Nursing Jobs in Sparkill, NY

Bay Park Center for Nursing & Rehabilitation New York, NY

Certified Nursing Assistant

$21 / hour

Currently seeking CNA (Certified Nursing Assistant) for job openings in Baypark Center for Nursing & Rehabilitation. The ideal candidate will hold a CNA (Certified Nursing Assistant) certificate and preferably possess experience. Compensation and Benefits for the CNA (Certified Nursing Assistant) • Salary: $21/hr • Paid orientation. • Direct deposit available. • Flexible Schedules – full time or part time available. • Weekend Schedule available. Requirements of the CNA (Certified Nursing Assistant) • Current CNA Certificate • Resume • Physical • MMR & Varicella titers • PPD or proof of chest X ray if positive • 1 Personal reference letter, 1 Professional reference letter • Original Social Security Card • Original Non expired State Identification • Original Proof of Citizenship / Immigration (Example of documents: Birth Cert, Green Card, Resident Card) Responsibilities of the CNA (Certified Nursing Assistant) • Provide patient care in accordance with nursing supervision, the written Plan of Care and the given facility standards. • Provide patient care independently and manage your own patient caseload in an effective and efficient manner. • Complete timely and accurate clinical notes including addressing patient’s/client’s progress. • Assist in the transport of patients. • Maintain a clean and healthy environment.

RN Care Manager (Homecare) $120,000.00 + 35 Days PTO + Full Benefits+ 401K

Caring Angels Home Care New York, NY

Caring Angels Home Care is looking for dynamic full-time RN Clinical Manager for our Homecare agency. This position offers a base salary of $120,000.00 and offers a competitive benefits package including Medical and Dental insurance, 401k Plan, 35 PTO Days. Our agency has won numerous awards for employee satisfaction and patient care. The Clinical/Nurse Manager oversees, assesses, plans, implements, and evaluates the nursing process and has responsibility for: Conducting on-site supervision and evaluation of staff to ensure the delivery of quality patient care Orienting all nursing personnel to the company's clinical policies and procedures as well as to each home care case Supervising field staff under appropriate contract requirements Coordinating home care services Assessing ongoing educational needs of staff and coordinating necessary training/in-service programs Conducting in-service programs Ensuring patient care is coordinated and managed appropriately at all times. Ensuring that care and services are delivered appropriately and for the supervision of clinical personnel Ensuring progress reports are being properly documented and in compliance with state regulations. Participating in quarterly Supervisory visits and rotating on-call weeks in order to troubleshoot patient issues Assisting in scheduling for clinicians on assigned team Ensuring accurate and timely documentation and transmission of reports from clinicians. Requirements: NYS Registered Nurse Knowledge of Oasis documentation Experience and Knowledge of CMS/DOH Home Health Rules and Regulations Experience and Knowledge of Home Health Policies and Regulations Nurse Manager Experience Required Strong Clinical Skills (IM/Sub-Q Injections, Foley Catheter care, Ventilator & Trach care, infusion nursing, wound care, medication management, PEG tube care) Experience in coordination of care, doctors' orders/485s and Clinical Documentation for CHHA required Familiar with new COPs and PDGM rules. Minimum 2 years Clinical experience RN with 5+ years of home care and at least 1 year supervisory/management experience. Ideal candidate will be a team player with a positive attitude, good organizational and time management skills, good business sense, and strong problem-solving skills. Experience with Electronic Medical records, experience with Netsmart is a plus Must be able to meet assigned goals, understand the delivery of service within the Home Care setting. Experience in CHHA Conditions of Participation as well as experience in utilization management and quality standards. Company provides excellent benefits, PTO, compensation, Health Insurance. Benefits: Flexible schedule Schedule: 8 hour shift Monday to Friday Work setting: In-person Benefits: Flexible schedule License/Certification: RN License (Required) Work Location: In person

Director of Nursing (DON) – Pediatric Long-Term Care

Ditmas Children's Nursing & Rehab New York, NY

Director of Nursing (DON) – Pediatric Long-Term Care Location: Brooklyn, NY Schedule: Full-Time Salary: $170,000 – $200,000 per year Ditmas Children's Nursing & Rehab is a premier pediatric long-term care facility in Brooklyn dedicated to providing exceptional, compassionate care to medically complex children. We are seeking an experienced Director of Nursing (DON) to lead our nursing department and ensure the highest standards of clinical excellence, resident care, and regulatory compliance. Responsibilities Oversee all nursing operations throughout the pediatric facility Lead, mentor, and develop nursing leadership and clinical staff Ensure compliance with state, federal, and accreditation standards Oversee staffing, scheduling, budgeting, and departmental performance Lead quality improvement and survey readiness initiatives Collaborate with physicians and interdisciplinary teams to optimize patient outcomes Foster a family-centered culture of care Qualifications Active New York State RN License Previous DON or senior nursing leadership experience Pediatric Long-Term Care or Pediatric Skilled Nursing experience required Strong leadership, communication, and regulatory knowledge Compensation & Benefits $170,000 – $200,000 per year Comprehensive benefits package Leadership growth opportunities Supportive executive team

HHA/PCA Great case available!

Eagle Home Care Mount Vernon, NY

$18 - $20 / hour

We are looking for a compassionate and warm Home Health Aid to provide assistance in daily living and personal care services for our clients. Some responsibilities include: Personal care - Bathing, dressing, grooming etc. - Meal and snack preparations - Accompany patient on errands and medical appointments - Provide companionship, empathy and basic emotional support - Medication reminders Housework - Cleaning the floors ( mop , sweep , vacuum etc.) - Washing dishes - Cleaning the bathrooms - Change the linen - Laundry Hours Choose your own! Let us know what works for you Pay $18 -$20 Certification HHA or PCA required (Certified in NY) Our Agency prides itself in caring for our employees like family ! Call 718-596-2255 ext 205 today to join our team !

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

Community Care Home Health Services New York, NY

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

Valley Health System Paramus, NJ

JR4389 Registered Nurse, Interim Care IMC, Full Time, Night

$47.80 - $59.75 / hour

Job Description **SIGN ON BONUS* To fulfill the needs of patients in a variety of age groups, their family members, and the community by performing varied patient care tasks and functions in accordance with licensure, certification, training, and regulatory requirements. Education Bachelor`s degree in Nursing required. Current/valid State of New Jersey license (or legal permission to work from the New Jersey Board of Nursing. CPR certifications. Experience Computer and keyboard skills. Medical terminology required. Department Details: 14‑bed Intermediate/Critical Care unit caring for a diverse and high‑acuity patient population. Patients commonly treated include those with sepsis and septic shock, hypertensive emergencies requiring IV therapy, acute respiratory failure (invasive and non‑invasive ventilation), ARDS , and patients requiring prone therapy . The unit also manages status epilepticus, hypotension, gastrointestinal bleeding (including use of rapid infusers and massive transfusion protocols), DIC , intentional and unintentional overdoses , cardiac arrest patients (with or without targeted temperature management), and acute or chronic renal failure requiring HD, PD, or CRRT . Post‑operative patients needing enhanced monitoring are also frequently admitted. Nurses care for patients with a wide range of invasive monitoring and access , including PA catheters, central venous catheters, arterial lines, PICC lines, bladder pressure monitoring , and are responsible for the titration of vasoactive medications . Staffing Model Nurse‑to‑patient ratios are acuity‑based , typically 1:3 or 1:2 , with the ability to flex to 1:1 or 2:1 when clinically indicated. All admissions to the IMC require approval by the Intensivist or designated Advanced Practice Clinician (APC) . Skills Physical and cognitive requirements: Position’s physical requirements necessitate a full range of body motion including but not limited to, physically assisting patients, requiring stretching, bending, lifting, sitting, kneeling, stooping, standing, walking, pushing and pulling. Position is classified according to the USDOL as Very Heavy Work which is defined as exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. The National Institute of Safety and Health (NIOSH0 guidelines, which recommends that the average worker not lift more than 51 pounds without assistance, will be followed. Manual and finger dexterity and hand-eye coordination are also required as is constant talking and listening in English. Must demonstrate effective oral and written communication skills, including speech clarity, understanding the information relayed, deductive and inductive reasoning skills (the ability to apply general rules to specific problems to produce answers that make sense and the ability to combine pieces of information to/from general rules or conclusion respectively). Considerable walking, standing, sitting, reaching, filing, typing and photocopying required. Ability to perform work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and changing work environment related to changing needs of patients with acute, chronic and complex and/or terminal disease processes. Ability to work cooperatively within health system, multidisciplinary team members (i.e. MD’s, Rehab, Respiratory, DI, Laboratory, etc.). Ability to utilize effective time management skills to set priorities to perform responsibilities, problem solve and deliver care. Job Location The Valley Hospital-Paramus Shift Night (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: $47.80 - $59.75 (per hour) 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.

Outpatient Registered Nurse - RN

Fresenius Medical Care Newark, NJ

$35 - $60 / hour

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $35.00 - $60.00 Non-Bonus Eligible Positions: include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Bonus Eligible Positions – include language below. Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Advanced Care Staffing New York, NY

Registered Nurse $45 (12 hrs shift )

$45 / shift

Responsibilities of a RN: · Registered Nurse (RN) is responsible for supervision of care given to residents by Licensed Practical Nurse, CNA, and other members of the team. · Registered Nurse (RN) develops resident's daily assignment sheets and makes changes as indicated based on staffing patterns and resident acuity. · Registered Nurse (RN) evaluates resident's response to medication and treatment. · Registered Nurse (RN) is responsible for ensuring administration of medication, treatments, and evaluating resident’s response to medication and treatment. Qualifications of a RN: ü Associate Degree in Nursing or Bachelor of Science in Nursing ü Licensed in the State of New York as a Registered Nurse (RN) ü CPR/BLS certification Please call Joanne if you are Interested at 1.718.305.6700 Ext 289 . or Text me at 1.347.539.7342

CNA Certified Nursing Assistant-Staten Island, NY

White Glove Community Care NJ Jersey City, NJ

CNA Certified Nursing Assistant Join Us at White Glove Placement! Are you a Certified Nursing Assistant looking for a fulfilling role in a supportive environment? White Glove Placement invites you to apply for rewarding positions at our Skilled Nursing Facility in Staten Island, NY. Make this your next Assignment! Our awesome staff is waiting to get you through the hiring process with ease. Become part of a team that values your skills and dedication! CNA Certified Nurse Assistant LTC position details: Full Time or weekends only availble Great pay! Evening or Night shifts open! Parking Available Supportive Team Start Date: Monthly orientation Check out some of our Amazing White Glove Placement CNA Employee benefits! Competitive Salary $100 Monthly benefit card Weekly and timely pay Direct deposit Paid Sick Leave Medical & Dental Coverage Tickets at work - Exclusive employee perks 24/7 customer service Paid Orientation/training Holiday paid time and half Referral Rewards program JCAHO Certified CNA Certified Nurse Assistant LTC position requirements: NY CNA license Fully covid vaccinated CNA Certified Nursing Assistant Tasks: As a CNA Certified Nursing Assistant with White Glove Placement, you will perform a variety of tasks in a Long-Term Care, Skilled Nursing Facility for elderly patients. You will be responsible for the day-to-day care and assist patients with daily living activities such as bathing, dressing, feeding, toileting, and transferring etc. Make this your next LTC Long Term Care Assignment! Our awesome staff is waiting to get you through the hiring process with ease. join a team that really cares for you. Smooth application process! Submit your application today or reach out to your personal recruiter at 718-387-8181 ext. 4025 for an immediate interview! Feel free to inquire in our variety of CNA Certified Nursing Assistant opportunities across NYC to please your desire.

NYC Health + Hospitals New York, NY

Staff Nurse - Medicine, Surgery

$109,490 / year

Marketing Statement Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

Director of Nursing (DON)

Epic Healthcare Bloomfield, NJ

NOW HIRING: Director of Nursing (DON) We are seeking an experienced and dynamic Director of Nursing (DON) to lead our long-term care facility. The DON will oversee all aspects of nursing care delivery, ensure regulatory compliance, and promote a culture of excellence in resident care. Director of Nursing (DON) Key Responsibilities: Provide leadership and direction to the nursing staff, including registered nurses, licensed practical nurses, and certified nursing assistants. Develop and implement nursing policies, procedures, and protocols to maintain high standards of care. Ensure compliance with federal, state, and local regulations governing assisted living operations. Conduct regular assessments of resident care needs and collaborate with interdisciplinary teams to develop individualized care plans. Monitor and evaluate nursing care outcomes and implement quality improvement initiatives as needed. Manage staffing levels, recruitment, retention, and performance evaluations of nursing personnel. Foster a positive work environment that promotes teamwork, professional growth, and staff engagement. Collaborate with physicians, therapists, and other healthcare providers to optimize resident care outcomes. Participate in budget planning and management related to nursing services. Director of Nursing (DON) Qualifications: Registered Nurse (RN) license in the state of New Jersey. Proven leadership experience in a nursing management role, preferably in an assisted living facility. DON Benefits: Competitive salary and comprehensive benefits package. Opportunity to lead and make a positive impact on resident care outcomes. Supportive work environment with opportunities for professional growth and development. Collaborative team dedicated to providing exceptional care to our residents. NOW HIRING: Director of Nursing (DON) Apply Now!

LPN

Citadel Care Centers New York, NY

Licensed Practical Nurse

The Plaza Rehab and Nursing Center is currently seeking a Full -Time LPN's for day (7am-3pm), evening ( 3pm-11pm) night ( 11pm-7am) and Weekend shifts to join our dynamic organization. OVERVIEW: Under the leadership of the Registered Nurse, the LPN will be providing coordinated care to residents in a skilled nursing facility. RESPONSIBILITIES: · Provide direct care responsibilities to patients · Supervise CNA’s · Administer medications and treatments timely and according to policy · Receive, transcribe, and carry out physician orders · Follow established procedure for charting · Complete patient assessments, coordination of care · Identify and reports changes in condition · Follows environmental health & safety and sanitation standards and procedures · Oversees clinical and non-clinical acute operations and continuum of care REQUIREMENTS: · Valid LPN License in New York · CPR/BLS certified · 1 + year nursing experience in a hospital, nursing home or other healthcare setting

Northwell Health Mount Kisco, NY

Registered Nurse (RN) Integrative Health

$63 - $94 / hour

191611 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).

TRABAJO INMEDIATO DISPONIBLE PARA HHA/PCA EN BROOKLYN & QUEENS

Castle Rock Home Care NY

$20.34 / hour

TRABAJO INMEDIATO DISPONIBLE PARA HHA/PCA EN BROOKLYN & QUEENS TURNOS DE 12 HORAS EN LA MANANA Y NOCHE. NOSOTROS PAGAMOS $20.34 CADA HORA CON DERECHO A DEPOSITO DIRECTO. ORIENTACION SE HACE ELECTRONICAMENTE. NECESITAMOS TRABAJADORES Y TRABAJADORAS QUE HABLEN ESPANOL. SI TIENEN PREGUNTAS LLAMA A RECURSO HUMANOS - 718-819-5235 EXT 211 & 214

Staff Nurse - Emergency Services, Adult

NYC Health + Hospitals New York, NY

$109,490 / year

Marketing Statement Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

LPN

Per Diem

Windsor Park Nursing Home New York, NY

LPN-Per Diem All Shifts!! COVID-19 Vaccination No Nonger Required!!

Windsor Park is looking for a Licensed Practical Nurse (LPN) to join our team. At our long-term residence, the LPN helps to fulfill the care requirements of our patients. Under the direction of the Nurse Manager, the successful candidate will work within their entire scope of practice. The LPN will be fully accountable for ensuring that the utmost in competent care and safety is consistently delivered to all residents. This opportunity awaits a motivated and ambitious professional with Nursing Home experience. We have Per Diem Shifts Available! Responsibilities -Provide bedside care -Administer medications and document therapeutic effects -Take vital signs (temperature, blood pressure, pulse and respiration) -Assist with resident comfort -Prepare and administer injections and/or enemas -Collect samples and monitor catheters -Provide wound care -Help coach staff as necessary

LPN Private Duty Nursing

Four Seasons Home Health Care New York, NY

Offering up to $40 per hour plus benefits. Four Seasons Homecare is looking for a registered nurse or licensed practical nurse to join our team. The ideal candidate will display compassion, education, proficiency and experience while assisting the patient. This critical role assists in creating and managing nursing care plans and will participate in the evaluation of current and future medical needs of the patient. -Experience working with g-tubes, Trach care and ventilators required Responsibilities: Provide exceptional patient care. Maintain nursing standards while supporting patients with all applicable medical needs. Create and provide patient care plans as needed or requested. Communicate with the patient, their family and members of the medical team to achieve the desired goals of the patient care plan. Conduct administrative duties. Attend in-services for ongoing care and education. Assess patient care plans and identify areas of improvement to ensure quality of care. Requirements: RN or LPN license is required. Registration certificate. CPR. Medical form signed and stamped by a doctor within one year. PPD or Quantiferon within the year. Drug screen within the year. Lab results for Rubella and Rubeola. COVID-19 vaccination. Must be able to communicate effectively. Must be able to stand, or sit for long periods of time. Must be able to push, pull, reach and bend frequently. Must be able to lift up to 50lbs. Why join the Four Seasons team? Weekly pay with direct deposit. Holiday and overtime pay. Referral bonus. Sign on bonus. Union benefits. Health insurance. Annuities program. Paid time off.

Registered Nurse (RN) NICU

Northwell Health Sleepy Hollow, NY

$57 / hour

186058 Job Description Performs an age specific plan of care for 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 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, required. 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. 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).

CNA

Gold Crest Care Center New York, NY

CNA (Certified Nursing Assistant) | Morning Shift

Gold Crest Care Center, located in the Pelham Gardens area of the Bronx is actively seeking CNA (Certified Nursing Assistant) to work Full Time or Part Time and/or Weekends, morning shift for our Skilled Nursing Facility (Nursing and Rehab Center). Union, 1199SEIU position/slots available for all shifts! We are looking for a skilled CNA (Certified Nursing Assistant) to become a part of our facility’s compassionate care-giving team. The CNA will interact directly with patients, providing comfort and transportation, monitoring their vital signs and assisting with daily living needs. We are searching for a dedicated, compassionate and energetic individual to be a vital link between our patients and the nurses and other facility staff. Responsibilities: Assist with daily living activities. This includes delivering meals to patients, turning and ambulating patients and providing plenty of fresh water, as well as extra nourishment between meals Help patients with personal hygiene. Provide patients with bedpans, help with baths, shampoos and showers Provide adjunct care for the patient, including ice packs, non-sterile dressings and therapeutic baths Check vital signs and record daily information in the patient’s chart Assist the nurses and other staff as needed Adhere to professional standards, follow policies and procedures and abide by federal, state and local requirements, as well as Joint Commission standards About Us: Gold Crest Care Center is a CMS rated 5 star 175-bed rehabilitation and skilled nursing facility located in the Bronx. Our size enables a warm, nurturing environment, which allows each resident to maintain his or her individuality. Gold Crest Care Centers staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence.

Registered Nurse (RN) $45.00/hr 1:1

BAYADA Home Health Care Norwood, NJ

$45 / hour

Come for the Flexibility, Stay for the Culture If you want to be appreciated, come to BAYADA: BAYADA Home Health Care is looking for a Registered Nurse (RN) who has a passion for Pediatric care to join our Bergen County team. We believe our clients and their families deserve the highest quality care delivered with compassion, excellence, and reliability. What every nurse can expect from our team: Weekly pay every Thursday Flexible scheduling based on your availability Caring for patients one-on-one Short commute times near your home $1,200 nurse referral bonus You take care of others, BAYADA takes care of you. Benefits include: Preventive care coverage for ALL employees (PRN included) Medical, dental, vision, prescription coverage* PTO (paid vacation or sick leave) * Paid holidays, vacation, and sick leave* 401(k) with company match* Employer-paid life insurance* Employee Assistance Program (EAP) Scholarship opportunities, free courses, and on-the-job training Benefits subject to employment type What makes private duty nursing different than home health visits? Offers traditional shift types (8’s, 10’s, or 12's) Hands-on care with one client Building client relationships and watching their milestones Client age ranges from infant to geriatric What your day looks like with BAYADA: Travel to one client home near you on a schedule you choose Follow up with, execute, and properly document doctors' orders Perform assessments and monitor clients' conditions Document observations, interventions, and evaluation How we prepare our RNs for success : Paid training from day 1 in the office, in the home, and online Practice with award-winning adult and pediatric Simulation labs Around the clock clinical support by phone Electronic charting using Statewise We care for clients of all ages, diagnoses, and acuity levels. We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. We’re honored to be recognized as: Newsweek's Greatest Workplace for Overall, Women, Parents & Families, Diversity Forbes Best Employers for Veterans Qualifications for a private duty [RN]: Graduation from an accredited or approved nursing program, as indicated by school transcript or diploma A current NJ nursing license in good standing 1 year of RN experience Compensation & Schedule: Pay: $45.00/Hour Flexible scheduling with no minimums (full-time, part-time, per diem) Needing more ‘life’ in your work-life balance? Apply to our talent network today! NER-NJ-RX As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

The HHA/PCA job you've been looking for! Community Care is hiring aides to work 12-20 hrs./wk. in Westchester! Flexible schedule, 1199 Union membership, sign-on and referral bonus!

Community Care Home Health Services Sleepy Hollow, NY

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

Advanced Care Staffing New York, NY

Registered Nurse $45 (12 hrs shift )

$45 / hour

Responsibilities of a RN: · Registered Nurse (RN) is responsible for supervision of care given to residents by Licensed Practical Nurse, CNA, and other members of the team. · Registered Nurse (RN) develops resident's daily assignment sheets and makes changes as indicated based on staffing patterns and resident acuity. · Registered Nurse (RN) evaluates resident's response to medication and treatment. · Registered Nurse (RN) is responsible for ensuring administration of medication, treatments, and evaluating resident’s response to medication and treatment. Qualifications of a RN: ü Associate Degree in Nursing or Bachelor of Science in Nursing ü Licensed in the State of New York as a Registered Nurse (RN) ü CPR/BLS certification Please call Joanne if you are Interested at 1.718.305.6700 Ext 289 . or Text me at 1.347.539.7342

Park Gardens Rehabilitation and Nursing Center New York, NY

Registered Nurse

We Offer: Ø Competitive Salary; Ø Full Benefits Package; Ø Paid time Off; Ø and Opportunities for Professional Growth Park Gardens Rehabilitation & Nursing Center, a 200 bed skilled nursing facility in the Riverdale section of the Bronx , has immediate openings for a full time RN’s to join our team of dedicated professionals. We are looking for an individual who desires a worthwhile career that has purpose and makes a meaningful difference in someone’s life. Responsibilities: Provides quality nursing care to residents to maintain or attain the highest practical level of functioning. Participates in the identification of resident problems that require nursing intervention Evaluates residents for any decline of condition, signs of change in condition, weight loss, decline in ambulation, change in ADLs, development of skin breakdown, etc. Notifies appropriate staff per facility protocol of the need for evaluation and informs staff on any changes in assessment when appropriate Confer with residents and families on any issues relating to care and services Make referrals to other departments when appropriate Complete employee and resident incident reports and complete follow-up investigation forms Maintain accountability for controlled substances by reviewing inventory medications with another licensed nurse and notifying supervisors of any discrepancies Performs routine charting duties in accordance with established charting and documentation policies and procedures Supervise the CNAs, LPN’s and the unit clerk in regards to work procedures, expediting workflow, evaluations, counseling and discipline Performs and monitors the appropriate transfer of residents, including the use of transfer equipment. Performs other related job duties as required. Qualifications: Must have an active license as a RN Nurse (RN) in the State of New York. Graduate from an accredited School of Nursing Knowledge of practical nursing theory and practice. Ability to follow oral and written directions. Prepare and maintain records, charts, and reports. Ability to apply nursing techniques as directed by physicians or professional nurses. Ability to meet the general health requirements of this facility, including a medical and physical examination. Ability to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 3 feet and for a minimum distance of 3 feet. Who we are and why you should work for us: WE are a premier skilled nursing facility located in Bronx County, New York dedicated to provide outstanding care to our residents in a warm, nurturing environment that allows each resident to maintain his or her individuality and dignity. We pride ourselves on our professionalism and are constantly looking to be the best at what we do. Please join us and begin a rewarding and exceptional career. Park Gardens Rehabilitation and Nursing Center c onsiders the health and safety of its residents, family members, and team members as one of its highest priorities. All offers of employment 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 . EOE Statement 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.