Nursing Jobs in Trinity, AR

CHRISTUS Health

Registered Nurse - Acute Physical Rehab

Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 7PM - 7AM Work Type: Full Time
Heritage Plaza Nursing Center

Certified Nursing Assistant (CNA) Multiple Shifts Available

CNA (Certified Nursing Assistant) Exciting Opportunity with Competitive Pay &New Revised Wage Scale! Immediate Openings Heritage Plaza Nursing Center Texarkana, TX Heritage Plaza Nursing Center in Texarkana, TX is looking for Certified Nursing Assistants (CNA)! Heritage Plaza Nursing Center in Texarkana, TX has opportunities for Certified Nursing Assistant (CNA) to join our team! A rewarding career is waiting for you at a great facility that specializes in long-term and rehabilitative care! As the Certified Nursing Assistant (CNA) at Heritage Plaza Nursing Center , you will work an 8-hour shift, providing our residents with personal care, assisting the charge nurse, and providing exceptional service. You will be a part of a multi-disciplinary team that is recognized for their achievements and contributions. Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. At Heritage Plaza Nursing Center in Texarkana, TX, you will be a part of a well-respected facility that is making an impact in the lives of our residents, our team, and the community in which we serve. We look forward to you joining our team! Job Responsibilities: Provide personal care to residents in a manner conducive to their safety and comfort consistent with community policy. Promotes and supports the greatest possible degree of independence for residents. Advises supervising charge nurse of resident’s status at beginning and end of shift. Contributes knowledge of resident’s conditions/needs to resident care plans. Assist in the implementation of care plans as directed within the parameters of established policy and procedure. Observes and reports on residents’ conditions, and documents observations as required. Complies with requirements of procedures for safe lifting and/or safe transfer of residents per established policies and procedures. Must be able to perform moderate to heavy lifting. Assures that equipment is clean and functional. Performs incidental housekeeping or maintenance tasks as may be required to maintain a clean, hazard-free environment for residents, visitors, and staff. Other duties as assigned. CNA Requirements: Texas CNA certification as a nursing assistant REQUIRED Complete familiarity with the duties of a certified nursing assistant Highly developed observation skills Excellent communication and interpersonal skills Benefits: Medical Insurance Dental Insurance Vision Insurance Company Paid Life Insurance 401k Retirement Savings Supplemental Voluntary Benefits Paid Time Off with Cash-Out and Donation Options Paid Holidays Pay on Demand - Payday Advance Gym Membership and Fitness Program Discounts Employee Discounts on Everyday Purchases and Services Access to Automobile and Home Insurance Marketplace and more!
CHRISTUS Health

Registered Nurse - Acute Physical Rehab

Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: PRN Work Type: Per Diem As Needed
Gentiva

Hospice Nurse Practitioner

Overview Expand Access. Build Partnerships. Transform Hospice Care. We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice eligibility certification and recertification. In this role, you will gather comprehensive clinical information, perform detailed assessments, and collaborate closely with hospice physicians and interdisciplinary teams to ensure quality patient care and regulatory compliance. Key Responsibilities: Perform and complete physical assessments for hospice F2F encounters within CMS-established regulatory timeframes. Document clinical findings accurately and attest F2F encounters in patient medical records. Utilize Local Coverage Determination (LCD) criteria per hospice policy and regulatory requirements. Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying physicians. Collaborate effectively with physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. Provide clinical recommendations to the IDG based on F2F assessment findings. Conduct assessments in the patient’s place of residence, including home, skilled nursing, or other settings. Notify the hospice agency promptly if unable to complete F2F visits as scheduled. May provide F2F coverage for multiple provider numbers with approval. About You Qualifications – What You’ll Bring: Master’s or higher degree in Nursing Completion of an accredited graduate-level nurse practitioner education program Current registered nurse license in state of practice Current advanced practice nurse license or certification National Nurse Practitioner certification (ANCC or AANP) Collaborative agreement in place as required Current CPR certification Valid driver’s license and automobile insurance Strong understanding of hospice care principles and terminally ill patient support systems Excellent patient assessment and clinical evaluation skills Familiarity with LCD criteria and hospice documentation requirements Knowledge of Medicare, Medicaid, ACHC, and other regulatory guidelines Strong oral and written communication skills Compassionate and sensitive to end-of-life issues impacting patients and families Ability to provide emotional support during times of crisis Flexible and adaptable with ability to manage diverse tasks efficiently Effective communicator across diverse socioeconomic and cultural backgrounds Cooperative and tactful team member adhering to OSHA, state, and federal hospice regulations Preferred (Not Required): Experience in acute care, hospital, oncology, home health, skilled nursing, or hospice settings We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-139299 Category: Nurse Practitioners Position Type: Part-Time Company: Gentiva Hospice
CHRISTUS Health

Registered Nurse Clinic - Pulmonary

Summary: Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and aids physicians in treatment of patients. RN license required. Responsibilities: Participates as primary nurse, associate nurse, a team member or team leader in the planning and implementing of patient care. Directs and assists in carrying out safe aseptic technique and procedures. Offers leadership and direction to all support staff within department. Requirements: Associate's Degree in Nursing RN License in state of employment or compact BLS Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
CHRISTUS Health

Registered Nurse - Emergency Department

Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: 7AM - 7PM Work Type: Full Time
CHRISTUS Health

Certified Nursing Assistant - Acute Physical Rehab

Summary: Under the direct supervision of a Registered Nurse/licensed Nurse, this Job will assist with routine and repetitive patient care activities in a nursing unit. This Job also performs specific clerical, organizational, and patient-focused activities. The patient-focused tasks will be supportive in nature. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assists with the admission, transfer, and discharge of patients. Completes pertinent documents. Prepares rooms for admission by setting up IV pots, and adjusting bed to the appropriate level. Assures that all patient belongings accompany the patient to the new unit or home at time of discharge. Safely transports stable patients as required. Maintains security/confidentiality when transporting patients and interacting with family and visitors. Cleans, procures and returns equipment and supplies. Run errands for the unit as required. Assist Licensed personnel in providing a safe and comfortable environment at all times; replenish patient room with water, linen, and towels, as appropriate. Perform unit-specific patient care tasks in accordance with the skills checklist and documents on the flowsheet. Identify obvious changes in the patient's condition and take responsibility for reporting those changes promptly to the nurse in charge. Assist with the ordering and maintenance of stock items according to established inventory when needed. Keeps unit supplies in an organized and orderly fashion. Respond appropriately to emergencies. Communicate effectively with other team members during and between shifts. Responds to phone calls and patient call lights. Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Job Requirements: Education/Skills High School Diploma or equivalent preferred. Experience Patient care experience in an acute care setting is preferred. Licenses, Registrations, or Certifications CNA License in state of employment required. BLS required. Work Schedule: 7AM - 7PM Work Type: Full Time
CHRISTUS Health

Certified Nursing Assistant - Acute Physical Rehab

Summary: Under the direct supervision of a Registered Nurse/licensed Nurse, this Job will assist with routine and repetitive patient care activities in a nursing unit. This Job also performs specific clerical, organizational, and patient-focused activities. The patient-focused tasks will be supportive in nature. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assists with the admission, transfer, and discharge of patients. Completes pertinent documents. Prepares rooms for admission by setting up IV pots, and adjusting bed to the appropriate level. Assures that all patient belongings accompany the patient to the new unit or home at time of discharge. Safely transports stable patients as required. Maintains security/confidentiality when transporting patients and interacting with family and visitors. Cleans, procures and returns equipment and supplies. Run errands for the unit as required. Assist Licensed personnel in providing a safe and comfortable environment at all times; replenish patient room with water, linen, and towels, as appropriate. Perform unit-specific patient care tasks in accordance with the skills checklist and documents on the flowsheet. Identify obvious changes in the patient's condition and take responsibility for reporting those changes promptly to the nurse in charge. Assist with the ordering and maintenance of stock items according to established inventory when needed. Keeps unit supplies in an organized and orderly fashion. Respond appropriately to emergencies. Communicate effectively with other team members during and between shifts. Responds to phone calls and patient call lights. Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Job Requirements: Education/Skills High School Diploma or equivalent preferred. Experience Patient care experience in an acute care setting is preferred. Licenses, Registrations, or Certifications CNA License in state of employment required. BLS required. Work Schedule: 7PM - 7AM Work Type: Full Time
The Villa at Texarkana

Assistant Director of Nursing

The Villa at Texarkana is hiring for an Assistant Director of Nursing. The position is a Monday - Friday, 8-5, full-time management role with great benefits. Long-term care experience is preferred. Related job duties include: all aspects of infection control; all duties related to weights; weekly supply ordering; understanding of Point Click Care; rounding with physicians and NP as needed; oversees all admissions and re-admissions- following for 72 hours; obtain med consents; call MD for orders and entry of orders, print and assure MAR is in place; completes all staff check-offs; included in nurse on-call rotation; all other assignments as requested Call or send resume to: The Villa at Texarkana| 4920 Elizabeth Street Texarkana, TX 75503| 903-792-3812 Email resume to: lhogan@villatxk.com
Gentiva

Hospice Nurse Practitioner

Overview Expand Access. Build Partnerships. Transform Hospice Care. We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice eligibility certification and recertification. In this role, you will gather comprehensive clinical information, perform detailed assessments, and collaborate closely with hospice physicians and interdisciplinary teams to ensure quality patient care and regulatory compliance. Key Responsibilities: Perform and complete physical assessments for hospice F2F encounters within CMS-established regulatory timeframes. Document clinical findings accurately and attest F2F encounters in patient medical records. Utilize Local Coverage Determination (LCD) criteria per hospice policy and regulatory requirements. Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying physicians. Collaborate effectively with physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. Provide clinical recommendations to the IDG based on F2F assessment findings. Conduct assessments in the patient’s place of residence, including home, skilled nursing, or other settings. Notify the hospice agency promptly if unable to complete F2F visits as scheduled. May provide F2F coverage for multiple provider numbers with approval. About You Qualifications – What You’ll Bring: Master’s or higher degree in Nursing Completion of an accredited graduate-level nurse practitioner education program Current registered nurse license in state of practice Current advanced practice nurse license or certification National Nurse Practitioner certification (ANCC or AANP) Collaborative agreement in place as required Current CPR certification Valid driver’s license and automobile insurance Strong understanding of hospice care principles and terminally ill patient support systems Excellent patient assessment and clinical evaluation skills Familiarity with LCD criteria and hospice documentation requirements Knowledge of Medicare, Medicaid, ACHC, and other regulatory guidelines Strong oral and written communication skills Compassionate and sensitive to end-of-life issues impacting patients and families Ability to provide emotional support during times of crisis Flexible and adaptable with ability to manage diverse tasks efficiently Effective communicator across diverse socioeconomic and cultural backgrounds Cooperative and tactful team member adhering to OSHA, state, and federal hospice regulations Preferred (Not Required): Experience in acute care, hospital, oncology, home health, skilled nursing, or hospice settings We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-139032 Category: Nurse Practitioners Position Type: Flex/Per Diem Company: Gentiva Hospice
CareMed

Full Time Wound- Nurse Practitioner- Texarkana, AR

DESCRIPTION Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long-term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team provides medical care to patients in long-term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Wound Care Nurse Practitioners to provide wound services to patients living in long-term care facilities. WOUND NP ROLE AND RESPONSIBILITIES: Provide wound care services for long-term care patients residing in skilled nursing facilities. Prescribe appropriate medications, including controlled substances in accordance with AR Law. Order, review, and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with the primary care physician. WOUND NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Arkansas. Board Certification. DEA licensure (Optional) Clinical background in adult, family, or geriatric specialties. Clinical background of wound care; including but not limited to chronic, debilitating, stalled, or infected wounds Must be comfortable with diagnosing and treating diabetic, arterial, venous, and mixed etiology wounds or Kennedy Ulcers. Must be comfortable staging pressure injuries according to the NPIAP Must be familiar with wound care best practice and advanced wound care products; collagens, alginates, foams, silvers, etc. Must have experience with wound vacs and other DME, such as pressure relieving/ reducing devices Strong preference to having wound certification or be open to getting certified Experience working in a long-term care setting. Ability to work with an EMR. Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS Recertification Reimbursement Continuing Education Credits Malpractice Insurance Bonus Pay Disability Insurance Paid Time Off $5000 Sign On Bonus Mileage Reimbursement Health Insurance Matching 401K
DaVita Kidney Care

Licensed Practical Nurse

Posting Date 05/29/2026 2325 Trinity Blvd, Texarkana, Arkansas, 71854-8406, United States of America DaVita is seeking a Licensed Practical Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various facilities during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Current LPN-LVN license in the state of practice required Current CPR certification required IV certification required if required by state regulations High school diploma or equivalent required Completed training program approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system BONENT or CHT certification preferred or as required by state regulation Minimum of one year's experience in a hospital or clinical setting preferred Basic computer skills and proficiency in MS Word and Outlook required; functional proficiency in computer systems of DaVita within 90 days of hire required) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-MV1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
DaVita Kidney Care

Registered Nurse

Posting Date 05/01/2026 2325 Trinity Blvd, Texarkana, Arkansas, 71854-8406, United States of America Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. #LI-MV1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
DaVita Kidney Care

Registered Nurse

Posting Date 04/21/2026 816 East St, Texarkana, Arkansas, 71854, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-MV1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
CHRISTUS Health

RN, Registered Nurse Float III - Nursing Float Pool - Full Time

Summary: The competent Nurse, in the Emergency and other clinical setting , practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Meets expectations for flexibility of assignment within the ministry. Proactively provide assignment availability on a regular basis. Able to be assigned to more than one unit. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. CORE COMPETENCIES Standard I: Utilizes the Nursing Process Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families. Communicates findings to appropriate healthcare team members. Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice. Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals. Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s). Performs timely reassessment and documentation. Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population. Standard II. Patient Throughput & Patient Flow Process Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow. Utilizes appropriate systems of communication and tools to facilitate the discharge process. Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy. Standard III. Unit Operations Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift. Demonstrates good stewardship in proper use and maintenance of equipment and Supplies. Assesses departmental staffing needs; actively participates in resourcing efforts. Educates and trains others on the operations, ethics, and regulations within the industry. Standard IV. Safe Practice/Quality Care/Regulations Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes. Demonstrates accountability for nursing research and quality improvement activities. Provides evidence-based nursing care. Communicates patient information effectively across the continuum of care. Educates and trains others on the operations, ethics, and regulations within the industry. Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities. TECHNICAL COMPETENCIES Clinical Policies and Standards Follows a specific set of standards and associated clinical procedures. Analyzes policy and standards documentation and ensures organizational compliance. Provides feedback for improvement of procedures. Assists in the development and implementation of specific procedures. Works with control and monitoring mechanisms, tools and techniques. Health Information Documentation Shares experiences with maintaining paper and electronic patient documentation. Walk through the steps and procedures for receiving, validating and updating patient records. Describes the flow of information between various stations or units. Discusses the functions, features and document flow of electronic documentation. Transcribes verbal orders; explains techniques for ensuring their accuracy. Explains health information documentation best practices and their rationale across health care practices. Medical Equipment Describes experience with basic medical equipment used in own unit or facility. Uses standard diagnostic tools and techniques to resolves common equipment problems. Educates patients about the appropriate use of home medical equipment. Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety. Inspects, troubleshoots and evaluates incoming equipment. Medical Order Processing Shares experiences with processing medical orders for one or more groups of patients or conditions. Describes functions and features of the system used to enter, validate, update and forward medical orders. Discusses common errors, their sources and procedures for correcting. Explains considerations for entering and following standing orders. Differentiates between standing orders and preprinted orders and considerations for each. Patient Chart Reading and Interpretation Describes experiences in reading and interpreting patient charts for patients on unit and under own care. Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions. Recognizes unexpected readings and alerts nursing or medical staff. Relates examples of mis-readings or misinterpretations and lessons learned. Reviews, discusses and validates own interpretation with others. Patient Safety Shares experiences with ensuring safety for one or more patient groups or settings. Explains key features of safety guidelines and procedures for those groups and settings. Listens and responds to safety inquiries from patients and family members. Recognizes and addresses physiological and psychological signs of problems. Describes considerations for patients who can cause to harm to self, versus harm to others. Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience Minimum of 2 years of combined experience required in both the Emergency Department and one other specialty (e.g. Medsurg, Telemetry, IMC or Critical Care) 5 years of experience preferred Licenses, Registrations, or Certifications BLS required ACLS required TNCC required PALS required within 30 days of hire RN License in the state of employment or compact required Work Schedule: 7PM - 7AM Work Type: Full Time
CHRISTUS Health

Registered Nurse - Acute Physical Rehab - PRN

Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 7PM - 7AM Work Type: Per Diem As Needed
CHRISTUS Health

Licensed Vocational Nurse Clinic - Pulmonary *Hiring Incentive Available*

Summary: Provides care under the supervision of a physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site). Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic. Answers phone/records phone messages, and assists provider(s) with patient related calls. Assists in scheduling test appointment, results and pre-certification. Documents any information related to patient. Assists provider(s) with medication refills. Administers medications/immunizations according to provider order. Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol. Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms. Attends/completes required meetings and in-service training and performs other duties as assigned. Requirements: Graduate from an accredited school of practical nursing or vocational nursing LVN License in state of employment or compact BLS Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
CHRISTUS Health

LVN Clinc - Hiring Incentive Available - SBehav Hlth CTC Tex BH 5002 CC Rd A

Summary: Provides care under supervision of physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site). Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic. Answers phone/records phone messages, and assists provider(s) with patient related calls. Assists in scheduling test appointment, results and pre-certification. Documents any information related to patient. Assists provider(s) with medication refills. Administers medications/immunizations according to provider order. Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol. Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms. Attends/completes required meetings and in-service training and performs other duties as assigned. Requirements: CERT LVN License in state of employment or compact BLS Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time
CHRISTUS Health

RN, Registered Nurse - CHRISTUS Pine Street Emergency Department - PRN

Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required Current TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: 7AM - 7PM Work Type: Per Diem As Needed
Wellpath

Licensed Practical Nurse (LPN) - Nights

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
Wellpath

Licensed Practical Nurse (LPN) - Days

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.