Nursing Jobs in Spencer, MA

Day Kimball Health is hiring for a Registered Nurse (RN) for the Part Time Night Shift 24-Hours Medical Surgical Unit job in Putnam, CT. This position is eligible for a sign-on bonus up to $15,000 for external applicants Registered Nurse Benefits: Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability Health Savings Account or Flexible Spending Account Accident & Critical Illness Coverage 401K Plan with Eligible Employer Contribution Vacation Time Sick Days Paid Holidays Education Reimbursement Pet Insurance Additional Benefits Registered Nurse (RN) Job Summary: As the Medical Surgical Registered Nurse (RN), you will be responsible for diagnosing responses to actual or potential health problems and for providing basic emergent, supportive, and restorative care through the use of our nursing process. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served in assigned responsibility. Registered Nurse (RN) Job Responsibilities: According to age and developmental level of the patient, systematically assesses the patient's physical, psycho-social, emotional, cultural, spiritual and discharge needs. Utilizes effective oral and written communication skills to include completeness and accuracy of documentation. Demonstrates accurate technical skill and operational knowledge of patient care equipment and procedure. Evaluates the plan of care and reformulates the goals as necessary. Develops and implements a plan of care for each patient. Recognizes unsafe and life-threatening situations and intervenes appropriately. Registered Nurse (RN) Education and Experience Requirements: Graduate of an accredited school of nursing required Currently licensed as a Registered Nurse in the state of Connecticut required. Current AHA Healthcare Provider CPR certification or equivalent within 3 months of hire required. Current NVCIT (Non-Violent Crisis Intervention Training) certification or within 3 months of hire required. Why Choose Day Kimball Health? The Care You Need. Close to Home. For over 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Medical Surgical Unit Registered Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #RegisteredNurse #Nurse #RN #MedSurgRN #MedicalSurgicalRN #MedSurgNurse #MedicalSurgicalNurse 
Day Kimball Health is hiring for a Registered Nurse (RN) for the Part Time Night Shift 24-Hours Medical Surgical Unit job in Putnam, CT. This position is eligible for a sign-on bonus up to $10,000 for external applicants Registered Nurse Benefits: Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability Health Savings Account or Flexible Spending Account Accident & Critical Illness Coverage 401K Plan with Eligible Employer Contribution Vacation Time Sick Days Paid Holidays Education Reimbursement Pet Insurance Additional Benefits Registered Nurse (RN) Job Summary: As the Medical Surgical Registered Nurse (RN), you will be responsible for diagnosing responses to actual or potential health problems and for providing basic emergent, supportive, and restorative care through the use of our nursing process. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served in assigned responsibility. Registered Nurse (RN) Job Responsibilities: According to age and developmental level of the patient, systematically assesses the patient's physical, psycho-social, emotional, cultural, spiritual and discharge needs. Utilizes effective oral and written communication skills to include completeness and accuracy of documentation. Demonstrates accurate technical skill and operational knowledge of patient care equipment and procedure. Evaluates the plan of care and reformulates the goals as necessary. Develops and implements a plan of care for each patient. Recognizes unsafe and life-threatening situations and intervenes appropriately. Registered Nurse (RN) Education and Experience Requirements: Graduate of an accredited school of nursing required Currently licensed as a Registered Nurse in the state of Connecticut required. Current AHA Healthcare Provider CPR certification or equivalent within 3 months of hire required. Current NVCIT (Non-Violent Crisis Intervention Training) certification or within 3 months of hire required. Why Choose Day Kimball Health? The Care You Need. Close to Home. For over 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Medical Surgical Unit Registered Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #RegisteredNurse #Nurse #RN #MedSurgRN #MedicalSurgicalRN #MedSurgNurse #MedicalSurgicalNurse 
We are seeking a dynamic and experienced Director of Nursing Services to join our care team at Worcester Rehabilitation & Health Care Center! This salaried role ranges from $140,000 to $160,000 with weekly pay. $10,000 sign-on bonus available* About Worcester Rehabilitation & Health Care Center: Worcester is a 146-bed skilled nursing facility specializing in residents managing substance use disorders. Our commitment to delivering high-quality care and customer service is matched by our dedication to creating a positive work environment for our employees. "Worcester Rehab has been an extremely rewarding place to work. We serve a population that is often overlooked and underserved, providing compassionate care to residents who face significant challenges related to substance use disorder," Amy Oriakhi, Administrator, says. "One of the things I value most about working here is our nonjudgmental approach to care. We recognize that residents come to Worcester Rehab to recover from the health consequences of substance use, and we meet them where they are in their recovery journey. This perspective allows us to provide respectful, person-centered care while supporting each resident's individual needs. Although working with this population can present challenges, I find the work deeply meaningful. Being able to contribute to the health, dignity, and well-being of our residents is incredibly fulfilling, and I take pride in serving a community that is often marginalized. The opportunity to make a positive impact in residents' lives is what makes Worcester Rehab such a satisfying place to work." Job Summary: As a Director of Nursing Services, you will be responsible for planning, organizing, developing, and directing the overall operation of our Nursing Services Department in accordance with federal, state, and local standards, guidelines, and regulations that govern our facility. Responsibilities: Plan, develop, organize, implement, evaluate, and direct the nursing service department, according to state and federal guidelines and scope of patient care Maintain and review and have input to development of all clinical policies and procedures Develop and implement a nursing service organization structure Determine the staffing needs of the nursing service department, making recommendations to the Administrator, necessary to meet the needs of the residents Oversee licensed nursing staff Develop work assignments and schedules duty hours, and/or assist nursing supervisor staff in completing and performing tasks necessary to ensure quality of care Develop and maintain an on-call program for the nursing department Make daily rounds of each nursing unit and do visual inspection on each unit Review satisfaction of care and services with interviews with families and residents Assist the Infection Preventionist in establishing and maintaining the Infection Control Program Assist the Director of Staff Development in ensuring that all mandatory in-service education sessions, which are required by state and federal law, are performed per schedule; documented and such documentation is retained Assist the Administrator in developing safety standards for the nursing department and monitors these through employee incidents and develops a plan of correction and audit tool for prevention Abide by all reporting policies and measures set forth by Athena Health Care Systems Other duties assigned by managerial team Requirements: Graduate of an accredited School of Nursing, college, or university, B.S.N. preferred Must possess an active and unencumbered RN license in Massachusetts CPR certified Certification in Gerontology preferred Prior experience as a DNS, ADNS, Staff Development, or other nursing leadership role required *Employment conditions apply Benefits: Competitive and Weekly Pay Holiday Pay for Hourly and Salaried Employees Overtime Pay for Hourly Employees Career Advancement Opportunities Exclusive Employer Discount Program Available for Eligible Team Members: Employer-Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and state guidelines regarding staff vaccinations. Our policy requires all staff to be up to date with COVID and flu vaccinations, or acknowledge a declination of the vaccination(s). 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA to join our team! As a Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. CNA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status 
Overview $71,000-$75,000 Advocates promotes a healthy work-life balance and offers many generous perks of employment and room for advancement. We are a strong-knit community that values the ideas and contributions of our staff. The MA Clinician will provide crisis and respite support services to individuals in being supported by the Deaf Respite Program. Are you ready to make a difference ? Minimum Education Required Master's Degree Shift First Shift, Second Shift Additional Shift Details Sunday-Thursday Responsibilities Ensure an environment that promotes safety, recovery, and treatment. Provide psychiatric and substance abuse evaluations of individuals at the Respite site. Provide clinical oversight of work performed at the respite program, including participation in an on-call rotation. Work with clients in a collaborative manner to develop assessments, Individualized Action Plans (IAPs), Individualized Service Plans (ISPs), crisis plans, relapse plans, and other items needed to support their stay at the program. Develop and maintain a thorough knowledge of managed care and health insurance systems. Provide information on treatment and referral services. Maintain linkages with specific community services by providing documented case consultations and problem resolution. Provide transportation to appointments and other community integration opportunities. Ensure the program site is maintained in a clean and sanitary manner. Qualifications Master’s Degree in related field and at least two years’ experience with target population (inpatient, outpatient, residential acceptable). Must be fluent in American Sign Language (ASL). Ability to develop and maintain satisfactory working relationships with employees and providers. Must have working knowledge of current version of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Must possess excellent assessment and interviewing skills. Basic computer knowledge. Excellent communication skills. High energy level, superior interpersonal skills and ability to function in a team atmosphere. Must hold a valid driver's license, have access to an operational and insured vehicle and be willing to use it to transport clients. Strongly prefer a candidate that will have a demonstrated understanding of and competence in serving culturally diverse populations. Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience. 
Day Kimball Health is hiring for a Licensed Practical Nurse for the Day Kimball Medical Group Family Medicine - Kennedy Drive Full Time Day Shift job in Putnam, CT. Licensed Practical Nurse (LPN) Benefits: Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability HSA or FSA accounts Accident & Critical Illness Coverage 401K Plan with match Vacation Time Sick Days Paid Holidays Education Reimbursement Additional Benefits Licensed Practical Nurse (LPN) Job Summary: As the Licensed Practical Nurse (LPN), you will be responsible for, functioning as office nurse and helping to maintain a smooth operation of the daily routine by performing a variety of clinical duties to allow quality time between patient and physician. Monitoring and managing medications, patient rooms, State vaccines, medical equipment and supplies, laundry, education booklets and information. Providing management of assigned doctors' and/or nurse practitioners' patients, i.e., callbacks, and test results, under their specific directions. Licensed Practical Nurse (LPN) Job Responsibilities: Assists their provider by documenting chief complaint, essential data, i.e., height, weight, blood pressure, head circumference. Maintains an even distribution of patients for the assigned nurse practitioner or pediatrician and keeps the assigned rooms properly supplied of medical, as well as educational material. Assist patients to Xray, lab or ED when needed. Set up Nebulizer treatments and monitors patient. Responsible for documentation in medical record and completion of school or camp forms. After consultation with provider, reinforces education and health information with parent/guardian/patient. Answers a variety of medical questions or refers them to the doctor or nurse practitioner when necessary. Ability to accurately record messages and follows identified protocols regarding health concerns/issues and follows up with provider as necessary. Assists physician or nurse practitioner in emergency situations and prepares the proper equipment for the procedure. Assists in minor procedures such as PKU, sutures, catheterization as needed by physician. Responsible for immunization, allergy shots and documents same in proper areas. Obtain strep cultures of patients and documents and gets culture to Lab in a timely manner. Secure all exam rooms, lab rooms; restock with supplies on a daily basis. Retrieve special orders from Lab and X-ray when provider requests. Licensed Practical Nurse ( LPN) Education and Experience Requirements: Current license to perform as a licensed practical nurse in the State of Connecticut required. High School Diploma Required - College Course Preferred Two years as Licensed Practical Nurse in hospital or office setting required Why Choose Day Kimball Health? The Care You Need. Close to Home. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Licensed Practical Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #Nurse #LPN #FamilyMedicineLPN #FamilyMedicineNurse 
Day Kimball Health is hiring a Licensed Practical Nurse (LPN) for Day Kimball Medical Group Family Medicine - Kennedy Drive. Location : Putnam, CT Shift : Full Time, Day Shift, 40-Hours Benefits Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability HSA or FSA accounts Accident & Critical Illness Coverage 401K Plan with match Vacation Time Sick Days Paid Holidays Education Reimbursement Additional Benefits Licensed Practical Nurse (LPN) Job Summary As the Family Medicine Licensed Practical Nurse (LPN), you play a key role in our family Medicine setting, functioning as an office nurse and helping to maintain a smooth daily routine by performing a variety of clinical duties that allow quality time between patient and physician. You monitor and manage medications, patient rooms, state vaccines, medical equipment and supplies, laundry, and educational materials. You manage assigned doctors’ and/or nurse practitioners’ patients, including callbacks and test results, under their specific directions. Why Choose Day Kimball Health? For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Licensed Practical Nurse (LPN) Responsibilities You provide direct patient care in a family medicine setting, assisting your provider by documenting the chief complaint and essential data such as height, weight, blood pressure, and head circumference. You maintain an even distribution of patients for the assigned nurse practitioner or pediatrician and keep exam rooms properly stocked with medical and educational materials. You assist patients to X-ray, lab, or the ED when needed, set up nebulizer treatments, and monitor patients. You are responsible for documenting in the medical record and completing school or camp forms. After consulting with the provider, you reinforce education and health information with parents, guardians, or patients. You answer a variety of medical questions or refer them to the doctor or nurse practitioner when necessary. You accurately record messages, follow identified protocols regarding health concerns or issues, and follow up with the provider as needed. You assist the physician or nurse practitioner in emergency situations and prepare the proper equipment for procedures. You assist in minor procedures such as PKU, sutures, and catheterization as needed, and you are responsible for administering immunizations and allergy shots while documenting them in the proper areas. You obtain strep cultures from patients, document them, and ensure the culture is sent to the lab in a timely manner. You secure all exam and lab rooms and restock supplies daily. You retrieve special orders from the lab and X-ray when requested by the provider. Required Skills And Qualifications Current LPN License (Connecticut) Basic Life Support (BLS) / CPR Certification High School Diploma Two years as a Licensed Practical Nurse (LPN) in hospital, office, or family medicine setting. Preferred Skills And Qualifications Completion of additional college-level coursework in healthcare or nursing Equal Opportunity Employer Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke-free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team at Day Kimball Health and experience a culture of teamwork, professionalism, mutual respect, and a career that makes a difference. #Nurse #LPN #FamilyMedicineLPN #FamilyMedicineNurse 
Day Kimball Health is hiring for a Licensed Practical Nurse for the Day Kimball Medical Group Family Medicine - Kennedy Drive Full Time Day Shift job in Putnam, CT. Licensed Practical Nurse (LPN) Benefits: Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability HSA or FSA accounts Accident & Critical Illness Coverage 401K Plan with match Vacation Time Sick Days Paid Holidays Education Reimbursement Additional Benefits Licensed Practical Nurse (LPN) Job Summary: As the Licensed Practical Nurse (LPN), you will be responsible for, functioning as office nurse and helping to maintain a smooth operation of the daily routine by performing a variety of clinical duties to allow quality time between patient and physician. Monitoring and managing medications, patient rooms, State vaccines, medical equipment and supplies, laundry, education booklets and information. Providing management of assigned doctors' and/or nurse practitioners' patients, i.e., callbacks, and test results, under their specific directions. Licensed Practical Nurse (LPN) Job Responsibilities: Assists their provider by documenting chief complaint, essential data, i.e., height, weight, blood pressure, head circumference. Maintains an even distribution of patients for the assigned nurse practitioner or pediatrician and keeps the assigned rooms properly supplied of medical, as well as educational material. Assist patients to Xray, lab or ED when needed. Set up Nebulizer treatments and monitors patient. Responsible for documentation in medical record and completion of school or camp forms. After consultation with provider, reinforces education and health information with parent/guardian/patient. Answers a variety of medical questions or refers them to the doctor or nurse practitioner when necessary. Ability to accurately record messages and follows identified protocols regarding health concerns/issues and follows up with provider as necessary. Assists physician or nurse practitioner in emergency situations and prepares the proper equipment for the procedure. Assists in minor procedures such as PKU, sutures, catheterization as needed by physician. Responsible for immunization, allergy shots and documents same in proper areas. Obtain strep cultures of patients and documents and gets culture to Lab in a timely manner. Secure all exam rooms, lab rooms; restock with supplies on a daily basis. Retrieve special orders from Lab and X-ray when provider requests. Licensed Practical Nurse ( LPN) Education and Experience Requirements: Current license to perform as a licensed practical nurse in the State of Connecticut required. High School Diploma Required - College Course Preferred Two years as Licensed Practical Nurse in hospital or office setting required Why Choose Day Kimball Health? The Care You Need. Close to Home. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Licensed Practical Nurse and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference! #Nurse #LPN #FamilyMedicineLPN #FamilyMedicineNurse 
Overview Compensation: Per visit depending on visit type. Routine: $35, Hourly: $35 Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO – Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities As a LPN, you will visit patients in their homes and provide nursing care for them under direction of RNs and in compliance with the physicians' orders. Qualifications 1. Must possess a valid state driver’s license. 2. Must possess automobile liability insurance. 3. Must wear seat belts at all times while driving. 4. Dependable transportation kept in good working condition. 5. Must be able to drive an automobile in all types of weather conditions. 6. Must be c u r r e n t l y l i c e n s e d a s a L i c e n s e d Pr ra c t i c a l Nurse in the N u r s e i n t h e State of employment. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary. 
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: $33.00 - $56.00 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 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $38.65 - $78.34 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Sunday through Saturday Scheduled Hours: 2245-0715 Shift: 3 - Night Shift, 8 Hours (United States of America) Hours: 24 Cost Center: 10021 - 0226 Nursing 2 Union: MNA-Marlborough (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Day Kimball Health is hiring a Licensed Practical Nurse (LPN) for Day Kimball Medical Group Family Medicine - Kennedy Drive. Location : Putnam, CT Shift : Full Time, Day Shift, 40-Hours Benefits Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability HSA or FSA accounts Accident & Critical Illness Coverage 401K Plan with match Vacation Time Sick Days Paid Holidays Education Reimbursement Additional Benefits Licensed Practical Nurse (LPN) Job Summary As the Family Medicine Licensed Practical Nurse (LPN), you play a key role in our family Medicine setting, functioning as an office nurse and helping to maintain a smooth daily routine by performing a variety of clinical duties that allow quality time between patient and physician. You monitor and manage medications, patient rooms, state vaccines, medical equipment and supplies, laundry, and educational materials. You manage assigned doctors’ and/or nurse practitioners’ patients, including callbacks and test results, under their specific directions. Why Choose Day Kimball Health? For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Licensed Practical Nurse (LPN) Responsibilities You provide direct patient care in a family medicine setting, assisting your provider by documenting the chief complaint and essential data such as height, weight, blood pressure, and head circumference. You maintain an even distribution of patients for the assigned nurse practitioner or pediatrician and keep exam rooms properly stocked with medical and educational materials. You assist patients to X-ray, lab, or the ED when needed, set up nebulizer treatments, and monitor patients. You are responsible for documenting in the medical record and completing school or camp forms. After consulting with the provider, you reinforce education and health information with parents, guardians, or patients. You answer a variety of medical questions or refer them to the doctor or nurse practitioner when necessary. You accurately record messages, follow identified protocols regarding health concerns or issues, and follow up with the provider as needed. You assist the physician or nurse practitioner in emergency situations and prepare the proper equipment for procedures. You assist in minor procedures such as PKU, sutures, and catheterization as needed, and you are responsible for administering immunizations and allergy shots while documenting them in the proper areas. You obtain strep cultures from patients, document them, and ensure the culture is sent to the lab in a timely manner. You secure all exam and lab rooms and restock supplies daily. You retrieve special orders from the lab and X-ray when requested by the provider. Required Skills And Qualifications Current LPN License (Connecticut) Basic Life Support (BLS) / CPR Certification High School Diploma Two years as a Licensed Practical Nurse (LPN) in hospital, office, or family medicine setting. Preferred Skills And Qualifications Completion of additional college-level coursework in healthcare or nursing Equal Opportunity Employer Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke-free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team at Day Kimball Health and experience a culture of teamwork, professionalism, mutual respect, and a career that makes a difference. #Nurse #LPN #FamilyMedicineLPN #FamilyMedicineNurse 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Third Holiday, Weekends - Every Third Weekend Scheduled Hours: 19-07 Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 24050 - 1420 Progressive Care Union: MNA-HealthAlliance Leominster (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference. GENERAL SUMMARY: The Registered Nurse is responsible for the planning, delivery and management of direct patient care using the nursing process and adhering to the standards of nursing practice within a specific unit or clinical area. PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS: Nursing Process: Utilizes the nursing process for the delivery and management of patient’s care. Maintains assignment of patients and caseload according to unit guidelines and established standards of practice. Uses positive customer service skills when communicating with patient and patient’s family. Utilizes the nursing process for the delivery and management of the patient’s care. Utilizes clinical reasoning and critical thinking. Involves patient, family/significant others and other disciplines in decision making related to the patient’s plan of care. Serves as a patient and family advocate. Implements interventions consistent with hospital standards of practice and prescribed medical plan of care and evidence based practice . Documents the patient assessment, plan of care, and response to intervention. Meets all unit documentation standards. Communicates and coordinates the patient’s plan of care to ensure continuity of care. Maintains competency in management of clinical emergencies. Provides complete communications in SBAR format (Situation, background, assessment, recommendations) to relieving staff members and demonstrates advanced planning for the patient. Navigates through the critical elements of the patient medical record software and HealthAlliance-Clinton Hospital Intranet. Clinical Practice: Demonstrates/applies the skill and judgment necessary to implement the medical/nursing plan of care, nursing interventions and procedures necessary for the care of the patient. Bases clinical practice on evidence, unit guidelines, and professional standards to improve the quality of care and to guide clinical judgments. Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient’s response. Maintains competency with technology and equipment. Utilizes equipment in a safe manner. Uses appropriate infection control and safety practices in all duties. Acts as a charge nurse as requested by the nursing management team. Collaboration: Delegates responsibilities to others according to Massachusetts general laws and practice guidelines with an understanding of their roles, knowledge and capabilities. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care. Works weekends, holidays and off-shifts as required by unit staffing needs. Climate: Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development. Holds self accountable for professional practice. Presents self in a calm and professional manner and effectively verbalizes relevant problems during daily interactions, and/or staff meetings. Interacts and copes effectively with diverse populations in stressful situations resulting from trauma and illness. Participates in performance improvement activities utilizing principles to support and improve patient care. Demonstrates knowledge of unit goals and is active in committees and projects to achieve these goals. Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend. Keeps current with literature regarding changing practices, interventions and best practices in patient care. Assumes responsibility for seeking out educational and professional opportunities for personal learning needs and growth. Assumes responsibility for meeting mandatory education requirements and unit specific education and competencies. Acts as a preceptor as requested. Job duties for all positions: The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serve as a role model for the CARES - It Happens Here customer service initiative. Demonstrates excellent work attendance and attends and actively participates in a variety of meetings and training sessions as required. Demonstrates a friendly, responsive, service-minded attitude to all customers. Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback. Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards. Complies with established policies and procedures and all health and safety requirements. Maintains, and fosters, a clean, safe work environment. Actively contributes to the development and application of process improvements. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment. Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work and lifestyles. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Performs a variety of related duties as assigned. JOB REQUIREMENTS: JOB KNOWLEDGE AND SKILLS: Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging process, human development stages and cultural patterns in each step of the care process. Ability to provide care for a designated group of patients according to the unit guidelines and hospital policies, procedures and protocols. Ability to lead, guide and motivate staff. Ability to read, write and speak clearly in English. EDUCATION: Must be a graduate of a recognized school of Nursing A Bachelor’s degree (BSN) in Nursing is preferred. EXPERIENCE: 2-3 years of Nursing experience preferred. An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements . LICENSES, ETC.: Must have a current Massachusetts Registered Nurse License. Certification in a nursing specialty desired. 7p-7a, 24 HPW, EOW/EOH All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA/HHA to join our team! As a Certified Nursing Assistant/Home Health Aide , your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. Full Time Evenings 3p-11p $19-$20.25/HR CNA/HHA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $38.65 - $78.34 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Sunday through Saturday Scheduled Hours: 2245-0715 Shift: 3 - Night Shift, 8 Hours (United States of America) Hours: 32 Cost Center: 10021 - 0226 Nursing 2 Union: MNA-Marlborough (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred : 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA to join our team! As a Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. CNA Duties & Responsibilities: Starting at $18.50 and increasing with experience. Schedule: Every other weekend 7am-3pm and 3pm-11pm. Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA to join our team! As a Certified Nursing Assistant , your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. CNA Duties & Responsibilities: Starting $18.50, increasing with experience Schedule : Monday, Tuesday Wednesday and every other weekend. Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA to join our team! As a Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. CNA Duties & Responsibilities: Starting at $18.50 Schedule:7am-3pm, 3pm-11pm, 11pm-7am and every other weekend Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 40-Hours, Days, 7:45am - 5:00pm, Varying 8 hour shifts Pay Range: $21.25 - $30.31 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. JOB SUMMARY: Under the direction of Management, Physician and/or Nursing, incumbent is responsible for assisting with patient care and medical office clinical support and clerical functions. Clinical duties include: Scheduling tests, obtaining and recording patient health information, including vitals and injections and rooming patients; performing in office testing, supporting providers; performing tasks /schedule management to help providers run on time; bucket management, schedule review; materials management and any other duties and locations as assigned. Must learn and perform new standards and processes as they are implemented and participate in customer service and patient satisfaction initiatives. Complete any assigned training. Perform phlebotomy services and administer vaccines. Clerical duties include: Answering phones, appointment scheduling, providing patient education. For complete description see below. Responsibilities ESSENTIAL FUNCTIONS Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe practice and hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Heywood Healthcare Attendance and Tardiness Policy. Completed all Heywood Healthcare and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Provides patient care by assisting with implementation of care plans. Assesses health status, documents interventions and evaluates patient progress following standard procedures. Performs basic office laboratory procedures such as urinalysis, urine culture, hematocrit, sed rate, mono spot, pregnancy tests, throat cultures and related procedures. Performs basic clinical procedures such as venipuncture/phlebotomy. Prepares documents and administers vaccines/non-intravenous injections as directed. Performs a variety of clerical functions to support office such as typing, filing, scheduling appointments, making phone calls and related duties as required or directed. Coordinates patient flow and prepares patient for examination. Takes and records vital signs and EKG’s. Documents intake assessment. Assists physician and others in clinical procedures as required or directed. Assist in triaging medical calls as per office protocol. Returns patient calls and documents in patient record as required or directed. Calls in prescriptions and refills as directed. Document prescription calls. Reviews laboratory results. Ensures abnormal results are brought to the attention of the physician and others as appropriate. Maintains records, reports, logs and other statistical information as required or directed. Processes Medical Records incoming and outgoing according to practice guidelines and regulations. Schedules and coordinates patient visits and medical procedures, for both inpatients and outpatients. Registers patients for each patient visit, utilizing computer based registration/scheduling system. Verifies patients insurance coverage and eligibility. Maintains assigned office and/or clinical supplies including vaccines. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items. Issues and verifies patients managed care referral. Collects copays from patients for visits, maintains records and reconciles daily deposits. Completes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner. Instruments and equipment are prepared and sterilized according to procedure to support infection control. Attends variety of meetings, conferences, and seminars as required or directed. Complies with established departmental policies, procedures, and objectives. Demonstrates use of quality improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Provide coverage when needed at other locations within Heywood Medical Group. All other duties and locations as assigned. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications JOB REQUIREMENTS Minimum Education High School diploma or equivalent required or must obtain within six months of employment Completion of accredited program in Medical Office Assisting (MOA) at an accredited school, or relevant job experience preferred. Required Certifications CMA/RMA or equivalent required. (Candidates with appropriate training or experience can obtain certification within six months of employment). BLS through American Heart Association required or must obtain within six months of employment Minimum Work Experience Experience in a medical office preferred. Required Skills Excellent written and verbal communications skills preferred. Proficiency with computers and electronic medical records is required. Ability to work flexible shifts, evening, and weekends required. Reliable transportation for travel between locations required. FUNCTIONAL DEMANDS Physical RequirementsExerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands). $80,496 - $119,808 / year
New Grads Encouraged to Apply! JOIN A TEAM THAT'S MAKING A DIFFERENCE IN MENTAL HEALTHCARE Westborough Behavioral Healthcare Hospital (WBHH) is a 117-bed psychiatric hospital that provides comprehensive psychiatric care for children, adolescents, and adults through acute inpatient stabilization and outpatient services. Under dynamic new leadership, we're building an exceptional workplace culture focused on outstanding patient care and employee satisfaction. Our mission is to deliver compassionate, evidence-based treatment while ensuring patients and their families feel supported throughout their healing journey. We're committed to creating an environment where our dedicated team members can grow professionally while making a meaningful impact in their community. Located conveniently in Westborough at Routes 495 and 9. Advance your career. Advance mental healthcare. Schedule: Part- time 24 hours per week Shift: Wednesday & Thursdays 7:00 PM - 7:30PM and Wednesdays & Fridays 7:00 PM - 7:30PM Job Overview: Deliver quality general/psychiatric nursing care to patients who are hospitalized for treatment of psychiatric or emotional disorders. Knows and applies current nursing theory, principles of care and nursing procedures in performing the following functions appropriate to the age of the patient, maintains a safe and clean care environment, quality improvement, assist in the supervision of the Behavioral Health Technician, actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission and objectives of Westborough Behavioral Healthcare Hospital. Primary responsibilities include: Taking responsibility for the quality of nursing care provided to patients, including maintaining optimal patient health, counseling, collaborative planning and restoration of optimal function. Acting as a patient advocate and assisting patients in developing skills to advocate for themselves. Documenting all appropriate patient information in a timely manner. Performing comprehensive nursing assessments of all patients. Assessing vital signs and administering medications as ordered. Evaluating and documenting patient response to medication regimen and identifying need to administer PRN medication. Participating in meetings and group therapy sessions as assigned. Assessing the unit milieu to maintain a safe, therapeutic environment for patients, family members and staff. Salary: $80,496.00 - $119,808.00 per year Education and/or Licensure: ASN required; BSN preferred Valid Massachusetts RN license in good standing At least one year of psychiatric/behavioral health experience preferred Competitive Compensation 401K Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off Tuition Reimbursement Employee Assistance Program Pet Insurance Basic AD&D and Life Short and Long Term Disability Health and Dependent Savings Accounts $80,496 - $119,808 / year
$10,000 Sign on Bonus for Full-Time Positions New Grads Encouraged to Apply! JOIN A TEAM THAT'S MAKING A DIFFERENCE IN MENTAL HEALTHCARE Westborough Behavioral Healthcare Hospital (WBHH) is a 117-bed psychiatric hospital that provides comprehensive psychiatric care for children, adolescents, and adults through acute inpatient stabilization and outpatient services. Under dynamic new leadership, we're building an exceptional workplace culture focused on outstanding patient care and employee satisfaction. Our mission is to deliver compassionate, evidence-based treatment while ensuring patients and their families feel supported throughout their healing journey. We're committed to creating an environment where our dedicated team members can grow professionally while making a meaningful impact in their community. Located conveniently in Westborough at Routes 495 and 9. Advance your career. Advance mental healthcare. Schedule: Full- time 36 hours per week; Sunday, Monday and Tuesdays 7:00 PM - 7:30PM. Job Overview: Deliver quality general/psychiatric nursing care to patients who are hospitalized for treatment of psychiatric or emotional disorders. Knows and applies current nursing theory, principles of care and nursing procedures in performing the following functions appropriate to the age of the patient, maintains a safe and clean care environment, quality improvement, assist in the supervision of the Behavioral Health Technician, actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission and objectives of Westborough Behavioral Healthcare Hospital. Primary responsibilities include: Taking responsibility for the quality of nursing care provided to patients, including maintaining optimal patient health, counseling, collaborative planning and restoration of optimal function. Acting as a patient advocate and assisting patients in developing skills to advocate for themselves. Documenting all appropriate patient information in a timely manner. Performing comprehensive nursing assessments of all patients. Assessing vital signs and administering medications as ordered. Evaluating and documenting patient response to medication regimen and identifying need to administer PRN medication. Participating in meetings and group therapy sessions as assigned. Assessing the unit milieu to maintain a safe, therapeutic environment for patients, family members and staff. Salary: $80,496.00 - $119,808.00 per year Education and/or Licensure: ASN required; BSN preferred Valid Massachusetts RN license in good standing At least one year of psychiatric/behavioral health experience preferred Competitive Compensation 401K Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off Tuition Reimbursement Employee Assistance Program Pet Insurance Basic AD&D and Life Short and Long Term Disability Health and Dependent Savings Accounts 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA/HHA to join our team! As a Certified Nursing Assistant/Home Health Aide , your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. Full Time Days 7a-3p or Full Time Evenings 3p-11p $19-$20.25/HR CNA/HHA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
Come Join our Amazing Team!! We are a dedicated skilled nursing facility committed to providing exceptional care for our residents. We are seeking a detail-oriented and experienced MDS Coordinator to join our interdisciplinary team. Requirements: Licensed Massachusetts RN or LPN Minimum 1 year of experience as an MDS Coordinator (MDS experience required) Strong communication, organizational, and assessment skills Knowledge of Medicare coverage, PPS, and OBRA regulations Responsibilities: Oversee and facilitate resident assessments in accordance with Federal and State regulations Establish and manage assessment schedules to ensure accurate and timely completion Transmit assessments to the State of Massachusetts, Department of Health Coordinate resident care plans in compliance with regulatory requirements Initiate Medicare coverage for newly qualified residents and issue denial letters when necessary Stay updated on Medicare changes and determine required documentation for reimbursement Coordinate, plan, implement, and evaluate resident care following the MDS process Facilitate care conferences with the interdisciplinary team Complete and review Minimum Data Sets (MDS) Educate and train nursing staff and other departments on MDS processes and documentation Ensure all current MDS/PPS updates are implemented and staff are in-serviced Cross-train between PPS and OBRA processes Conduct regular resident interviews as required by MDS Why Join Us: Supportive, collaborative work environment Opportunity to make a meaningful impact on resident care Competitive compensation and professional development opportunities 
We are hiring a baylor weekend Nursing Supervisor to join our dynamic care team at Southbridge Rehabilitation & Health Care Center! 7a-7p Saturday and Sunday. Can be an RN or LPN. $45 to $47 an hour, depending on licensure. Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we also aspire to be the employer of choice. We strive to create a workplace where your skills and talents are nurtured to allow you to grow within the company. As the nursing supervisor, you direct the total nursing care activities in the facility during each of shift of duty under the direction of the Director of Nursing Services to ensure that the highest degree of quality resident care can be maintained at all times. Experience & Education: Must possess a current, unencumbered license to practice as an LPN or RN in this state. Must be CPR certified. Must have as a minimum, one (1) year experience in a hospital, long-term care facility or other related health care facility is preferable. Duties & Responsibilities: Meet the nursing and rehabilitation needs of each resident. Participates in developing, updating, and communicating residents' care plans. Assures staff is implementing care plans, performing care activities appropriately, and recognizes changes in resident status. Maintain current resident care plans on all residents under his/her care. Follow physician’s orders. Renders and/or assists with complete nursing care, treatments, dressings, and other physician orders. Transcribe physician’s orders promptly and accurately. Review patient records daily to assure accuracy and completeness. Document comprehensive and complete nursing notes. Maintain accurate awareness of residents on alert list/conduct and document RN assessments as needed. Document and report any unusual or significant findings; contact the physician when necessary. Administer medication according to procedure if applicable. Initiate any and all emergency procedures as necessary. Conduct oversight of Charge Nurse and CNA performances. Contributes to and promotes positive resident and family relations. Other duties may be assigned by manager. Specific Requirements: Must be able to read, write, speak, and understand the English language. Must possess accurate and comprehensive assessment skills. Must have knowledge of restorative nursing and rehabilitation policies and utilizes appropriately. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. Must be able to communicate effectively with appropriate personnel regarding emergency situations. About Athena Health Care Systems: Since its establishment in 1984, Athena Health Care Systems has pioneered the delivery of exceptional healthcare services. Operating nursing homes and hospice agencies across Connecticut, Massachusetts, and Rhode Island, Athena stands out as a healthcare leader in Southern New England. Athena’s Benefits: Competitive and Weekly Pay Holiday Pay for Hourly and Salaried Employees Overtime Pay for Hourly Employees Career Advancement Opportunities Exclusive Employer Discount Program Available for Eligible Team Members: Employer-Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law. 
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account . Exemption Status: Non-Exempt Schedule Details: Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Monday through Friday, Weekends - Every Fourth Weekend Scheduled Hours: 8:00am-4:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 24100 - 4320 Home Care LPN This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. This position, under the direction of a Registered Nurse, participates in direct and indirect patient care and health teaching to the full extent of his/her formal education, continuing education, competence and experience. Patient care may range from the newborn through the geriatric stage of life. May delegate duties to other caregivers as required and/or permitted and will consistently provide appropriate supervision. Works with other staff members in order to meet the goals, objectives and standards of the department and contributes to the attainment of divisional and system wide goals and objectives. Continues to add to his/her nursing knowledge and skill through on-going education. $7,500.00 Sign-on Bonus! I. Major Responsibilities: 1. Provides patient care according to standards of practice and departmental policy and procedure. 2. Provides assistance in patient education and documents appropriately according to policy and procedure. 3. Achieves continuity of patient care through planning and exchange of information with other health care professionals. 4. Administers medications safely and in accordance with professional standards of practice and departmental policies and procedures within the scope of practice for the LPN. 5. Makes recommendations for changes to the plan of care to the appropriate RN or other team member as the patient condition warrants. 6. Delegates patient care activities to appropriate personnel in accordance with professional standards of practice and departmental policy and procedure and within the scope of practice. 7. Meets productivity guidelines (7 visits per 8-hour day) according to departmental policy and procedures. 8. Supports performance improvement initiatives through active participation in PI processes, projects, and teams. 9. Creates and maintains documentation, which is consistently complete, accurate, timely and legible in accordance with departmental policies and procedures. 10. Maintains a safe environment for our patients through consistent compliance with policies and procedures. 11. Possesses and applies the skills and knowledge necessary to provide care to patients and customers throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current licensure as a Licensed Practical Nurse in the Commonwealth of Massachusetts. 2. Successful completion of an accredited Licensed Practical Nurse Program. 3. Valid US-issued driver’s license. 4. Registered, inspected, and insured automobile for work related purposes. Preferred: 1. Current Basic Life Support (BLS) certification. 2. Current CPR certification. Experience/Skills: Required: 1. Ability to perform detailed assignments with minimal supervision and work under pressure. 2. Knowledge of the nursing process for the delivery and management of patient care. 3. Ability to create electronic documentation, which is accurate, intelligible, and concise. 4. Ability to complete and maintain all required licensed practical nurse’s competencies. 5. Ability to communicate proactively and clearly with patients, caregivers, and medical staff. 6. Ability to read, write and speak clearly in English. Preferred: 1. Minimum two (2) years of Medical-Surgical nursing experience in direct patient care. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.