Nursing Jobs in Port Jefferson, NY

Always Compassionate Home Care

Home Health Aide (HHA)-Ronkonkoma

$19.65 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $19.65 + hr. based on location Always Compassionate Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Always Compassionate Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, creed, national, social or ethnic origin, political viewpoint, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, protected veteran status, citizenship status when otherwise legally able to work, or any other status protected by the laws or regulations in the locations where we operate. WKDPAPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Norwalk Public Schools

School Nurse (2026-2027 sy)

Position Type: Student Support Services/School Nurse Date Posted: 7/28/2026 Location: Fox Run Elementary School 2026-2027 SCHOOL YEAR SCHOOL NURSE FOX RUN ELEMENTARY SCHOOL Position Purpose: To provide assessment, screening, planning, intervention, evaluation, counseling, management and/or referrals concerning the health and medical care needs of students for the purpose of minimizing absences due to illness, maximizing educational opportunities, and creating a healthy school climate. Knowledge: Knowledge of and ability to apply clinical therapeutic models of patient care with emphasis on interdisciplinary team approach; Knowledge of and ability to apply professional nursing theory, practice and ethics; Knowledge of and ability to apply quality standards, procedures and protocols; Knowledge of and sensitivity to cultural and socio-economic difference; Knowledge of basic first aid and CPR; Knowledge of basic neurology; Knowledge of child development and human development; Knowledge of common childhood infectious diseases and chronic and acute health conditions; Knowledge of community resources that support children and families; Knowledge of current medications, their actions, interactions, uses and side effects; Knowledge of medical, therapeutic and psychiatric nursing interventions and methods; Knowledge of nursing related technology, such as insulin pumps, nebulizers, gastronomy tubes; Knowledge of pediatric nursing; Knowledge of special needs children, special education, and students with disabilities. Essential Functions: Works collaboratively with health care providers, students parents, school district staff and community agencies to ensure access and continuity of care for students. Assists in the establishment and maintenance of a comprehensive school health program. Collects information about the health development status of students for compliance with state immunization regulations and Board of Education policies. Conducts school programs of immunization, physical examinations, and sight and hearing testing. Performs nursing assessment for students who are ill or injured; applies appropriate theory as basis for providing first aid, nursing care, intervention and referrals for those students. Evaluates nursing care provided and changes plan of care as necessary. Implements Board policy with respect to the exclusion and readmission of students in connection with certain infectious and contagious diseases (e.g., Tuberculosis). Maintains accurate records and documentation in accordance with state and federal law, and Board of Education policies. Develops individual health care plan (ICHP) when needed with specific goals, nursing diagnosis, and interventions delineating school-nursing actions unique to students' needs and for incorporation into the student's individualized educational plan (IEP). Intervenes as guided by the nursing care plan to implement nursing actions that promote, maintain or restore health, prevent illness and effect rehabilitation. Serves as a member of school teams as designated health care professional (e.g., Crisis Teams, PPT, Section 504). Provides guidance, counseling and health education to students, parents and employees as necessary. Reports to parents, school district personnel, physicians, clinics, and others as needed to meet student health needs. Provides instruction and training regarding the Heimlich Maneuver, Blood Borne Pathogen training, the school district's Emergency plan, and with regard to providing care for students, including students with disabilities. Contributes to nursing and school health through innovations in theory; practice and participation in research, including narrative and statistical reports. Provides medical assessment to school district employees as requested. Provides health education to students as requested. Notifies the appropriate person or agency of student's injury/illness in accordance with Board policy as necessary. Confers with parents, students and school district staff and professionals to interpret health and developmental assessments. Additional Duties: Performs other related tasks as assigned by supervisors or other administrators. Note : The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive of every task or responsibility. Equipment: Uses medical equipment to provide health care to students/staff, including, but not limited to, blood glucose monitor, stethoscopes, thermometers, sphygmomanometers. Uses personal computers. Knowledge, Skills and Abilities: Knowledge of medical terminology, anatomy, symptoms, diagnoses, treatments, first aid, illnesses and injuries, nutrition, and related areas. Ability to diagnose and provide care for ill or injured students. Ability to convey appropriate medical information to school district staff or medical professionals to ensure a proper maintenance in the school setting. Ability to add, subtract, multiply and divide, and perform arithmetic operations as needed for position. Ability to understand, apply and use personal computers and software applications (e.g., Word, Excel, PowerPoint, the Internet, Outlook, electronic mail). Ability to problem solve job-related issues. Ability to work with a diverse group of individuals and students with special needs. Ability to follow oral and written orders from supervisors, administrators, physicians, and to coordinate work with principal, teachers and others. Ability to describe orally and in writing school health services provided, issues and concerns regarding school health. Ability to establish and maintain cooperative working relationships with students, staff and others contacted in the course of work. Safety Requirements: Adheres to all applicable professional safety standards and practices in the nursing field, including requirements set forth in federal and state law, and Occupational Safety and Health regulations. Implements Board Policy regarding Blood Borne Pathogens and other Board policies regarding the medical or health care of employees and students. Travel Requirements: Frequent travel between schools may be required. Physical and Mental Demands, Work Hazards: Work in standard school building environment. Exposure to body secretions, blood borne pathogens, medicine and medicinal supplies, illnesses and diseases. Note: Also see the Summary of Physical, Sensory and Environmental Requirements Needed to Perform Essential Functions for this position. Qualifications Profile: Any combination of education, licenses, certifications and experience providing the required skill and knowledge for successful performance would be qualifying. Typical qualifications would be equivalent to: Bachelor's degree in Biology, Chemistry or related science area, with coursework in growth and development, health assessment, public or school health, crisis intervention and health education. Master's degree in related field preferred. Must meet qualifications of a school nurse as defined in state regulations. Successful experiences working with pediatric population, preferably in a community or school setting desirable. License or Certificate: Registered professional nurse, designated as R.N. as defined and determined by state law, and currently licensed in the state. Current certification in Cardio-Pulmonary Resuscitation (CPR). Education and Experience: Registered Professional Nurse (RN) License; BS or BA degree in nursing or related field from an accredited college or university; Five years' Pediatric/adolescent experience Current/updated physical assessment skills (preferably pediatrics); CPR/AED certification. BSN or MS in nursing with prior school nurse experience; Background in community health and multicultural/diverse experience; NCSN certification preferred Fluency in Spanish and English preferred. Continuing Education Requirements: A school nurse must participate in at least ten hours of board-approved professional development activities or programs every two years. CPR/AED certification may also be required for this position. COMPENSATION: Per Health Care Employees contract Both candidates from within the system and candidates from outside the system will be considered. Apply at www.norwalkps.org/applynow Click "Employment" NORWALK IS AN EQUAL OPPORTUNITY EMPLOYER It is the policy of the Norwalk Board of Education to ensure equal educational opportunity for all students and to prohibit unlawful discrimination because of race, color, religion, creed, age, marital status, national origin, gender, pregnancy, sexual orientation, gender identity and expression, transgender status or physical and mental disability in the school district's educational program and activities; and to prohibit unlawful discrimination in employment because of race, color, religion, creed, age, marital status, national origin, gender pregnancy, veteran status, gender identity or expression, transgender status, sexual orientation or physical and mental disability.
Always Compassionate Home Care

Home Health Aide (HHA)- Smithtown

$19.65 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $19.65+ Always Compassionate Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Always Compassionate Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, creed, national, social or ethnic origin, political viewpoint, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, protected veteran status, citizenship status when otherwise legally able to work, or any other status protected by the laws or regulations in the locations where we operate. WKDPAPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Community Care Home Health Services

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

$17 - $19.72 / hour
Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!
Community Care Home Health Services

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

$19.72 / hour
Aides URGENTLY needed for weekend shifts in Suffolk County . Day or night shifts are available. Fast onboarding and help with your physical is available! Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Text APPLY to (888) 556 - 2310. Note: By messaging this toll-free number, you are opting in to send/receive communication via text or SMS messaging with the Community Care Home Health Services/ Recruitment Team.
Northwell Health

Registered Nurse (RN) - ICU

$56 - $78 / hour
193139 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Varied Hours/Varied Days. Includes every other weekend and Holidays. Shift can start as early as 6:00pm and as late as 9:00pm. Shift can end as early as 6:30am and as late as 9:30am. * Assesses the patient's physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient's physiologic health status and plan of care. * Assesses patient's psychosocial health status Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. * Identifies patient outcome Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient's need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. * Formulates the plan of care and establishes the priorities necessary to achieve expected outcome Identifies care activities and establishes the priorities necessary to achieve expected outcome; Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members * Implements the plan of care Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient's conditions during treatments/procedures.Reports and records same as appropriate; Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere.Communicates effectively with the patient's family or caretakers; Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other. * Evaluates care provided for patient outcome Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient's treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. * Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient's plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion * Performs grade I-IV Decubitus Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. * Administers medications correctly and safely Correctly identifies medication: action; dosage; side effects and implications for the patient; Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. * Participates in patient and family education Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-hospital care; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties, as required. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after January 1, 2013 and obtain a BSN Degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BLS, ACLS required. Documented Critical Care experience required. Critical Care Float Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Always Compassionate Home Care

Certified Home Health Aide (HHA)/Personal Care Aide(PCA)-Sayville

$19.65 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $19.65 and up!! Private Cases Available! Always Compassionate Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Always Compassionate Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, creed, national, social or ethnic origin, political viewpoint, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, protected veteran status, citizenship status when otherwise legally able to work, or any other status protected by the laws or regulations in the locations where we operate. WKDPAPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Always Compassionate Home Care

Certified Home Health Aide(HHA)/ Personal Care Aide(PCA)-Riverhead

$19.65 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Pay Rate: $19.65 and up!! Private Pay Cases!! ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Always Compassionate Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Always Compassionate Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, creed, national, social or ethnic origin, political viewpoint, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, protected veteran status, citizenship status when otherwise legally able to work, or any other status protected by the laws or regulations in the locations where we operate. WKDPAPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
St. James Rehabilitation and Healthcare Center

Respiratory Registered Nurse

Schedule · 5 days a week 37.5 - 40 hours per week Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory therapist who has experience in a rehab center and possesses great communication skills to put the “therapy” into respiratory therapy. If you are looking for a challenging and rewarding opportunity, this opportunity can be for you. The position is within a Skilled Nursing facility. As a Post Acute and Long Term Care respiratory therapist, your role would involve providing specialized care and treatment to patients with cardio-pulmonary, respiratory conditions neurological disorders and physical conditions that manifest into respiratory disorders over an extended period. Your primary responsibility would be to assess, provide diagnostic testing, develop treatment plans, and provide treatment to our Skilled Nursing Facility population. Job Description ESSENTIAL JOB FUNCTIONS: 1. Provides patient treatments which meet patient needs and uses current treatment knowledge in accordance with facilities clinical procedures. This includes but is not limited to: · Performing accurate, comprehensive patient evaluations. · Developing an effective plan of treatment and obtaining appropriate approvals from a referring physician. · Communicating with supervisor and interdisciplinary team members regarding patient progress, problems, and treatment plans. · Instructing patient’s families and/or nursing staff in specified follow through programs. · Interviewing patients and families regarding previous level of functioning, lifestyle and current and future expectations for recovery. · Demonstrating knowledge of appropriate resources for problem-solving and clinical best practice. · Evaluating patients within the required timeframe as per facility policies. · Provides patient care as appropriate and necessary, following the position description for the applicable clinical discipline in which licensure or certification is held. 2. Writes accurate, complete, and clear documentation in accordance with the facility’s regulatory, licensing, payor, and accrediting requirements. This includes but is not limited to: · Recording Screens/Resident Needs Reviews, evaluations, daily treatment notes, discharge summaries and walking rounds in accordance with facility Policies and Procedures. · Recording treatment charges accurately and ensuring that documentation is consistent with billing data. · Writing specific, objective documentation that is outcome oriented and details the patient’s needs, potential to benefit from treatment, and progress achieved to date. Includes specific, objective measurable goals. 3 . Consistently demonstrates facility interdisciplinary approach to patient care. This includes but is not limited to: Integrating findings of other members of the interdisciplinary team in treatment assessment and recommendations. Integrating input from patient and family in treatment assessment and recommendations. Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. Collaborating with and informing facility staff in areas of patient progress. Educating members of the team in areas of expertise. Working with a facility to teach documentation practices which assist the respiratory therapy team. Communicating effectively with discharge planners. 4. Contributes to professional development of self. · Maintaining current professional status and licensure. · Adhering to professional standards of conduct and clinical code of ethics and practice. · Implementing in-services and training. · Maintaining a current body of knowledge in areas of clinical expertise through seminars, professional journals, and peers. · Meeting continuing education requirements of regulatory agencies. 5. Aids in building and maintaining the facility’s reputation as the unparalleled respiratory therapy provider by contribution as a professional member of the staff. · This includes but is not limited to oversight of the following departmental operations: · Consistently demonstrating the facility’s core values by interacting with co-workers, patients and families, with all other persons involved with the patient’s care. · Consistently demonstrating professional standards as outlined in the facility’s Employee Handbook and as communicated by the facility’s management. · Contributing to a positive work team by sharing information, using problem solving methods and accepting new ideas, constructive criticism, or advice from others. · Maintaining close communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. · Establishing and maintaining an effective rapport with the facility administrator, MDS, Rehab Director, DON, and medical director. o Demonstrating superior customer service through courtesy, consistent follow-up and positive communication. 6. Demonstrates safe working practices . This includes but is not limited to: Identifying and correcting safety hazards or notifying the facility or the admin so that safety hazards will be immediately remedied. Maintaining work areas in safe and orderly fashion. Maintaining equipment in safe working order by facilitation annual calibration. Using proper body mechanics during treatments of patients and during support activities. Using universal safety precautions. Wearing appropriate protective equipment. QUALIFICATIONS: Skills, Knowledge and Abilities: · Excellent written and verbal communication skills. · Knowledge of the respiratory community. · Skills applicable to clinical discipline. o Knowledge of medical terminology. o Knowledge of respiratory disease and diseases that affect the respiratory system. o Ability to use respiratory therapy equipment. o Ability to exercise judgment and discretion in devising, installing and interpreting rules, regulations, policies, or procedures . o Ability to express ideas and information, clearly, concisely, verbally and writing. o Ability to establish and maintain effective working relationships with superiors, and officials of other departments. · Program development and implementation · Management and administration of therapies as prescribed by a physician and according to the standard procedure. · Preferred experience with the following skilled interventions: o Oxygen weaning therapy o Omni flow – Biofeedback o Group respiratory therapy o Standardized respiratory testing o Aerosol therapy o Incentive Spirometry o Chest physiotherapy o Deep breathing and coughing o Bronchial hygiene therapy o PEP therapy o OPEP therapy o Postal Drainage o Positioning o Oro/Naso-pharyngeal suctioning o Airway clearance/management techniques o Trachea-bronchial suctioning o Tracheostomy care o Spirometry Bedside Testing o CPAP/BIPAP o High-Flow Oxygen o Cardiac Program o Pulmonary Program o 6-minute walk test o 2-minute walk test o Spirometry testing o Cardio-pulmonary resuscitation 10. Education and Experience: · Graduation from an accredited program for Respiratory Therapy preferred · Must possess and maintain a current license in the state of practice as required · Other education and experience may be considered.
Community Care Home Health Services

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

$17 - $19.72 / hour
Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!
Community Care Home Health Services

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

$17 - $19.72 / hour
Community Care Home Health Services is committed to ensuring the safety and wellbeing of our patients and team members, so we may continue serving our communities by delivering exceptional care. As per the NYS DOH mandate, if you are hired, you will need to show proof of Covid-19 vaccination. Community Care wants you to join our winning team !!! We pride ourselves on making you and your needs our #1 priority. Are you tired of joining agencies and not getting the hours you need ? Are you tired of calling the office and not receiving a return call? We at Community Care want to change your experience! * Full Time *Part Time * Live In Urgent Need!!! Wyandanch - 8:30am-4pm, 4pm-12am We stand out from the rest ! We are customer service driven, and our goal is to meet your needs! If you are a NYS Certified Home Health Aide or Personal care aide come on in and join our team !! Benefits and Perks for our Home Health Aides and Personal Care Aides : * Competitive Pay Rates / Up to 7 days Paid sick time / Weekly Pay). * Travel Time Pay between Cases , if qualified . * VISA Pay Card- Visa payroll card( You can Withdraw or charge any where within the US) * Direct Deposit *Affordable Medical/Dental/Vision Plans *Aflac- Life Insurance, Accident ,Hospitalization, Cancer, and Disability supplemental plans . *Employee Discount Program - Fantastic savings on purchases , Travel, Movie tickets , Events , Shows, Entertainment etc... *Paid Orientation, and In-service . *Employee Recognition Events * Referral Bonus We salute and thank you for your service to the community!!! Job Type: Full-time, Part-time Pay: Up to $16.77 per hour Job Types: Full-time, Part-time
Always Compassionate Home Care

Certified Home Health Aide(HHA)/ Personal Care Aide (PCA)- Medford

$19.65 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $19.65 and up!! Private Pay Cases Available !! WKDPAPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Northwell Health

Registered Nurse - Operating Room

$56 - $78 / hour
186071 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Varied days, weekends and holidays required, plus on call required on weekdays, weekends, off shift, and holidays. Shift can start as early as 6:00am and as late as 9:00am. Shift can end as early as 6:30pm and as late as 9:30pm. Shift is typically 6:45am-7:15pm. * Assesses the patient's physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient's physiologic health status and plan of care. * Assesses patient's psychosocial health status Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. * Identifies patient outcome Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient's need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. * Formulates the plan of care and establishes the priorities necessary to achieve expected outcome Identifies care activities and establishes the priorities necessary to achieve expected outcome; Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members * Implements the plan of care Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient's family or caretakers; Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other. * Evaluates care provided for patient outcome Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient's treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. * Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient's plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion * Performs grade I-IV Decubitus Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. * Administers medications correctly and safely Correctly identifies medication: action; dosage; side effects and implications for the patient; Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. * Participates in patient and family education Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-hospital care; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties, as required. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after January 1, 2013 and obtain a BSN Degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS required. Documented OR experience required. On Call required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Good Samaritan University Hospital

APP - NP or PA CTICU

$74.67 - $93 / hour
Job Details APP- NP or PA – Cardiothoracic Intensive Care Unit (CTICU) FT – varied shifts (am and pm combined shifts) Position Overview: We are seeking a highly skilled and compassionate Advanced Practice Provider (APP) to join our Cardiothoracic Intensive Care Unit (CTICU) team in a renowned hospital in New York. This position offers an opportunity to work with critically ill patients undergoing cardiothoracic surgeries and to collaborate with a multidisciplinary team of intensivists, cardiologists, surgeons, nurses, and respiratory therapists. The ideal candidate will have experience in critical care and a passion for providing high-quality, patient-centered care in a fast-paced, dynamic environment. Key Responsibilities: • Patient Assessment & Management: o Perform thorough assessments of critically ill cardiothoracic patients, including history, physical exams, and ongoing evaluations. o Order and interpret diagnostic tests, imaging, and lab results. o Develop and implement evidence-based treatment plans for patients in collaboration with the attending physicians and healthcare team. o Provide continuous monitoring and management of complex cases, including post-operative recovery, ventilation support, and hemodynamic management. • Procedural Support: o When complex privileging is obtained the ability to peform central line placement, arterial line insertion, intubation/extubation, chest tube placement . o Provide post-procedure care and patient education, ensuring proper recovery and addressing potential complications. • Collaboration & Communication: o Work closely with attending cardiothoracic surgeons, intensivists, and nursing staff to ensure optimal patient care. o Communicate effectively with patients and families, providing education and support regarding treatment plans, recovery, and discharge processes. o Attend daily rounds to discuss patient progress, concerns, and updates. • Clinical Leadership & Education: o Serve as a mentor and resource for nursing staff, residents, and fellows, providing guidance and education on clinical practices within the CTICU. o Participate in quality improvement initiatives and contribute to clinical research efforts within the unit. o Stay current with advancements in critical care medicine, particularly cardiothoracic care, and engage in continuing education. Qualifications: • Education & Experience: o Master’s degree in Nursing (MSN), Physician Assistant (PA), or equivalent advanced practice provider (APP) qualification. o Board certification as a Nurse Practitioner (NP) in Acute Care. Physician Assistant (PA), o Minimum of 2 years of clinical experience in an intensive care unit (ICU), with a focus on cardiothoracic or cardiac surgery preferred. • Skills & Competencies: o Strong clinical skills in critical care management, with a deep understanding of post-operative cardiothoracic patient care. o Excellent communication and interpersonal skills, capable of working in a collaborative, multidisciplinary environment. o Proficient in using electronic health record (EHR) systems. o Ability to work in a fast-paced, high-pressure environment while maintaining attention to detail and providing compassionate care. Salary Range USD $74.67 - USD $93.00 /Hr.
Always Compassionate Home Care

Full-Time 1:1 School Nurse

$38 - $48 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Always Compassionate Home Care is seeking a full-time LPN or RN to work with a pediatric patient in a school setting for the 2026-2027 school year. Setting : 1:1 School Location : Hempstead, NY Schedule : Full-time, Mon-Fri 7:30 AM-3:30 PM Patient Information: Female patient with a history of cerebral palsy, epilepsy, pulmonary hypertension, and asthma. Patient requires nebulizer treatments and suctioning as needed Pay Rate: $38/LPN or 48/RN per hour - you get paid every Friday's! Qualifications/Education REQUIRED: At least 6 months of nurse experience NYS RN/LPN license and registration BLS from American Heart Association Physical, QuantiFERON within a year MMR Titers within 10 years Malpractice Insurance NPI # Why You’ll Love Working With Us: Premium Pay: $38/$48 for school nursing cases Supportive Team Culture: Work with compassionate professionals who value your expertise Equal Opportunity Employer : Always Compassionate Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Always Compassionate Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, creed, national, social or ethnic origin, political viewpoint, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, protected veteran status, citizenship status when otherwise legally able to work, or any other status protected by the laws or regulations in the locations where we operate. WKDLIC If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Always Compassionate Home Care

HHA Suffolk County

$19.65 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $19.65+ based on location #WKDPAPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Northwell Health

Registered Nurse - Operating Room

$57 - $80 / hour
187982 Shift can start as early as 6am and as late as 9am. Shift can end as early as 4pm and as late as 7pm. Weekends and Holidays, Assigned call. Job Description Plans, implements and evaluates nursing regimens for an assigned number of patients. Collaborates with Physician and other Health team members in meeting total health care needs of patients. Serves as the primary Nurse and/or Team Leader in the delivery of nursing care. Job Responsibility Assesses, plans, implements and evaluates the nursing care of the assigned patients. Performs admission assessments evidenced by documentation on Nursing Care Plans and Nurses notes. Reassesses patients Q shift, and with change of condition. Keeps the supervisor and/or designee informed of changes in patient's condition and/or treatments. Collaborates with other health team members when follow-up is necessary. Explains procedures to patient before they are performed. Administers patient care considering the patient's privacy and dignity as a human being. Acts rapidly and effectively during any emergency situation, managing self, patients and other employees. Contributes to the evaluation of patient care through participating in unit performance Improvement activities. * Collaborates with Health Team Members in planning and carrying-out treatment regimen. Interprets and implements treatment regimen as prescribed by Physician. Assists the Physician/Residents during treatments and/or diagnostic procedures. Makes observations of and reports patient's condition during treatments and procedures. * Provides and maintains a safe, clean, noise-controlled environment for patients to reduce stress and anxiety. Maintains vigilance over patients ensuring safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, etc.) Applies scientific principles in performing established nursing procedures. Provides a calm, quiet, restful atmosphere; communicates with the patient's family or caretakers. Maintains principles of universal precautions and infection control. * Participates in patient education. Provides the patient with explanation of his/her condition as indicated. Communicates assessment data by recording, updating and verbalizing pertinent information to Health Team members and to appropriate agencies. Recognizes and utilizes health teaching opportunities and resources/materials available. Provides early discharge planning and appropriate referrals by giving home instructions to patients and caretakers. Evaluates the teaching by feedback from patient/family and documents same. * Documents the patient's medical record with observations and action taken during patient's hospital stay. Keeps documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions. Uses the method of documentation according to the policy of the Nursing Department. * Performs in whichever capacity staffing level necessitates. Assumes charge responsibilities when assigned. Assists in extended orientation of new staff. Attends nursing, hospital committees as assigned. Performs related duties, as required. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. Minimum one to two years experience in a hospital setting. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Northwell Health

Registered Nurse (Day/Eve) - PACU

Description Monday-Friday 7,8,9,10 or 11; 2 night call shifts per month, every other weekend and shared holiday call Northwellis the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members ofNorthwell Health Physician Partners— who are working to change health care for the better. Summary The Registered Nurse provides direct patient care that is guided by the American Nurses Association (ANA) scope of practice. A Registered Nurse collaborates with patients, family/significant others, peers, physicians, and other members of the interdisciplinary healthcare team in the delivery of healthcare services to patients. The Registered Nurse assesses the patients needs, care plans, implements, and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies/procedures, and standards. They demonstrate leadership skills and commitment to professional accountability and growth. Responsibilities Completes patient assessment and reassessment as clinically indicated: Documents detailed information incorporating the plan of care, interventions and outcomes reflecting the patients physical, mental, and emotional status. Ensures appropriate documentation based on the level of care the patient is receiving to include transfer/discharge documentation as indicated. Follows the five Rights of Medication Administration. Verbalize to patients/family/significant other the medication they are receiving. Assesses the patient prior to administering medications noting allergies, parameters, potential side effects, effectiveness and intervening as needed. Reassesses and documents response according to hospital policy. Coordinates and supervises the delivery of nursing care, including the delegation of tasks: Maintains accountability for care delegated. Actively works to promote a culture of safety: Assesses patients for potential safety risks. Adheres to hospital policies and procedures regarding patient safety. Initiates interventions related to the risk factors identified. Conducts bedside shift report and bedside rounds with peer on assigned patients at change of shift. Demonstrate quality by documenting the application of the nursing process in a responsible, accountable, and ethical manner. Ensures patient hand-off as appropriate when leaving for breaks. Assesses learning needs of patient/family/significant other. Plans and provides appropriate instruction using applicable teaching methods. Assesses and documents patient/family/significant other response to teaching. Cares for specific patient populations, despite location, as necessary. Deliver Patient Centered Care: Embrace the cultural diversity and difference of patients and team members. Respect the dignity of all individuals through the maintenance of the caring relationship. Maintains open lines of communication inclusive of actively listening. Meets accreditation, regulatory, and compliance responsibilities related to the position. Works to promote a culture of learning and growth: Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge. Teach others to succeed through mentorship. Performs other duties as assigned within the state nursing scope of practice. Education Skills Experience Graduated from an accredited school of nursing with an Associates Level Degree (required) or Bachelors Degree in Nursing (preferred). Other Information Current and unobstructed Connecticut Registered Nurse License (CT Hospitals) American Nurses Association endorsed Certifications or Academy of Medical-Surgical Nurses Certification Preferred (*Based on Certification specialty hours of work requirement). Working Conditions Manual: significant manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force Physical Environment: Some exposure to dirt, odors, noise, human waste, etc. Credentials: ACLS, RN, BLS Company: Norwalk Hospital Association Org Unit: 417 Department: Recovery Room Exempt: No
Fine Care Center

(RN) Registered Nurse

YOUR FUTURE STARTS NOW! Are you a Registered Nurse looking for a great career opportunity, or a new RN looking to gain invaluable experience? Join the Fine Care Center family! With competitive wages, flexible scheduling, medical benefits, and 24/7 support, we invite you to join our dedicated team! Whether you are looking for full-time, part-time or per-diem, we offer tailored employment solutions that meet your needs. Apply today for immediate consideration! At Fine Care Center, YOU are our greatest asset! We are proud to offer our (RN) Registered Nurses the following benefits: Compensation: $40-$59/hour Offices located throughout NY! Paid Orientation/Training. Commuter Benefits. Flexible Scheduling – we work with you! Voluntary Medical Insurance available! Referral Bonus Program. 24/7 dedicated phone/text support Plus more! Inquire with a Fine Care Rep today! Fine Care Center (RN) Registered Nurses are responsible for providing direct and individualized nursing care to patients based on the application of scientific nursing principles in long-term care setting as well as offering compassionate, emotional and social support while under the supervision of a Registered Nurse Supervisor or Physician. Requirements of the (RN) Registered Nurse are as follows: Active New York State RN License Physical Current CPR certification High level of patience, empathy, and compassion is a MUST Ability to stand for long periods of time Resume MMR & Varicella titers PPD or proof of chest X-ray if positive 1 Personal reference letter, 1 Professional reference letter Original non-expired State Identification Original proof of Work Authorization Knowledge of EMR Programs a plus! Malpractice Insurance Policy About Fine Care Center: Fine Care Center seeks to hire staff at our facilities throughout New York State. We hire Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nursing Aides (CNAs), Dietary Aides, Housekeeping, Maintenance and Recreation personnel for work in our nursing homes. At Fine Care Center our mission is to provide our clients with comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Fine Care Center offers valuable opportunities with flexible scheduling and a range of work locations across the area. Employees at Fine Care Center work full time, part time and per-diem at the location most convenient to them. Join our team and learn about how Fine Care can help you meet your nursing career goals.
Community Care Home Health Services

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

$17 - $19.72 / hour
Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!
SYNERGY HomeCare

Caregiver

$17 - $30 / hour
Caregiver Join the SYNERGY HomeCare team and make a difference in the lives of others! At SYNERGY HomeCare of Fairfield, we are committed to providing compassionate care to our clients in the comfort of their own homes. As a Caregiver, you will play a vital role in enhancing the quality of life for our clients, and we are seeking individuals who share our passion for delivering exceptional care and service. Benefits Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching employees with nearby clients Employee recognition programs IRA's Get paid as you earn program Responsibilities: Provide attention to clients' non-medical needs, including companionship and social engagement Provide personal care to clients as needed Assist clients with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistent Accurately report EVV clock ins/outs, ADL notes and visit information for client care plans Why Join SYNERGY HomeCare: Experience the SYNERGY HomeCare difference - we bring care to as many people as possible, on their own terms, in their own homes Join a team that values compassion, empathy, and dedication Have the opportunity to care for a variety of people spanning ages and abilities Make a difference in the community and enhance the quality of life for our clients Join our team of compassionate Caregivers and let's work together to provide exceptional care and service to our clients.
Community Care Home Health Services

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

$17 - $19.72 / hour
Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!
NYU Langone Health

Registered Nurse -Emergency Department-Part Time- Night Shift-7p-7.30 a- Alternate weekend

$57.11 - $73.91 / hour
NYU Langone Hospital—Suffolk is a 306-bed medical center, providing care to residents of eastern Long Island. The hospital facility is home to the Knapp Cardiac Care Center—an advanced heart disease diagnostic and treatment facility—as well as a modern ambulatory surgical pavilion with specialized services including women's imaging, a sleep laboratory, and bariatric surgery. Our Provisional Level 2 Trauma Center delivers comprehensive and specialized care for patients with traumatic injuries. The Stroke Center at NYU Langone Hospital—Suffolk is designated by the New York State Department of Health as a Primary Stroke Center, with expert neurologists available to provide treatment 24 hours a day, 7 days a week. Additionally, NYU Langone Hospital—Suffolk has multiple outpatient sites, including an outpatient wound care center, a hemodialysis center, and various primary care and specialty offices. For more information, go to NYU Langone Hospital—Suffolk , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , X , YouTube and Instagram . Position Summary: We have an exciting opportunity to join our team as a Registered Nurse -Emergency Department-Part Time- Night Shift-7p-7.30 a- Alternate weekend - NSG-Eme. In this role, the successful candidate In this role, the successful candidate executes professional nursing care in accordance with physician treatment plans in order to provide for the comfort and well-being of patients and their family or support system. In doing so, assesses the patient's needs, plans and implements the treatment plan, observes and evaluates the patient's progress and documents pertinent observations. Works collaboratively with the interdisciplinary health team to meet the holistic needs of the patient. Directs the delivery of nursing care by the other members of the nursing team. Participates in the orientation process of new employees. Job Responsibilities: The registered nurse collects patient health data by involving the patient, family and other health care providers Performs initial assessment based on patient's presentation. Records relevant data on the nursing component of the Interdisciplinary Admission Assessment. Demonstrates awareness of the special needs of each age group or culture served as well as those patients with disabilities. Ongoing assessments are performed as established by department policy and as warranted by the patient's response. Incorporates discharge planning into the admission process. Analyzes the assessment data in determining problem identification. Identifies expected outcomes individualized to the patient. Demonstrates the ability to combine theoretical knowledge and clinical expertise to anticipate and plan for the identified patient and family care needs. Analyzes the assessment data and identifies actual or potential problems that are validated with the patient, family and other health care providers. Identifies any cultural, ethnic, and spiritual aspects of patient/family dynamics related to the patient's care. Recognizes the patient's comfort/pain management needs that may impact on the plan of care and desired outcome. Identifies actual or potential knowledge deficits for the patient and/or family. Communicates expected outcomes to the patient, family and other health care providers to promote continuity of care. Develops a plan of care that prescribes interventions to attain expected outcome. Collaborates with the patient, family and appropriate healthcare providers in developing the plan of care. Formulates a family centered plan of care consistent with the assessment of the patient's needs and the physician's treatment plan; Integrates identified cultural, ethnic and spiritual aspects of care into the plan. Incorporates teaching and learning principles in the plan of care based on the identified learning needs and developmental level. Assists the patient and family in identifying and securing services to address health related needs Communicates the plan of care to the patient, family and other health care providers to promote continuity of care. Documents the initial plan of care and provides updates as required. Establishes realistic goals, sets appropriate priorities and uses time efficiently Implements the plan of care for each patient and performs appropriate patient monitoring. Adapts nursing procedures to meet the needs of the individual patient. Provides education to the patient and family utilizing the educational assessment. Recognizes hazards to patient safety and takes action to maintain a safe environment. Works collaboratively with other team members to implement interventions. Assigns or delegates tasks as defined by the state nurse practice act and according to the knowledge and skills of the caregiver. Demonstrates knowledge regarding drug administration, incompatibilities, contraindications and adverse effects. Seeks out appropriate resources when uncertain regarding an aspect about medication administration. Complies with medication policy and procedure for order transcription/verification, drug administration and documentation. Evaluates the patient's progress toward attainment of outcomes. Documents the patient's response to interventions and revisions to the plan of care. Ongoing assessment data is used to revise expected outcomes and the patient plan of care as needed Identifies barriers to achieving desired patient/family outcomes and utilizes resources to diminish the negative impact on the patient/family. Communicates with and includes the patient, family and other health care providers in the evaluation process. Provides care that demonstrates ethical beliefs and respect for patient's rights. Demonstrates and participates in activities that support customer satisfaction. Participates in the evaluation of the quality and effectiveness of nursing practices and supports measures to improve practice. Demonstrates the ability to maintain effective interactions with the staff on the unit and in other departments. Interacts with and contributes to the professional development of peers and other health care providers. Demonstrates the ability to act as a facilitator when dealing with other staff members regarding issues concerning patient care and/or functioning on the unit. Seeks out and utilizes the Nurse Manager or Nursing Administrative Supervisor to address issues that require their assistance to resolve. Accepts feedback from peers and management for the purposes of improved patient care and/or unit functioning. Engages in performance appraisal identifying areas of strength as well as areas where professional development would be beneficial. Works collaboratively with management to improve the environment of care for patients, families and personnel. Demonstrates a working knowledge of the principles, policies and procedures specific to the assigned nursing service. Maintains knowledge base through participation in learning situations such as departmental meetings, educational programs, professional association membership, journal review or committee participation Complies with staff meeting attendance requirement. Minimum Qualifications: To qualify you must have a Professional knowledge of nursing theory and practice acquired through completion of a two year training at an accredited School of Nursing. Current New York State license as a Registered Professional Nurse. BLS certification and de-escalation training ACLS (ICU, Float pool, Emergency Dept) TCAR Certification (SICU, PACU) For Emergency Dept: PALS, TNCC (within first year) Behavioral health RNs: CPI and BERT training within the first 6 months. *BLS, ACLS, PALS must be through AHA* Interpersonal skills necessary to effectively interact with patients and their families that demonstrate recognition of cultural diversity Practice reflects customer service excellence. Ability to clearly communicate in verbal and written format. Analytical ability to assess and develop solutions to clinical situations or unit problems. Maintains knowledge and proficiency in the clinical area and age group served. Ability to frequently lift/carry more than 75 lbs. Ability to frequently push/pull more than 100 lbs. Ability to frequently bend, squat, kneel, climb steps/ladder and reach above shoulders.. Required Licenses: Registered Nurse License-NYS Preferred Qualifications: For ED RN: 1 year Med Surg experience. For Med Surg Float Pool: 1 year Med Surg experience. For Critical Care: 1 year ICU/SDU experience. For ASU RN: 1 year critical care experience preferred. BSN preferred PALS preferred Certified Ambulatory Perianesthesia (e.g. CAPA) preferred. 1 year of nursing experience in preoperative, perioperative, or post-anesthesia care preferred Experience in patient assessment, education, and care planning for pre and post-operative patients preferred Prior experience in discharge planning and coordination of perioperative patients preferred Experience with electronic health records (EHR) systems, including documentation of patient assessments, treatment plans, and discharge instructions preferred NYU Langone Hospital—Suffolk provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. NYU Langone Hospital—Suffolk is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal . NYU Langone Hospital-Suffolk provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $57.11 - $73.91 Hourly. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. View the Pay Transparency Notice for further details.
Water's Edge at Port Jefferson for Rehabilitation and Nursing

RN MDS Assessor

RN MDS Assessor Water’s Edge Rehab & Nursing Center at Port Jefferson is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking qualified candidates who have experience as an RN and are committed to help our patients and facilities receive the support they need. Responsible for completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility staff. RN MDS Assessor Essential Job Functions Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans, in accordance with current federal and state regulations and guidelines that govern the process Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals and third party payers Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional information that has an affect on the clinical and operational outcomes of the Facility/Community Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures the RUG score which reflects the care and services provided Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid Ensures timely electronic submission of all Minimum Data Sets to the state data base. Reviews state validation reports and ensures that appropriate follow-up action is taken Facilitates the Care Management Process engaging the resident, IDT and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting Directly educates or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are involved with the RAI process. Teach and train new or updated RAI or company processes to interdisciplinary team (IDT) members as needed Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis Responsible for timely and accurate completion of Utilization Review and Triple Check Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator RN MDS Assessor Qualifications : Registered Nurse with current, active license in state of practice. Minimum of one (1) year of experience in a long term care setting Training program available for RN candidates with demonstrated assessment skills Salary: Up to $125,000 a year (Based on experience) An Equal Opportunity Employer INDRN
Community Care Home Health Services

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

$17 - $19.72 / hour
Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family!