Nursing Jobs in North End, MA

CNA Home Health Home Health Full-time
SYNERGY HomeCare

CNA/HHA Opening for First & Second Shifts

SYNERGY HomeCare Hull, MA
$20 - $22 / hour
CNA/HHA Opening in Hull, MA SYNERGY HomeCare is currently seeking CNAs and HHAs in Hull, MA for available client assignments. If you're looking for flexible short shifts, weekly pay, and the opportunity to make a difference through one-on-one home care, apply today. Pay $20.00 to $22.00 per hour Weekly Pay Schedule Short shifts First and second shift Weekdays and weekends available What You'll Do Assist clients with personal care and daily activities Provide companionship and emotional support Assist with mobility and transfers Prepare light meals Perform light housekeeping Provide medication reminders What We're Looking For Active CNA or HHA certification Dependable and compassionate Professional communication skills Reliable transportation preferred Apply Today We're actively reviewing qualified caregivers and filling available assignments as quickly as possible. Apply now to be considered for current openings in Hull.
RN Full-time
North End Rehabilitation and Healthcare Center

Staff Development Coordinator (SDC)

North End Rehabilitation and Healthcare Center Boston, MA
$93,000 - $125,000 / year
Join our team at North End Rehabilitation and Healthcare Center as a Staff Development Coordinator (SDC). Proudly supported by Marquis Health Consulting Services Full-time opportunity available Salary range 93K-125K At North End Rehabilitation and Healthcare Center, we believe that investing in our team through education, training, and professional development is essential to delivering exceptional resident care. Guided by our core values of Passion, Respect, and Excellence , the Staff Development Coordinator (SDC) leads educational initiatives, supports clinical staff development, and promotes regulatory compliance through ongoing training and competency programs. Responsibilities for Staff Development Coordinator (SDC): Ensure the center maintains appropriate staffing levels and nursing care to support quality resident outcomes. Develop, coordinate, and provide education and training programs for new and existing employees. Conduct employee orientation and ongoing in-service education to ensure compliance with facility policies and regulatory requirements. Maintain accurate and organized education records, competency validations, and required documentation. Assist with admissions as needed and support the nursing department's overall workflow and resident care units. Collaborate with nursing leadership to identify educational needs and promote continuous staff development. Monitor compliance with mandatory training requirements and clinical competencies. Support quality improvement initiatives through education, coaching, and staff development. Qualifications for Staff Development Coordinator (SDC): Must possess a current, active, and unencumbered RN license in the state of Massachusetts Prior experience as a Staff Development Coordinator, Infection Preventionist, or similar educational leadership role within a nursing center or healthcare setting is preferred. Strong ability to build positive relationships and gain support from staff at all levels. Excellent communication, organizational, and presentation skills. Knowledge of long-term care regulations, nursing education, and staff competency requirements. Ability to effectively prioritize multiple responsibilities in a fast-paced healthcare environment. Our Core Values in Action Passion – Empowering caregivers through education and professional development to provide exceptional resident care. Respect – Supporting team members with encouragement, collaboration, and a commitment to lifelong learning. Excellence – Promoting clinical competency, regulatory compliance, and continuous improvement through high-quality education programs. Benefits for Staff Development Coordinator (SDC) Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company-sponsored life insurance Employee assistance program (EAP) resources Join our team at North End Rehabilitation and Healthcare Center, a 100-bed Sub-Acute and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
RN PACU Full-time
Emerson Hospital

Registered Nurse (RN) - PACU

Emerson Hospital Concord, MA
$36.78 - $73.57 / hour
Schedule: Full Time Pay Range: $36.78 - $73.57 / Hourly Shift: Variable Shifts Hours: variable shifts between 6a-10p Job Summary About this role Reporting to the Clinical Nurse Manager of PACU, provides airway assessment and management, cardiac and hemodynamic monitoring, pulse oximetry, and ongoing nursing assessment, diagnosis and intervention to all patients receiving any anesthetic which serve to alter the patient's level of consciousness in the immediate post-operative phase. Responsible for utilizing the nursing process to provide comprehensive care appropriate to the age of the patients served on their assigned unit, as directed by nursing management. Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Service Department, regulatory agencies and professional organizations. The Registered Nurse is accountable for the safety of nursing care they deliver or supervise. The Registered Nurse is responsible to the patient and the family or significant others for the quality of direct and indirect nursing care delivered. Minimum Qualifications Education Graduate of accredited school of nursing required. Experience A minimum two years of medical/surgical experience required. Critical care or emergency experience preferred. Licensure and/or Certification Current license as a professional nurse in Massachusetts required. BLS healthcare provider required. ACLS required. PALS required. Skills Excellent customer service skills. Must be able to read, write, and communicate in English. Computer skills required. Ability to maintain confidential information. To apply, please visit: https://emersonhealth.org/jobs/registered-nurse-rn-pacu-34755/? Copyright ©2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency je-6a3826c2e18e49a5bd4259b904f2c8cb
RN MDS Full-time
Skilled Nursing and Rehab Facility

MDS Nurse Coordinator

Skilled Nursing and Rehab Facility Weymouth, MA
$46 - $54 / hour
Currently seeking a Full-Time MDS Nurse Coordinator (RN/LPN)! A busy skilled nursing and rehab facility is seeking a MDS Coordinator (RN/ LPN). We are focused on one goal: providing an exceptional experience for our residents and patients. We welcome you to join our team! Benefits for MDS Coordinator: 401k Match Referral Bonuses Flexible schedule Health/vision/dental Requirements for MDS Coordinator: Experience in MDS completion. Ability to monitor, evaluates, and manages care plans for residents. Excellent communication skills with residents, families and the interdisciplinary team 1-2 years' experience in long term care Job Duties for MDS Coordinator: Assess and monitor proper treatment for residents. Determine the health status, care plans, and procedures for intake of residents, according to state and federal standards. Perform clinical assessments. INDLP
RN ICU Other
Tufts Medicine

Registered Nurse- ICU- Ground, Critical Care (Nights/Rotating)

Tufts Medicine Lowell, MA
$37.18 - $57.63 / hour
The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications. Level I - 0 – Less than 12 Months of RN Experience. Level II - 12 Months - Less than 3 Years of RN Experience. Level III - 3 Years - Less than 8 Years of RN Experience. Level IV - 8 Years of RN Experience. Job Overview The RN Complex Care independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices in a complex care area. Location : Main Campus Unit : ICU-G Shift : 36 Hours, Rotating- Nights and Days Weekends and Holidays Required Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. Current Basic Life Support (BLS) Certification. 3. Department Specific: Certification(s) relevant to the department and the type of patient care being provided may be required. 4. Experience based on level (I, II, III, or IV). Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Participates in and maintains awareness of performance improvement initiates. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice. Conducts and documents accurate clinical assessments. Develops, implements, and evaluates the patient’s individualized plan of care. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards. Recognizes patient/family rights through support of their informed decisions and advanced directives. Continually evaluates and revises the care plan according to changes in the patient’s health status. Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources. Supports the development of new staff members and helps facilitate their transition into unit. Guides the professional growth of department staff through precepting. Participates in professional development by identifying learning needs and seeking appropriate education. Participates in departmental committees as needed. Physical Requirements: 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge of and application of the nursing process. About Lowell General For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $37.18 - $57.63
RN Part-time
CareOne

Baylor Registered Nurse

CareOne Weymouth, MA
$45 - $51 / hour
Job Description CareOne at Weymouth has the following available shifts: Balance Life & Work with a New Career Opportunity (LONG TERM CARE) (SHORT TERM REHAB (SKILLED NURSING) Now Hiring – Baylor Registered Nurse, Weymouth, MA $45.00 to $51.00 Compensation will be based on, but not limited to, experience, qualifications, credentials, employment status, scheduled shift, and, if applicable, differentials related to a specific shift(s)/and or day(s) Care one at Weymouth Responsibilities The Registered Nurse is responsible for the Shift coordination and oversight of the nursing process for residents assigned to his or her care. Responsibilities include both the direct and indirect provision of care according to each resident's nursing and medical plan of care and in accordance with state and federal regulations and accepted nursing standards of practice. Job duties include, but are not limited to: Provide direct nursing care to assigned residents in accordance with the nursing process. May be assigned to function as Medication/Treatment Nurse, unit Charge Nurse, or Supervisor. Direct day to day functions of Licensed Practical Nurses and Certified Nursing Assistants, assuring compliance with state and federal regulations and facility policies and processes. Provide assessment of and responds to resident conditions utilizing the nursing process. Work cooperatively with other members of the facility interdisciplinary team. Maintain effective communication with other members of the interdisciplinary team utilizing facility processes in order to assure the highest standard of care is maintained for each resident assigned to his or her care. Complete and ensure LPN and C.N.A. documentation of care and services rendered according to facility policies and procedures. Complete reports such as the 24-hour change in condition report, Incident and Accident reports, etc. according to the facility policy and procedure and as assigned by the Director of Nursing Services. Provide immediate response to situations of resident risk such as allegations of abuse, neglect or misappropriation of property. Report incidents timely and to appropriate persons per facility policy. Ensure timely and accurate medication and treatment administration. Communicate to physician and documents changes in resident condition utilizing both objective and subjective nursing assessment. Document and implement changes in nursing and medical plans of care. According to facility policy and procedure, assure that all members of the interdisciplinary team are aware of and understand changes in resident nursing and/or medical plan of care. Position Requirements Associate's Degree from credentialed school of nursing. Currently licensed as a Registered Nurse in the state of practice. 1 year of related nursing experience About Us The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees. We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees: Comprehensive Healthcare Benefits Multiple Medical Plans Including Pharmacy Including Teladoc Multiple Dental Plans Vision Plan Health Savings Account (eligibility restrictions apply) Flexible Spending Accounts Voluntary Life and AD&D Short-Term and Long-Term Disability Plans Hospital Indemnity Insurance Critical Illness Insurance Accident Insurance Whole Life Insurance Medicare Employee Assistance Legal Plan Commuter Benefits 401k Retirement Plan Employee Assistance Program (available to all employees) Paid Time Off Vacation Sick Plans in accordance with state laws Opportunities to advance and grow your career If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility! We are an Equal Opportunity Employer EEO/AA/M/F/DV
RN Other
Tufts Medicine

Registered Nurse, RN Case Manager - Sign On Bonus Eligible - New Competitive Pay!

Tufts Medicine Melrose, MA
$48.60 - $61.96 / hour
*New Competitive Pay!* At Tufts Medicine, we’re saving lives, building careers, and reimagining healthcare. Ready to grow with us? If you are a Case Manager, that enjoys working with complex cases that require strong problem-solving skills, this is an exceptional opportunity to work close to home with a community hospital. Position Summary: The Case Manager is responsible and accountable for the management of care for an assigned patient population by service line and across the continuum of care. The Case Manager, works to achieve daily clinical, quality, and cost outcomes by providing well-coordinated experiences for patients/families through the synchronization of care activities of multiple disciplines and negotiation with third-party payers. Demonstrate great assessment skills and knowledge to accurately develop and implement a comprehensive care plan specific to the identified need/s. Coordinate all aspects of the patient's care plan including by not limited to home health care/hospice referrals, home infusion services, DME, transportation, etc. Facilitate communication and coordination among members of the interdisciplinary team. Involve the patient in the decision-making process in order to minimize fragmentation in the services provided. Communicate the patient's preferences, serving as their advocate and verifying that interventions meet their individualized needs and goals of treatment. Provide information about resources and options available in the community and coordinate service delivery. Identify and address client risk factors and/ or obstacles to care Educates the patients and families regarding various symptoms and consequences related to their specific diseases, conditions and treatment. Hours: 40 hours/week, Day Shift Flexible hours, either: 8-4:30, 8:30-5, or 9-5:30 Education and Qualifications: Massachusetts RN Licensure. Current Basic Life Support (BLS) Certification. Bachelor of Science in Nursing (BSN) preferred ASN required Recent experience as an inpatient case manager 3 years + case management experience What We Offer: Competitive salaries & benefits that start on day one 403(b) retirement plan with company match Tuition reimbursement Free parking Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Care Manager related duties: Works as part of a multidisciplinary team to coordinate their patient's care in an effort to improve patient outcomes and create efficiencies. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The RN Case Manager manages a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Interviews and collects specific information and data from patients and families, contributes to the identification of specific physical, emotional, educational and cultural needs of those patients. 2. Maintains documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines. 4. Completes a discharge assessment, to include appropriate documentation, according to established policies and procedures. 5. Identifies barriers to efficient cost-effective provision of care. 6. Identifies expected outcomes individualized to the patient. Collaborates with physician, healthcare team, and the patient/family in decision making and planning of care during hospitalization and in anticipation of discharge. 7. Implements the plan of care to achieve the identified expected outcomes for the patient. 8. Utilizes community and other resources and systems to implement the plan facilitating referrals when appropriate. 9. Provides education for the patients and families and documents according to policy. 10. Coordinates activities related to financial/insurance issues, including providing clinical updates to insurance companies. 11. Coordinates insurance appeals related to discharges and adhering to policies and procedures of Medicare and Medicaid. 12. Assists in achieving unit quality scores which meet or exceed hospital established targets for nurse sensitive quality indicators as appropriate for the unit. Physical Requirements: 1. Ability to sit for extended periods of time. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. Skills & Abilities: 1. Ability to plan, implement and evaluate data and individual patient needs after emergency department visits. 2. Ability to effectively communicate with patients, families, physicians, and healthcare team. Ability to analyze, evaluate multiple solutions, and solve complex problems using well developed critical & analytical thinking skills. 3. Knowledge of and application of the nursing process. 4. Excellent time management skills needed to prioritize competing priorities. 5. Requires the ability to work independently and establish an effective working relationship with healthcare providers in physician’s offices, community agencies, hospitals and other healthcare facilities. 6. Maintains working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations. About MelroseWakefield Hospital: MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians. Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $48.60 - $61.96
CNA Home Health Home Health Full-time
SYNERGY HomeCare

CNA/HHA Opportunity Available | Apply Today

SYNERGY HomeCare Westwood, MA
$20 - $22 / hour
CNA/HHA Needed Now - Westwood, MA SYNERGY HomeCare is actively seeking CNAs and HHAs in Westwood, MA for available client assignments. We're looking for dependable caregivers who are ready to provide compassionate one-on-one care and are interested in flexible short-shift opportunities. Pay $20.00 to $22.00 per hour Weekly Pay Schedule Short shifts First and second shift Weekdays and weekends available What You'll Do Assist clients with personal care and daily activities Provide companionship and emotional support Assist with mobility and transfers Prepare light meals Perform light housekeeping Provide medication reminders What We're Looking For Active CNA or HHA certification Dependable and compassionate Professional communication skills Reliable transportation preferred Apply Today We're actively reviewing qualified caregivers and looking to fill available assignments quickly. If you're ready to start your next caregiving opportunity, apply today.
CMA Outpatient
Optum

Medical Assistant- Specialties- Atrius Health

Optum Beverly, MA
$16.15 - $28.80 / hour
Atrius Health, part of the Optum family of businesses, is seeking a Medical Assistant II to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. As a Medical Assistant II, you will perform expanded and advanced level medical assistant duties including but not limited to identifying and resolving concerns regarding patient satisfaction, patient flow, and compliance with procedures and guidelines. Typically provides direct clinical support to one or more clinicians and may support more than one department. Position Highlights & Primary Responsibilities: Maintains a higher degree of technical expertise than Medical Assistant I and serves as role model to Medical Assistant I's. Able to problem-solve and serve as a resource to other Medical Assistants Manages patient flow, access and scheduling for clinicians to optimize patient appointment availability and serves in a dedicated capacity to one or more clinicians Manages clinicians' daily schedule to expedite care and maximize clinical time. Determines urgency and priority of walk-ins, add-on patients and patient consults Coordinates the practice when clinicians are unavailable. Ensures calls are responded to properly and clinicians receive necessary information Sorts, manages and reviews clinician mail (may be paper or electronic). Maintains and screens MyHealth messages. Addresses incoming questions when appropriat Monitors practice issues and problems. Identifies and resolves concerns regarding patient satisfaction, patient flow, and compliance with procedures and guidelines. Advocates for patients as appropriate Identifies and assists in resolving patient concerns and operational difficulties. Informs supervisor of outstanding issues in the practice Handles patients and third party requests (i.e. worker's compensation, government and social services) for documentation of medical information, such as health status, worker's compensation related care, and return to work authorizations Completes forms needed for visits and submits to MD for review. May need to review patient record for missing information. Verifies prior authorizations May serve as departmental float position rotating among departments. This requires learning the operational issues and practices of multiple areas. Float responsibilities may be within either primary care or specialty departments Participates in care improvement activities as expected, such as Rapid Improvement Events (RIEs), Value Stream Analyses (VSAs), and Managing of Daily Improvements (MDIs) Trains and orients new staff as needed. May also be involved in interviewing and on-boarding of new staff May represent department on groups and teams related to upgrades of the electronic medical record Atrius Health is a physician-led healthcare leader. We are nationally recognized for transforming healthcare through clinical innovations, quality improvement and a commitment to value-based care. Atrius Health delivers an effective system of connected care at practice locations in eastern and central Massachusetts. We recognize the importance of a team-based delivery model, where primary & specialty care providers collaborate with hospital partners, community specialists and skilled nursing facilities - all working together to deliver high-quality care to every patient we serve. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma or GED Computer Experience- The ability to use word processing and spreadsheet programs. Electronic medical record (EMR) experience and/or aptitude to master the EMR based on other technology experience Preferred Qualifications: American Heart Association Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) may be required based on specialty 3+ years in a clinical setting with 1+ years as a Medical Assistant (a bachelor's or associate degree may be substituted for one year of experience) Knowledge of reagent stability and storage Understands the testing procedure and factors influencing test results Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
CNA Full-time
Alliance Health at Marina Bay

Certified Nurse Assistant (C N A)

Alliance Health at Marina Bay MA
$18 - $25 / hour
Certified Nurse Assistant (C N A) CNA – Certified Nursing Assistant full time 3-11:30 and 11- 7:30 ***up to a $4,000 Sign-on Bonus depending on status*** Alliance Health at Marina Bay is a non-profit skilled nursing facility located in Quincy, MA. As the backbone to our multidisciplinary care approach, you have an opportunity to make a real difference in an elder's life. Due to our continued growth, we are looking for team-oriented individuals to join our clinical team. CNA – Certified Nursing Assistant Alliance Health is a not-for-profit with (7) skilled nursing facilities within MA. We offer a competitive salary, health, dental and vision benefits. We also have a 401(k) with a generous company match, tuition reimbursement and company paid life insurance! ***All openings require an active MA CNA certification Benefits: · 401(k) · 401(k) matching · Dental insurance · Disability insurance · Family leave · Health insurance · Life insurance · Paid orientation · Paid sick time · Paid time off · Paid training · Tuition reimbursement · Vision insurance Medical specialties: · Geriatrics Physical setting: · Long term care Standard shift: · Day shift · Evening shift · Night shift · Overnight shift Supplemental schedule: · Holidays · Overtime Weekly schedule: · Rotating weekends · Weekend availability Ability to commute/relocate: · Quincy, MA, 2171: Reliably commute or planning to relocate before starting work (Required) Experience: · Skilled Nursing Facility: 1 year (Preferred) · Long-Term Care: 1 year (Preferred) Work Location: One location
RN Full-time
Winchester Rehabilitation and Nursing Center

Registered Nurse RN $5000 Sign on Bonus

Winchester Rehabilitation and Nursing Center Winchester, MA
$40 - $50 / hour
Registered Nurse (RN) - Winchester Rehabilitation and Nursing Center Job Summary: We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team at Winchester Rehabilitation and Nursing Center. As a RN at our facility, you will provide high-quality patient care to our residents, while also collaborating with our interdisciplinary team to ensure the best possible outcomes. If you are a motivated and caring individual who is passionate about providing exceptional care, we encourage you to apply. Responsibilities: Supervise CNA staff on assigned unit Deliver care in accordance with Facility protocol and safe nursing practices Perform comprehensive assessments and develop individualized care plans Implement and document care plans, including medications, treatments, and interventions Collaborate with interdisciplinary team to coordinate patient care Provide emotional support and education to patients and families Participate in Quality Improvement initiatives Requirements: Current unencumbered State of Massachusetts RN license Strong communication skills to communicate with Residents, Families, and Staff Critical thinking skills Ability to handle different situations with tact Benefits: Competitive wages Generous Shift Differentials Sign on Bonus Referral Bonus 6 Paid Holidays On-site free employee education Complimentary employee meals and more Medical Insurance Dental Insurance Vision Insurance Long & Short-term Disability Insurance Accrued paid time off - Full-time employees 401K Job Type: Full Time, Part Time, Per Diem Apply Today: If you are a motivated and caring individual who is passionate about providing exceptional care, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter outlining your experience and qualifications. We look forward to hearing from you! Contact Us: To learn more about this opportunity or to apply #HP123
LPN Full-time
Brush Hill Care Center

Registered Nurse (RN) / Licensed Practical Nurse (LPN)

Brush Hill Care Center Milton, MA
Family-owned BRUSH HILL CARE CENTER is looking to hire full-time, part-time and per diem Registered Nurse’s (RN’s) / Licensed Practical Nurses (LPN’s) to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. The Registered Nurse’s (RN’s) / Licensed Practical Nurses (LPN’s) must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to ensure that the highest degree of quality care is always maintained. ESSENTIAL DUTIES AND RESPONSIBILITIES OF REGISTERED NURSE (RN) / LICENSED PRACTICAL NURSE (LPN): Direct the day-to-day functions of the nursing assistants. Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Make written & oral reports/recommendations concerning the activities of the shift as required. Admit, transfer and discharge residents as required. Provide leadership to nursing personnel assigned to your unit/shift. Complete & file required record-keeping forms/charts upon the resident’s admission, transfer and/or discharge. Receive & transcribe telephone orders from physicians & record on the Physician’s Order Form. Chart nurse’s notes in an informative & descriptive manner that reflects the care provided, as well as the resident’s response to the care. Fill out and complete accident/incident reports & submit to Director as required. Perform routine charting duties as required & in accordance with established charting & documentation policies & procedures. Prepare & administer medications as ordered by the physician. Develop & maintain a good working rapport with inter-departmental personnel, and other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, and a calm environment throughout the unit and shift. Receive/give the nursing report upon reporting in and ending shift duty hours. Make rounds with physicians as necessary. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room. Performs other duties as assigned. QUALIFICATIONS FOR REGISTERED NURSE (RN) / LICENSED PRACTICAL NURSE (LPN): To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Registered Nurse (RN) / Licensed Practical Nurse (LPN) with current unencumbered state license. Must be able to read, write, speak, and understand the English language. Must be able to make independent decisions when circumstances warrant such action. Must be knowledgeable of nursing & medical practices & procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Current CPR Certification is required Registered Nurse’s (RN’s) / Licensed Practical Nurse's (LPN's) with Experience in Long Term Care are preferred, but not required. PHYSICAL DEMANDS OF REGISTERED NURSE (RN) / LICENSED PRACTICAL NURSE (LPN): The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to move intermittently through the workday. Must be able to cope with the mental and emotional stress of the position. Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must be able to push, pull, move, and/or life at minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move and/or carry such weight a minimum distance of 50 feet. #IND123
LPN Outpatient Full-time
Emerson Hospital

Licensed Practical Nurse (LPN) - Endocrinology Office

Emerson Hospital Concord, MA
$29 - $37 / hour
Schedule: Full Time Pay Range: $29.00 - $37.00 / Hourly Shift: Day shift Hours: 8-4:30 About This Role Join a Patient-Centered Endocrinology Team We are seeking a compassionate, detail-oriented Licensed Practical Nurse (LPN) to join our growing Endocrinology practice. In this role, you will work closely with physicians, advanced practice providers, and clinical staff to deliver high-quality, patient-centered care to individuals managing endocrine and metabolic conditions. As a key member of our healthcare team, you will utilize the nursing process to assess, plan, implement, and evaluate patient care while helping patients achieve their health goals through education, support, and clinical excellence. Qualifications Education Graduate of an accredited professional nursing program required. Experience Previous experience in Diabetes Management, Internal Medicine, or Ambulatory Care preferred. Experience in a physician practice or outpatient clinic setting is a plus. Licensure & Certifications Currently licensed to practice professional nursing in Commonwealth of Massachusetts required. Current Basic Life Support (BLS) Healthcare Provider certification required. Skills & Competencies Experience using Electronic Medical Records (EMR), preferably GE Centricity. Strong clinical assessment and critical-thinking skills. Excellent interpersonal, verbal, and written communication skills. Ability to effectively multitask and prioritize in a fast-paced healthcare environment. Outstanding patient service and relationship-building skills. Strong computer proficiency and documentation skills. Ability to maintain patient confidentiality and comply with HIPAA requirements. Must be able to read, write, and communicate effectively in English. Why You'll Thrive Here Collaborative and supportive clinical environment Opportunity to make a meaningful impact on patients living with chronic endocrine conditions Professional growth and development opportunities Focus on quality care, patient education, and clinical excellence To apply, please visit: https://emersonhealth.org/jobs/licensed-practical-nurse-lpn-endocrinology-office-34848/? Copyright ©2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency je-d4a6c549cca6410186efe778ada90c6c
RN Full-time
Ledgewood Rehab & Skilled Nursing Center

Staff Nurse RN

Ledgewood Rehab & Skilled Nursing Center Peabody, MA
$41 - $50 / hour
Address: 87 Herrick St Beverly, MA RN $41-46/hr. plus $2-$4 shift differentials Shifts Available: Full-Time 7a-3p, 3p-11p Part-Time 3p-11p,11p-7a Per-Diem Ledgewood Rehab & Skilled Nursing Center is hiring Staff Nurses to join our skilled nursing team! We are seeking passionate and caring nursing professionals to join our facility! Benefits for Staff Nurse: Weekly Pay Paid Vacation and Holidays, Floating Holidays Referral Bonuses Shift Differentials 401k With Company Match Dental Insurance Vision Insurance Low-Cost Medical Insurance Requirements for Staff Nurse: Possess an active, unencumbered license in MA to practice as a RN Clinical experience in a sub-acute and/or long-term care setting preferred Job Duties for Staff Nurse: Take and record vital signs Monitor patients and chart medical records accurately Plans and manages patient care according to each patient's needs Provide routine care for patients Observe patients' health Ledgewood truly appreciates our dedicated Staff Nurses who will welcome you to our extended family! INDHP
CMA Urgent Care Part-time
PM Pediatric Care

Medical Assistant - Per Diem (Saugus, MA)

PM Pediatric Care Saugus, MA
$18 - $26 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Medical Assistant is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The Medical Assistant roles is an opportunity for a pediatric medical assistant to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description Candidates must be open and flexible to commuting to our sister office in Woburn as business needs require and at leadership's request. Job Responsibilities: Provide clinical and administrative support for providers, patients, and office operations Greet and register patients as they arrive Obtain medical history, patient vital signs, and intake Prepare patients for X-rays Perform and document routine labs, such as throat and urine cultures (venipuncture experience preferred) Irrigate and assist with wounds Assist in performing quality control testing in the lab Be an integral part of the patient care team and assist with patient care within the scope of practice Keep exam rooms and front reception stocked with adequate supplies Maintain order and cleanliness of the waiting room area Practice standard safety practices and precautions Help patients in distress by responding to emergencies and notifying medical team (nurse, urgent care tech, and physician) Maintains operations by following policies and procedures; reporting needed changes to management team Maintains patient confidence and protects operations by keeping patient care information confidential Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assistant patients with complaints and taking an active role in service recovery when needed Perform other duties as needed including apply splints and assisting the nurse and/or provider in other medical procedures Provide exceptional customer services Qualifications High school diploma or GED Prior experience and/or education as a Medical Assistant Knowledge or EKG placement and processing in children Ability to obtain laboratory tests via nasal swab, and venipuncture Demonstrate a professional and friendly demeanor Strong communications and organizational skills Prior pediatric experience Capable of multi-tasking in a fast-paced environment Comfortable with computers, Microsoft Office Suite Willing to learn medical software Experience with medical records preferred Compensation: $18 - $26/hour The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.
Home Health Aide Home Health Full-time
Amada Senior Care

Caregiver (HHA) – Immediate Day Shifts | Flexible Hours | Weekly Pay

Amada Senior Care Marlborough, MA
$19 - $22 / hour
At Amada Senior Care, we believe caregivers deserve to feel respected, supported, and appreciated every day—not just when there’s a shift to fill. We are currently hiring caregivers for immediate daytime hours, ongoing schedules, and flexible opportunities available NOW. We have clients actively needing coverage, with new schedules and openings becoming available regularly. If you are reliable, compassionate, and ready to work, we would love to hear from you! Join a caregiver-first team that's been named a Great Place to Work® 6 years in a row — come see why! Why Caregivers Choose Amada: $19–$22/hr. (above industry average) Bonus opportunities + $200 referrals Weekly pay & Pay-on-Demand Flexible Scheduling (days, evenings, overnights, weekends) Opportunities for consistent clients and steady hours 401(k) with employer match Medical, Dental, Vision, Life & Disability Insurance Supportive office team that truly has your back Current Needs: We are actively hiring for all shifts, with a strong need for weekends and flexible availability Responsibilities: Companionship and support Assistance with activities of daily living (bathing, dressing, grooming, meals) Transportation and errands Help clients remain safe and independent at home What We’re Looking For: Kind, dependable, and patient caregivers 1+ year caregiving experience preferred CNA/HHA a plus (but not required) Reliable transportation Ability to pass a background check We’re not just filling shifts—we’re building a team of caregivers who feel valued and supported. Apply today—many caregivers are placed quickly based on availability and fit!
LPN Outpatient Full-time
The Center at Blue Hills

LPN and RN Positions All Shifts Available

The Center at Blue Hills Stoughton, MA
LPN and RN ! ALL SHIFTS AVAILABLE! UNDER NEW MANANGEMENT! We are seeking a dedicated and compassionate Registered Nurse or Licensed Practical Nurse to join our healthcare team. The ideal candidate will provide high-quality patient care in a fast-paced environment, ensuring the safety and well-being of patients while adhering to established protocols and standards. This role is vital in delivering comprehensive nursing services across various departments, including emergency care, outpatient services, and specialized units. Responsibilities Assess patient health problems and needs, developing and implementing nursing care plans. Administer medications and treatments as prescribed by physicians. Monitor patient progress and maintain accurate medical records in compliance with HIPAA regulations. Collaborate with interdisciplinary teams to provide care to patients. Educate patients and their families on health management and disease prevention. Participate in family planning consultations and provide care as needed. Ensure compliance with safety standards Skills Proficient in using PCC for electronic health record management. Strong clinical skills Knowledge of HIPAA regulations to maintain patient confidentiality. Experience in managing patients requiring dialysis treatment. Familiarity with mammography procedures is a plus. Excellent communication and interpersonal skills to effectively interact with patients, families, and healthcare professionals. Ability to work collaboratively within a team while also demonstrating strong independent decision-making skills. Join our team of healthcare professionals committed to providing exceptional patient care. Your expertise as a Registered Nurse will make a significant impact on the lives of those we serve. Job Types: Full-time, Part-time, Per diem
RN ER Full-time
Emerson Hospital

Registered Nurse (RN) - Emergency Department

Emerson Hospital Concord, MA
$36.78 - $73.57 / hour
Schedule: Full Time Pay Range: $36.78 - $73.57 / Hourly Shift: Day shift Hours: 0700-1930 About This Role Registered Nurse - Emergency Department (ED) About The Role Are you quick on your feet, calm under pressure, and ready to make a real difference when it matters most? Join our Emergency Department team as a Registered Nurse . In this fast-paced environment, every shift brings new challenges and opportunities to use your skills to deliver life-saving care. You'll provide comprehensive, patient-centered nursing care while collaborating with an interdisciplinary team that thrives on teamwork and compassion. What You'll Do Deliver safe, high-quality care to patients of all ages in the Emergency Department using the full nursing process. Assess, plan, implement, and evaluate individualized care plans for patients and families. Communicate effectively with physicians and healthcare partners to coordinate care. Provide patient and family education during moments that matter most. Supervise and delegate responsibilities to support staff while mentoring colleagues. Stay current with continuing education and emergency care competencies. Participate in department and hospital initiatives aimed at advancing patient care. Uphold patient rights to privacy, respect, and dignity in every interaction. What You Bring Graduate of an accredited nursing program. Current Massachusetts RN license. BLS certification required. ACLS within 6 months of hire. PALS or ENPC within 6 months of hire. CEN strongly encouraged. Previous ED experience preferred. Strong assessment, communication, and critical thinking skills. Comfort with computers and commitment to confidentiality. A collaborative spirit and excellent customer service skills. Why You'll Love It Here Working in the ED means being on the front lines of patient care. You'll join a supportive team that values quick thinking, compassionate action, and professional growth. Every shift brings opportunities to learn, lead, and make a difference from stabilizing critical cases to providing comfort to families in crisis. Bring your courage, compassion, and clinical expertise to our Emergency Department. Apply today and be the difference in every moment. To apply, please visit: https://emersonhealth.org/jobs/registered-nurse-rn-emergency-department-34853/? Copyright ©2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency je-34e338fa18614ab89b9373672d9f9f9c
RN PCU Other
Tufts Medicine

Progressive Care, Registered Nurse, RN

Tufts Medicine Lowell, MA
$37.50 - $68.47 / hour
Posting Description Job Overview The RN II independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. 12 Months - Less than 3 Years of RN Experience. 3. Current Basic Life Support (BLS) Certification. 4. Department Specific: Certification(s) relevant to the department and the type of patient care being provided may be required. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Location : Progressive Care Unit- Main Campus Hours : 36 Hours- Full Time Shift : Evenings/Nights- 7:00PM-7:00AM The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications. Level I - 0 – Less than 12 Months of RN Experience. Level II - 12 Months - Less than 3 Years of RN Experience. Level III - 3 Years - Less than 8 Years of RN Experience. Level IV - 8 Years of RN Experience. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Participates in and maintains awareness of performance improvement initiates. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice. Conducts and documents accurate clinical assessments. Develops, implements, and evaluates the patient’s individualized plan of care. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards. Recognizes patient/family rights through support of their informed decisions and advanced directives. Continually evaluates and revises the care plan according to changes in the patient’s health status. Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources. Supports the development of new staff members and helps facilitate their transition into unit. Guides the professional growth of department staff through precepting. Participates in professional development by identifying learning needs and seeking appropriate education. Participates in departmental committees as needed. About Lowell General For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Physical Requirements: 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge of and application of the nursing process. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $37.50 - $68.47
RN ICU Other
Tufts Medicine

RN, Clinical Nurse - ICU-G

Tufts Medicine Lowell, MA
$37.50 - $75.32 / hour
Posting Description The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications. Level I - 0 – Less than 12 Months of RN Experience. Level II - 12 Months - Less than 3 Years of RN Experience. Level III - 3 Years - Less than 8 Years of RN Experience. Level IV - 8 Years of RN Experience. Job Overview The RN Complex Care independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices in a complex care area. Location : Main Campus Unit : ICU-G Shift : 36 Hours, Nights 7PM-7AM Weekends and Holidays Required Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. Current Basic Life Support (BLS) Certification. 3. Department Specific: Certification(s) relevant to the department and the type of patient care being provided may be required. 4. Experience based on level (I, II, III, or IV). Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. Participates in and maintains awareness of performance improvement initiates. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice. Conducts and documents accurate clinical assessments. Develops, implements, and evaluates the patient’s individualized plan of care. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards. Recognizes patient/family rights through support of their informed decisions and advanced directives. Continually evaluates and revises the care plan according to changes in the patient’s health status. Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources. Supports the development of new staff members and helps facilitate their transition into unit. Guides the professional growth of department staff through precepting. Participates in professional development by identifying learning needs and seeking appropriate education. Participates in departmental committees as needed. Physical Requirements: 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge of and application of the nursing process. About Lowell General For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $37.50 - $75.32
RN ER Full-time
South Shore Health

Emergency Department RN - Transition to Practice Program 7p-7:30a, 36 hrs/wk

South Shore Health Weymouth, MA
$38.20 - $77.39 / hour
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-23399 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Emergency Department HB Status: Full time Budgeted Hours: 36 Shift: Night (United States of America) Job Description Summary What is the Emergency Department RN Transition to Practice Program? 12 weeks of training that is tailored to meet your individual learning needs in our Level II Trauma Center at South Shore Health Hands-on nursing experience in assessing patients, planning care and providing care Successful program participants will be placed in a full-time shift position in the Emergency Department Program starts 9/21/2026 Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures Compensation Pay Range: $38.20 - $77.39 1. Medication Administration a. Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications. b. Completes medication reconciliation process following SSH policy and procedure. c. Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy. 2. Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem list/plan of care for each patient. a. Develop, evaluate and update individualized plan of care for patient and documents outcomes. b. Initiating admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization. c. Continues assessment/reassessment and identifies care needs within established nursing practice. d. Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI) e. Assess/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient's response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy. f. Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves. g. Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions. h. Actively communicates plan of day via white board updating every shift. i. Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command. 3. Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment. a. Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's an documents confirming the correct patient, procedure, site, equipment and consent. b. Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access. c. Ensures environment meets regulatory requirements at all times. d. Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness. 4. Professional Development: Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice. a. Obtains at least 5 contact hours per year in area of practice. b. Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned. c. Displays the ability to accept and respond appropriately to feedback and recommendations for change. d. Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace. e. Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command. f. Accountable for being informed about changes in hospital policy and procedure. 5. Technology: Utilizes technological solutions to work processes and practices. a. Access Lotus Notes to review email, learning management and other resources as applicable to RN role. b. Utilizes software applications required by department and unit standards. c. Accountable to understand how to operate in downtime. 6. Compliance a. Works within legal, regulatory and ethical standards relevant to the position. b. Complies with applicable policies and procedures. c. Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs. d. Brings potential compliance issues to a manager, supervisor, director or VP. e. Complies with the mandatory education requirements of the compliance, privacy and security programs. 7. Patient and Family Centered Care a. Conveys respect for values, preferences, and expressed needs of the patient and family. b. Recognizes the patient, and family according to patient preferences, as important members of the health care team. c. Collaborates with the patient, and family according to patient preferences, in planning, implementing, and evaluating care. d. Welcomes the presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit. 8. Age & Culture a. Possesses age and cultural knowledge and awareness. b. Considers the individual needs of each person with whom they interact. c. Interacts with sensitivity in the delivery of care/services of diverse populations as needed. d. Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources. Minimum Education - Preferred Graduate of an accredited School of Nursing Minimum Work Experience Previous Acute Care RN experience preferred Required Licenses/Certifications RN - Registered Nurse Depending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required 7p-7:30a, rotating weekends and holidays, Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), Fundamentals of Chemotherapy Immunotherapy Administration (FCIA) - Oncology Nursing Society (ONS), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Neonatal Resuscitation Program (NRP) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Pediatric Advanced Life Support (PALS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA), Intermediate Fetal Heart Monitoring - Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), International Board Certified Lactation Consultant (IBCLC) Certification - International Board of Lactation Consultant Examiners (IBLCE) - International Board of Lactation Consultant Examiners (IBLCE), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), Oncology Certified Nurse (OCN) - Oncology Nursing Certification Corporation (ONCC) - Oncology Nursing Certification Corporation (ONCC), ONS/ONCC Chemotherapy Immunotherapy Certificate - Oncology Nursing Society (ONS), Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)
LPN Home Health Home Health Other
Enhabit Home Health & Hospice

Licensed Practical Nurse (LPN) - Home Health

Enhabit Home Health & Hospice Norwood, MA
$37 - $40 / hour
Overview Compensation Range: $37.00-$40.00 per hour (based on years of experience) Looking for a career that makes a difference every day? Discover a rewarding career at Enhabit Home Health & Hospice, one of the nation’s largest home-based care providers. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development. With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. The Enhabit Advantage: Enhabit offers competitive benefits designed to support well-being and help employees thrive in every stage of their careers. Eligible employees receive: Generous paid time off for full-time employees 401(k) matching Medical, dental and vision coverage Supplemental insurance options Flexible spending accounts Incentive bonus opportunities Continuing education and scholarship opportunities Responsibilities As a LPN, you will visit patients in their homes and provide nursing care for them under direction of RNs and in compliance with the physicians' orders. Qualifications 1. Must possess a valid state driver’s license. 2. Must possess automobile liability insurance. 3. Must wear seat belts at all times while driving. 4. Dependable transportation kept in good working condition. 5. Must be able to drive an automobile in all types of weather conditions. 6. Must be currently licensed as a Licensed Practical Nurse in the State of employment. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
Healthcare Manager/Supervisor Full-time
Marquis Health Consulting Services

Evening Nurse Supervisor

Marquis Health Consulting Services Reading, MA
$38 - $60 / hour
Join our team as an Evening Nurse Supervisor. Proudly supported by Marquis Health Consulting Services Full-time opportunity Same Day Pay! $38-$60/hour At Marquis Health Consulting Services, we believe that strong clinical leadership, teamwork, and accountability are essential to delivering safe, high-quality resident care. Guided by our core values of Passion, Respect, and Excellence , the Nurse Supervisor provides clinical oversight, leadership, and support to nursing staff, ensuring that residents receive consistent, compassionate, and compliant care. Responsibilities for Nurse Supervisor: Provide clinical leadership and supervision to nursing staff to ensure high-quality resident care. Oversee daily nursing operations to promote safe, effective, and person-centered care delivery. Monitor staff performance and provide guidance, coaching, and support as needed. Ensure compliance with all applicable laws, regulations, and facility policies governing nursing care. Assist in coordinating resident care plans and ensuring timely communication across interdisciplinary teams. Support accurate and timely documentation in accordance with clinical standards and regulatory requirements. Respond to clinical concerns and assist in resolving issues involving residents, families, and staff. Participate in quality improvement initiatives and support facility-wide clinical goals. Qualifications for Nurse Supervisor: Must possess a current, unencumbered, active RN or LPN license in the state of MA. Valid BLS Certification (CPR) required. Minimum of five (5) years of nursing experience in a hospital, nursing home, or other healthcare setting, with at least one (1) to two (2) years in a supervisory role. Strong knowledge of nursing practices, procedures, and applicable laws, regulations, and guidelines for nursing care centers. Effective communication skills with the ability to interact professionally with residents, families, staff, and external agencies. Demonstrated leadership and supervisory skills with the ability to guide, support, and collaborate with team members. Ability to work collaboratively while maintaining accountability and high standards of care. Our Core Values in Action Passion – Leading with commitment and compassion to ensure residents receive safe, attentive, and high-quality nursing care. Respect – Treating residents, families, and team members with dignity, professionalism, and fairness in every interaction. Excellence – Upholding the highest clinical standards through strong leadership, accountability, and continuous improvement. Benefits for Nurse Supervisor: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company-sponsored life insurance Employee assistance program (EAP) resources The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
RN Urgent Care Per Diem
PM Pediatric Care

Registered Nurse-Per Diem-Dedham, MA

PM Pediatric Care Dedham, MA
$37 - $50 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Registered Nurse is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The Registered Nurse role is an opportunity for a pediatric nurse to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description Job Responsibilities: Provide clinical and administrative support for providers, patients, and office operations Obtain medical history, patient vital signs, intake, and prioritize patient care Perform procedures (venipuncture, IV insertion, urinary straight cath), administer medications (oral, rectal, IM, and IV), and assist the physician with total patient care within the scope of practice Remaining knowledgeable in pediatric pharmacology Be an integral part of the patient care team and assist with patient care within the scope of practice Perform monthly quality control checks in the office Assist in performing quality control testing in the lab Ability to assist the physician with patient care, positioning, and comfort during the x-ray process Keep exam rooms stocked with adequate medical supplies, maintain instruments, and prepare sterilization tools and equipment as required Practice standard safety practices and precautions Helps patients in distress by responding to emergencies and promptly notifies physician Establish effective rapport with clients, families, other employees, and physicians Maintains operations by following policies and procedures; reporting needed changes to management team Contributes to team effort by accomplishing related results as needed Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures, complying with legal regulations Maintains patient confidence and protects operations by keeping patient care information confidential in compliance with HIPAA regulations Updates knowledge by participating in continuing education requirements and opportunities; reading professional publications; maintaining personal networks; participating in professional organizations Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assisting patients with complaints and taking an active role in service recovery when needed Assist physician with a focus on efficiency metrics to improve urgent care flow and throughput (Arrival to Room, Arrival to Medication Administration, Disposition to Discharge, Discharge Length of Stay) Qualifications Pediatric experience is required; Pediatric ER, Pediatric hospital unit, or Pediatrics Urgent Care Experience preferred Active state nursing license or active compact state licensure from the state you reside Prior experience and competency with nursing procedures (not limited to IV placement, urinary straight catheterization, and medication administration) Current Basic Life Support (BLS) is required, Pediatric Advanced Life Support (PALS) recommended Knowledge of medical practice and terminology, clinic’s processes, and procedures Knowledge of medical equipment and instruments Skill in rapid assessment of the critical presentation of the pediatric population Ability to use sound reasoning and judgment and act calmly in emergencies Ability to effectively communicate both verbally and nonverbally Possess the following qualifications: Energetic, Highly Motivated, Customer Service Focus, Positive Attitude, Confidentiality, Teamwork, and Professionalism Compensation: $37 - $50/hour The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.
RN Mother-Baby Other
Tufts Medicine

Registered Nurse, RN - Lactation Nurse - New Competitive Pay!

Tufts Medicine Melrose, MA
*New Competitive Pay!* Job Description: The Lactation Program Counselor will collaborate with other members of the healthcare team to ensure the promotion, protection and support of breastfeeding. She/he will be responsible for inpatient and outpatient program development as well as providing patient consultation to both populations. Hours: 32 hours/week, Day/Evening Shift The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications. Level I - 0 – Less than 12 Months of RN Experience. Level II - 12 Months - Less than 3 Years of RN Experience. Level III - 3 Years - Less than 8 Years of RN Experience. Level IV - 8 Years of RN Experience. Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. Job Overview The RN Complex Care independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices in a complex care area. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. Current Basic Life Support (BLS) Certification. 3. Department Specific: Certification(s) relevant to the department and the type of patient care being provided may be required. 4. Experience based on level (I, II, III, or IV). 5. Minimum of 2 years in-patient lactation consultation experience. Knowledge of clinical breastfeeding issues common to the early postpartum period. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Participates in and maintains awareness of performance improvement initiates. 2. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice. 3. Conducts and documents accurate clinical assessments. 4. Develops, implements, and evaluates the patient’s individualized plan of care. 5. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs. 6. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members. 7. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards. 8. Recognizes patient/family rights through support of their informed decisions and advanced directives. 9. Continually evaluates and revises the care plan according to changes in the patient’s health status. 10.Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources. 11. Supports the development of new staff members and helps facilitate their transition into unit. 12. Guides the professional growth of department staff through precepting. 13. Participates in professional development by identifying learning needs and seeking appropriate education. 14. Participates in departmental committees as needed. Physical Requirements: 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. Skills & Abilities: 1. Ability to effectively communicate with patients, families, physicians, and healthcare team. 2. Knowledge of and application of the nursing process. What We Offer: Competitive salaries & benefits 403(b) retirement plan with company match Tuition reimbursement Clinical mobility tracks Free parking About MelroseWakefield Hospital: MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians. Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $37.50 - $68.47