Nursing Jobs in Nottingham, PA

Autumn Lake Healthcare at Calvert Manor

Licensed Practical Nurse (LPN)

$31 - $37 / hour
Licensed Practical Nurse (LPN) Join our dynamic team at Autumn Lake Healthcare at Calvert Manor in Rising Sun, Maryland as a Licensed Practical Nurse (LPN)! As a valued member of our healthcare community, you will have the opportunity to work with a compassionate and supportive team environment, providing exceptional care to our residents. About the Role: As a Licensed Practical Nurse (LPN) at Autumn Lake Healthcare at Calvert Manor, you will be responsible for providing high-quality patient care and support to our residents under the supervision of our experienced nursing staff. Your primary responsibilities will include: • Administering medications and treatments as prescribed by physicians • Monitoring patient vital signs and reporting any changes to the nursing staff • Providing personal care and assistance with daily living activities • Maintaining accurate and detailed records of patient care • Collaborating with other healthcare professionals to develop and implement individualized care plans Benefits: Our competitive compensation package includes: • New Starting Rates! Competitive hourly rate range: $31 - $37 • Shift Differentials! Additional pay for working weekends or evenings • Referral Bonuses! Refer your friends and family to work with us and earn rewards • Competitive Rates! Competitive pay based on experience and qualifications • Wonderful Environment! A positive and supportive work environment • Great Benefit package! Comprehensive benefits package, including same day pay • Now offering same day pay! Get paid quickly and easily Requirements: To be considered for this role, you must: • Have a valid Licensed Practical Nurse (LPN) license • Have previous experience as a Licensed Practical Nurse (LPN) preferred • Be able to work Weekends only or Part Time If you are a dedicated and compassionate nursing professional seeking a fulfilling career, we encourage you to apply for this exciting opportunity. Join our team at Autumn Lake Healthcare at Calvert Manor and experience the difference that a supportive and caring environment can make in your career. Apply Today! To learn more about this rewarding role, please [Apply] now. We look forward to welcoming you to our team! HP
Acts Retirement-Life Communities

Certified Nursing Assistant (CNA)

Overview Join our team and grow with us both professionally and personally! Next day pay: Work today, get paid tomorrow with our PayActiv benefit! We strongly believe in providing our team members with great benefits, such as tuition reimbursement, commuter benefits, scholarship awards, professional development programs, university partnerships, referral and discount programs, appreciation events, wellness initiatives, and much more! Acts is currently seeking qualified candidates for the role of Certified Nursing Assistant (CNA) in our skilled nursing neighborhood. JOB TYPE: CNA SHIFTS: ALL SHIFTS- POOL POSITION Under the supervision of licensed nursing staff, the Certified Nursing Assistant delivers compassionate, high-quality care to residents within our skilled nursing neighborhood. Provides direct, hands-on assistance with daily living activities (bathing, grooming, dressing, eating, toileting, mobility, etc.) while prioritizing resident safety, comfort, and dignity at all times. Monitors residents’ physical and emotional well-being, promptly reporting any changes to the licensed nursing staff to support proactive and personalized care. Requirements The ideal candidate will meet the following requirements: High school diploma or equivalent Current State certification for Certified Nursing Assistant (CNA) Current CPR certification (or obtain within three months of employment) Team members are eligible for a generous benefit package including health benefits (medical, prescription, dental and vision), flexible spending accounts, life insurance, disability programs, 401(k) plan (with 4% company match after one year of employment), paid time off and holidays, and much more! Eligibility may vary based on status. For more information or to apply, visit us at www.acts-jobs.org and join our Talent Network to receive e-mail alerts with new job opportunities that match your interests! Acts Retirement-Life Communities is one of the largest not-for-profit owners, operators, and developers of resort-style continuing care senior living communities, including independent living, assisted living, and skilled nursing. The Acts family proudly consists of 28 communities in 9 states, and over 8,500 team members. Acts provides residents with a lifestyle that includes on-campus conveniences, services, and amenities such as casual and fine dining venues, beauty salons, fitness centers, security, healthcare, activity programs, and much more. Our team members are inspired by a culture of Loving-Kindness, and we are fully committed to appreciating the array of backgrounds and talents demonstrated by our team members. Acts is an equal opportunity employer that is committed to diversity and inclusion in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, gender, gender identity or expression, sexual orientation, marital status, national origin, non-disqualifying disability, veteran status, or any other characteristic protected by law. Acts is committed to providing reasonable accommodations for candidates with disabilities in our hiring process. Pay Range $21.75 - $21.75 / hour. Starting rate will vary based on skills and experience.
AccentCare, Inc.

Clinical Liaison (Registered Nurse)

$90,000 - $100,000 / year
Overview Clinical Liaison RN Location: Newark,Delaware Position :Full Time Find Your Passion and Purpose as a Full-Time Clinical Liaison RN Salary: $90,000 - $100,000 Schedule: Find your passion and purpose supporting patients and families during life’s most meaningful and often difficult moments. Join AccentCare as a Clinical Liaison VIPC, Inpatient Hospice Admissions RN, where you’ll serve as a trusted resource for patients, families, and healthcare partners — helping ensure those who need hospice care receive timely, compassionate support. As a Clinical Liaison VIPC, Inpatient Hospice Admissions RN, you will play a key role in identifying patient needs and facilitating seamless transitions into hospice services. In this role, you’ll need the heart of a nurse and a polished business savvy to interact with physicians and healthcare leadership. When hospital patients transfer to hospice, they may stay in the hospital, but care will transfer to the AccentCare Hospice team. What You Need to Know Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Clinical Liaison RN You Can Be If you meet these qualifications, we would love to meet you: One (1) year of RN experience in local market with a strong knowledge of governmental home health regulations, Medicare requirements, and care plan development techniques Previous medical sales experience preferred Licensed RN currently licensed as a registered nurse in the state of agency operation Must be a licensed driver with an automobile that is insured and in accordance with state and/or organization requirements and in good working order Responsibilities: As a Clinical Liaison RN, you will: Provide community and provider in-service education in assigned territory. Maintain daily communication with Admissions Department and Team Directors. Work with the Hospice Care Consultants to develop and implement individualized marketing plan. Maintain visibility and accountability to increase relationships with contracted inpatient facilities and physician groups. Act as a liaison with AccentCare Hospice Medical Director, Team Physicians and Hospice Physicians on behalf of providers and patients/families. Make inpatient visits at contracted facilities and communicates with Admissions Department, Team Directors and/or Primary Nurse. Provide consultation on hospice and palliative care. Our benefits include: Medical, dental and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
Lancaster General Health

Advanced Practice Provider, Palliative Care (Outpatient) - Lancaster General Health

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Position Description Penn Medicine Lancaster General Health is seeking an Advanced Practice Provider (APP) to join our growing Outpatient Palliative Oncology Clinic. This role offers a unique opportunity to partner closely with oncology teams to provide comprehensive supportive and palliative care for patients living with cancer. The outpatient palliative oncology clinician focuses on improving quality of life through expert symptom management, advance care planning, goals-of-care discussions, and psychosocial support for patients and their families. The APP will work collaboratively with medical oncology, radiation oncology, surgical oncology, and inpatient palliative care teams to ensure seamless continuity of care across the cancer journey. The APP will manage symptoms commonly associated with cancer and cancer-directed therapies, including pain, fatigue, nausea, anorexia, dyspnea, anxiety, depression, and other complex physical and emotional concerns. In addition, the APP will facilitate discussions regarding patient values, treatment preferences, and future healthcare planning to ensure care remains aligned with individual goals. This position offers the opportunity to develop longitudinal relationships with patients and families while serving as an integral member of a multidisciplinary oncology care team dedicated to patient-centered, evidence-based care. Hours Full-time, 1.0 FTE Monday-Friday Day shift hours No weekend clinic requirements No holiday requirements Limited call responsibilities, shared amongst providers Primary Responsibilities Provide outpatient palliative care consultations and follow-up visits for patients with cancer. Assess and manage complex symptoms related to cancer and cancer treatment. Facilitate goals-of-care conversations and advance care planning. Collaborate closely with oncology physicians, nurses, social workers, and supportive care services. Partner with inpatient palliative care teams to promote continuity of care during transitions between ambulatory and hospital settings. Support patients and caregivers through serious illness using a comprehensive biopsychosocial approach. Participate in interdisciplinary care planning and team meetings. Assist with development and growth of the outpatient palliative oncology program. Position Requirements Nurse Practitioner Valid Certified Registered Nurse Practitioner (CRNP) license in Pennsylvania Certificate of Prescriptive Authority in Pennsylvania Certification by ANCC or other qualifying agency in area of specialty required Adult-Gerontology Primary Care or Family Nurse Practitioner certification is required Valid Pennsylvania licensure as a Registered Nurse Minimum one year of APP experience preferred Oncology, palliative care, hospice, or serious illness care experience preferred Physician Assistant Current licensure as a Physician Assistant by the Pennsylvania State Board of Medicine Graduate of an accredited Physician Assistant program Minimum one year of APP experience preferred Oncology, palliative care, hospice, or serious illness care experience preferred Why Penn Medicine Lancaster General Health? Featured as a Forbes Top Employer Comprehensive benefits package, including eligibility for Public Service Loan Forgiveness (PSLF) Competitive retirement program Dependent tuition assistance benefit CME allowance and dedicated professional development time Comprehensive onboarding and orientation program, including EMR training Employee wellness resources and work-life balance initiatives Strong multidisciplinary support and collaboration across Penn Medicine Access to a robust oncology and specialty referral network Opportunity to help shape and expand an innovative outpatient palliative oncology program Meaningful work supporting patients and families throughout the cancer continuum About the Program The Outpatient Palliative Oncology Clinic provides specialized supportive care for patients living with cancer. Working alongside oncology colleagues, the team focuses on symptom management, quality of life, decision support, and advance care planning. Through close collaboration with inpatient palliative care services, patients experience coordinated, seamless care across settings, ensuring support throughout diagnosis, treatment, survivorship, and advanced illness. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Sterling Care Bel Air

(GNA) Geriatric Nursing Assistant $4000 SIGN-ON BONUS!!

(GNA) GERIATRIC NURSING ASSISTANT Summary/Objective: In keeping with our organization’s goal of improving the lives of the Residents we serve, the (GNA) Geriatric Nursing Assistant safeguards the health, safety and welfare of all Residents under their care by following applicable laws, regulations, and established nursing policies and procedures. **$4000 SIGN-ON BONUS!!** At Sterling Care Bel Air , we strive to provide a supportive workplace environment where every team member feels valued, respected, and empowered to deliver compassionate care.Working with us means being part of a close-knit community that values the well-being and happiness of our residents and staff alike. Join a growing team of successful, happy caregivers and see why our employees never leave!! Benefits for working at Sterling Care Bel Air: ** Excellent Competitive Salary** Health Insurance Life Insurance Disability Benefits 401k Extensive PTO package Referral Bonus Shift Differential Pay Qualifications for the (GNA) Geriatric Nursing Assistant: High school diploma or equivalent. Registered with the state as a GNA / Geriatric Nursing Assistant Responsibilities as a (GNA) Geriatric Nursing Assistant: Provide safe daily resident care Transport and assist in ambulating residents Maintain a clean and safe resident unit Bathe, dress, and feed residents Document and communicate resident care information Promote and support positive guest relations to all visitors and residents APPLY TODAY FOR A BETTER TOMORROW!! IND123
Nemours Children's Health

Registered Nurse - OR

Job Description Nemours is seeking an experienced nurse or new grad for the Operating Room! The Perioperative Nurse Residency Program at Nemours is a 6 month program designed for experienced registered nurses transitioning to the role of a perioperative registered nurse. The program is supported by nurse educators and preceptors utilizing module-based education and simulation based on individual adult learning styles. Learn more about the Perioperative Residency! Position is 32 hours in 2 weeks with weekend, call and holiday requirements. The role of the Perioperative RN is to be responsible for the delivery of safe, effective, and quality patient-family centered care in the operating room for all patient populations. This primary position at Nemours Children’s Hospital, Delaware, will include collaboration with the Nemours Children’s Health, Surgery Center, Malvern, PA and the Nemours Children’s Health, Surgery Center, Deptford, NJ to optimize available resources in achieving optimal patient outcomes . Requirements BSN Preferred ; if have Associate's degree must be willing to get BSN within three years Active Delaware or compact RN license required Current American Heart Association BLS required; PALS within six months; ACLS within one year Must apply for NJ and PA license is not already obtained or covered by compact license within six months About Us Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued. Learn more at Nemours.org .
Sterling Care Riverside

RN/LPN Unit Manager $5000 SIGN-ON BONUS!

RN Unit Manager Summary/Objective : The RN Unit Manager Assists the Director of Nursing (DON) in providing, planning, coordinating or managing nursing care, nursing services and health education to residents and patients. *** $5000 Sign-on Bonus!!*** At Sterling Care South Riverside , we strive to provide a supportive workplace environment where every team member feels valued, respected, and empowered to deliver compassionate care.Working with us means being part of a close-knit community that values the well-being and happiness of our residents and staff alike. Join a growing team of successful, happy caregivers and see why our employees never leave!! Benefits for working at Sterling Care Riverside: ** Excellent Competitive Salary** Health Insurance Life Insurance Disability Benefits 401k Extensive PTO package Referral Bonus $5000 Sign-on bonus with quick pay-outs Shift Differential Pay Qualifications for the RN Unit Manager: RN/LPN License in MD 5 years RN/LPN experience unit manager / Nurse Management Experience Preferred Skilled Nursing Experience APPLY TODAY FOR A BETTER TOMORROW!! IND123
Family First Care LLC

In-Home Caregiver

In Home Caregiver Are you a compassionate and dedicated individual looking for a rewarding career by helping people? We are currently seeking dedicated caregivers to join our team. As a caregiver, you can have flexible hours, your responsibilities may include: Reminding clients to take medication Preparing and serving meals Assisting clients with daily tasks such as dressing, grooming, and bathing Assisting clients with moving/walking Assisting clients with eating and meal preparation. Providing companionship and socialization Light housekeeping To be considered for this position, you must be 18 years of age or older and authorized to work in the U.S. Experience is not necessary, but previous experience as a Certified Nursing Assistant (CNA), Direct Support Professional (DSP), Home Health Aide (HHA), Personal Assistant (PA), Caregiver, or Customer Service Representative is a plus. Don't miss out on this opportunity to make a meaningful impact on the lives of others and apply to be a caregiver today. Salary: From $13.00 per hour Benefits: PTO, Flexible schedule
Regency Healthcare and Rehabilitation Center

Certified Nursing Assistant (CNA)

$19 - $21 / hour
CNAs! Do you want to work in a community that values and respects your caregiving abilities? If so, come join our Team at Regency Healthcare and Rehabilitation. Regency is a beautifully maintained facility located in Wilmington, DE. We at Regency provide exceptional care to our residents while providing fantastic career opportunities for our staff! Positions available: Rate: $19 - $21/hour Up to a $5000 SIGN ON BONUS Shift Type: Full-time & Part-Time: ALL SHIFTS Certified Nursing Assistant (CNA) Benefits & Perks include: • Friendly, supportive co-workers in a great work environment • Opportunities to grow professionally • Shift Differential • Weekend Differential • Employee Referral Program • Beautifully maintained and managed facility • Experienced based pay scale • Overtime and Holiday Pay • Work Close to Home • Paid Time Off • Paid Orientation • 401(k) • Health Insurance • Dental Insurance • Life Insurance • Vision Insurance Why Regency? • As the Certified Nursing Assistant (CNA), your skills and talents will be recognized and appreciated! • Regency is a friendly, cozy community supported by Nationwide Health Services, providing competitive benefits, training, and opportunities of a larger employer! As Certified Nursing Assistant (CNA) the expectations are: • To provide care for the residents such as bathing, dressing, serving meals and assist with feeding as needed. • To assist with ambulating, turning, and positioning the resident • To follow the direction of the nurses and other licensed medical professionals. • To be a flexible, caring, supportive member of the team CNA Qualifications: • Must be an active Certified Nursing Assistant (CNA); in the state of Delaware • Previous Certified Nursing Assistant (CNA) experience preferred; but not required • Ability to build rapport with our residents • Compassionate and caring demeanor We look forward to reviewing your resume! We are an Equal Opportunity Employer.
Visiting Angels of Harford & Cecil Counties

CNA

$16 - $19 / hour
We are looking to add to our Visiting Angels Team! PRINCIPAL ACCOUNTABILITIES : · Understand and adhere to information and precautions contained in individual client’s Care Plan. · Assist the client with personal care activities including: bathing, skin care, back rub, hair care, nail care, dressing and undressing, feeding, oral hygiene, shaving, grooming and bedtime care. · Assist the client to the bathroom or in use of urinal or bedpan. Keep incontinent clients clean and dry. · Assist the client with client's self-administration of medications. · Assist the client with personal communication skills, as needed. · Prepare appropriate documentation of the client care or service(s) furnished. · Report all client and employee incidents/accidents to supervisor immediately. · Assist the client with supervising exercise, ambulation and transfer activities. Be aware of proper body mechanics. · Ensure maintenance of a clean, safe, comfortable and healthy environment for the client. · Observe safety precautions, including: wiping up wet floors, spills and other falling hazards immediately. Also, report safety hazards, frayed electrical cords, unsecured handrails, malfunctioning smoke and carbon monoxide detectors/alarms, defective equipment or environmental hazards to supervisor on the same day of observation. · Engage in respectful social interaction with client, including friendly conversation and empathic support, as well as, respecting client’s privacy and property. · Exhibit positive attitude and behavior and demonstrate respect for employees and clients and maintain absolute confidentiality of all information pertaining to clients, clients' families and employees. · Respond and attend to client’s requests promptly. · Communicate effectively with all members of the team. · Maintain proper hand washing techniques. · Participate in required in-service training programs to meet regulatory requirements. · Understand the importance of seeking assistance, as needed, from your supervisor and/or others; demonstrate capability and dependability in following instructions. · Understand that regular, consistent attendance is necessary to serve clients. · Accept and fulfill assignments with the Agency; exercise judgment in accepting assignments. · Perform related duties and responsibilities as deemed appropriate by the management team. SPECIFIC JOB KNOWLEDGE, SKILLS AND PERSONAL ABILITIES REQIRED : · Must be eighteen (18) years of age. · Demonstrate sympathetic attitude toward caring for others. · Previous experience in private duty home care preferred. · Ability to listen and communicate clearly, fluently and diplomatically orally and in writing. · Ability to remain flexible, resilient, calm and maintain a sense of humor; and present a well-groomed professional image. · Ability to generate goodwill for the organization and its management among staff, clients, and referral sources. Demonstrate a strong commitment to client service excellence. · Possess and maintain good physical and mental health, including current TB testing. · U.S. Citizen or evidence of valid Alien Work Permit. PHYSICAL/ENVIRONMENTAL DEMANDS : · See ADA Requirements Job Benefits : $250 Signing Bonus for Active MBON CNA/GNA (Conditions Apply, Just Ask Us!) Weekly Paychecks Paid Vacation Time (PTO) Paid Client Case Introductions Paid Training in Office and At Home Emergency Shift Pay Free PPE Travel Time and Mileage Access to Pay before Pay Day Awards and Accolades Caregiver Development Program (CDP) Overtime and Holiday Pay Oncall Opportunities Birthdays and Anniversaries Paid Volunteer Time 401k Angel Coins Program Please complete our full application here: Visiting Angels Application
Lancaster General Health

Registered Nurse RN Observation Unit (Full Time/Days)

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? LOCATION: Lancaster, PA - Lancaster General Hospital HOURS: Full Time (36 hours per week). Days shift (3am-3pm). Every third weekend and rotating holidays. The Observation Unit is a fast-paced 52-bed unit for both medical and surgical patients needing short-term care. Patients here have an anticipated discharge of about 24-48 hours; enough time to receive treatments and procedures before being discharged. Top diagnoses on the unit include chest pain, Afib, hypertension, PE/DVT, abdominal pain, trauma, TI/CVA, CHF, asthma/COPD, vertigo, AFR/electrolyte abnormalities, syncope, hypoglycemia/hyperglycemia, and pre/post procedure (cardiac cath, OR, pacer, ablation, etc.). This unit requires strong assessment and critical thinking skills, as patient's condition can change rapidly. Summary: Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine’s experience standards which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology Informatics, and Teamwork. The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties: Incorporates the Lancaster General Health mission, vision and values into planning patient care. Functions as an independent and interdependent member of the health care team as defined in unit-based Plan for Provision of Care. Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward attainment of outcomes and adapts the plan of care based on recognized trends and changes. Collects and manages comprehensive data pertinent to the patient’s health or the situation. Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically sensitive plan of care Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers. Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions. Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork. Assigns, delegates, and supervises other employees and intervenes as appropriate to assure that the plan of care is carried out, continuity of care is provided and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. Educates patients about healthy practices and treatment modalities. Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate. Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. Other duties as assigned. Minimum Required Qualifications: RN licensure is required, issued by the PA Board of Nursing. Bachelor of Science in Nursing BSN or higher-level nursing degree is required. Completion of the Nurse Residency Program or more than 15 months of practice. CPR Certification - American Heart Association AHA Basic Life Support, formerly Healthcare Provider AHA Heart Saver courses for CPR are not accepted required within 30 days of hire. A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program. As outlined in unit-based Plan for Provision of Care. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Nemours Children's Health

Registered Nurse - OR (NIGHTS)

Job Description Nemours is seeking an experienced OR nurse for the Operating Room! Position is 30 hours in 2 weeks, 1845-0715, with weekend, call and holiday requirements. The role of the Perioperative RN is to be responsible for the delivery of safe, effective, and quality patient-family centered care in the operating room for all patient populations. This primary position at Nemours Children’s Hospital, Delaware, will include collaboration with the Nemours Children’s Health, Surgery Center, Malvern, PA and the Nemours Children’s Health, Surgery Center, Deptford, NJ to optimize available resources in achieving optimal patient outcomes . Requirements BSN Preferred ; if have Associate's degree must be willing to get BSN within three years Active Delaware or compact RN license required Current American Heart Association BLS required; PALS within six months; ACLS within one year Must apply for NJ and PA license is not already obtained or covered by compact license within six months About Us Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued. Learn more at Nemours.org .
Patient First

Nurse-RN

Sign-On Bonus! The responsibilities of this job include, but are not limited to, the following: Implementing Patient First's policies and procedures; Offering quality nursing care and generating a genuinely warm and friendly atmosphere for patients and employees; Providing nursing care in the ambulatory setting to individual patients and families; Using sound judgment when administering medical care and screening patients; Administering medications and knowing correct dosage, actions, and side effects of each medication administered; Assisting the physician in all emergency cases; Providing positive, warm and friendly customer service in all interactions; Fostering teamwork and a positive, professional atmosphere; Completing other duties as directed. Minimum education and professional requirements include, but are not limited to, the following: Employee must be at least 18 years of age; High school graduate or equivalent; Keyboarding experience required; Excellent verbal and written communication skills; One year of clerical experience preferred; One year of clinical experience with administration of medications preferred; Licensed to practice as a Nurse by the state of Pennsylvania.
Lancaster General Health

Registered Nurse RN Observation Unit (Part Time/Nights)

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? LOCATION: Lancaster, PA - Lancaster General Hospital HOURS: Part Time (24 hours per week). Night shift (7pm-7am). Every third weekend and rotating holidays. The Observation Unit is a fast-paced 52-bed unit for both medical and surgical patients needing short-term care. Patients here have an anticipated discharge of about 24-48 hours; enough time to receive treatments and procedures before being discharged. Top diagnoses on the unit include chest pain, Afib, hypertension, PE/DVT, abdominal pain, trauma, TI/CVA, CHF, asthma/COPD, vertigo, AFR/electrolyte abnormalities, syncope, hypoglycemia/hyperglycemia, and pre/post procedure (cardiac cath, OR, pacer, ablation, etc.). This unit requires strong assessment and critical thinking skills, as patient's condition can change rapidly. Summary: Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine’s experience standards which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology Informatics, and Teamwork. The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties: Incorporates the Lancaster General Health mission, vision and values into planning patient care. Functions as an independent and interdependent member of the health care team as defined in unit-based Plan for Provision of Care. Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward attainment of outcomes and adapts the plan of care based on recognized trends and changes. Collects and manages comprehensive data pertinent to the patient’s health or the situation. Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically sensitive plan of care Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers. Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions. Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork. Assigns, delegates, and supervises other employees and intervenes as appropriate to assure that the plan of care is carried out, continuity of care is provided and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. Educates patients about healthy practices and treatment modalities. Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate. Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. Other duties as assigned. Minimum Required Qualifications: RN licensure is required, issued by the PA Board of Nursing. Bachelor of Science in Nursing BSN or higher-level nursing degree is required. Completion of the Nurse Residency Program or more than 15 months of practice. CPR Certification - American Heart Association AHA Basic Life Support, formerly Healthcare Provider AHA Heart Saver courses for CPR are not accepted required within 30 days of hire. A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program. As outlined in unit-based Plan for Provision of Care. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Clementine Home Care

CNA or Experienced Caregiver Needed for Behavioral Health Client near Glen Mills PA

$19 - $20 / hour
Clementine Home Care is Hiring a CNA or Caregiver with Behavioral Health Experience in Glen Mills, PA Are you: · Compassionate and caring Dependable and reliable Cheerful and positive Trustworthy and professional Experienced in dementia care Experienced working with clients experiencing schizophrenia, hallucinations, agitation, and aggressive behaviors If so, we want you to become a caregiver at Clementine Home Care. What You Will Do: · Work hours: 8 PM - 8 AM · Support the client during episodes of schizophrenia, hallucinations, agitation, or aggressive behaviors using appropriate behavioral care techniques. · Provide personal care to the client and assist him in common daily activities such as preparing meals, assisting with hygiene (bathing), companionship etc. · Accompany the client to community activities to support a more engaging and active lifestyle · Genuinely connect with the client We Offer: · Competitive wages - $19 - 20 / hour (pay will be scaled based on verifiable experience level). · Mileage compensation (currently 72.5 cents per mile) between cases · Holiday incentive pay · Profit sharing plan - Company contributions will be made at the Company’s discretion to all employees who meet the plan’s eligibility requirements. · Free uniforms provided Requirements: · Successful completion of a nursing assistant course or the equivalent and maintenance of certification · CPR certification · Previous home care experience with acceptable references preferred · Excellent customer service skills · Prolonged periods of standing and walking · Must be able to lift 50 pounds at times We Offer: · A culture of appreciation, gratitude and excellence. You'll feel like part of our family, and you'll notice it right away! We’ll do everything we can to ensure that your voice is heard and that you feel supported. · A team member is available to assist you 24/7. Support from the agency office and collaboration with Clementine Home Care managers will make you feel at ease. Apply Today! We are an equal opportunity employer.
Lancaster General Health

Registered Nurse RN Observation Unit (Full Time/Evenings)

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? LOCATION: Lancaster, PA - Lancaster General Hospital HOURS: Full Time (36 hours per week). Evening shift (3pm-3am). Every third weekend and rotating holidays. The Observation Unit is a fast-paced 52-bed unit for both medical and surgical patients needing short-term care. Patients here have an anticipated discharge of about 24-48 hours; enough time to receive treatments and procedures before being discharged. Top diagnoses on the unit include chest pain, Afib, hypertension, PE/DVT, abdominal pain, trauma, TI/CVA, CHF, asthma/COPD, vertigo, AFR/electrolyte abnormalities, syncope, hypoglycemia/hyperglycemia, and pre/post procedure (cardiac cath, OR, pacer, ablation, etc.). This unit requires strong assessment and critical thinking skills, as patient's condition can change rapidly. Summary: Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine’s experience standards which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology Informatics, and Teamwork. The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties: Incorporates the Lancaster General Health mission, vision and values into planning patient care. Functions as an independent and interdependent member of the health care team as defined in unit-based Plan for Provision of Care. Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward attainment of outcomes and adapts the plan of care based on recognized trends and changes. Collects and manages comprehensive data pertinent to the patient’s health or the situation. Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically sensitive plan of care Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers. Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions. Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork. Assigns, delegates, and supervises other employees and intervenes as appropriate to assure that the plan of care is carried out, continuity of care is provided and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. Educates patients about healthy practices and treatment modalities. Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate. Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. Other duties as assigned. Minimum Required Qualifications: RN licensure is required, issued by the PA Board of Nursing. Bachelor of Science in Nursing BSN or higher-level nursing degree is required. Completion of the Nurse Residency Program or more than 15 months of practice. CPR Certification - American Heart Association AHA Basic Life Support, formerly Healthcare Provider AHA Heart Saver courses for CPR are not accepted required within 30 days of hire. A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program. As outlined in unit-based Plan for Provision of Care. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Fresenius Medical Care

Outpatient Registered Nurse- RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
Encore Parkside

Licensed Practical Nurse LPN SNF

LPN FT/PT AT ENCORE PARKSIDE - $27.00-$37.00 hrly Encore Parkside is seeking compassionate LPNs who want to be part of a team that focuses on resident-centered care, has supportive leadership, and thrives on working alongside others who understand excellent care takes a partnership! Encore at Parkside is currently hiring Licensed Practical Nurses (LPN) in skilled $27-37 hr with PTO, health benefits, 401k, and more for full-time LPNs The primary role of the LPN is to perform day-to-day nursing activities in the provision of resident care. Each staff nurse performs these duties within the scope of practice that they are licensed to perform. Responsibilities include: Performs resident assessment through use of direct physical assessment, behavior monitoring, various assessment forms, review of hospital records, laboratory results, resident medical records, and information provided by the interdisciplinary team, resident and/or the resident's significant others. Monitors residents for changes in condition that may indicate progress or deterioration in the resident's overall status. Notifies physicians and families of changes and transcribes orders received. Administers medications according to facility policy and monitors residents for therapeutic and adverse effects. Notifies physician and pharmacy of suspected and actual adverse reactions. Qualifications/Requirements: Current LPN License within the State of Delaware Graduation from an accredited LPN program This organization does not discriminate in hiring or employment on the basis of ancestry, race, color, religion, national origin, sex, sexual orientation, age, military status, veteran status, or disability. No question on the application is intended to secure information to be used for such discrimination. This application will be given every consideration, however its receipt does not imply employment for the applicant.
BAYADA Home Health Care

Registered Nurse, RN- Hospice, Full time

BAYADA Hospice is looking for compassionate and dedicated Full Time Registered Nurses ( RN) to join our team in the Hospice office , located in Wilmington, De. This office services hospice clients on a per visit basis in New Castle and Kent counties. Apply now and speak with a recruiter to learn more about opportunities in your area. Prior home care and/or hospice experience strongly preferred, but not required. As a hospice nurse (RN), you will be an integral member of a multi-disciplinary health care team that provides palliative care to clients, affording them the opportunity to receive the medical care required to remain at home. At BAYADA, we believe our employees are our greatest asset. We are committed to investing in people and nurturing their desire to grow. BAYADA Hospice believes that our employees are our greatest asset: Benefits for Registered Nurse (RNs) include medical, dental and vision, mileage reimbursement; weekly pay and direct deposit; one-on-one training; recognition programs; referral bonuses; 401(k) with company match; and opportunities for career advancement. Responsibilities for a Hospice RN - Registered Nurse include : Making home visits to clients in designated geographic territories. Performing assigned duties, including administration of medication, wound care, treatments, and procedures and comfort care. Monitoring clients' conditions; reporting changes to Clinical or Client Services Manager. Following up with, executing, and properly documenting doctors' orders. Performing client assessments as necessary. Occasional on call after hours and/or weekends Qualifications for a Hospice RN - Registered Nurse include : A current license as a Registered Nurse (RN) in DE. A minimum of one year of recent, verifiable clinical (medical/surgical) experience. Prior home care and/or hospice experience strongly preferred, but not required. Solid computer skills; prior experience with electronic medical records (EMR) preferred. Ability to travel to cases as assigned. BAYADA recognizes and rewards our RNs who set and maintain the highest standards of excellence. Join our caring team today! As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Clementine Home Care

Clementine Home Care Looking for Russian Speaking CNA/Caregiver in Downingtown PA

$19 - $20 / hour
Clementine Home Care is looking for a Russian Speaking Certified Nurse Aide (CNA)/Caregiver to work in Downingtown, PA. Are you: · Compassionate · Dependable · Cheerful · Trustworthy If so, we want you to become caregivers at Clementine Home Care. What You Will Do: · Provide companionship to the client and assist in common daily activities. · Genuinely connect with clients and their families . Client is in memory care We Offer: · Competitive wages - $19 - 20 / hour (pay will be scaled based on verifiable experience level). · Mileage compensation (currently 67 cents per mile) between cases · Full/part time available · Paid Time Off · Holiday incentive pay · Profit sharing plan - Company contributions will be made at the Company’s discretion to all employees who meet the plan’s eligibility requirements. · Free uniforms provided Requirements : · Successful completion of a nursing assistant course or the equivalent and maintenance of certification · CPR certification · High school diploma or equivalent is required · Previous home care experience with acceptable references preferred · Excellent customer service skills · Prolonged periods of standing and walking · Must be able to lift 50 pounds at times We Offer: · A culture of appreciation, gratitude and excellence. You'll feel like part of our family, and you'll notice it right away! We’ll do everything we can to ensure that your voice is heard and that you feel supported. · A team member is available to assist you 24/7. Support from the agency office and collaboration with Clementine Home Care managers will make you feel at ease. Apply Today! We are an equal opportunity employer.
Option Care Health

Home Infusion Nurse - Per Diem - Sussex County

$42.72 - $71.21 / hour
Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. Job Description Summary: An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physician’s plan of care. Works under structured supervision of the designated supervisor. Job Description: ​ Job Responsibilities (listed in order of importance and/or time spent) Initiates, develops, and implements intermediate nursing plan of care treatments, evaluating patient progress towards goals. Organizes and participates in the provision of direct patient care, performs treatments, administers medications, and educates patients and families/caregivers. Modifies plan of treatment in response to changing patient status or physician orders to achieve established or revised patient care goals. Assesses patient needs and physical status at each skilled visit through health data access and patient interview. Re-evaluates patient needs through physical reassessment, response to therapy, and supplemental physician orders. Obtains and clarifies physician orders for plan of treatment revisions, informs physician promptly of significant changes in patient's condition, and provides written summary to physician within supplemental order. Provides training and mentorship to Infusion Nurse I’s as needed to ensure patient safety and compliance. Provides effective and safe teaching using patient-centered care approach for patient and family to achieve independence with prescribed therapy and care needs through active participation per plan of treatment goals. Effectively and timely communicates with Option Care’s Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care. Prepares clinical documentation in real-time during visits and submits to the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved abbreviations and documentation error correction practices per Option Care’s policy. Coordinates discharge planning and prepares discharge summaries with patient instructions and thoroughly reports patient care needs, progress and goals when transferring care. Demonstrates compliance with agency operations, Option Care’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards. Maximizes work efficiency through the use of computers and other automation technologies to validate plan of treatment orders, communicates patient care provided, and follows assigned visit schedule. Responds promptly and appropriately to patient requests. Initiates emergency procedures as necessary. Accepts accountability for own practice through ethical and professional conduct. Follows established programs and practice within policies and procedures reflective of Option Care’s mission, values, and objectives. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Option Care information including adherence to HIPAA regulations. Speaks knowledgeably about Option Care’s scope of services and effectively instructs patients about related financial obligations for care and service charges. Attends and completes required training modules, in-services, and continuing education to maintain competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. Participates in multidisciplinary team conferences and provides precepting, training, and mentoring to other nurses for orientation, and onboarding and supervisory activities as assigned. Participates in nursing department on-call responsibilities. Performs other related duties as directed by supervisor. If applicable: Inserts PICC/Midlines per physician order. Troubleshoots/declots obstructed central line catheters. Monitors PICC/Midline and educates on prevention of line infection and routine care. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Active and unrestricted RN license in the state of practice. Minimum of 1 years of nursing experience. Current CPR certification required. Basic Qualifications Demonstrated competency in patient care standards required for safe delivery of services and infusion skill sets applicable to agency programs and service needs. Advanced certification and training as applicable. Required licensure to operate a motor vehicle in the state of practice with access to a vehicle for business travel with proof of liability insurance. Basic knowledge of computer operating systems and software applications with the abilityn self-evaluation for annual appraisal and jointly sets professional growth goals with nurse manager. to apply knowledge in the effective use of nursing technology tools to communicate and document care provided. Physical Demand Requirements Ability to lift up to 50 pounds with a maximum lifting of 75 pounds. Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently. Physical demands may involve walking, standing, crouching, kneeling, turning, pivoting, balancing, stooping, reaching overhead, grasping, pushing, pulling, lifting and carrying. Fine motor skills and visual acuity required by this job include ability to see up close and from a distance, color and peripheral vision, depth perception and the ability to adjust focus. Team members in this job classification have the likelihood of occupational exposure to blood, body fluids and other potentially infectious materials. Possible exposure to hazardous substances with possible effect on reproduction, injury from needles, other sharps, fumes, chemicals, humidity, cold, heat, adverse weather elements, animals, secondhand smoke/vape and unpredictable home environments. Safety requirements include closed toe-shoes, facemask, goggles, gown and/or gloves and functioning device for communication in both routine and emergency situations. Travel Requirements: (if required) Willing to travel up to 100 % of the time for business purposes. Preferred Qualifications & Interests (PQIs) Bachelor of Science in Nursing as granted by an accredited school of nursing preferred. 1-2 years of previous infusion nursing experience preferred. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $42.72-$71.21 Benefits: -401k Retirement Savings Plan with Company Match -myFlexPay -Award/Recognition Programs Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. ​
Option Care Health

Home Infusion Nurse - Per Diem - Kent County

$42.72 - $71.21 / hour
Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. Job Description Summary: An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physician’s plan of care. Works under structured supervision of the designated supervisor. Job Description: ​ Job Responsibilities (listed in order of importance and/or time spent) Initiates, develops, and implements intermediate nursing plan of care treatments, evaluating patient progress towards goals. Organizes and participates in the provision of direct patient care, performs treatments, administers medications, and educates patients and families/caregivers. Modifies plan of treatment in response to changing patient status or physician orders to achieve established or revised patient care goals. Assesses patient needs and physical status at each skilled visit through health data access and patient interview. Re-evaluates patient needs through physical reassessment, response to therapy, and supplemental physician orders. Obtains and clarifies physician orders for plan of treatment revisions, informs physician promptly of significant changes in patient's condition, and provides written summary to physician within supplemental order. Provides training and mentorship to Infusion Nurse I’s as needed to ensure patient safety and compliance. Provides effective and safe teaching using patient-centered care approach for patient and family to achieve independence with prescribed therapy and care needs through active participation per plan of treatment goals. Effectively and timely communicates with Option Care’s Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care. Prepares clinical documentation in real-time during visits and submits to the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved abbreviations and documentation error correction practices per Option Care’s policy. Coordinates discharge planning and prepares discharge summaries with patient instructions and thoroughly reports patient care needs, progress and goals when transferring care. Demonstrates compliance with agency operations, Option Care’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards. Maximizes work efficiency through the use of computers and other automation technologies to validate plan of treatment orders, communicates patient care provided, and follows assigned visit schedule. Responds promptly and appropriately to patient requests. Initiates emergency procedures as necessary. Accepts accountability for own practice through ethical and professional conduct. Follows established programs and practice within policies and procedures reflective of Option Care’s mission, values, and objectives. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Option Care information including adherence to HIPAA regulations. Speaks knowledgeably about Option Care’s scope of services and effectively instructs patients about related financial obligations for care and service charges. Attends and completes required training modules, in-services, and continuing education to maintain competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. Participates in multidisciplinary team conferences and provides precepting, training, and mentoring to other nurses for orientation, and onboarding and supervisory activities as assigned. Participates in nursing department on-call responsibilities. Performs other related duties as directed by supervisor. If applicable: Inserts PICC/Midlines per physician order. Troubleshoots/declots obstructed central line catheters. Monitors PICC/Midline and educates on prevention of line infection and routine care. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Active and unrestricted RN license in the state of practice. Minimum of 1 years of nursing experience. Current CPR certification required. Basic Qualifications Demonstrated competency in patient care standards required for safe delivery of services and infusion skill sets applicable to agency programs and service needs. Advanced certification and training as applicable. Required licensure to operate a motor vehicle in the state of practice with access to a vehicle for business travel with proof of liability insurance. Basic knowledge of computer operating systems and software applications with the abilityn self-evaluation for annual appraisal and jointly sets professional growth goals with nurse manager. to apply knowledge in the effective use of nursing technology tools to communicate and document care provided. Physical Demand Requirements Ability to lift up to 50 pounds with a maximum lifting of 75 pounds. Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently. Physical demands may involve walking, standing, crouching, kneeling, turning, pivoting, balancing, stooping, reaching overhead, grasping, pushing, pulling, lifting and carrying. Fine motor skills and visual acuity required by this job include ability to see up close and from a distance, color and peripheral vision, depth perception and the ability to adjust focus. Team members in this job classification have the likelihood of occupational exposure to blood, body fluids and other potentially infectious materials. Possible exposure to hazardous substances with possible effect on reproduction, injury from needles, other sharps, fumes, chemicals, humidity, cold, heat, adverse weather elements, animals, secondhand smoke/vape and unpredictable home environments. Safety requirements include closed toe-shoes, facemask, goggles, gown and/or gloves and functioning device for communication in both routine and emergency situations. Travel Requirements: (if required) Willing to travel up to 100 % of the time for business purposes. Preferred Qualifications & Interests (PQIs) Bachelor of Science in Nursing as granted by an accredited school of nursing preferred. 1-2 years of previous infusion nursing experience preferred. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $42.72-$71.21 Benefits: -401k Retirement Savings Plan with Company Match -myFlexPay -Award/Recognition Programs Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. ​
Lancaster General Health

Registered Nurse (RN) Intensive Care Unit (Full Time/Night Shift)

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? LOCATION: Lancaster General Hospital - 555 N Duke St, Lancaster PA HOURS: Full time (36 Hours per Week), Night Shift (hours between 7:00pm-7:00am), every other weekend, varying holiday rotation ICU: A 32-bed mixed medical surgical ICU. We care for critically ill patients including those who may be on a ventilator and many life-sustaining medications. The patient population includes the open-heart surgery patient and critically ill COVID patients. The team cares for ECMO, CRRT, and other critical needs of our patient population. Summary: Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice RN or RN with less than 15 months of experience that demonstrates basic safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice. The Clinical Nurse 1 New to Practice/Apprentice exhibits Penn Medicine's experience standards which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 1 New to Practice/Apprentice is accountable for the provision of direct care to patients who may range in age from infancy to the elderly and demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Teamwork and Technology/Informatics. The Clinical Nurse 1 New to Practice/Apprentice works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on developing the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients. The Clinical Nurse 1 New to Practice/Apprentice requires consultation with more experienced clinicians and benefits from feedback while demonstrating growth in the ability to care for increasingly complex patients. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. The Clinical Nurse 1 New to Practice/Apprentice must complete all Clinical Nurse 1 competencies and is expected to advance to the Clinical Nurse 2 Colleague level by 18 months of professional practice. Minimum Required Qualifications: RN Licensure is required, issued by the PA Board of Nursing or a Temporary Practice Permit until an RN license is obtained. Individuals with Temporary Practice Permits must sit for their NCLEX within 60 days of starting in their RN role. Bachelor of Science in Nursing BSN preferred. For Magnet designated RN positions, BSN or higher level nursing degree is required for incumbents based upon previously established parameters; or within three 3 years of placement in position for incumbents who started after 07 01 2020. A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurse holds a current temporary practice permit. Supervision means that a licensed registered nurse is physically present in the area or unit where the graduate registered nurse is practicing. All Clinical Nurse 1 RN’s will be required to successfully complete the Nurse Residency Program. CPR Certification - American Heart Association AHA Basic Life Support, formerly Healthcare Provider AHA Heart Saver AMA CPR BLS certification required within 30 days of hire. A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e.not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program. As outline in unit based Plan for Provision of Care. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Visiting Angels of Harford & Cecil Counties

Caregiver

$16 - $19 / hour
We are looking to add to our Visiting Angels Team! PRINCIPAL ACCOUNTABILITIES : · Understand and adhere to information and precautions contained in individual client’s Care Plan. · Assist the client with personal care activities including: bathing, skin care, back rub, hair care, nail care, dressing and undressing, feeding, oral hygiene, shaving, grooming and bedtime care. · Assist the client to the bathroom or in use of urinal or bedpan. Keep incontinent clients clean and dry. · Assist the client with client's self-administration of medications. · Assist the client with personal communication skills, as needed. · Prepare appropriate documentation of the client care or service(s) furnished. · Report all client and employee incidents/accidents to supervisor immediately. · Assist the client with supervising exercise, ambulation and transfer activities. Be aware of proper body mechanics. · Ensure maintenance of a clean, safe, comfortable and healthy environment for the client. · Observe safety precautions, including: wiping up wet floors, spills and other falling hazards immediately. Also, report safety hazards, frayed electrical cords, unsecured handrails, malfunctioning smoke and carbon monoxide detectors/alarms, defective equipment or environmental hazards to supervisor on the same day of observation. · Engage in respectful social interaction with client, including friendly conversation and empathic support, as well as, respecting client’s privacy and property. · Exhibit positive attitude and behavior and demonstrate respect for employees and clients and maintain absolute confidentiality of all information pertaining to clients, clients' families and employees. · Respond and attend to client’s requests promptly. · Communicate effectively with all members of the team. · Maintain proper hand washing techniques. · Participate in required in-service training programs to meet regulatory requirements. · Understand the importance of seeking assistance, as needed, from your supervisor and/or others; demonstrate capability and dependability in following instructions. · Understand that regular, consistent attendance is necessary to serve clients. · Accept and fulfill assignments with the Agency; exercise judgment in accepting assignments. · Perform related duties and responsibilities as deemed appropriate by the management team. SPECIFIC JOB KNOWLEDGE, SKILLS AND PERSONAL ABILITIES REQIRED : · Must be eighteen (18) years of age. · Demonstrate sympathetic attitude toward caring for others. · Previous experience in private duty home care preferred. · Ability to listen and communicate clearly, fluently and diplomatically orally and in writing. · Ability to remain flexible, resilient, calm and maintain a sense of humor; and present a well-groomed professional image. · Ability to generate goodwill for the organization and its management among staff, clients, and referral sources. Demonstrate a strong commitment to client service excellence. · Possess and maintain good physical and mental health, including current TB testing. · U.S. Citizen or evidence of valid Alien Work Permit. PHYSICAL/ENVIRONMENTAL DEMANDS : · See ADA Requirements Job Benefits : $250 Signing Bonus for Active MBON CNA/GNA (Conditions Apply, Just Ask Us!) Weekly Paychecks Paid Vacation Time (PTO) Paid Client Case Introductions Paid Training in Office and At Home Emergency Shift Pay Free PPE Travel Time and Mileage Access to Pay before Pay Day Awards and Accolades Caregiver Development Program (CDP) Overtime and Holiday Pay Oncall Opportunities Birthdays and Anniversaries Paid Volunteer Time 401k Angel Coins Please complete the Visiting Angels Application HERE
Lancaster General Health

Advanced Practice Provider - Care Connections

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Care Connections is searching for a full-time Nurse Practitioner OR Physician Assistant to join our team! Care Connections is a unique, temporary program for patients with chronic medical conditions who require more time and attention. Our goal is to bridge the gap between higher acuity inpatient services and the patients primary care office. Our providers see patients in both inpatient, outpatient, and home care settings. Our team includes social workers, nurses, rehabilitation therapists, pharmacists, and other health care providers. Additionally, patients in the Care Connections program have longer appointments, allowing for more time with the provider. Our providers enjoy a Monday through Friday schedule, dayshift only, with minimal call. Our team-based holistic approach to patient care allows us to focus on patient well-being and provider satisfaction. The ideal candidate for this role will be interested in managing complex conditions, experienced with vulnerable populations, and a team player. New graduate NPs and PAs will be considered for this role with appropriate undergraduate experience. Minimum Qualifications: Current Licensure as a Physician Assistant OR Nurse Practitioner Valid, unrestricted Federal Drug Enforcement Agency (DEA) number Participation as a provider in good standing in the Medicare, Medicaid, and Tricare programs and such other third-party-payment programs, including managed care programs in which PMMG participates. Benefits at a glance: Tuition Assistance for employee and dependents at the University of Pennsylvania Paid Time Off and Paid Holidays Health, Dental and Vision Coverage Short-Term and Long-Term Disability Retirement Savings Account with Company Matching Child Care Subsidies We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.