Nursing Jobs in Secaucus, NJ

Caring Angles Home Care is seeking a dynamic Geriatric RN Case Manager with Oasis experience for our Brooklyn office. As Case Manager, you will play an integral role in the day-to-day functions of the agency. This position offers a competitive salary and benefit package. Case Manager Responsibilities: The Case Manager is responsible for ensuring that patient care is coordinated and managed appropriately. The Case Manager is responsible for ensuring that care and services are delivered appropriately as well as the supervision of clinical personnel. Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs. Reviews and evaluates each case by reviewing the services provided by clinicians, conferences, record review, discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate. Reviews patient's clinical diagnosis, medications, procedures and clinical course. Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care. Attends case conference meetings with organization personnel to facilitate coordination of care. Conducts quarterly record reviews and communicates findings and recommendations to DPS and appropriate organization personnel. Complies with accepted professional standards and principles. Participates in public relation and community activities that promote the Organization's role as an effective member of the health care delivery system. Promotes customer service orientation to all organization personnel. Performs other duties and activities as delegated by the DPS. Interested applicants are encouraged to apply Job Type: Full-time Benefits: Health insurance Paid time off License/Certification: New York State RN License (Required) Work Location: In person 
IV Home Infusion Nurse (($55 AN HOUR STARTING RATE!) Job Description UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion Registered Nurse (RN) , you will experience a special energy and excitement from your work as you join a team of individuals who are committed to improving the lives of others. You will work in a growing, specialized area of the nursing field outside the walls of a hospital setting As a Home Infusion Registered Nurse you will provide a broad range of infusion therapies in out patients’ homes while: Compassionately taking care of patients in order to allow them to recover in the comfort of their own home by using your clinical IV capabilities and personal touch. Skillfully providing one-on-one home infusion nursing care visits and patient education in accordance with the physician’s plan of treatment. Assessing the patient’s condition and response to therapy, taking action as needed to facilitate achievement of treatment goals. Establishing trust and building therapeutically effective relationships with our clients and their families. Required Qualifications: Active and unrestricted registered nurse with current license in state of NY Two (2)+ years of experience working as an RN in a Critical Care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, ED, ICU, post-anesthesia care, or similar setting) Experience with lab draws, IV infusions, and reconstitution of medications Strong experience with working with a variety of pumps (CAAD, curling, etc) & troubleshooting issues that may arise Possess a valid and current driver’s license and auto insurance/registration Ability to handle specialty cases like IGG, IVIG, Solumedrol, etc. Have and maintain current CPR / BLS certification Knowledge of HIPAA patient privacy and data security requirements; OSHA employee protection regulations Hold current Malpractice Insurance Have experience with Microsoft Office to document and track patient care activity About Us: Founded in 2008, UniversaCare is a fully licensed and growing Home Care Agency serving the NY Metropolitan area and is continually expanding throughout the Northeast. Our mission is to provide unwavering compassion and excellence in all aspects of home health care by matching individuals with our highly skilled and diverse team of caregivers. Interested? Apply online or call us today! We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to diversity with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment. 
IV Home Infusion Nurse (($55 AN HOUR STARTING RATE!) Job Description UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion Registered Nurse (RN) , you will experience a special energy and excitement from your work as you join a team of individuals who are committed to improving the lives of others. You will work in a growing, specialized area of the nursing field outside the walls of a hospital setting As a Home Infusion Registered Nurse you will provide a broad range of infusion therapies in out patients’ homes while: Compassionately taking care of patients in order to allow them to recover in the comfort of their own home by using your clinical IV capabilities and personal touch. Skillfully providing one-on-one home infusion nursing care visits and patient education in accordance with the physician’s plan of treatment. Assessing the patient’s condition and response to therapy, taking action as needed to facilitate achievement of treatment goals. Establishing trust and building therapeutically effective relationships with our clients and their families. Required Qualifications: Active and unrestricted registered nurse with current license in state of NY Two (2)+ years of experience working as an RN in a Critical Care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, ED, ICU, post-anesthesia care, or similar setting) Experience with lab draws, IV infusions, and reconstitution of medications Strong experience with working with a variety of pumps (CAAD, curling, etc) & troubleshooting issues that may arise Possess a valid and current driver’s license and auto insurance/registration Ability to handle specialty cases like IGG, IVIG, Solumedrol, etc. Have and maintain current CPR / BLS certification Knowledge of HIPAA patient privacy and data security requirements; OSHA employee protection regulations Hold current Malpractice Insurance Have experience with Microsoft Office to document and track patient care activity About Us: Founded in 2008, UniversaCare is a fully licensed and growing Home Care Agency serving the NY Metropolitan area and is continually expanding throughout the Northeast. Our mission is to provide unwavering compassion and excellence in all aspects of home health care by matching individuals with our highly skilled and diverse team of caregivers. Interested? Apply online or call us today! We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to diversity with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment. 
188143 Job Description Delivers and ensures patient care by assessing and diagnosing patient's condition, developing plan of care and evaluating patient's response to care. Participates in patient education and discharge planning. Collaborates with, coordinates and guides designated care team members in planning patient care and achieving goals. Job Responsibility * Develops and evaluates plan of care. Systematically and continuously assesses patient's knowledge base and physical, psychosocial and spiritual health through interviews, physical examinations and data collection Consults with multidisciplinary health care team in regard to nursing assessment findings. Creates written, individualized plan of care based on priority of patient problems, anticipated length of stay, input from patient and family and other members of the health care team. Communicates pertinent information and changes in patient status to appropriate members of care team and other health care providers, as necessary. Collaborates with team members to make changes in plan of care, as necessary. * Provides and/or delegates patient care according to the plan of care and established protocols. Utilizes clinical resources in implementing patient care and provides rationale for patient care decisions. Conducts clinical rounds, provides emergency care and administers medications to patient. Operates equipment required for patient care according to manufacturer's recommendations. Performs and assists with procedures and treatments on unit including but not limited to changing dressings, feeding patients and providing pre/post operative care. Practices and monitors infection control standards. Promotes and provides patient safety in accordance with state and federal guidelines. * Documents patient care, as required on all appropriate forms. Enters date and time of entry and signs name in legible manner on patient's chart. Completes Nursing Admission Assessment 24 hours after admission. Documents patient's response to interventions and plan of care on the Progress Notes Performs vital signs and pain score at least every four hours. Completes Transfer Assessments on patients transferred out of the unit and Perioperative Assessments on patients scheduled for surgery or procedures. Completes Frequent Observations and the Intake/Outtake Record according to established protocols. Initiates and completes health care referrals in collaboration with the interdisciplinary team. * Provides patient education. Identifies patients learning needs upon admission.Informs and educates patient and family to enable participation in their care and decision making. Develops and implements a teaching plan of care.Conducts patient teaching conferences.Documents patient teaching. * Participates in Quality Improvement process. Participates in developing and implementing of unit goals and objectives. Attends in-service programs on new products and equipment used on unit. Completes occurrence reports according to policy and unit-based audits, as assigned. Participates in identifying problems requiring investigation and in developing and implementing corrective action plans for the unit. * Participates in unit staff meetings and unit based clinical conferences, as scheduled.Represents the clinical unit on committees, as assigned.Submits annual record of continuing educations and self-assessment of clinical performance. * Performs the responsibilities of charge nurse and preceptor according to established protocols, 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. BCLS, ACLS or PALS, 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). Looking for Certified Home Health Aides - Full time/Part time work available - Weekly pay for Certified Home Health Aides - Supportive environment - Flexible schedules - Sign on bonus Seeking a great company to work for? - Join our growing team of Certified Home Health Aides - Top dollar paid weekly - Supportive office staff - Flexible schedules - Sign on bonus for Certified Home Health Aides Looking to get paid to do what you love? - Sign on bonus - Best pay in the market - Evening hours available - Immediate openings for Certified Home Health Aides Pay range: $14-$17/hour Sign on bonus of $100 - $150 
The Concord Nursing and Rehabilitation Center is looking to hire a Registered Nurse (RN) Cart Nurse in Brooklyn, NY. We now offer Daily Pay through a trusted third-party provider giving you faster access to your earnings. DUTIES: As a Registered Nurse (RN), Provide advice & support to the Residents and their families Monitoring Residents and administering medication and treatments Documents Resident care services by charting in Resident & dept. records Protects Residents & staff by adhering to infection-control policies & protocols Resolves Resident problems &needs by utilizing multidisciplinary team strategies Assures quality of care by adhering to Facility philosophies & standards of care Maintains Resident confidence by keeping information confidential REQUIREMENTS: Should work well in a team environment Current State Registered Nurse RN License Long-Term Care experience preferred Solid computer skills; working knowledge of MS Office Excellent communication skills Should be friendly and a strong team worker ABOUT US: Founded in 1975, the Concord Nursing and Rehabilitation Center is a modern, fully equipped, skilled nursing facility offering a full range of medical, social, and rehabilitation services. The facility features 140 beds including 17 vent certified beds. The residents live in attractively furnished private and semi-private rooms. CentersHealthCare.com/careers Equal Opportunity Employer –M/F/D/V $85,090 - $147,220 / year
186290 Job Description Participates in interdisciplinary and process improvement teams to identify potential future uses of the information systems and potential improvements in the current use of the systems. Serves as a nursing informatics resource, to individuals and teams within Patient Care Services. Job Responsibility Knowledgeable of Performance Improvement methodology used within the organization. Maintains up-to-date knowledge of trends and advances in Nursing Informatics, as well as new developments in hardware and software technology; uses this knowledge in supporting users and process teams. Participates in preparation of Performance Improvement reports for care services presentation at committee meeting; reports to Hospital Quality Management for external benchmarking as needed. Assists in conducting focus studies to measure and assess patient care services’ process stability and the achievement of patient outcomes and organizational goals. Assists in coordinating investigations of state reportable incidents/complaints, sentinel events, citations and data collection for corrective actions. Participates in special projects related to quality issues; assists in recommendations and coordinating implementation of plan of corrective action; assists in preparing monthly variance reports for the leadership, physicians, and other hospital personnel as needed Presents patient specific issues and other concerns to appropriate leadership and Performance Improvement Committees for resolution of conflicts. Uses office technology and data base systems to perform functions of the job; creates documents for formal presentations and storyboards. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification BSN nursing degree, required. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed Current license to practice as a Registered Professional Nurse OR as a Nurse Practitioner in New York State OR current Licensed Registered Physician Assistant by New York State Department of Education, required. One-three (1-3) years clinical experience including general knowledge of QM principles, NYPORTS and JCAHO requirements. 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). 
We Offer Competitive Salary, Full Benefits Package, Paid time Off and Opportunities for Professional Growth Sapphire Center for Rehabilitation of Central Queens , a premier long term skilled nursing facility located in Queens , New York has immediate openings for LPN’s . We are looking for individuals who desire a worthwhile career that has purpose and makes a meaningful difference in someone’s life . Under supervised professional and skilled guidance, our LPN’ s give direct nursing care to assigned residents and perform other services necessary for their personal and comforts needs. We look forward to meeting with you to discuss professional opportunities at our facility. Shifts available: Full-time evenings, nights and weekends. Shift Differential : We are paying an additional $3.224 shift differential for working on evening or night shifts Responsibilities: · Delivers nursing care in structured & routine situations. · Administers and records medications and treatments as assigned. · Prepares for and assists Nurses and others with diagnostic procedures and treatments. · Reinforces, supports and provides health care instructions to patients and their families. · Participates with other team members in planning, implementing and evaluating nursing care and other patient activities. · Assists in the admission, transfer and discharge of patients. · Observes and reports patients’ vital signs, symptoms and general condition to the appropriate individuals(s). · Records on patient charts observation of patients responses to nursing care rendered. · Maintains environmental conditions conducive to the comfort and safety of patients. · Assists with unit management and/or assumes charge of unit as assigned. · Performs other nursing functions related to patient care and nursing service, as delegated by the Nursing Service Administration. · Guides and directs other technicians and nurse’s aides in rendering patient care. · Maintains clinical competence through participation and attendance at continuing education programs assistance with activities of daily living. Requirements: · Completion of an educational program and NYS licensure as a LPN. · Prior experience in a long term skilled nursing facility is a plus. ABOUT US: Sapphire Center for Rehabilitation of Central Queens c onsiders the health and safety of its residents, family members, and team members as its highest priorities. All offers of employment with Sapphire Nursing are conditioned on completing and passing a background and drug test, participating in mandatory vaccine programs (e.g., Covid-19), participating in testing requirements (e.g. Covid-19, TB) and using designated PPE when required . Who we are : We are an innovative skilled nursing facility that specializes in caring for the elderly. Our successful reputation has been built by the efforts of our dedicated employees and is supported by Sapphire's future strategies, which reflect our appreciation for those who work in our organizations. Please join us and begin a successful and rewarding career WE ARE AN EQUAL OPPORTUNITY EMPLOYER . Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. 
Bushwick Adult Day Care is seeking a Registered Nurse (RN) for our Adult Day Care in Brooklyn, New York. The Ideal candidate will have a background in ADC and be extremely organized. DUTIES: • Provides advice & support to the Residents and their families • Monitoring Residents and administering medication and treatments • Documents Resident care services by charting in Resident & dept. records • Protects Residents & staff by adhering to infection-control policies & protocols • Resolves Resident problems &needs by utilizing multidisciplinary team strategies • Assures quality of care by adhering to Facility philosophies & standards of care • Supervising LPNs and Nursing Assistants • Maintains Resident confidence by keeping information confidential REQUIREMENTS: • Should work well in a team oriented environment • Must have a valid New York Registered Nurse (RN) License • Basic computer skills • Excellent communication skills • Experience in LTC settings • Should be friendly and a team worker 
Description Kindred Hospital East New Jersey is a long-term acute care hospital offering the same in depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are located close to transit bus and train lines and major highways, including I-95, and Garden State Parkway NJ-3 and NJ-21. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated. Assigns nursing care team members in accordance to patient needs, team member’s capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Receives physician’s orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Initiates or assists with emergency measures for sudden adverse developments in patients’ condition. Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off. Communicates appropriately and clearly to management, co-workers, and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Participates in orientation, instruction/training of new personnel. Manages and operates equipment safely and correctly. Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned Pay range: $38.50 - $48.83/Hr ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Graduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program. Licenses/Certification Current state licensure as Registered Nurse. BCLS certification required ACLS certifications preferred. Experience Minimum six months’ Medical/Surgical experience in an acute care setting preferred. 
Hiring Registered Nurses (RNs) for Skilled Nursing Facility Make a Difference on Your Own Schedule and Terms! We are seeking compassionate RNs / Registered Nurses to work within our client's facilities, providing follow-through of the physician-established plan of treatment and working under the supervision of the RN Supervisor. Five Star believes that qualified nurses are advocates and health educators for patients, families, and communities. Hourly pay rate: $50-$53 We would love to hear from you and see how we can help you advance your career in the medical field and earn money while caring for your community! As one of Five Star’s Registered Nurses, you will have access to: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Paid Orientations · Competitive Weekly Pay with Direct Deposit · Paid Sick Leave in accordance with NY law. · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Lucrative Referral Bonuses RN/ Registered Nurse Requirements: Currently holds an active RN license to work in New York. CPR Certified (BLS or ALS accepted) Meets all State and Federal requirements for US employment in a Nursing Facility Strong patient assessment skills Ability to communicate effectively Demonstrated clinical competency Five Star RNs are expected to carry out the following tasks: Accurately record medical histories. Take and record vital signs, collect samples for lab testing. Administer medications and perform approved procedures and care. Monitor patient condition and compose patient charts. Provide emotional and psychological support when needed Communicate with patients’ families to provide advice, comfort, and release instructions Provide supervision and support to other nurse staff when necessary We look forward to hearing from you soon. Apply today! $104,374.40 - $130,478.40 / year
POSITION SUMMARY: The primarily role of this position is to proactively manage the outpatient population of Type 1 diabetes patients and growth-hormone requiring patients at Valley Medical Group Pediatric Endocrinology. This includes educating patients and their families with new-onset diabetes in an inpatient setting. This role also includes providing ongoing education to current patients, which will include doing insulin pump and continuous glucose monitor education in an outpatient setting. EDUCATION: Graduate from an accredited School of Nursing. BSN and CDE required. EXPERIENCE: 2 years of pediatric RN experience required plus an additional 2 years of experience in caring for pediatric patients with Type 1 diabetes, including experience with insulin pumps and continuous glucose monitors. Experience with growth hormone therapy preferred but not required. Computer and keyboard skills required. Medical terminology required. SPECIAL SKILLS: * Current State of NJ license (or legal permission to work from the NJ Board of Nursing). * Completion of General Orientation, VMG specific orientation, CPR certification required. * Ability to use Microsoft Excel (to track HgbA1c values of our patients) and comfort with email (to keep in touch with patients) & Microsoft Word (to write up insulin regimens). * Ability to educate families and children regarding Type 1 diabetes, especially at diagnosis, and to provide emotional support at these times. * Ability to adjust insulin doses for children on multiple-daily injections. * Ability to download, interpret, and adjust Medtronic, Omni pod, and T-slim insulin pumps. * Ability to download and interpret Dexcom CGMS data. *Ability to care for patients with diabetes by phone and identify those who need urgent medical attention. (i.e. acute hypoglycemia or vomiting). This includes handling calls from school RNs. * Ability to complete prior authorizations and write insurance appeal letters for diabetes supplies and growth hormone. * Demonstrates effective interaction & communication (oral, writing, presenting) skills, which will eventually include leading a pediatric diabetes support group (in the evening) once/month. * Ability to work accurately & pay attention to details, often changing from one task to another without loss of efficiency or composure. * Ability to function competently in stressful situations & a changing work environment related to changing customer needs. * Ability to work cooperatively within the health-system; with patients & family members; & with multidisciplinary team members (i.e., physicians, hospital nurses, insurance companies.). * Ability to utilize effective time management to set priorities, perform job related responsibilities, & respond quickly to emergency situations. * Ability to use critical thinking and reasoning skills to effectively problem-solve & deliver care. Job Location Paramus 140 E Ridgewood Ave Shift Day (United States of America) Benefits Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees) Group Term Life Insurance and AD&D(Full Time Employees) Flexible Spending Accounts and Commuter Benefit Plans Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.) 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness Retirement Plan Tuition Assistance Employee Assistance Program (EAP) Valley Health LifeStyles Fitness Center Membership Discount Day Care Discounts for Various Daycare Facilities Salary Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits. Pay Range: $104,374.40 - $130,478.40 The posted pay range reflects the compensation for a full-time equivalent (1.0 FTE) EEO Statement Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment. 
IV Home Infusion Nurse (($55 AN HOUR STARTING RATE!) Job Description UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion Registered Nurse (RN) , you will experience a special energy and excitement from your work as you join a team of individuals who are committed to improving the lives of others. You will work in a growing, specialized area of the nursing field outside the walls of a hospital setting As a Home Infusion Registered Nurse you will provide a broad range of infusion therapies in out patients’ homes while: Compassionately taking care of patients in order to allow them to recover in the comfort of their own home by using your clinical IV capabilities and personal touch. Skillfully providing one-on-one home infusion nursing care visits and patient education in accordance with the physician’s plan of treatment. Assessing the patient’s condition and response to therapy, taking action as needed to facilitate achievement of treatment goals. Establishing trust and building therapeutically effective relationships with our clients and their families. Required Qualifications: Active and unrestricted registered nurse with current license in state of NY Two (2)+ years of experience working as an RN in a Critical Care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, ED, ICU, post-anesthesia care, or similar setting) Experience with lab draws, IV infusions, and reconstitution of medications Strong experience with working with a variety of pumps (CAAD, curling, etc) & troubleshooting issues that may arise Possess a valid and current driver’s license and auto insurance/registration Ability to handle specialty cases like IGG, IVIG, Solumedrol, etc. Have and maintain current CPR / BLS certification Knowledge of HIPAA patient privacy and data security requirements; OSHA employee protection regulations Hold current Malpractice Insurance Have experience with Microsoft Office to document and track patient care activity About Us: Founded in 2008, UniversaCare is a fully licensed and growing Home Care Agency serving the NY Metropolitan area and is continually expanding throughout the Northeast. Our mission is to provide unwavering compassion and excellence in all aspects of home health care by matching individuals with our highly skilled and diverse team of caregivers. Interested? Apply online or call us today! We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to diversity with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment. 
Description The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others. Responsibilities Patient Care 1. Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards. 2. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management. 3. Integrates relevant assessment and intervention skills in the delivery of nursing care. 4. Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. 5. Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate. 6. Educates patients and caregivers while anticipating needs and readiness to learn, about their plan of care, transition of care, promotion of health, and prevention of disease. 7. Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team. 8. Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively. Patient Experience 1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain and Plan of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patients values, preferences, expressed needs and knowledge in all aspects of care. 3. Establishes and maintains a therapeutic relationship with the patient and family. 4. Uses evidence-based practices to increase understanding of patient's perceptions of care. 5. Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed. 6. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions. 7. Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care. 8. Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps. Quality and Safety 1. Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. 2. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. 3. Implements process improvement strategies based on institutional, evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies. 6. Contributes to quality and safety practices and required compliance measures. 7. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients. 8. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol. 9. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives. Operations 1. Performs charge nurse duties as assigned. 2. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator to ensure supplies are appropriately utilized and inventory is sufficient for patient care. 3. Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Administrator. 4. Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources. 5. Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. 6. Facilitates patient throughput on a shift basis. Professional Development 1. Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. 2. Advances clinical competence in nursing practice to progress from novice to expert. 3. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy. 4. Incorporates ethical principles into decision making for patient and family. 5. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6. Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs. 7. Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives. 8. Serves as a professional role model and preceptor for new staff and students. 9. Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area. 10. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care. 11. Contributes to the profession of nursing through participation in professional organizations. Qualifications Graduation from an accredited Nursing program. Bachelor?s Degree in Nursing. (BSN) Associate?s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year. Any Associate?s Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO. Relevant clinical competence in area of nursing practice assigned; new graduates must possess current knowledge of the nursing process and its application Licensed as a registered nurse with current registration in New York State Name: Basic Life Saver (BCLS) Issuing Agency: AHA Certification: NRP (Labor and Delivery, NICU dept) Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology Certification: PALS (in ED; PACU; Endoscopy; IR; Peds ICU, and APNs Pediatric Oncology depts.) Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64.8517 - $64.8517 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. 
IV Home Infusion Nurse (($55 AN HOUR STARTING RATE!) Job Description UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion Registered Nurse (RN) , you will experience a special energy and excitement from your work as you join a team of individuals who are committed to improving the lives of others. You will work in a growing, specialized area of the nursing field outside the walls of a hospital setting As a Home Infusion Registered Nurse you will provide a broad range of infusion therapies in out patients’ homes while: Compassionately taking care of patients in order to allow them to recover in the comfort of their own home by using your clinical IV capabilities and personal touch. Skillfully providing one-on-one home infusion nursing care visits and patient education in accordance with the physician’s plan of treatment. Assessing the patient’s condition and response to therapy, taking action as needed to facilitate achievement of treatment goals. Establishing trust and building therapeutically effective relationships with our clients and their families. Required Qualifications: Active and unrestricted registered nurse with current license in state of NY Two (2)+ years of experience working as an RN in a Critical Care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, ED, ICU, post-anesthesia care, or similar setting) Experience with lab draws, IV infusions, and reconstitution of medications Strong experience with working with a variety of pumps (CAAD, curling, etc) & troubleshooting issues that may arise Possess a valid and current driver’s license and auto insurance/registration Ability to handle specialty cases like IGG, IVIG, Solumedrol, etc. Have and maintain current CPR / BLS certification Knowledge of HIPAA patient privacy and data security requirements; OSHA employee protection regulations Hold current Malpractice Insurance Have experience with Microsoft Office to document and track patient care activity About Us: Founded in 2008, UniversaCare is a fully licensed and growing Home Care Agency serving the NY Metropolitan area and is continually expanding throughout the Northeast. Our mission is to provide unwavering compassion and excellence in all aspects of home health care by matching individuals with our highly skilled and diverse team of caregivers. Interested? Apply online or call us today! We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to diversity with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment. 
Description Job Title - Per Diem Nurse Practitioner-Neonatal Intensive Care Unit - Mount Sinai Hospital A Registered Nurse Practitioner engaged to work on an as-needed basis for patient care delivery. Responsibilities Provides clinical patient care to all assigned patients on an as-needed basis. Maintains BCLS/ACLS Certification and annual program requirements, for renewal, the nurse practitioner participates in classes offered by Nursing Education. Possesses the required competence in the area of assignment within the guidelines of the position description. Completes the necessary orientation program as coordinated by Nursing Education prior to engagement. Complies with all institutional regulations as would a full-time employee. Maintains telephone accessibility for control of assignment. Notifies the unit or care center office of any changes in contact information. Submits a letter of resignation at least two weeks ahead of effective date. Qualifications Master's degree program designed to prepare a registered nurse to provide acute/primary health care services or the successful completion of an approved supplemental education program, i.e., post-Masters NP certificate. Relevant clinical nursing experience Name: RN License Agency: DOH / Office of Professions Name: CNP License Agency: DOH / Office of Professions Name: Basic Cardiac Life Support (BCLS) Agency: AHA Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology Certification: NRP (Labor and Delivery, NICU depts) Certification: PALS (in ED; PACU; IR; Peds ICU, and APNs Pediatric Oncology depts.) Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $96.4228 - $96.4228 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. 
Overview Supervises Home Health Aides delivering service to clients in the home care setting and coordinates all related administrative responsibilities. Works under general supervision. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched 401k retirement saving program Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement and CEU credits What You Will Do Assigns Home Health Aides (HHA) to deliver requested service to VNS Health patients and members. Ensures the delivery of high-quality service by supervising activities of assigned HHA staff. Maintains compliance of HHAs with corporate policies, state regulations, and contractual requirements. Initiates appropriate corrective action and documentation by coaching, counseling, and terminating HHAs as required, in a timely effective manner. Encourages and develops on-going communication with HHA staff and management across VNS Health; identifies and resolves issues which effect service delivery. Maintains or grows caseload depending on resource availability. Develops and implements procedures to maximize operational efficiency and effectiveness, as necessary. Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance and recommends hiring, promotions, salary actions and terminations, as appropriate. Participates in special projects and performs other duties as assigned. Qualifications Education: High School Diploma or equivalency Required Bachelor's Degree Preferred Work Experience: Minimum of two years of experience in customer service Required Strong organization and administrative skills Required Demonstrated problem-solving abilities Required Pay Range USD $20.98 - USD $26.23 /Hr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
IV Home Infusion Nurse (($55 AN HOUR STARTING RATE!) Job Description UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion Registered Nurse (RN) , you will experience a special energy and excitement from your work as you join a team of individuals who are committed to improving the lives of others. You will work in a growing, specialized area of the nursing field outside the walls of a hospital setting As a Home Infusion Registered Nurse you will provide a broad range of infusion therapies in out patients’ homes while: Compassionately taking care of patients in order to allow them to recover in the comfort of their own home by using your clinical IV capabilities and personal touch. Skillfully providing one-on-one home infusion nursing care visits and patient education in accordance with the physician’s plan of treatment. Assessing the patient’s condition and response to therapy, taking action as needed to facilitate achievement of treatment goals. Establishing trust and building therapeutically effective relationships with our clients and their families. Required Qualifications: Active and unrestricted registered nurse with current license in state of NY Two (2)+ years of experience working as an RN in a Critical Care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, ED, ICU, post-anesthesia care, or similar setting) Experience with lab draws, IV infusions, and reconstitution of medications Strong experience with working with a variety of pumps (CAAD, curling, etc) & troubleshooting issues that may arise Possess a valid and current driver’s license and auto insurance/registration Ability to handle specialty cases like IGG, IVIG, Solumedrol, etc. Have and maintain current CPR / BLS certification Knowledge of HIPAA patient privacy and data security requirements; OSHA employee protection regulations Hold current Malpractice Insurance Have experience with Microsoft Office to document and track patient care activity About Us: Founded in 2008, UniversaCare is a fully licensed and growing Home Care Agency serving the NY Metropolitan area and is continually expanding throughout the Northeast. Our mission is to provide unwavering compassion and excellence in all aspects of home health care by matching individuals with our highly skilled and diverse team of caregivers. Interested? Apply online or call us today! We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to diversity with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment. 
Yonkers Center is confident that together we can achieve even the highest standards of skilled nursing. Apply today, we can't wait to meet you! 115 S Broadway, Yonkers, NY COME JOINE OUR AMAZING CNA TEAM!!! Shifts available: 7:30am-3:30pm, 3:30pm-11:30pm and 11:30pm-7:30am Full time, Part time and PRN WORK AS A CERTIFIED NURSING ASSISTANT ( CNA ) AT YONKERS CENTER AND ENJOY: $6,000 Sign on Bonus Weekly Payroll Daily Pay Health Insurance Dental Insurance Vision Insurance Paid Time Off Direct Deposit Full and Part Time Positions Flexible Scheduling Overnight Shift Differential of 10% Full-Time Hourly Range: $19.25-21.25 Some of your Certified Nursing Assistant (CNA) Job Responsibilities include: Assisting residents with ADLs, and work with the team to ensure appropriate resident care is provided Assisting at meals Following infection control and center policies Measuring and recording heights and weights temperatures, pulses, respirations and blood pressures (TPRs and B/P) as instructed Reports all changes in residents’ condition to supervisor as soon as practical Certified Nursing Assistant (CNA) Qualifications: CNA (Certified Nursing Assistant) Certification by the State Required High School Diploma or GED Preferred Experience preferred, not required 
Description The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others. Responsibilities Patient Care 1. Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards. 2. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management. 3. Integrates relevant assessment and intervention skills in the delivery of nursing care. 4. Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. 5. Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate. 6. Educates patients and caregivers while anticipating needs and readiness to learn, about their plan of care, transition of care, promotion of health, and prevention of disease. 7. Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team. 8. Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively. Patient Experience 1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain and Plan of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patients values, preferences, expressed needs and knowledge in all aspects of care. 3. Establishes and maintains a therapeutic relationship with the patient and family. 4. Uses evidence-based practices to increase understanding of patient's perceptions of care. 5. Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed. 6. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions. 7. Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care. 8. Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps. Quality and Safety 1. Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. 2. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. 3. Implements process improvement strategies based on institutional, evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies. 6. Contributes to quality and safety practices and required compliance measures. 7. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients. 8. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol. 9. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives. Operations 1. Performs charge nurse duties as assigned. 2. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator to ensure supplies are appropriately utilized and inventory is sufficient for patient care. 3. Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Administrator. 4. Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources. 5. Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. 6. Facilitates patient throughput on a shift basis. Professional Development 1. Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. 2. Advances clinical competence in nursing practice to progress from novice to expert. 3. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy. 4. Incorporates ethical principles into decision making for patient and family. 5. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6. Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs. 7. Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives. 8. Serves as a professional role model and preceptor for new staff and students. 9. Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area. 10. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care. 11. Contributes to the profession of nursing through participation in professional organizations. Qualifications Graduation from an accredited Nursing program. Bachelor?s Degree in Nursing. (BSN) Associate?s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year. Any Associate?s Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO. Relevant clinical competence in area of nursing practice assigned; new graduates must possess current knowledge of the nursing process and its application Licensed as a registered nurse with current registration in New York State Name: Basic Life Saver (BCLS) Issuing Agency: AHA Certification: NRP (Labor and Delivery, NICU dept) Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology Certification: PALS (in ED; PACU; Endoscopy; IR; Peds ICU, and APNs Pediatric Oncology depts.) Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64.8517 - $64.8517 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. 
About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ Please apply within this website: https://www.cognitoforms.com/mayahomecare1/mayahomecarecaregiverapplication 
IV Home Infusion Nurse (($55 AN HOUR STARTING RATE!) Job Description UniversaCare is seeking to hire PRN Home Infusion Registered Nurse. Position: Per-diem Hours: Flexible Hours, Evenings & Weekends Start Date: Immediately As a Home Care PRN Infusion Registered Nurse (RN) , you will experience a special energy and excitement from your work as you join a team of individuals who are committed to improving the lives of others. You will work in a growing, specialized area of the nursing field outside the walls of a hospital setting As a Home Infusion Registered Nurse you will provide a broad range of infusion therapies in out patients’ homes while: Compassionately taking care of patients in order to allow them to recover in the comfort of their own home by using your clinical IV capabilities and personal touch. Skillfully providing one-on-one home infusion nursing care visits and patient education in accordance with the physician’s plan of treatment. Assessing the patient’s condition and response to therapy, taking action as needed to facilitate achievement of treatment goals. Establishing trust and building therapeutically effective relationships with our clients and their families. Required Qualifications: Active and unrestricted registered nurse with current license in state of NY Two (2)+ years of experience working as an RN in a Critical Care setting that contributes to proficiency in infusion therapy (such as medical surgical unit, ED, ICU, post-anesthesia care, or similar setting) Experience with lab draws, IV infusions, and reconstitution of medications Strong experience with working with a variety of pumps (CAAD, curling, etc) & troubleshooting issues that may arise Possess a valid and current driver’s license and auto insurance/registration Ability to handle specialty cases like IGG, IVIG, Solumedrol, etc. Have and maintain current CPR / BLS certification Knowledge of HIPAA patient privacy and data security requirements; OSHA employee protection regulations Hold current Malpractice Insurance Have experience with Microsoft Office to document and track patient care activity About Us: Founded in 2008, UniversaCare is a fully licensed and growing Home Care Agency serving the NY Metropolitan area and is continually expanding throughout the Northeast. Our mission is to provide unwavering compassion and excellence in all aspects of home health care by matching individuals with our highly skilled and diverse team of caregivers. Interested? Apply online or call us today! We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to diversity with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment. 
188857 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 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 of support groups, counseling services, and 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; 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 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 and 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 in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions; participates in patient and family education; provides 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. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 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). Licensed practical nurses (LPN's) fill important roles in modern healthcare practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes. Admitting new residents Assisting physicians during rounds of residents’ rooms Assigning and delegating duties to non-licensed nursing staff Monitoring resident care and supervising other nursing staff Performing ongoing assessments of residents’ physical and mental health Explaining procedures and treatment protocols to residents. Job Type: Per Diem Schedule: 8 hour shift Evening shift On call Weekend availability License/Certification: BLS Certification (Preferred) LPN (Required) 
177387 Job Description Facilitates patient's hospitalization from pre-admission through post-discharge. Coordinates with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care. Assesses, plans, oversees and evaluates the appropriateness of care across the acute care continuum. Applies clinical expertise and medical appropriateness criteria to resource utilization and discharge planning. Job Responsibility Coordinates and facilitates patient care throughout hospitalization.Performs a case management intake assessment.Orients patient to the role of the case manager, the goals of care and expected length of stay.Discusses with attending physician and/or physician advisor the appropriateness of resource utilization, consultation and treatment plan.Participates in interdisciplinary patient care rounds.Discusses estimated length of stay, treatment and discharge plan with the attending physician, as indicated.Identifies and assists in removing barriers to patient care (variances) and resolves issues with appropriate departments and staff.Coordinates and facilitates transitional planning needs through the acute care continuum.Makes referrals to social work as identified through the high risk screening process using high-risk criteria,.Consults with the physician regarding physical therapy, nutrition, speech therapy, respiratory therapy and other ancillary services as needed.Collaborates with members of the interdisciplinary team to assess, plan, implement, coordinate and monitor services required to achieve quality patient care and resource management.Serves as liaison between patients, families, physicians, payers and other members of the interdisciplinary care team.Coordinates and facilitates the discharge planning process.Initiates discharge planning by assessing the patient's needs and documenting the assessment on the interdisciplinary care team.Works collaboratively with the physician and interdisciplinary team to determine the patient's need for continuing care services.Ensures interdisciplinary care plan and discharge plan are consistent with the patient's clinical course, continuing care needs and covered services.Conducts a case management assessment including the patient's physical, psychosocial and financial needs and issues.Interviews patient or designated agent to assess discharge-planning needs.Involves patient and/or family in discussion and planning for anticipated need for care following discharge.Ensures discharge plan is safe and timely.Completes paperwork and/or ensures paperwork is completed and distributed.Ensures patient and/or family are given information regarding their choices regarding transfer to another level of care according to regulatory standards.Ensures continuing care services including transportation, durable medical equipment, etc are appropriately arranged for and financially approved.Performs concurrent utilization management.Reviews appropriateness of patient's admission, need for continued stay and discharge criteria using established criteria.Discusses with attending physician and/or physician advisor the appropriateness of resource utilization, consultation and treatment plan.Ensures patient meets acute care criteria during each in-patient day.Places patient on alternate level of care (ALC) status In concert with attending physician.Responds to third party payer requests for concurrent clinical information providing all relevant documentation to ensure reimbursement within expected time frames.Disseminates documents of non-coverage when appropriate Ensures compliance with current state, federal and third party payer regulations.Works collaboratively with on-site reviewers to transition patients to appropriate discharge settings.Participates in quality management of patient care outcomes.Identifies and collects quality data including pre-established quality screens, NYPORTS and core measures.Identifies and reports quality issues to the department management.Ensures minimum quality standards are met each day of hospitalization.Documents case management process in the medical record.Documents on-going process of discharge planning including discharge assessment, plan and on-going evaluation and up-dates.Provides summary note at time of discharge synthesizing the discharge plan and follow-up care needs.Completes appropriate portions of Patient Discharge Instruction Sheet.Completes and facilitates completion of the Patient Review Instruments (PRI) with other disciplines.Completes case management intake assessment form.Completes relevant documents including Patient Transfer Form.Documents on-going case management progress notes in the medical record.Performs related duties, as required.*ADA Essential Functions Job Qualifications Bachelors Degree in Nursing, required. Masters Degree, preferred. Current license to practice as a Registered Professional Nurse in New York State. Patient Review Instruments (PRI) Certification, preferred. Certification in Case Management, preferred. Minimum five (5) years clinical experience as a registered nurse. Prior experience in utilization management and/or discharge planning, preferred. A strong clinical background and an understanding of the preparation and post procedure monitoring requirements for diagnostic/radiological and/or surgical procedures. PC literate. Knowledge of Microsoft Office, Excel, spreadsheet management required.