Nursing Jobs in Teterboro, NJ

About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ Job Description We are looking for a compassionate and warm Home Health Aid to provide assistance in daily living and personal care services for our clients. Some responsibilities include: Personal care - Bathing, dressing, grooming etc. - Meal and snack preparations - Accompany patient on errands and medical appointments - Provide companionship, empathy and basic emotional support - Medication reminders Housework - Cleaning the floors ( mop , sweep , vacuum etc.) - Washing dishes - Cleaning the bathrooms - Change the linen - Laundry Hours Choose your own! Let us know what works for you Pay $18 -$20 Certification HHA or PCA required (Certified in NY) Our Agency prides itself in caring for our employees like family ! Call 929-547-6214 today to join our team ! 
Marketing Statement Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various convenient locations. At NYC Health + Hospitals, our mission is to deliver high-quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position: Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button. 
CNA (Certified Nurse Assistant) PD Salary: up to $24 an hour Tired of the same old nursing home routine? We are taking a very fresh approach to skilled nursing. We offer frequent employee recognition meals, advancement opportunity, and free uniforms. Come in for an interview with our Administrator and DON!! CNA (Certified Nurse Assistant) Job Description: Recognize and respond to the needs of residents. Assist in lifting, turning, moving, positioning, and transporting residents into and out of bed, chairs, bath, lifts, and etc. Assist and daily living needs such as bathing, dressing, and feeding. Other duties are assigned by supervisor. CNA (Certified Nurse Assistant) QUALIFICATIONS/REQUIREMENTS: Must have a C.N.A certification CNA (Certified Nurse Assistant) Benefits: 1199 Union Benefits Highly competitive salary Health/Dental/Vision Insurance Fringe Benefits Employee Perks KinderCare Discount Plum Benefits (Discounted tickets to destinations and attractions) Rate: Union position Positions Avaiable: Per Diem positions available. An Equal Opportunity Employer INDCNA IND123 
Weekend RN Supervisor Brooklyn, New York Salary $55.00 per hour Type Part-Time Experience 2 years Facility Center is hiring a Weekend (RN) Supervisor in Brooklyn, N.Y. Duties: Complete resident care requirements by scheduling and assigning nursing staff Establish a compassionate environment by providing support to residents & families Provide information to residents & staff by answering questions and requests Maintain a safe & clean working environment by implementing rules & regulations Ensure resident confidence by monitoring confidential information processing Manage documentation of resident care services Promote a cooperative relationship among health care teams Requirements: Must hold valid Registered Nurse (RN) license Minimum 3 years Long-Term Care experience required Should be a strong and positive Team Director for all members of the staff Familiar with EHR and Prescribing programs Excellent communication skills Basic computer skills IND123 
Registered Nurses needed - Well-staffed Nursing and Rehabilitation Center Full time and weekend shifts available Tired of working long shifts with an overwhelming patient load? Come work at a facility where you can make a difference, working with a smaller number of patients for reasonable hours. The Company: Our client provides an exceptionally high level of care for its residents and has been recognized numerous times by the American Hospital Association. They have a very well respected staff and use cutting edge health technology. The Position: We're looking for full and part time Registered Nurses. Must have RN license to practice in New York, Reliable experience and BLS/CPR certification. Experience in a LTC/Nursing and rehab facility a plus. Full time and weekend shifts available. New grads are welcome! Responsibilities (including but not limited to) Complete and file required record keeping forms/charts upon the residents admission, transfer, and/or discharge Chart nurses notes in an informative, relevant, concise, and descriptive manner that reflects the care provided to the resident, as well as the residents response to care. Complete accident/incident reports as necessary. Document appropriately in the resident record following established procedures Report all discrepancies noted concerning physicians orders, diet change, charting error, etc., to the Charge Nurse/Nurse Manager Admit, transfer & discharge of residents as required Provides direct resident care as needed Review the residents chart for specific treatments, medication orders, diet, etc., as necessary Educates the resident through use of nursing knowledge and skills according to their needs to promote their mental and physical well-being Consults with residents physician in providing the residents care, treatment, rehabilitation, etc., as necessary Review medication cards for completeness of information, accuracy in the transcription of the physicians order, and adherence to stop orders For more information and to apply, please contact : Jacqueline Shiels Account Manager, Bond Health Staffing 5824 12th Avenue Brooklyn, NY, 11219 Office: 1-718-302-0040 ext. 201 Fax: 1-718-302-0070 Jacqueline@bondhealthstaffing.com 
A Skilled Nursing Facility in Jamaica Queens, NY is seeking an experienced and motivated Licensed Practical Nurse (LPN) Supervisor to oversee daily operations, support clinical staff, and help ensure the delivery of high-quality resident care. Key Responsibilities Provide leadership and oversight during assigned shifts. Conduct routine rounds to monitor resident well-being and operational effectiveness. Supervise nursing assistants and direct care staff to ensure appropriate workflow and quality standards. Monitor medication administration activities and ensure accurate documentation and follow-up when necessary. Respond to resident concerns, behavioral issues, and emergent situations in a timely and professional manner. Facilitate communication among clinical, administrative, and support teams to ensure continuity of care. Assist with admissions, readmissions, and transitions of care. Complete required incident documentation and communicate significant events to leadership. Maintain accurate shift reports and communicate pertinent information to incoming staff and management. Support a safe, respectful, and resident-centered environment. Qualifications Current New York State Licensed Practical Nurse (LPN) license. License must be active and in good standing. Previous supervisory or leadership experience in a healthcare setting preferred. Strong organizational, communication, and problem-solving skills. Ability to effectively manage multiple priorities in a fast-paced environment. Commitment to professionalism, teamwork, and exceptional resident care. What We Offer Competitive salary Professional growth opportunities Supportive team environment Stable and well-established healthcare organization Equal Opportunity Employer –M/F/D/V #LI-DNI 
Are you a certified HHA or PCA looking for work? We have many part-time and full-time cases available to start immediately! We offer fantastic benefits: Competitive payment Sick pay Flexible schedule Flex card Preventive health insurance And much, much, more Sick pay Refer a friend bonus Overtime pay Responsibilities: Help patients with daily functions, such as dressing or bathing Housework, like vacuuming or doing laundry. Shopping and cooking meals Schedule doctor appointments or other meetings and arrange transportation. Register and inform the nurses about the patient's health status. Teach patient self-care skills Requirements: Certificatied in New York to work as an HHA or PCA Valid ID Authorized to work in the United States Social Security Card (We do not accept TaxID) Happy and willing to provide care Ability to care for patients Experience in palliative care, home care, or other related fields is an advantage. Ability to care for minor medical problems Availability to work occasionally in the evenings, holidays, and weekends Work locations: Kings County/Brooklyn, Queens County, Richmond County/Staten Island, Manhattan County, Bronx County, Westchester County, Putnam County, Dutchess County, Rockland Counrty $90,000 - $145,000 / year
192635 Job Description Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient. Job Responsibility Facilitates patient management throughout hospitalization. Performs concurrent utilization management using evidence based medical necessity criteria. Submits data to management regarding case management and/or quality initiatives. Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team. Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course. Ensures compliance with current state, federal, and third party payer regulations. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient. Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Emergency Department experience, preferred. Knowledge of Milliman guidelines, preferred Two years of experience in an acute care setting, preferred Ability to manage a diverse caseload, including complex discharge planning needs Strong time management, workflow, critical thinking and conflict resolution skills Team-oriented; able to coordinate self-scheduling collaboratively Flexible to float as needed Flexibility in days as needed Alternating weekends and holidays Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
About Us Overview Work with a great team where you feel appreciated and make a difference! Responsibilities Provide warm and engaging personal care services, assistance, support and companionship. Administer or assist with medication for residents according to the Resident Care Plan. Engage residents while checking on their wellbeing and communicate changes in condition or Care Plan. Inspire your team and collaborate with the Health Services Director in assessing and documenting resident assessments at state or Brightview specified intervals. Salary Range USD $36.00 - USD $43.25 /Hr. Compensation Disclosure The salary range mentioned above reflects the potential pay for this role and does not include bonuses or additional incentives (if applicable), nor does it include the value of our benefit program. Offers will consider factors like experience, qualifications, location, community size (if relevant), certifications/training, etc. Brightview regularly reviews and adjusts compensation ranges. Qualifications You have a positive attitude and love working with people! A graduate of a state approved school of nursing. A current state license as a Practical/Vocation Nurse. Minimum of one year of experience in assisted living, hospice, home health, acute or long-term care environment. Why work at Brightview? Discover the Brightview Senior Living Difference! 1. Dedicated to Excellence: We lead the industry with a passion for delivering top-notch services and groundbreaking care. 2. Embracing Community: Join a supportive and inclusive environment that prioritizes your professional growth, development and advancement. 3. Impactful Work: Make a meaningful difference in the lives of our seniors, contributing to their joy and well-being every day. 4. Comprehensive Benefits: Enjoy competitive salaries, health, vision and dental insurance options, retirement plans, tuition reimbursement, employee assistance programs and many more benefits that prioritize your well-being. 5. A Place to Flourish: Embrace diversity, foster innovation, and access the tools and resources for personal and professional growth. Join our vibrant team at Brightview Senior Living and be valued as an integral part of our community. Equal Opportunity Employer At Brightview, we believe that diversity of thought, experience, perspective, and backgrounds makes us stronger. We welcome and celebrate all that makes us unique and we choose not to discriminate on the basis of race, color, creed, religion, sex, pregnancy, age, marital status, national origin, citizenship status, military status, physical or mental disability, sexual orientation, genetic information or any other characteristic protected by law or not related to the specific requirements of a particular role. We are, by choice and without question, an equal opportunity employer. For Massachusetts Applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. 
About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ 
Hiring Licensed Practical Nurses (LPNs) for Skilled Nursing Facility Make a Difference on Your Own Schedule and Terms! We are seeking compassionate LPNs / Licensed Practical Nurses to work within our client's facilities, providing follow-through of the physician-established plan of treatment and working under the supervision of the RN Supervisor. Five Star believes that qualified nurses are advocates and health educators for patients, families, and communities. Hourly pay rate: $27-$51 We would love to hear from you and see how we can help you advance your career in the medical field and earn money while caring for your community! As one of Five Star’s Licensed Practical Nurses, you will have access to: • Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) • Paid Orientations • Competitive Weekly Pay with Direct Deposit • Paid Sick Leave in accordance with NY law. • Dedicated Office staff & 24-hour On-call Service • Positive Work Environment • Medical, dental, vision, and other insurance options available • Lucrative Referral Bonuses LPN/ Licensed Practical Nurse Requirements: • Currently holds an active LPN license to work in New York. • CPR Certified (BLS or ALS accepted) • Meets all State and Federal requirements for US employment in a Nursing Facility • Strong patient assessment skills • Ability to communicate effectively • Demonstrated clinical competency Five Star LPNs are expected to carry out the following tasks: • Instruct patients and their families in proper treatment. • Help individuals and groups take steps to improve or maintain health. • Assess and record symptoms and/or reactions and progress in patients. • Administer patient medications as prescribed by the treating physician. • Assist in rehabilitation in accordance with the physician's established plan of treatment. We look forward to hearing from you soon. Apply today! 
Cedar Manor Nursing & Rehabilitation Center is searching for full time LPNs (Licensed Practical Nurses) to become a part of our facility’s compassionate care-giving team. Full-time available days, as well as part-time for every shift!. Our hourly rate is up to $39.78/hr. Full and part-time employees receive union Benefits, Weekly Pay, and generous PTO! Job Summary for LPN (Licensed Practical Nurse) : Administration of medications and treatments Communication with physicians Collaboration with the interdisciplinary team. Cedar Manor Nursing & Rehabilitation Center is a Skilled Nursing Facility located in Westchester County, NY, with beautiful, panoramic, views of the Hudson River. Our facility maintains an environment in which each employee understands their important role, contributing to the facility's consistently top-rated reputation in the surrounding community. Our education department will gladly train our nurses on trach & wound care, IV therapy, TPN, palliative care and the electronic medical record. Join us and make a difference every day. 
Marketing Statement Queens Hospital Center is making good on its promise to the people of southeastern and central Queens to maximize both patient convenience and positive clinical outcomes. Residents of Queens can count on the delivery of quality medical care right in their own borough. In 2002 the hospital opened a state-of-the-art, 261-bed facility that includes the Queens Cancer Center, the first comprehensive cancer treatment center in the borough. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button. 
Overview Kessler Institute for Rehabilitation Position: Registered Nurse (RN) Location: 1199 Pleasant Valley Way, West Orange, NJ Schedule: Full-Time, NIGHTS 7PM-7:30AM (Includes Weekday & Weekend Shifts) Compensation: $46.00/Hour - $61.93/Hour (Based on Experience)+ Shift Differential Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas. We support your career growth and personal well-being: Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting Advance Your Career: Tuition reimbursement and continuing education opportunities Elevate Your Skills: Clinical ladder program. Ease the Burden: Student debt benefit program Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings Recharge & Refresh: Generous PTO to maintain a healthy work-life balance Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection Your Impact Matters: Join a team of over 44,000 nationwide committed to providing exceptional care Responsibilities On each shift, you will partner with a Nursing Assistant and handle a manageable case load. Together, you will help our patients achieve the outlined goals and milestones based on their unique patient care plan. Receiving admissions and/or transfers. Initial and ongoing systematic patient assessment. Timely and accurate documentation using EPIC Interpreting assessment/diagnostic data, including labs and telemetry. Ensuring medical orders are transcribed and processed accurately. Promoting continuous quality improvement. Instructing and counseling patients/families. Qualifications Minimum Requirements Valid State RN License is required BLS is required at hire Preferred Qualifications BSN or enrollment in a BSN program Clinical experience Additional Data Post offer employment testing (POETs) are completed as part of the onboarding process, to be completed before an employee's first day of work. Equal Opportunity Employer/including Disabled/Veterans 
Would you like to be part of an organization that respects and values all of its people? Where each person can make a difference and be heard because every person's role in the organization is important ? At Community Care, we challenge our people in a way to help them grow both personally and professionally. We strive to offer the best compensation , benefits, flexibility and unique perks possible while promoting a positive work life balance . At Community Care, we understand how important this is to our people and our people are important to us! We offer an enjoyable and collaborative culture with great communication and respect in a safe workplace. At Community Care, "We Care” about the people we work with just as much as the people we work for! Why choose Community Care Home Health Services? Schedules that work for you – close to home and the hours you want Employee PERKS Program – Amazing discounts on everyday purchases! Paid Sick Days, Family Medical Leave (Maternity/Paternity) Days, nights and weekends available Health Insurance (Dental, Vision, Life & Disability) Contact us today to become part of the Community Care family! 
Marketing Statement Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation Medicine, Renal and Mental Health Services. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and One (1) year of clinical nursing experience in the specialty area in which assigned to float; and Holds or obtains a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button. $125,000 - $175,000 / year
$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus Additional compensation may be available for qualified candidates who are fluent in languages other than English and use those language skills during member visits. In this role, you will have the ability to achieve work life balance. Flexible scheduling is offered where providers can flex their time between 8am-8pm over the 7-day work week. No on-call, no weekends and no holidays required. Flexible Provider schedules available between 20-40 hours per week Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum HouseCalls team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together. HouseCalls is an innovative, performance-driven program that brings care directly to members' homes. As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members. This is a non-prescribing, field-based role focused on improving health outcomes through education, gap closure, and collaboration with primary care providers (PCP). Primary Responsibilities: Conduct comprehensive in-home assessments, including: Past medical history review, medication reconciliation, vital signs, and physical exam Evidence-based screenings and point-of-care testing (as appropriate) Identify and document diagnoses for care management and treatment planning Communicate findings to members' PCPs to address gaps in care Recognize urgent/emergent situations and intervene appropriately Educate members on disease processes, medications, and compliance Address social determinants of health and provide referrals as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care For PAs: Current NCCPA certification and state licensure Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations Active and unrestricted driver's license In addition to a driver's license, access to reliable transportation to complete home visits Ability to navigate varied home environments; ability to sit/stand/kneel as needed to perform assessments If you're working in a state that allows NPs/PAs to practice independently (without Collaborative Agreement), you must get approval from your licensing board-if required. New hires who are eligible but haven't applied yet must do so within 1 month of starting. If you're not eligible at the time of hire, you must begin working toward eligibility within 1 month and apply for approval within 3 months of becoming eligible Preferred Qualifications: 1+ years of clinical experience (family, geriatric, or home health preferred) Proficiency with electronic medical records and technology Ability to transport equipment weighing up to 30 pounds and navigate stairs as part of home visits Proven communication skills with geriatric or Medicare populations Fluent in any languages besides English Compensation for this specialty generally ranges from $125,000 - $175,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ 
CNA (Certified Nurse Assistant) OFFERING DAILY OR WEEKLY PAY Tired of the same old nursing home routine? We are taking a very fresh approach to skilled nursing. We offer frequent employee recognition meals, advancement opportunity, and free uniforms. Come in for an interview with our Administrator and DON and receive a gift card for gas!! CNA (Certified Nurse Assistant) Job Description: Recognize and respond to the needs of residents. Assist in lifting, turning, moving, positioning, and transporting residents into and out of bed, chairs, bath, lifts, and etc. Assist and daily living needs such as bathing, dressing, and feeding. Other duties are assigned by supervisor. CNA (Certified Nurse Assistant) QUALIFICATIONS/REQUIREMENTS: Must have a C.N.A certification Salary: up to $25 an hour CNA (Certified Nurse Assistant) Benefits: 1199 Union Benefits Highly competitive salary Health/Dental/Vision Insurance Fringe Benefits Employee Perks KinderCare Discount Plum Benefits (Discounted tickets to destinations and attractions) An Equal Opportunity Employer INDCNA Job description CallADoc is currently seeking a Full time Nurse Practitioner for House Call Medical Visits. The ideal candidate will have a passion for providing high quality medical care, collaborative approach to facility, patients, family dynamics and oversight for our patients. Candidates with hospital administration/management level experience are desired, but not required. We work closely with our staff to help keep patients comfortable at home and out of the hospital. Medical Benefits Excellent Compensation and Bonus structure Generous & Comprehensive Benefits Package About us CallADoc Services is a mobile medical services company offering primary and urgent medical care services to patients in their personal homes or corporate office. Servicing Long Island Job Type: Full-time and Part Time positions available Salary will commensurate with experience 
Marketing Statement Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various convenient locations. At NYC Health + Hospitals, our mission is to deliver high-quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Department Preferences How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button. 
LPN Quality Reviewer- Licensed Practical Nurse Brooklyn, NY This a full time , in-person position based out of Brooklyn, NY . Pay: 33.00/hr- $40.00/hr About Us : With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider of home care. Our priority lies in ensuring exemplary patient care while fostering a supportive and empowering workplace culture for all team members. We are currently seeking compassionate and skilled nurses to join our team and continue our legacy of providing personalized and attentive care to patients in the comfort of their own home. Why Choose Us: At Personal-Touch Home Care, we are committed to creating a rewarding and fulfilling experience for our team members. Our established history and reputation provide a stable and trusted foundation for your career. Join us in positively impacting the lives of our patients and their families. As a member of our team, you will enjoy a wide range of benefits that enhance your overall well-being and support your career growth. They include: Employee Recognition Programs: We acknowledge and celebrate your contributions. Comprehensive Health Benefits: We offer an inclusive package with Medical, Dental, Vision, Accident, and Long-Term Disability Coverage to ensure access to quality medical care while promoting overall wellness. Generous Paid Time Off: We provide generous paid time off to ensure you can recharge and return to work refreshed, leading to greater productivity and job satisfaction. We support a healthy work-life balance. Retirement Benefits: We offer a 401k plan to secure your financial future and help you save for retirement. Life Insurance: We offer company paid life insurance providing peace of mind and financial protection for you and your loved ones. Opportunities for Professional Growth and Development: Empowering you to thrive and grow. Employee Assistance Program: Supporting the well-being of you and your family. Perks Program: Exclusive deals and offers on products, services, and experiences you need and love Job Details Overview: As a Quality Reviewer , you will play a pivotal role in coordinating and managing patient care to ensure the highest standards are met. This position involves supervising clinical personnel and ensuring the delivery of quality home care services. Responsibilities: Receive case referrals and assess patient needs to assign appropriate clinicians. Review and evaluate each case, providing guidance to clinicians for effective performance. Reviews and appropriately codes all Oasis Assessments. Instruct and guide clinicians to promote quality care delivery, being available to assist as needed. Review patient clinical information, including diagnosis, medications, and procedures. Assist in establishing therapeutic goals and developing care plans. Organize and lead case conference meetings to facilitate care coordination. Conduct quarterly record reviews and communicate findings to appropriate personnel. Assist in screening, interviewing, and orienting new personnel. Assist in planning and implementing in-service and continuing education programs. Contribute to the formulation, revision, and implementation of policies and procedures. On-Call Rotations for after hour services. Perform direct patient care duties as needed. Maintain compliance with professional standards and principles. Manage a team of Clinicians and follow up to ensure all necessary documentation is completed timely and follow up actions if indicated. Qualifications: Licensed Practical Nurse (LPN) with current licensure in New York Bachelor’s degree in nursing or related field preferred Coding Certified ICD 10 preferred Previous experience in home care or healthcare management preferred Strong leadership and communication skills Ability to prioritize and multitask effectively Proficient in Microsoft Office Excel, Microsoft Word and electronic medical records systems Verbal and written communication skills in English. Job type: Full-time Pay: $33.00/hr- $40.00/hr We are excited to welcome passionate and dedicated individuals to join our team at Personal Touch Home Care . We’re more than just a company, we’re a close-knit family dedicated to supporting each other’s success and well-being. Apply now and join us in making a positive impact on the communities we serve. 
_Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and a commitment to excellence. Join our dynamic team and contribute to our mission of transforming the lives of the patients and communities we serve._ Job Summary The Staff Nurse (RN) provides direct patient care in accordance with established policies, procedures and protocols of Englewood Hospital and Medical Center. The tasks and responsibilities include: Creating an environment that leads to a positive patient care experience by evaluating, planning and implementing effective plans of care and communicating with both patients and their families Serving as the primary coordinator of all disciplines for well-coordinated patient care in an acute or clinic settings Making sound decisions in response to changes in condition/response to treatment while maintaining a calm demeanor Utilizing the Electronic Health Record to document patient care Effectively coordinating with physicians and team members regarding changes in patient status, symptomatology, results of diagnostic tests and critical test values Department:** Emergency Department Location:** Englewood, NJ Status:** Per Diem Shift:** variable Hours:** variable Job Essentials A minimum of 5 years of ER experience required. Education Requirements BSN required License/Certification/Registry Current NJ RN License BLS, ACLS and PALS. CEN preferred. _Englewood Health provides a minimum rate to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc. The minimum rate does not include bonuses/incentives, differential pay or other forms of compensation. In addition to the minimum rate, eligible employees may receive comprehensive benefits, including health insurance, retirement plans, paid time off, and other wellness resources._ **Minimum Rate: $59.30** 
190664 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy; collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion; performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary; administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions; participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Minimum 1-2 years of Operating Room experience highly preferred Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).