caring Team at Apple Rehab Ledgecrest! (Competitive Rates Offered Based on Experience/Shift) Are you passionate about providing exceptional care in a warm, family-oriented environment? Look no further! Renowned for its outstanding reputation within the community and consistently high occupancy rates, Ledgecrest Health Care Center has been lauded as the top nursing home for Short-Term Rehabilitation in 2020-2021 by the U.S. News and World Report. Why Choose Apple Rehab Ledgecrest? Our distinguishing features include fostering a familial atmosphere, boasting decades of staff commitment, and maintaining an unwavering dedication to delivering top-tier care, setting us apart from competitors. Emphasizing a small, family-like environment and remarkable staff longevity, we prioritize fostering a healthy work/life balance for our team. About Us: As a family-owned and operated company, Apple Rehab prioritizes treating residents and staff like family. With our senior management based in our local Avon, CT office, we ensure superior care from a company deeply rooted in your community. Our leadership is not distant but right in your backyard, offering a supportive and collaborative environment. Job Opportunity: LPN Charge Nurse Starting Pay: Competitive rates up to $37 per hour, based on experience Differentials Offered: Shift Differentials for 2nd and 3rd shifts and weekends Additional Shifts Differential: Extra $5.00/hour for any shifts worked outside scheduled hours Available Shifts: Full-time 11-7 Per Diem Responsibilities : The LPN Charge Nurse plays a pivotal role in planning, executing, and overseeing nursing services for assigned residents. This includes adhering to quality care standards, facility policies, legal requirements, medical practices, and physician instructions. Key Duties: Efficiently plans and provides professional care while aligning with the needs of residents and the changing medical landscape. Maintains professionalism in interactions with residents, physicians, families, peers, and support staff. Documents crucial information related to resident care accurately and comprehensively. Administers prescribed medications and oversees accurate record-keeping in line with facility policies. Requirements: Valid state nursing license in good standing (or in the process of becoming a registered nurse). In-depth knowledge of nursing practices, medical procedures, and long-term care regulations. Strong attention to detail, excellent organizational skills, and the ability to manage multiple tasks effectively. Collaborative team player with previous experience in long-term care preferred. Additional Expectations: All LPN positions require weekend on-call availability to support both staff and residents. Compensation details available upon inquiry. Per diem staff are expected to fulfill (2) weekend shifts monthly to meet requirements. Employee Benefits for 30+ Hours: Scholarships and career development opportunities Generous 4 weeks of paid time off 7 paid holidays Health insurance benefits Short & long-term disability coverage Access to Call-a-Doc/24-7 MD telephone service Employee Assistance Program Life insurance coverage 401K retirement program Longevity credit for dedicated service Join Our Compassionate Team! Embark on a fulfilling career where compassionate care meets professional growth. Apply now to become a valued member of Apple Rehab Ledgecrest! Note: Benefits and requirements may vary based on employment status and hours worked. Inquire within for specific details. (Apple Rehab is an equal opportunity employer committed to diversity and inclusion in the workplace.)

Licensed Practical Nurse Psych Visits PRN

Elara Caring North Meadows, CT

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: ID# JR-135152 Licensed Practical Nurse Behavioral Health - Home Visits PRN - Weekends Hartford area Not Shift work! Excellent money working field runs! Join our growing team and become part of making a real difference in patients' lives, keeping them home where they want to be. Apply today! At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their journey of health, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Licensed Practical Nurse Behavioral Health. Being a part of something this great starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer in delivering unparalleled care, we need a Licensed Practical Nurse Behavioral Health with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? Work in a collaborative environment. Be rewarded with a unique opportunity to make a difference Competitive compensation package Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost Opportunities for advancement Comprehensive insurance plans for medical, dental, and vision benefits 401(K) with employer match Paid time off, paid holidays, family, and pet bereavement As a Licensed Practical Nurse Behavioral Health, you’ll contribute to our success in the following ways: Verifies the Plan of Care prior to each visit and provides care according to delegation by the RN, physician’s orders, assessment data, and established standards and guidelines. Incorporates patient care goals established in the Plan of Care, into nursing visits, as evidenced by documentation on skilled nursing notes. Communicates significant findings, problems and changes in condition or environment to the RN Case Manager, the physician, clinical supervisor, and/or other personnel involved with patient care. Reports unsafe conditions to the appropriate RN Case Manager, clinical supervisor, and physician, as appropriate. Implements the plan for patient safety, using the patient, family, and community resources. Assists the patient in learning appropriate self-care techniques while delivering quality patient care. Suggests revisions to the plan of care in response to identified patient care issues and notifies the RN Case Manager. Provides those services required substantial and specialized nursing skills under the direction of a Registered Nurse or physician. Collaborate with the RN Case Manager during normal business hours for advice, assistance, and instructions. Documents medication regimen and updates medication profile according to established procedures. Treats patients and caregivers in the highest and most effective manner. Implement all available actions to prevent avoidable hospitalizations and ER visits. Provides positive, supportive communication to physicians, patients, families, visitors, and agency personnel. What is Required? High School Diploma or GED Graduate of an accredited Certificate, Diploma, or Associate School of Nursing Current State License as a Licensed Vocational / Practical Nurse 1 year of experience in a clinical care setting hospice preferred Experience in a home health environment is preferred 50% travel required Sit, stand, bend, lift and move intermittently and be able to lift 50-100 lbs. Valid driver’s license and insurance and reliable transportation to perform job tasks You will report to the Clinical Team Manager. Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.

Registered Nurse - Operating Room

Waterbury Hospital Waterbury, CT

Scope Of Position The Registered Nurse in the Surgical Services Section utilizes the nursing process, diagnoses to treat human responses to actual or potential problems and is accountable to the patient, family, and peers for the totality of work performed in order that the organization can fulfill its primary mission of providing quality health care within the community. Population serviced includes adult, geriatric patients and upon occasion, adolescents. Reports to the OR Manager. Responsibilities Assess, plan, and implement a individualized plan of care in the preoperative, intraoperative, and postoperative phases. Prepare operating rooms, surgical instruments and equipment according to procedure requirements. Maintain awareness while in the surgery suite of the patient, surgeon, anesthesia responses, and overall condition during surgery. Maintain strict adherence to infection control and safety protocols. Maintain timely and accurate documentation of nursing care provided to ensure seamless surgical care, collaborating with surgeons. anesthesia and other healthcare professionals. Contributes to Quality Improvement activities and participates in the departmental Quality Improvement Program. Clear communication with the patient and their families. Be familiar and adhere to the regulations of AORN. Perform other related duties as required. Requirements Licensed Registered Nurse in the State of Connecticut Minimum of 1-2 years of nursing experience in the operating room, successful completion of the periop 101 course, or ability to successfully complete periop 101 course required. Certification in Perioperative Nursing (CNOR), preferred. Strong critical thinking, communication, and teamwork skills. Ability to work in a time-oriented environment including exposure to all patient elements, i.e. blood borne pathogens, etc. Physical requirements: Able to push, pull and lift up to 50 lbs using provided equipment or additional manpower as needed. Standing and walking for extended periods of time wearing a lead apron. Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures. THE ABOVE DESCRIPTION COVERS THE MOST SIGNIFICANT DUTIES PERFORMED BUT DOES NOT EXCLUDE OTHER OCCASIONAL WORK ASSIGNMENTS NOT MENTIONED, THE INCLUSION OF WHICH WOULD BE IN CONFORMITY WITH THE FACTOR DEGREES ASSIGNED TO THIS JOB.

Nursing Supervisor (RN) Weekends

Bloomfield Center for Nursing & Rehabilitation Bloomfield, CT

- A Great Place to Work Bloomfield is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - RN Weekend Supervisor for 7pm-7am. What You'll Do: As a Nursing Supervisor, you will lead an interdisciplinary team to provide exceptional care and ensure the health, comfort, and overall well-being of our residents. Your responsibilities will include oversight of the facility operations, safety, cleanliness and compliance to nursing policies, procedures and regulations. Key Responsibilities: Supervising and guiding nursing staff to ensure high-quality care delivery Overseeing daily operations, including staffing assignments and resource allocation Collaborating with the interdisciplinary team to develop and implement care plans Conducting regular assessments and audits to maintain quality standards Providing mentorship, training, and support to nursing staff Ensuring compliance with all regulatory standards and protocols If you are an experienced nursing professional with a passion for leading others in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as a Nursing Supervisor! - What We Offer As an affiliate of National Health Care, our Bloomfield team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Nursing Supervisor include: Valid state nursing license Advanced degree or certification preferred Experience in a supervisory or leadership role in a Long-Term Care setting preferred Compassionate and empathetic approach to patient care Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Strong clinical, leadership, organizational, and decision-making skills Excellent communication and interpersonal abilities Ability to work effectively in a dynamic and fast-paced environment - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

Registered Nurse - Operating Room

Waterbury Hospital Waterbury, CT

Scope Of Position The Registered Nurse in the Surgical Services Section utilizes the nursing process, diagnoses to treat human responses to actual or potential problems and is accountable to the patient, family, and peers for the totality of work performed in order that the organization can fulfill its primary mission of providing quality health care within the community. Population serviced includes adult, geriatric patients and upon occasion, adolescents. Reports to the OR Manager. Responsibilities Assess, plan, and implement a individualized plan of care in the preoperative, intraoperative, and postoperative phases. Prepare operating rooms, surgical instruments and equipment according to procedure requirements. Maintain awareness while in the surgery suite of the patient, surgeon, anesthesia responses, and overall condition during surgery. Maintain strict adherence to infection control and safety protocols. Maintain timely and accurate documentation of nursing care provided to ensure seamless surgical care, collaborating with surgeons. anesthesia and other healthcare professionals. Contributes to Quality Improvement activities and participates in the departmental Quality Improvement Program. Clear communication with the patient and their families. Be familiar and adhere to the regulations of AORN. Perform other related duties as required. Requirements Licensed Registered Nurse in the State of Connecticut Minimum of 1-2 years of nursing experience in the operating room, successful completion of the periop 101 course, or ability to successfully complete periop 101 course required. Certification in Perioperative Nursing (CNOR), preferred. Strong critical thinking, communication, and teamwork skills. Ability to work in a time-oriented environment including exposure to all patient elements, i.e. blood borne pathogens, etc. Physical requirements: Able to push, pull and lift up to 50 lbs using provided equipment or additional manpower as needed. Standing and walking for extended periods of time wearing a lead apron. Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures. THE ABOVE DESCRIPTION COVERS THE MOST SIGNIFICANT DUTIES PERFORMED BUT DOES NOT EXCLUDE OTHER OCCASIONAL WORK ASSIGNMENTS NOT MENTIONED, THE INCLUSION OF WHICH WOULD BE IN CONFORMITY WITH THE FACTOR DEGREES ASSIGNED TO THIS JOB.

Registered Nurse RN Supervisor

Silver Springs Care Center Meriden, CT

Silver Springs Care Center is currently seeking full time Supervisors (Monday-Friday) and a weekend Baylor Supervisor. Sign-on or Baylor bonus for those that qualify! Registered Nurse (RN) Supervisor We are hiring Registered Nurse (RN) Supervisors to oversee, coordinate, assign, direct, and prioritize the work of nursing staff members in order to ensure the efficient operation of the nursing unit. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. Benefits Bonus pay Low-cost health insurance Additional insurances offered: Dental, vision, life, short-term disability, and worksite Generous paid time off package 401(k) Retirement Program with employer match Short-term disability Extensive on-site training and development Career growth opportunities Weekly pay with the option of direct deposit Employee Referral Program Pay rates based on years of experience up to $120,000 Qualifications Valid RN License in the State of Connecticut One year of experience in acute care and/or long-term care in a skilled nursing facility preferred, not required. Proficiency in English, including speaking, reading, and writing, required. COVID-19 Primary Series vaccination required. Booster shots are not required Religious and Medical Exemptions are available Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. IND123

RN

Per Diem

1 week ago

Registered Nurse RN

Complete Care at Kimberly Hall North Windsor, CT

Registered Nurse RN Per Diem/Casual Options Opportunities for Growth Complete Care at Kimberly Hall North is located at 1 Emerson Drive in Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now Hiring: Registered Nurse RN Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: RN Registered Nurse Responsibilities: Administer medication to residents in accordance with their care plan. Perform treatments, as assigned per physician’s orders, within scope of practice. Accurately report and record the resident’s condition and care including signs and symptoms which may be indicative of change. Perform all duties in accordance with local, state, and federal guidelines. Other duties as assigned by the Unit Manager, Director of Nursing and Administrator. Qualifications: Ability to work independently or part of a group. Computer knowledge. Previous long-term care experience is preferred but not required. License: Must have an active RN Registered Nurse license within the state of Connecticut Now Hiring: RN Registered Nurse Complete Care at Kimberly Hall North is an equal opportunity employer. #LI-GM1 12525

Home Care RN Registered Nurse $10,000 Bonus

Trinity Health at Home Hartford, CT

Employment Type: Full time Shift: Description: $10,000 sign on bonus and benefits Day one of employment! Provide care in patient's private homes Coverage Region: Stafford, Manchester, Mansfield Area Schedule: Full-Time, Monday - Friday 8am - 5pm with a weekend rotation every 4 weeks and two holidays a year with NO on-call requirements Home Care RN Position Purpose: Provides primary nursing care to home based care patients as ordered by the physician, and in accordance to the organization’s policies and procedures. The RN is responsible for the initial assessment and care plan development in collaboration with the Population Health Case Manager. Provides functional support/supervision to Home Healthcare Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. What You Will Do: Accurately assesses patient condition and risk at admission, at required time points, and as needed, utilizing appropriate standardized documentation. Assesses the patient's condition and needs and determines the appropriate level of care. In collaboration with the physician, Population Health Case Manager, and patient, develops appropriate assessment-based plan of care including: attainable patient goals and services needed to improve and/or stabilize patient’s medical condition, functional abilities and promote independence. Maintains a current working knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Code of Ethics, as well as agency policies and procedures and follows Code of Conduct. Reports changes in patient condition in a timely manner to the physician and/or Population Health Case Manager. Obtains orders for changes in the plan of care to respond to the patient's condition. Follows orders for treatment and provides services as indicated on the plan of care. Utilizes and implements appropriate educational tools and pathways per guidelines and/or policy and procedure Minimum Qualifications: Graduate of an approved nursing education program, BSN preferred. Licensure as a Registered Nurse in the State of Connecticut. One (1) year experience as a professional acute care nurse Home care experience preferred but not required Must have current Driver’s license and reliable transportation Position Highlights and Benefits: Medical, dental and vision insurance - day one benefits Short and long-term disability 403b with matching contribution Mileage reimbursement Generous paid time off PLUS 7 paid holidays Comprehensive orientation Tuition reimbursement up to $5,250 a year Ministry/Facility Information: Trinity Health Of New England At Home provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare! Apply now! 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.

CNA

Other

1 week ago

Nursing Assistant Trainee (CNA)

Summit at Plantsville Center for Health & Rehabilitation Plantsville, CT

- A Great Place to Work The Summit Center for Health & Rehabilitation is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - What You'll Do: As a Nursing Assistant Trainee, you will receive hands-on training and mentorship to develop essential skills in providing care to our residents. This entry-level position offers a fantastic opportunity to earn while you learn under the guidance of experienced healthcare professionals. You will attend class, lab instruction and clinical experiences to prepare for the Certified Nursing Assistant exam. Key Responsibilities: Engage in training programs to gain knowledge of healthcare protocols and procedures Learn and apply fundamental nursing skills under supervision Assist nursing staff in providing daily care to residents Support residents with activities of daily living, including bathing and grooming Collaborate with the care team to ensure the well-being of residents If you are passionate about providing compassionate care and eager to begin a fulfilling career in nursing, we invite you to join our team as a Nursing Assistant Trainee! - What We Offer As an affiliate of National Health Care, our Summit at Plantsville family will enjoy: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Nursing Assistant Trainee include: High school diploma or equivalent preferred Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Passion for healthcare and a desire to learn and grow in a Long-Term Care setting Compassionate and empathetic nature Excellent communication and teamwork skills - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

RN Unit Manager

Complete Care at Glendale Naugatuck, CT

Unit Manager RN Full Time; Day Shift RN Registered Nurse License Required LTC Clinical Leadership Experience Required Salary $95-$104k Annual - Based on Experience Complete Care at Glendale is located at 4 Hazel Ave in Naugatuck, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now Hiring: RN Unit Manager. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: Unit Manager RN Registered Nurse Responsibilities: Oversee resident care to promote the highest level of physical, mental and psychosocial functioning possible on assigned unit. Actively participate in the Quarterly Assurance process, including attending the Quality Assurance meetings and submission of required reports. Make daily rounds on the assigned unit to ensure resident care needs and environmental standards are met. Participate in the development and implementation of new policies and procedures based on identified needs for assigned unit. Other duties as assigned by Assistant Director of Nursing, Director of Nursing and Administrator. Qualifications: Prior experience managing staff is preferred. Ability to work independently or part of a group. Computer knowledge. IV and CPR certified. Previous long term care RN Leadership experience is required. Minimum one year of experience working in a long term care/skilled nursing setting. License: Must have an active RN Registered Nurse license for the state of Connecticut Now Hiring: Unit Manager RN Registered Nurse Complete Care at Glendale is an equal opportunity employer. #LI-GM1 #CC2024 51126

CNA

Per Diem

1 week ago

Temp Certified Nursing Assistant (CNA) Contract

A Skilled Nursing Home Facility North Haven, CT

$30 / hour

Job description: SAME DAY OFFERS for an experienced and confident CNA ready to jump in! Must be willing to work at multiple nearby nursing facilities. A minimum availability of 16 hours per week is required. Flexible scheduling—work the shifts that fit your life! Get Paid Weekly 401(k) w/match Shifts: 7am-3pm and 3pm-11pm *we are not hiring for 11-7am at this time. Rate: $30/ hourly Job Description: C.N.A. Certified Nurse’s Assistant documents personal care given according to facility policies. Provides nursing functions as directed including perineal care, making beds, turning residents, measures and records temperature, weight, pulse and respiration. C.N.A. Certified Nurse’s Assistant observes and reports to supervisor changes in residents’ condition, including any skin breakdowns. Reports immediately all accidents or injuries. Records all necessary charting entries. Answers all call lights regardless of assignment. Requirements Qualifications: Valid Certified Nursing Assistant (CNA) certification in the state of CT in good standing Experience in senior care required No history of patient/resident abuse as per State Registry. Proficient in reading, writing, and following oral and written instructions. Strong attention to detail, excellent follow-through, and ability to prioritize multiple tasks. Attendance is a MUST! Team player with good cooperation and interpersonal skills. Demonstrates patience, tact, enthusiasm, and a positive attitude towards residents and their support networks. Flexibility to work various shifts as needed. Benefits: 401(k) 401(k) matching Flexible schedule Work Location: In person

RN

Full-time

1 week ago

Registered Nurse RN

Complete Care at Kimberly Hall South Windsor, CT

Registered Nurse RN 1pm-9pm Shift Open Full Time Options Available Part Time Day Shift Accepting Per Diem/Casual Options Opportunities for Growth Complete Care at Kimberly Hall South is located at 1 Emerson Drive in Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: RN Registered Nurse Responsibilities: Administer medication to residents in accordance with their care plan. Perform treatments, as assigned per physician’s orders, within scope of practice. Accurately report and record the resident’s condition and care including signs and symptoms which may be indicative of change. Perform all duties in accordance with local, state, and federal guidelines. Other duties as assigned by the Unit Manager, Director of Nursing and Administrator. Qualifications: Ability to work independently or part of a group. Computer knowledge. Previous long-term care experience is preferred but not required. License: Must have an active RN Registered Nurse license within the state of Connecticut Now Hiring: RN Registered Nurse Complete Care at Kimberly Hall South is an equal opportunity employer. #LI-GM1 #CC2024 12525

Caregiver

Full-time

1 week ago

Hourly Caregiver

Comfort Keepers Glastonbury, CT

Are you interested in working hourly shifts for a company that values passion, and rewards its employees with great benefits? Your search is over – a Caregiver career with Comfort Keepers is the job for you! Become a Caregiver with Comfort Keepers and join a growing company dedicated to providing companionship, personal care, and other health care services for seniors in their own homes. Caregiver Job Benefits Tapcheck – Instant daily pay. Competitive Pay – Including direct deposit, holiday pay, paid overtime and paid-time-off. Paid Training – Foster growth and development through paid training. Friendly Environment – 24-hour support available, a fun team-centric atmosphere. Companionship & Friendship – Create lasting relationships with seniors and their loved ones. Reimbursement – Get compensated for client related transportation. Flexibility – Flexible start dates, ability to work near your home. Join Our Comfort Keepers Team! Caregiver Job Responsibilities: Provide direct and indirect personal care to clients in the comfort of their home. Establish and maintain effective communication and a professional relationship with clients, family members, and co-workers. Perform duties as assigned on personal care service plan. Help client with all personal care functions as needed. Help keep the client's environment clean, safe, and organized. Remind client to take self-administered medications. Successful Caregiver applicants will meet the following requirements: Previous personal care experience. Valid driver's license and reliable vehicle preferred. Weekend availability strongly preferred. Minimum high school diploma or GED required. Submit to criminal background investigation, motor vehicle driving record. Apply Today!

Charge Nurse LPN

Complete Care at Kimberly Hall North Windsor, CT

Charge Nurse Licensed Practical Nurse LPN 11p-7a Full Time 11p-7a PT Every-Other Saturday/Sunday 3-11pm Full Time Mon-Friday 7a-3pm Part Time Long Term Care Experience Required Complete Care at Kimberly Hall North is located at 1 Emerson Drive in Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: LPN Licensed Practical Nurse Responsibilities: Administer medication to residents in accordance with their care plan. Perform treatments, as assigned per physician’s orders, within scope of practice. Accurately report and record the resident’s condition and care including signs and symptoms which may be indicative of change. Perform all duties in accordance with local, state, and federal guidelines. Other duties as assigned by the Unit Manager, Director of Nursing and Administrator. Qualifications: Ability to work independently or part of a group. Computer knowledge. Previous long-term care experience is required Licensure Requirements: Must have an active LPN Licensed Practical Nurse license for the state of Connecticut Now Hiring: LPN Licensed Practical Nurse Complete Care at Kimberly Hall North is an equal opportunity employer. #LI-GM1 #CC2024 12525

CNA

Part-time

1 week ago

Certified Nursing Assistant CNA

Complete Care at Kimberly Hall North Windsor, CT

Certified Nursing Assistant CNA 8hr/week Weekend Positions Available Part Time Available Work Today; Get PAID Today! Complete Care at Kimberly Hall North is located at 1 Emerson Drive in Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Now Hiring : Certified Nursing Assistant CNA Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: Certified Nursing Assistant CNA Responsibilities: Perform ADLs such as bathing, dressing, serving meals, feeding, ambulating, turning, positioning, etc. Maintain clean living conditions for residents. Ensure all reports and records are completed in a timely manner. Perform all duties in accordance with local, state, and federal guidelines. Other duties as assigned by the Unit Manager, Director of Nursing and Administrator. Qualifications: High School Diploma or equivalent. Ability to work independently or part of a group. Computer knowledge. Previous long-term care experience is preferred but not required. Must have an active Certified Nursing Assistant CNA certification for the state of Connecticut Now Hiring: CNA Certified Nursing Assistant Complete Care at Kimberly Hall North is an equal opportunity employer. #LI-GM1 #CC2024 12525

11PM-7AM RN Charge Nurse

American Medical Associates Avon, CT

$37.75 / hour

A beautiful skilled nursing facility located in Avon, CT is seeking a strong 11PM-7AM RN Charge Nurse ! S alary: $37.75 (plus a $2.50 differential) 11PM-7AM Charge Nurse Responsibilities: Provide bedside care Administer medications and document therapeutic effects Take vital signs (temperature, blood pressure, pulse and respiration) Oversee/Assist with resident comfort Prepare and administer injections and/or enemas Collect samples and monitor catheters Help coach staff as necessary 11PM - 7AM Charge Nurse Qualifications: Must have RN license in the state of Connecticut Must have long term care/skilled nursing experience Must have excellent leadership skills Excellent oral and written communication skills #7013

CNA

Part-time

1 week ago

Certified Nursing Assistant Weekends CNA

Complete Care at Kimberly Hall South Windsor, CT

Certified Nursing Assistant CNA Weekend Options Available 1st or 2nd shift Not Currently Accepting PRN/Per Diem Work Today; Get PAID Today Complete Care at Kimberly Hall South is located at 1 Emerson Drive in Windsor, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment and utilize all your nursing skills daily. You will develop deep personal relationships with patients and their families. We are committed to your growth and success- that is why we offer an excellent orientation, training, and development programs. Receive a competitive salary and benefits package. Now Hiring: Certified Nursing Assistant CNA Responsibilities: Perform ADLs such as bathing, dressing, serving meals, feeding, ambulating, turning, positioning, etc. Maintain clean living conditions for residents. Ensure all reports and records are completed in a timely manner. Perform all duties in accordance with local, state, and federal guidelines. Other duties as assigned by the Unit Manager, Director of Nursing and Administrator. Qualifications: High School Diploma or equivalent. Ability to work independently or part of a group. Computer knowledge. Previous long-term care experience is preferred but not required. Must have an active Certified Nursing Assistant CNA certification for the state of Connecticut Now Hiring: CNA Certified Nursing Assistant Complete Care at Kimberly Hall South is an equal opportunity employer. #LI-GM1 #CC2024 12525

Caregiver

Full-time

1 week ago

Hourly Caregiver

Comfort Keepers Manchester, CT

Are you interested in working hourly shifts for a company that values passion, and rewards its employees with great benefits? Your search is over – a Caregiver career with Comfort Keepers is the job for you! Become a Caregiver with Comfort Keepers and join a growing company dedicated to providing companionship, personal care, and other health care services for seniors in their own homes. Caregiver Job Benefits Tapcheck – Instant daily pay. Competitive Pay – Including direct deposit, holiday pay, paid overtime and paid-time-off. Paid Training – Foster growth and development through paid training. Friendly Environment – 24-hour support available, a fun team-centric atmosphere. Companionship & Friendship – Create lasting relationships with seniors and their loved ones. Reimbursement – Get compensated for client related transportation. Flexibility – Flexible start dates, ability to work near your home. Join Our Comfort Keepers Team! Caregiver Job Responsibilities: Provide direct and indirect personal care to clients in the comfort of their home. Establish and maintain effective communication and a professional relationship with clients, family members, and co-workers. Perform duties as assigned on personal care service plan. Help client with all personal care functions as needed. Help keep the client's environment clean, safe, and organized. Remind client to take self-administered medications. Successful Caregiver applicants will meet the following requirements: Previous personal care experience. Valid driver's license and reliable vehicle preferred. Weekend availability strongly preferred. Minimum high school diploma or GED required. Submit to criminal background investigation, motor vehicle driving record. Apply Today!

Hospice Registered Nurse Case Manager

Affinity Hospice Management LLC Torrington, CT

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)