Nursing Jobs in Shiremanstown, PA

Pleasant Acres Nursing & Rehabilitation Center East York, PA

5 days ago

LPN Licensed Practical Nurse Per Diem

LPN Licensed Practical Nurse Per Diem Join the Pleasant Acres Nursing & Rehabilitation Center Team! At Pleasant Acres Nursing & Rehabilitation Center, we are dedicated to providing exceptional care and compassion to our residents. Our state-of-the-art facility offers a full continuum of care, from temporary respite care to long-term skilled nursing, hospice services, and exceptional short-term rehabilitation. We are seeking a highly skilled and compassionate LPN Licensed Practical Nurse Per Diem to join our team! LPN Licensed Practical Nurse Responsibilities: Provide direct patient care, under the supervision of a registered nurse, to residents with a variety of needs and conditions Administer medications and treatments as prescribed by the physician Monitor and record vital signs, and report any changes to the registered nurse Develop and implement individualized care plans to meet the unique needs of each resident Collaborate with the interdisciplinary care team to ensure comprehensive care Participate in quality improvement initiatives to ensure the highest level of care LPN Licensed Practical Nurse Requirements: Current LPN license in the state of Pennsylvania Prior experience in a long-term care or rehabilitation setting preferred What We Offer: Competitive compensation and benefits package Opportunities for professional growth and development Collaborative and supportive team environment Flexible scheduling to fit your needs How to Apply: If you are a dedicated and compassionate LPN looking for a rewarding career in senior care, we encourage you to apply for this exciting opportunity. Please submit your application to join our team and help us continue to deliver exceptional care and service to our residents.

5 days ago

Professional Staff Nurse, Expert, BSN-MSICU (UPMC Harrisburg)

UPMC Harrisburg, PA

This full-time MSICU Day/Night rotating position, including weekends and Holidays, is open to experienced RNs and GNs' with inpatient PCT experience! UPMC is committed to investing in nurses like you –financially, personally, and professionally –starting on day one of your career. From tackling student loans to advancing your career later in life, UPMC is the partner you need to succeed and thrive in your nursing career. Here’s how we support our nurses: Generous Sign-On Bonus (*Amount and eligibility based on type of nursing role and candidate experience) Up to five and a half weeks of Paid Time Off annually, plus seven paid holidays each year Dedicated career ladders, including a brand-new nursing career ladder added just this year, allowing you to achieve your highest potential while rewarding you for your experience and advanced education Tuition reimbursement of up to $6,000 per academic year at any accredited institution, available to employees and their dependents (plus discounts for UPMC employees including no cost RN-BSN/MSN options!) The Professional Staff Nurse, BSN, Expert is a Registered Nurse, a member of the care delivery team, and responsible for seeking opportunities to assist in changing practice through process improvement. The Professional Staff Nurse, BSN, Expert is responsible to set the standards for the level and quality of care. The Professional Staff Nurse, BSN, Expert has responsibility, authority, and accountability for the provision of nursing care. The Professional Staff Nurse, BSN, Expert manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication, and collaboration with all team members. The role of the Professional Staff Nurse, BSN, Expert encompasses leadership, partnership, collaboration, and supervision. The Professional Staff Nurse, BSN, Expert establishes and maintains collaborative relationships with physicians, other health care providers, patients, and their families, to achieve desired patient outcomes throughout the continuum of care. The Professional Staff Nurse, BSN, Expert demonstrates a commitment to the community and to the nursing profession. Responsibilities: Demonstrates a passion for developing others, enthusiastically and expertly precepts students, graduate nurses and new hires. Analyzes clinical and behavioral situations, identifying learning opportunities to improve patient care practices. Regularly seeks feedback on performance and applies continuous professional improvement. Supports continuous learning in the clinical area by sharing research, materials from professional organizations, presenting on the unit, supporting journal clubs, etc. Applies the nursing process within the framework of Relationship Based Care to create a healing environment. Formulates daily goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Practices solid communication skills and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and unit practices. Patient documentation is comprehensive and promotes communication between caregivers. Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction of the patient experience in daily work. Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues. Builds and mends relationships among colleagues within the framework of a healthy workplace. Role models keen cultural awareness including preventing and addressing horizontal violence and impairment. Maintains a conscious balance between work and personal life through prioritization and delegation of responsibilities. Identifies opportunities for clinical quality as well as workplace improvement. Applies evidence-based practice as a regular aspect of professional practice. Serves on or leads teams that launch innovations in patient care or support a healthy workforce. Serves as a role model of professional nursing practice by serving as a recognized unit leader in one or more of the following areas: clinical expertise, teacher, specialized resource nurse, and/or evidence-based practice. Consistently gives appropriate feedback to all members of the health care team and participates in the nursing peer review process. Promotes change that enhances the quality of patient care and the unit environment. Serves on teams and leads successful teams as a part of daily practice. Demonstrates highly developed clinical assessment and analytical skills within the context of Relationship Based Care. Actively participates in shared governance at unit level and serves on hospital-wide councils. *Performs in accordance with system-wide competencies/behaviors.*Performs other duties as assigned. Minimum 4 years experience. BSN required. Annual completion of a professional contribution selected from department, hospital or system gals, and approved by Unit Director AND either:UPMC approved nursing certification required within 1 year of hire/transfer and must be maintained.Certification not required if Master's in nursing or DNP is held. If a BSN is held, a Master's degree in a related field may be substituted in lieu of Certification. The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the ages of the patients served by his/her assigned unit as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. Must obtain a Solid/Strong/Good or higher on a Professional Staff Nurse Performance Evaluation to be promoted to this level. Must maintain a Solid/Strong/Good or higher on annual performance evaluation to maintain status. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. Exemplary clinical judgment with critical thinking, analytical and problem-solving abilities required as related to various aspects of patient care. Critical thinking skills necessary to exercise and to lead others in application of the nursing process. Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning of patients. Licensure, Certifications, and Clearances: Additional License RequirementsAnnual completion of a professional contribution selected from department, hospital or system gals, and approved by Unit Director AND either:UPMC approved nursing certification required within 1 year of hire/transfer and must be maintained.Certification not required if Master's in nursing or DNP is held.If a BSN is held, a Master's degree in a related field may be substituted in lieu of Certification.CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire.Current licensure as a Registered Professional Nurse either in the state where the facility is located or in a state covered by a licensure compact agreement with the state where the facility is located. Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) Registered Nurse (RN) Act 34 Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Epic Healthcare Elizabethtown, PA

6 days ago

Regional Clinical Nurse

NOW HIRING: Regional Clinical Nurse We are seeking a dedicated and experienced Regional Clinical Nurse to join our team. This position will oversee clinical operations across multiple nursing homes in Pennsylvania, ensuring high-quality patient care and regulatory compliance. Regional Clinical Nurse Key Responsibilities: Ensure top-notch clinical practices and compliance. Guide and support nursing staff. Implement and monitor quality improvements. Conduct audits and inspections. Develop training programs. Collaborate with administrators. Resolve clinical issues promptly. Regional Clinical Nurse Qualifications: Valid RN license in Pennsylvania. Experience in a supervisory role. Strong knowledge of nursing home regulations. Excellent communication and leadership skills. Willingness to travel. Proficient in EMR systems. Regional Clinical Nurse Benefits: Competitive salary Health, dental, and vision insurance Paid time off Continuing education opportunities Mileage reimbursement Equal Opportunity Employer We welcome all qualified candidates and do not discriminate based on race, color, religion, sex, national origin, age, disability, or any other legally protected status. NOW HIRING: Regional Clinical Nurse APPLY NOW!

Spring Creek Rehabilitation and Nursing Center Harrisburg, PA

Weekend Registered Nurse (RN)

Registered Nurse (RN) - Full Time Weekends Daily Pay! Daycare Stipend! Benefits of the Registered Nurse (RN) : Competitive Pay Rates! Daily Pay Option! Your pay, when you need it! Get paid daily! Full Time Weekend Additional $4hr Work 36hrs, Get Paid 40hrs Comprehensive Benefits Plan and 401k Core Benefits start the first day of the month following date of hire! Enhanced Employee Referral Program INCREASED PTO to include holidays, vacation and sick time. Daycare Stipend for Direct Care Employees! Programs for Direct Care Staff to Earn More! Industry leading orientation and training with on-going management support. Employee recognition through various awards and recognition programs Career Advancement Opportunities Continuous professional training. An employer who cares about YOU Location: 1205 S 28th St, Harrisburg, PA 17111 Spring Creek Rehabilitation and Nursing Center is currently hiring for full time Weekend Registered Nurses (RN)s! We are looking for compassionate and enthusiastic candidates to join our exceptional team of caregivers! Our Weekend RNs receive an additional $4/hr and get paid for 40hrs, while only working 36hrs! Requirements of the Registered Nurse (RN) : Active Registered Nurse (RN) license Must successfully complete a post offer, pre-employment criminal background check and physical / drug screen. A team centered culture that supports our values of S.H.A.R.E. (Service, Honesty, Accountability, Respect, and Excellence) drive our daily activities with all we interact with. Take pride in your career and join an organization where your talents will shine! Apply Today! Spring Creek Rehabilitation and Nursing Center is an equal opportunity employer and complies with applicable Federal, State and Local civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, and protected veteran status.

CNA

Emerald Nursing and Rehabilitation Middletown, PA

Certified Nursing Assistant (CNA)

NOW OFFERING DAILY PAY! Emerald Nursing and Rehabilitation is a skilled nursing and rehabilitation center, located in bucolic Elizabethtown, Pennsylvania. We strive to create a work environment where every employee is valued and treated like family. Join our team today! Refer a friend and earn more. Emerald Nursing and Rehabilitation 320 South Market St. Elizabethtown, PA 17022 (717) 367-1377 Now Hiring: Certified Nursing Assistant (CNA)- 11PM-7AM Shift Monday-Friday Only Benefits of working as a Certified Nursing Assistant (CNA) : $2,500 Extra Funds for Summer Fun! Higher second shift differential Easy PTO Paid vacation time Dental Insurance Flexible schedule Health insurance Life insurance Potential for Growth Stable Work Environment Family like surroundings Perks That Will Thrill You: Attendance Bonus Raffle: Join in on the excitement and participate in our attendance bonus raffle. Your dedication could win you amazing prizes! PRN to FT Eligibility: Take your commitment to the next level! PRN team members who transition to full-time are eligible for a generous sign-on bonus. Responsibilities of a Certified Nursing Assistant (CNA) : Provide the highest level of care to residents at our nursing home Ability to understand and monitor applicable regulations, policies, and procedures Promote patient independence by establishing patient care goals Resolve resident issues and needs by utilizing multidisciplinary team strategies Maintain a safe and clean working environment by complying with rules and regulations Maintain patient confidence and protect operations by keeping the information confidential Qualifications of a Certified Nursing Assistant (CNA) : Certified Nursing Assistant in PA Responsible, ready, and eager to work At Emerald Nursing and Rehabilitation and Rehab, our mission is to provide our residents with comprehensive health services of the highest quality in an atmosphere of dignity and respect. Our care is individualized to meet our resident's varying needs and designed to exceed their expectations! Emerald Nursing and Rehabilitation is an equal-opportunity employer.

Flagstar Nursing Hummelstown, PA

Registered Nurse / RN

Seeking Compassionate RNs! Join Our Dynamic Healthcare Team Today! Flagstar Nursing is currently looking for dedicated, highly motivated RNs to join our team on a contract basis. Contracts are on a 30-day cycle with the option of renewal, so you don't feel tied to one job for an extended period of time. Some highlights: Hourly Rate: Up to $50 Guaranteed hours (no cancelations) Shortened contract durations for more flexibility Peace of mind knowing you will have a paycheck Variety of shifts available Holiday Pay Registered Nurses (RNs) will enjoy: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit (Daily Pay Available Soon!) · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Opportunity to earn PTO · Lucrative Referral Bonuses RN/Registered Nurse Requirements: · Currently holds an active RN License to work in Pennsylvania. · CPR/BLS Certified · Meets all State and Federal requirements for US employment in a Nursing Facility · Ability to communicate effectively. · Strong patient assessment skills and demonstrated clinical competency. · Reliable transportation to worksite location Alternate weekend availability required. Join Our Dedicated Team Today! Non-Contract Opportunities also available.

Caregiver

Right at Home York York, PA

Home Caregiver

Looking to make a real difference? Right at Home York is hiring compassionate caregivers for weekend and day‑shift opportunities. We offer competitive pay, paid training, and a supportive team that truly values you. As a caregiver, you’ll help seniors live safely and comfortably at home by providing companionship, meal preparation, light housekeeping, and personal care. If you’re ready to start a meaningful career where your work is appreciated every day, we’d love to meet you. Apply today and join a caring community that makes an impact. This part‑time role offers the potential for full‑time hours based on your flexibility, availability, and client demand. A stable and flexible caregiving career is possible with Right at Home – York. Here's Why Caregivers Like Working for Right at Home: Earn $15.00–$19.00/hr Flexible scheduling- choose from day shift or weekends Bonuses for employee referrals PAID training and development Caregiver Recognition & Rewards Programs Access to Leadership Paid travel time in between clients plus mileage reimbursement Mobile clock in /out Make a difference and give back to those who need your most One-On-One care environment Position Responsibilities Provide non‑medical assistance and companionship to seniors in their homes Issue medication reminders to help clients stay on schedule Run household errands and provide transportation to doctor’s appointments Assist with personal care and hygiene including bathing, dressing, and grooming Support with grocery shopping, meal preparation, and light housekeeping Provide mobility assistance such as helping with walking and transfers Qualifications and Skills: Must be 18+ years to apply High school diploma or GED preferred Must be able to lift or move up to 50 lbs without assistance Ability to read, write, speak, and understand English as required for the job Valid Driver’s License, proof of auto insurance and reliable vehicle are required Passing criminal background check and drug screening CNA, HHA or PCA license preferred, but not required Ready to bring your heart and hustle to a role that truly matters? Apply today and help us make a difference – one schedule, one call, one client at a time. Right at Home is an equal opportunity employer that celebrates, supports and promotes diversity and inclusion. We will consider all qualified applicants without regard to race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation or gender identity, or any other legally protected basis, in accordance with applicable law.

Caregiver

Right at Home York York, PA

Home Caregiver

Looking to make a real difference? Right at Home York is hiring compassionate caregivers for evenings and overnight shift opportunities. We offer competitive pay, paid training, and a supportive team that truly values you. As a caregiver, you’ll help seniors live safely and comfortably at home by providing companionship, meal preparation, light housekeeping, and personal care. If you’re ready to start a meaningful career where your work is appreciated every day, we’d love to meet you. Apply today and join a caring community that makes an impact. This part‑time role offers the potential for full‑time hours based on your flexibility, availability, and client demand. A stable and flexible caregiving career is possible with Right at Home – York. Here's Why Caregivers Like Working for Right at Home: Earn $14.50–$19.00/hr Flexible scheduling- choose from day shift, evening, overnight, live in and weekend schedules Bonuses for employee referrals PAID training and development Caregiver Recognition & Rewards Programs Access to Leadership Paid travel time in between clients plus mileage reimbursement Mobile clock in /out Make a difference and give back to those who need your most One-On-One care environment Position Responsibilities Provide non‑medical assistance and companionship to seniors in their homes Issue medication reminders to help clients stay on schedule Run household errands and provide transportation to doctor’s appointments Assist with personal care and hygiene including bathing, dressing, and grooming Support with grocery shopping, meal preparation, and light housekeeping Provide mobility assistance such as helping with walking and transfers Qualifications and Skills: Must be 18+ years to apply High school diploma or GED preferred Must be able to lift or move up to 50 lbs without assistance Ability to read, write, speak, and understand English as required for the job Valid Driver’s License, proof of auto insurance and reliable vehicle are required Passing criminal background check and drug screening CNA, HHA or PCA license preferred, but not required Ready to bring your heart and hustle to a role that truly matters? Apply today and help us make a difference – one schedule, one call, one client at a time. Right at Home is an equal opportunity employer that celebrates, supports and promotes diversity and inclusion. We will consider all qualified applicants without regard to race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation or gender identity, or any other legally protected basis, in accordance with applicable law.

Medical Assistant

Patient First Mechanicsburg, PA

The responsibilities of this job include, but are not limited to the following: Locating patients, obtaining accurate vital signs by visual and auditory measures, triaging patients, assessing patients’ medical condition, and preparing patients for physicals and medical treatment by Physicians and Nurses; Understanding and using the electronic medical record system; Ordering lab, x-ray, and medical supplies as directed; Notifying the Nurse and/or Physician when the patient is ready for exam while communicating symptoms and relaying questions about lab or x-ray needs; Assisting Nurses and Physicians with various forms of patient treatment and care; Handling Physician and Nurse requests with respect and in a timely manner; Performing lab duties as assigned; Performing phlebotomy procedures; Sterilizing and setting up instruments; Receiving and storing supplies; restocking treatment rooms as needed; Reporting to the Charge Nurse before leaving at the end of the shift; Following ancillary guidelines as deemed necessary by the Charge Nurse, Nurse Supervisor, DMS, and Physician; Adhering to established policies and procedures; Maintaining cleanliness of the treatment area and completing biological cleanup in accordance with OSHA guidelines and other maintenance assignments as directed; Washing, drying, folding, and restocking laundry; maintaining the cleanliness of the washing machine and dryer lint trap; Attending staff meetings as scheduled by the Nurse Supervisor or DMS; Operating, using, and maintaining medical and office equipment as trained; Completing assigned checklists and Policy Manager tasks within the assigned shift; Being available to assist as needed, as breaks and mealtimes may be interrupted at any time to provide necessary patient care or to maintain center operations; Fostering teamwork and ensuring a positive and professional atmosphere; Providing positive, warm, and friendly service in all interactions; Understanding and performing all duties as assigned. Minimum education and professional requirements include, but are not limited to, the following: Must be 18 years of age or older; Minimum typing experience; High school graduate or equivalent; Minimum of one year of clinical experience in a hospital or physician’s office preferred; Ability to hear pages, bells, and phone system; Ability to sit, stand, and walk for long periods of time (possibly 4 to 7 hours at a time); Ability to lift up to 50 pounds; Ability to attend scheduled CPR classes and code drills; Ability to prioritize and multitask; Willingness to work at any center due to a staffing or center emergency or reduction of work.

Nurse Supervisor-RN

Patient First Mechanicsburg, PA

Sign-On Bonus! The responsibilities of this job include, but are not limited to, the following: Supervising the medical care of all patients from registration to departure; Supervising clinical personnel on their patient contact, care, and performance; Scheduling Staff Nurses and Medical Assistants; Reviewing and supervising the inventory of medicines, prescriptions, and supplies; Acting as Patient First representative for the Director of Medical Support and the Medical Director in his or her absence to ensure smooth operation of the center; Functioning as an administrator and working as a Staff Nurse as needed; Reviewing all checklists of Staff Nurses and Medical Assistants; Preparing written and verbal evaluations for Staff Nurses and Medical Assistants at appropriate scheduled time, or when necessary; Providing positive, warm and friendly customer service in all interactions; Fostering teamwork and a positive, professional atmosphere; Completing other duties as directed. Minimum education and professional requirements include, but are not limited to, the following: Employee must be at least 18 years of age; High school graduate or equivalent; Keyboarding experience required; Excellent verbal and written communication skills; One year of clerical experience preferred; One year of clinical experience with administration of medications preferred; One year of supervisory experience preferred; Licensed to practice as a Nurse by the state of Pennsylvania.

Caregiver - Maytown

365 Health Services Maytown, PA

$12 - $14 / hour

365 Health Services is looking for a Caregiver to join our team. The Caregiver is responsible for the physical care and emotional support of our clients who may no longer be able to take care of themselves due to illness, injury, surgery, or disability. The ideal candidate must be able to care for our clients and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the clients at all times. Responsibilities: Home assistance – Provide light housekeeping, run errands or provide transportation if needed. Accompany clients to appointments and assist with medications. Prepare meals, purchase food and provide personal assistance with general living needs. Personal services could include toileting, bathing, feeding and grooming. Provide any financial aid if needed such as balancing checkbooks, going to the bank or helping the client to pay their bills. Companionship – Provide companionship and conversation by stimulating, encouraging and assisting an individual. Requirements: High school diploma preferred. Must be able to complete a Criminal Background report. Ability to lift up to 25 pounds at a time Ability to reach, bend, kneel and stand for (sometimes) a long period of time Pay Rate $12-14

Caregiver - Mt Joy

365 Health Services Mount Joy, PA

$12 - $14 / hour

365 Health Services is looking for a Caregiver to join our team. The Caregiver is responsible for the physical care and emotional support of our clients who may no longer be able to take care of themselves due to illness, injury, surgery, or disability. The ideal candidate must be able to care for our clients and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the clients at all times. Responsibilities: Home assistance – Provide light housekeeping, run errands or provide transportation if needed. Accompany clients to appointments and assist with medications. Prepare meals, purchase food and provide personal assistance with general living needs. Personal services could include toileting, bathing, feeding and grooming. Provide any financial aid if needed such as balancing checkbooks, going to the bank or helping the client to pay their bills. Companionship – Provide companionship and conversation by stimulating, encouraging and assisting an individual. Requirements: High school diploma preferred. Must be able to complete a Criminal Background report. Ability to lift up to 25 pounds at a time Ability to reach, bend, kneel and stand for (sometimes) a long period of time Pay Rate $12-14

RN Unit Manager / Infection Preventionist

Epic Healthcare Harrisburg, PA

NOW HIRING: RN Unit Manager / Infection Preventionist At our nursing home, we are dedicated to providing top-tier care to our residents in a nurturing and safe environment. We are seeking an experienced and committed RN Unit Manager/Infection Preventionist to join our team. This dual-role position is crucial in ensuring both the highest standards of resident care and the effective management of infection prevention protocols within our facility. Job Summary: As the RN Unit Manager/Infection Preventionist , you will be responsible for overseeing the daily operations of a nursing unit while also managing the facility's infection prevention and control program. You will lead a team of nursing professionals, coordinate resident care, and implement best practices in infection prevention to ensure the safety and well-being of all residents and staff. RN Unit Manager/Infection Preventionist Key Responsibilities: Manage and supervise nursing staff, including RNs, LPNs, and CNAs, within the unit. Oversee the development and implementation of individualized care plans for residents. Conduct regular assessments of residents and update care plans as necessary. Develop, implement, and monitor the facility’s infection prevention and control program. Ensure compliance with federal, state, and local healthcare regulations, including infection control standards. Educate and train staff on infection prevention protocols and procedures. Conduct regular infection surveillance, data analysis, and reporting. Collaborate with other departments to ensure comprehensive resident care. Address and resolve any resident or family concerns promptly and professionally. Maintain accurate medical records and documentation. Participate in quality improvement initiatives and contribute to continuous improvement efforts. RN Unit Manager/Infection Preventionist Qualifications: Current RN license in the state of Pennsylvania. Experience in a supervisory role in a long-term care or nursing home setting. RN Unit Manager/Infection Preventionist Benefits: Competitive salary Health, dental, and vision insurance Retirement plan with company match Paid time off (PTO) Opportunities for professional development and continuing education Supportive and collaborative work environment NOW HIRING: RN Unit Manager / Infection Preventionist APPLY NOW!

Professional Staff Nurse, Hybrid OR, UPMC West Shore

UPMC Mechanicsburg, PA

UPMC is committed to investing in nurses like you –financially, personally, and professionally –starting on day one of your career. From tackling student loans to advancing your career later in life, UPMC is the partner you need to succeed and thrive in your nursing career. Here’s how we support our nurses: Up to five and a half weeks of Paid Time Off annually, plus seven paid holidays each year Dedicated career ladders, including a brand-new nursing career ladder added just this year, allowing you to achieve your highest potential while rewarding you for your experience and advanced education. Tuition reimbursement of up to $6,000 per academic year at any accredited institution, available to employees and their dependents, plus discounts for UPMC employees including no cost RN-BSN/MSN options! The Professional Staff Nurse OR is a Registered Nurse and a member of the care delivery team. The Professional Staff Nurse OR is responsible to set the standards for the level and quality of care. The Professional Staff Nurse OR has responsibility, authority and accountability for the provision of nursing care. The Professional Staff Nurse OR manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication and collaboration with all team members. The role of the Professional Staff Nurse OR encompasses leadership, partnership, collaboration and supervision. The Professional Staff Nurse OR establishes and maintains collaborative relationships with physicians, other health care providers, patients and their families, to achieve desired patient outcomes throughout the continuum of care. The Professional Staff Nurse OR demonstrates a commitment to the community and to the nursing profession. Responsibilities: Circulate for vascular procedures. Monitor for vascular procedures. Scrub for vascular procedures. Maintain adequate call coverage (one weekday/week, one weekend every 4-5 weeks) Maintain competencies and certifications required to work in these cases. Performs scrub role (requirement for RNs hired on or after July 1, 2023). *Performs in accordance with system-wide competencies/behaviors.*Performs other duties as assigned. Work Schedule: Day/Evening, 4, 10-hour shifts or 5, 8-hour shifts and call coverage. The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the ages of the patients served by his/her assigned unit as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. One or more years of experience. Prior vascular OR experience preferred. BSN preferred. Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. Good clinical judgment with critical thinking, analytical and problem solving abilities required as related to various aspects of patient care. Critical thinking skills necessary to exercise and to lead others in application of the nursing process. Mobility and visual manual dexterity. Physical stamina for frequent walking, standing, lifting and positioning of patients. ***UPMC offers a variety of flexible options – in addition to traditional rotating/flexible shifts, special programs exist to work primarily night shifts or weekend shifts with a premium pay differential. Employees hired as or who choose to transition into one of these programs at a later time must have at least 6 months of nursing experience to qualify and may be required to complete any necessary orientation during regular business hours. If you are interested in these programs, please alert your recruiter when you are contacted for an interview.*** Licensure, Certifications, and Clearances: UPMC approved national certification preferred. Current licensure as a Registered Professional Nurse either in the state where the facility is located or in a state covered by a licensure compact agreement with the state where the facility is located. CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire. Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) Registered Nurse (RN) OR Temporary Practice Permit (TPP) Act 34 Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. UPMC is an Equal Opportunity Employer/Disability/Veteran

Caregiver - Rheems

365 Health Services Rheems, PA

$12 - $14 / hour

365 Health Services is looking for a Caregiver to join our team. The Caregiver is responsible for the physical care and emotional support of our clients who may no longer be able to take care of themselves due to illness, injury, surgery, or disability. The ideal candidate must be able to care for our clients and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the clients at all times. Responsibilities: Home assistance – Provide light housekeeping, run errands or provide transportation if needed. Accompany clients to appointments and assist with medications. Prepare meals, purchase food and provide personal assistance with general living needs. Personal services could include toileting, bathing, feeding and grooming. Provide any financial aid if needed such as balancing checkbooks, going to the bank or helping the client to pay their bills. Companionship – Provide companionship and conversation by stimulating, encouraging and assisting an individual. Requirements: High school diploma preferred. Must be able to complete a Criminal Background report. Ability to lift up to 25 pounds at a time Ability to reach, bend, kneel and stand for (sometimes) a long period of time Pay Rate $12-14

CNA

Kadima at Palmyra Palmyra, PA

Certified Nursing Assistant (CNA)

Kadima Health and Nursing at Palmyra is looking to hire a Certified Nursing Assistant to join our team! Our mission at Kadima Health and Nursing at Palmyra is to offer quality care to our residents, and to provide them with a loving and compassionate environment, attending carefully to their physical, spiritual, and emotional needs. The purpose of this role is to provide each of your assigned residents with routine daily nursing care and services in accordance with the resident's assessment and care plan and as may be directed by your supervisor in accordance with the requirements of the policies and procedures of this facility in accordance with current federal, state, and local standards governing the facility. Job Responsibilities: · Day-to-day resident care duties under the supervision of the licensed nurses. · Assist in maintaining a positive physical, social and psychological environment for the residents. Education and Qualifications: · Must have a high school diploma or equivalent. · Must possess an active Certified Nursing Assistant certification, having successfully completed a state approved Nurse Aide Training program and competency evaluation. We consider all applicants for positions without regard to race, color, religion, sex, national origin, citizenship, age, mental or physical, disabilities, veterans, or any other protected status. We also comply with all laws governing employment practices and do not discriminate on the basis of any unlawful criteria.

Caregiver - Elizabethtown

365 Health Services Elizabethtown, PA

$12 - $14 / hour

365 Health Services is looking for a Caregiver to join our team. The Caregiver is responsible for the physical care and emotional support of our clients who may no longer be able to take care of themselves due to illness, injury, surgery, or disability. The ideal candidate must be able to care for our clients and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the clients at all times. Responsibilities: Home assistance – Provide light housekeeping, run errands or provide transportation if needed. Accompany clients to appointments and assist with medications. Prepare meals, purchase food and provide personal assistance with general living needs. Personal services could include toileting, bathing, feeding and grooming. Provide any financial aid if needed such as balancing checkbooks, going to the bank or helping the client to pay their bills. Companionship – Provide companionship and conversation by stimulating, encouraging and assisting an individual. Requirements: High school diploma preferred. Must be able to complete a Criminal Background report. Ability to lift up to 25 pounds at a time Ability to reach, bend, kneel and stand for (sometimes) a long period of time Pay Rate $12-14

Caregiver

Right at Home York Manchester, PA

Caregiver

Looking to make a real difference? Right at Home York is hiring compassionate caregivers for weekend shift opportunities. We offer competitive pay, paid training, and a supportive team that truly values you. As a caregiver, you’ll help seniors live safely and comfortably at home by providing companionship, meal preparation, light housekeeping, and personal care. If you’re ready to start a meaningful career where your work is appreciated every day, we’d love to meet you. Apply today and join a caring community that makes an impact. #CareGivers #JoinOurTeam #RightAtHome This part‑time role offers the potential for full‑time hours based on your flexibility, availability, and client demand. A stable and flexible caregiving career is possible with Right at Home – York. Here's Why Caregivers Like Working for Right at Home: Earn $15.00–$19.00/hr Flexible scheduling Bonuses for employee referrals PAID training and development Caregiver Recognition & Rewards Programs Access to Leadership Paid travel time in between clients plus mileage reimbursement Mobile clock in /out Make a difference and give back to those who need your most One-On-One care environment Position Responsibilities Provide non‑medical assistance and companionship to seniors in their homes Issue medication reminders to help clients stay on schedule Run household errands and provide transportation to doctor’s appointments Assist with personal care and hygiene including bathing, dressing, and grooming Support with grocery shopping, meal preparation, and light housekeeping Provide mobility assistance such as helping with walking and transfers Qualifications and Skills: Must be 18+ years to apply High school diploma or GED preferred Must be able to lift or move up to 50 lbs without assistance Ability to read, write, speak, and understand English as required for the job Valid Driver’s License, proof of auto insurance and reliable vehicle are required Passing criminal background check and drug screening CNA, HHA or PCA license preferred, but not required Ready to bring your heart and hustle to a role that truly matters? Apply today and help us make a difference – one schedule, one call, one client at a time. Right at Home is an equal opportunity employer that celebrates, supports and promotes diversity and inclusion. We will consider all qualified applicants without regard to race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation or gender identity, or any other legally protected basis, in accordance with applicable law.

Caregiver - Marietta

365 Health Services Marietta, PA

$12 - $14 / hour

365 Health Services is looking for a Caregiver to join our team. The Caregiver is responsible for the physical care and emotional support of our clients who may no longer be able to take care of themselves due to illness, injury, surgery, or disability. The ideal candidate must be able to care for our clients and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the clients at all times. Responsibilities: Home assistance – Provide light housekeeping, run errands or provide transportation if needed. Accompany clients to appointments and assist with medications. Prepare meals, purchase food and provide personal assistance with general living needs. Personal services could include toileting, bathing, feeding and grooming. Provide any financial aid if needed such as balancing checkbooks, going to the bank or helping the client to pay their bills. Companionship – Provide companionship and conversation by stimulating, encouraging and assisting an individual. Requirements: High school diploma preferred. Must be able to complete a Criminal Background report. Ability to lift up to 25 pounds at a time Ability to reach, bend, kneel and stand for (sometimes) a long period of time Pay Rate $12-14

PRN Home Infusion Nurse

Naven Health Harrisburg, PA

$38.84 - $64.72 / hour

Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always. Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized, truly exceptional infusion care. With over 1,600 team members, including over 1,500 nurses, we are a company aligned to the values of the nurses at our center – to provide an exceptional infusion experience, everywhere. Naven Health delivers home infusion services for a broad range of specialized therapies, as well as clinical trial services and special programs for pharmaceutical manufacturers. Joining the Naven Health team means being a part of a dynamic and growing organization that is dedicated to our customers, our teammates, and the patients we serve. Job Description Summary: An Infusion Nurse I is a licensed registered nurse who provides basic direct patient care to patients in the home, or in an alternate infusion site, to ensure patient safety with continuity and compliance under a physician’s plan of care. Works under very close direct supervision of the designated supervisor. Job Description: Job Responsibilities (listed in order of importance and/or time spent) Initiates, develops, and implements basic nursing plan of care treatments, evaluating patient progress towards goals. Participates in the provision of direct patient care, performs treatments, administers medications, and educates patients and families/caregivers. Modifies plan of treatment in response to changing patient status based on physician orders to achieve established or revised patient care goals. Assesses patient needs and physical status at each visit through health data access and patient interview. Re-evaluates patient needs through physical reassessment, response to therapy, and supplemental physician orders. Obtains and clarifies physician orders for plan of treatment revisions, informs physician promptly of significant changes in patient's condition, and provides written summary to physician within supplemental order. Provides effective and safe teaching using patient-centered care approach for patient and family to achieve independence with prescribed therapy and care needs through active participation per plan of treatment goals. Effectively and timely communicates with Naven Health’s Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care. Prepares clinical documentation in real-time during visits and submits to the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved abbreviations and documentation error correction practices per Naven Health’s policy. Under close supervision, coordinates discharge planning and prepares discharge summaries with patient instructions and thoroughly reports patient care needs, progress and goals when transferring care. Demonstrates compliance with agency operations, Naven Health’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards. Maximizes work efficiency through the use of computers and other automation technologies to validate plan of treatment orders, communicates patient care provided, and follows assigned visit schedule. Responds promptly and appropriately to patient requests. Initiates emergency procedures as necessary. Accepts accountability for own practice through ethical and professional conduct. Follows established programs and practice within policies and procedures reflective of Naven Health’s mission, values, and objectives. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Naven Health information including adherence to HIPAA regulations. Speaks knowledgeably about Naven Health’s scope of services and effectively instructs patients about related plan of care. Attends and completes required training modules, in-services, and continuing education to maintain competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. Participates in multidisciplinary team conferences and provides precepting, training, and mentoring to other nurses for orientation, and onboarding and supervisory activities as assigned. Participates in nursing on-call responsibilities as applicable. Performs other related duties as directed by supervisor. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Requirements Active and unrestricted RN license in the state of practice. Minimum of 0-2 years of infusion nursing experience required. Current CPR certification required ( an in-person class is required per company policy) Basic Qualifications Demonstrated competency in patient care standards required for safe delivery of services and infusion skill sets applicable to agency programs and service needs. Advanced certification and training as applicable. Required licensure to operate a motor vehicle in the state of practice with access to a vehicle for business travel with proof of liability insurance. Basic knowledge of computer operating systems and software applications with the abilityn self-evaluation for annual appraisal and jointly sets professional growth goals with nurse manager. to apply knowledge in the effective use of nursing technology tools to communicate and document care provided. Physical Demand Requirements Ability to lift up to 50 pounds with a maximum lifting of 75 pounds. Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently. Physical demands may involve walking, standing, crouching, kneeling, turning, pivoting, balancing, stooping, reaching overhead, grasping, pushing, pulling, lifting and carrying. Fine motor skills and visual acuity required by this job include ability to see up close and from a distance, color and peripheral vision, depth perception and the ability to adjust focus. Team members in this job classification have the likelihood of occupational exposure to blood, body fluids and other potentially infectious materials. Possible exposure to hazardous substances with possible effect on reproduction, injury from needles, other sharps, fumes, chemicals, humidity, cold, heat, adverse weather elements, animals, secondhand smoke/vape and unpredictable home environments. Safety requirements include closed toe-shoes, facemask, goggles, gown and/or gloves and functioning device for communication in both routine and emergency situations. Travel Requirements: (if required) Willing to travel 100% of the time for business purposes. Preferred Qualifications & Interests (PQIs) Bachelor of Science in Nursing as granted by an accredited school of nursing preferred. 1 year of previous experience as a RN in a home health or acute care setting. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $38.84-$64.72 Benefits: -401k Retirement Savings Plan with Company Match -myFlexPay -Award/Recognition Programs Naven Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

PRN Home Infusion Nurse

Naven Health Harrisburg, PA

$38.84 - $64.72 / hour

Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always. Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized, truly exceptional infusion care. With over 1,600 team members, including over 1,500 nurses, we are a company aligned to the values of the nurses at our center – to provide an exceptional infusion experience, everywhere. Naven Health delivers home infusion services for a broad range of specialized therapies, as well as clinical trial services and special programs for pharmaceutical manufacturers. Joining the Naven Health team means being a part of a dynamic and growing organization that is dedicated to our customers, our teammates, and the patients we serve. Job Description Summary: An Infusion Nurse I is a licensed registered nurse who provides basic direct patient care to patients in the home, or in an alternate infusion site, to ensure patient safety with continuity and compliance under a physician’s plan of care. Works under very close direct supervision of the designated supervisor. Job Description: Job Responsibilities (listed in order of importance and/or time spent) Initiates, develops, and implements basic nursing plan of care treatments, evaluating patient progress towards goals. Participates in the provision of direct patient care, performs treatments, administers medications, and educates patients and families/caregivers. Modifies plan of treatment in response to changing patient status based on physician orders to achieve established or revised patient care goals. Assesses patient needs and physical status at each visit through health data access and patient interview. Re-evaluates patient needs through physical reassessment, response to therapy, and supplemental physician orders. Obtains and clarifies physician orders for plan of treatment revisions, informs physician promptly of significant changes in patient's condition, and provides written summary to physician within supplemental order. Provides effective and safe teaching using patient-centered care approach for patient and family to achieve independence with prescribed therapy and care needs through active participation per plan of treatment goals. Effectively and timely communicates with Naven Health’s Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care. Prepares clinical documentation in real-time during visits and submits to the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved abbreviations and documentation error correction practices per Naven Health’s policy. Under close supervision, coordinates discharge planning and prepares discharge summaries with patient instructions and thoroughly reports patient care needs, progress and goals when transferring care. Demonstrates compliance with agency operations, Naven Health’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards. Maximizes work efficiency through the use of computers and other automation technologies to validate plan of treatment orders, communicates patient care provided, and follows assigned visit schedule. Responds promptly and appropriately to patient requests. Initiates emergency procedures as necessary. Accepts accountability for own practice through ethical and professional conduct. Follows established programs and practice within policies and procedures reflective of Naven Health’s mission, values, and objectives. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Naven Health information including adherence to HIPAA regulations. Speaks knowledgeably about Naven Health’s scope of services and effectively instructs patients about related plan of care. Attends and completes required training modules, in-services, and continuing education to maintain competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. Participates in multidisciplinary team conferences and provides precepting, training, and mentoring to other nurses for orientation, and onboarding and supervisory activities as assigned. Participates in nursing on-call responsibilities as applicable. Performs other related duties as directed by supervisor. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Requirements Active and unrestricted RN license in the state of practice. Minimum of 0-2 years of infusion nursing experience required. Current CPR certification required ( an in-person class is required per company policy) Basic Qualifications Demonstrated competency in patient care standards required for safe delivery of services and infusion skill sets applicable to agency programs and service needs. Advanced certification and training as applicable. Required licensure to operate a motor vehicle in the state of practice with access to a vehicle for business travel with proof of liability insurance. Basic knowledge of computer operating systems and software applications with the abilityn self-evaluation for annual appraisal and jointly sets professional growth goals with nurse manager. to apply knowledge in the effective use of nursing technology tools to communicate and document care provided. Physical Demand Requirements Ability to lift up to 50 pounds with a maximum lifting of 75 pounds. Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently. Physical demands may involve walking, standing, crouching, kneeling, turning, pivoting, balancing, stooping, reaching overhead, grasping, pushing, pulling, lifting and carrying. Fine motor skills and visual acuity required by this job include ability to see up close and from a distance, color and peripheral vision, depth perception and the ability to adjust focus. Team members in this job classification have the likelihood of occupational exposure to blood, body fluids and other potentially infectious materials. Possible exposure to hazardous substances with possible effect on reproduction, injury from needles, other sharps, fumes, chemicals, humidity, cold, heat, adverse weather elements, animals, secondhand smoke/vape and unpredictable home environments. Safety requirements include closed toe-shoes, facemask, goggles, gown and/or gloves and functioning device for communication in both routine and emergency situations. Travel Requirements: (if required) Willing to travel 100% of the time for business purposes. Preferred Qualifications & Interests (PQIs) Bachelor of Science in Nursing as granted by an accredited school of nursing preferred. 1 year of previous experience as a RN in a home health or acute care setting. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $38.84-$64.72 Benefits: -401k Retirement Savings Plan with Company Match -myFlexPay -Award/Recognition Programs Naven Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

Unit Manager

Epic Healthcare Elizabethtown, PA

We are currently seeking a skilled and experienced Unit Manager to join nursing & rehab center. The Unit Manager will play a crucial role in leading and coordinating the delivery of resident care services on their assigned unit. Unit Manager Responsibilities: Oversee the day-to-day operations of the assigned unit, including staffing, resident care, and regulatory compliance. Supervise and support nursing staff, including LPNs, RNs, and Certified Nursing Assistants (CNAs), to ensure the highest standards of care. Collaborate with interdisciplinary team members, including physicians, therapists, and social workers, to develop and implement individualized care plans for residents. Monitor resident assessments, medication administration, and treatment plans to ensure compliance with state and federal regulations. Conduct regular rounds to assess resident needs, address concerns, and ensure quality of care. Provide leadership and mentorship to staff, fostering a positive work environment and professional growth opportunities. Unit Manager Qualifications: Current RN license in the state of Pennsylvania. Experience in a long-term care or skilled nursing facility setting. Previous supervisory or leadership experience preferred. Unit Manager Benefits: Competitive salary based on experience. Comprehensive benefits package, including medical, dental, and vision insurance. Paid time off and holiday pay. Opportunities for professional development Now Hiring: Unit Manager

DON Director of Nursing

Epic Healthcare Harrisburg, PA

Director of Nursing (DON) We are seeking an experienced and compassionate Director of Nursing (DON) to lead our nursing team and oversee the delivery of exceptional resident care in our skilled nursing facility. Responsibilities: Oversee daily nursing operations and clinical services Ensure compliance with state and federal regulations Lead, mentor, and support nursing staff Coordinate with physicians, department heads, and interdisciplinary teams Monitor quality assurance and infection control programs Maintain high standards of resident care and satisfaction Qualifications: Active RN license Previous leadership experience in a skilled nursing or long-term care setting preferred Strong knowledge of nursing regulations and clinical operations Excellent leadership, communication, and organizational skills What We Offer: Competitive salary Health benefits PTO & holiday pay Supportive team environment Career growth opportunities Apply today and become part of a team dedicated to providing quality care and making a difference every day!