jobs in Washington Avenue Coalition / Memorial Park, TX

Nursing Jobs in Washington Avenue Coalition / Memorial Park, TX

Immediate Opening for Caregiver – North Houston Area

$13 - $13.50 / hour

Are you a dependable, experienced Caregiver ready to start working right away? Touching Hearts at Home of North Houston is hiring Caregivers and CNAs to provide one-on-one care to seniors in their homes. If you’re serious about working, reliable, and have a heart for the elderly , we want to interview you this week. Why Work with Us? One-on-One Client Care – No facility overload Variety of Times to work – Day, evening, and overnight shifts Fast Start Opportunities – Work as soon as you're cleared Consistent Clients Available What We Do: Assist clients with: Personal care (bathing, grooming, dressing, toileting) Safe transfers & fall prevention Companionship & memory care support Light housekeeping & meal prep Medication reminders Transportation & errands What We’re Looking For Your personally owned reliable transportation (required) Dependable and shows up on time Strong communication skills 1+ year caregiving experience (preferred) Able to pass background check & drug screening Pay & Perks Holiday Pay (1.5x) Bonuses & Shift Incentives Free Ongoing Training Supportive Team That Has Your Back Apply Today – Limited Openings We are hiring serious caregivers who are ready to work now. If that’s you, apply today and interview this week.

Full-time

1 week ago

Registered Nurse (RN) - FT Days | Sugar Land Rehab

PAM Health Rehabilitation Hospital of Sugar Land Sugar Land, TX

Overview “Remember why you became a nurse?” We here at PAM Health are mindful of what it took for you to gain your nursing education and begin your career and we admire you and the countless others who have chosen this career path. We want you to know that you are respected, admired, encouraged to grow, and rewarded here with us at PAM Health! We offer the following to all our full-time employees: Comprehensive Medical/Dental/Vision Insurance with plan options to choose from Rx plans Employee Assistance programs Group legal assistance/Identify Theft Protection/Home and Auto Insurance/Pet Insurance Disability Benefits Life Insurance Most Importantly: OPPORTUNITY TO GROW! WE LOVE TO PROMOTE FROM WITHIN! AND WITH OVER 70+ LOCATIONS AND GROWING! THERE ARE COUNTLESS OPPORTUNITIES FOR GROWTH AND A FUTURE WITH PAM HEALTH! Referral bonuses as well are offered for each full-time employee you refer! Up to $3,000 per employee referred!! Ask a recruiter for more information. We are currently hiring for a Registered Nurse - and would love to meet with you and discuss why we feel you would be a wonderful addition to our PAMily! Please take a moment to review the job opportunity and reach out to a recruiter with any questions you may have or for the next steps in furthering your career; apply directly to the post. We look forward to meeting you soon! Responsibilities Under the direction of the Chief Nursing Officer/Director of Nursing, Nurse Manager or Charge Nurse, the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering, directing and supervising care to patients admitted to the nursing unit. The Registered Nurse plans, coordinates, and provides patient care to include interdisciplinary planning, discharge planning, patient and family teaching for post-hospitalization, and accessing community resources. May perform other related duties as assigned or requested, including Charge Nurse (ACLS certification required). Qualifications RN License in the state you are applying Current BLS certification Current ACLS certification is preferred initially and required after 90 days of employment. Let us help you get your ACLS! **ACLS is REQUIRED from day 1 for all Charge Nurses, High Obs, and ICU. Experience: One year of inpatient medical-surgical nursing experience preferred but not required. A few things that aren't required, but we would prefer: Having prior experience in emergency or critical care environments A higher comfort level working with vents/trachs/PICC lines, etc. Having 2 years of experience in direct patient care About PAM Health PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities. PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.

Director of Nursing

Full-time

1 week ago

Director of Nursing (DON)

Fall Creek Rehabilitation and Healthcare Center Humble, TX

$110,000 - $118,000 / year

Fall Creek Rehabilitation and Healthcare Center is seeking experienced candidates for the role of Director of Nursing (DON) to lead our nursing team. You will be responsible for maintaining standards of resident care and advising nursing staff. Your role will also include planning, implementing, and evaluating the care of our residents. Must have excellent leadership skills and LTC experience. Our benefits include dental, vison, life, health Insurance, tuition reimbursement, PTO, and daily pay. We also have a $5,000 sign on bonus! Please apply here or meet your amazing new team at 14949 Mesa Dr, Humble, TX 77396, USA and have an immediate interview Monday-Friday 10am to 4pm. License Required: RN Sign On Bonus: $5,000 Learn more about us at https://fallcreekrehab.com/ IND123

Weekend Caregiver

SYNERGY HomeCare Houston, TX

$10 - $12 / hour

Are you seeking meaningful work? Experience the SYNERGY HomeCare difference, and be part of a team that is committed to compassionate, life-affirming home care. Independently owned and operated, SYNERGY HomeCare is nationally renowned for providing high-quality non-medical care to people of all ages and abilities. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? If the answer is “yes,” you may be a great fit for our weekend caregiver position. Apply today to join our team of purpose-driven caregivers, and be part of a company culture that values and appreciates the difference you make! SYNERGY HomeCare offers: Competitive pay ($10 to $12) Direct deposit Paid training Flexible schedules and matching weekend caregivers with nearby clients As a weekend caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!

Steady Pay & Flexible Hours – Caregiver Roles Open

Touching Hearts at Home Houston, TX

$13 - $13.50 / hour

Steady Pay & Flexible Hours – Caregiver Roles Open in North Houston Looking for a caregiving job that offers stability, flexibility, and meaningful work? Touching Hearts at Home of North Houston is now hiring Caregivers and CNAs who are ready to provide compassionate, one-on-one support to seniors in their homes. If you’re dependable, caring, and ready to start working soon, this could be the opportunity you’ve been waiting for. What Makes This Role a Great Fit Reliable, steady pay with bonus opportunities Flexible schedules – choose from day, evening, or overnight shifts One-on-one home care – build real relationships with clients Quick hiring process – start working as soon as you're cleared Consistent client assignments for stable hours Your Day-to-Day Impact You’ll help seniors live safely and comfortably at home by providing: Personal care assistance (bathing, grooming, dressing, toileting) Mobility support and fall prevention Companionship and memory care support Light housekeeping and meal preparation Medication reminders Transportation and errands Who We’re Looking For Your own reliable transportation (required) Punctual and committed to showing up consistently Strong communication and caregiving skills At least 1 year of experience preferred (but not required in all cases) Able to pass background check and drug screening What You’ll Enjoy Holiday pay at 1.5x rate Bonuses and shift incentives Free ongoing training and support A team that truly values caregivers Apply Today – Start Soon We’re looking for motivated caregivers who are ready to work and make a difference right away. Apply now to secure your interview this week—limited openings available.

Part-time

1 week ago

Research Nurse II-Part Time

Baylor College of Medicine Houston, TX

Summary This Part-time (.5 FTE) Research Nurse II in the Baylor College of Medicine (BCM) / Texas Children’s Hospital (TCH), is responsible for assisting faculty in the Pediatric Diabetes and Endocrinology Division with the conduction of Diabetes research studies. The incumbent will conduct participant diabetes education and training as required for research studies and administer medication. Will assist with other research study activities, including coordination of visits, participant enrollment, data collection, documentation, and safety of research participants. Lastly will assist with regulatory tasks and preparation of study data reports and related presentations and manuscripts. The position may include travel to other TCH sites (e.g., West Campus, etc.) to conduct research related activities. This role will identify study candidates, conduct informed consent, conduct study activities, including training study participants on the use of diabetes devices (e.g., insulin pumps, continuous glucose monitors), assisting with device start and troubleshoot, as well as data download and interpretation and administer medication. The successful candidate will train and lead junior research staff and volunteers. The ideal candidate will have previous experience interacting with patients and families and/or experience in health care setting. Has experience with culturally diverse children and families. Will be highly organized, keep detailed records, and display excellent verbal, communication, and problem-solving skills. Is respectful, patient-centered interactions with patients, medical providers, and staff. Has proficiency with computers, internet, Microsoft Office applications, computer spreadsheets, and database management. Has the ability to understand and implement patient studies and protocols. This position is located in the Texas Medical Center. Job Duties Diabetes Education and clinical duties (80%): Provides formal diabetes education to study participants. Trains participants on the use of diabetes devices. Places diabetes devices (e.g., insulin pumps, continuous glucose monitors) on the participant's body). Monitors, tracks, and adjusts insulin levels based on protocol. Collects and manages survey data, downloading data from diabetes management devices, and completes electronic medical record reviews. Administers study medication. Assists with pre-activation activities (e.g., develop study materials, such as study protocol, manual of operation, forms, questionnaires, etc.). Screens Epic for eligible candidates and recruit, enroll and evaluate research visits with participant/family. Obtains informed consent/assent. Collects biometric information (e.g., weight, height, waist circumference). Maintains patient charts and medical records. Performs data collection from the electronic medical record system (i.e., Epic). Conducts basic biospecimen processing (e.g., spinning, aliquoting, etc.). Collects, processes and stores, or ships blood or biological specimens as outlined per study protocols and associated lab or procedural manuals. Enters data into study dataset, maintain study documents and recruitment logs. Follows subjects' progress and advises the Principal Investigator. Travels to TCH health centers outside of the Texas Medical Center for study recruitment and other research-related activities. Regulatory / Programmatic Research Operations (20%): Performs interpretation of missing reports, in collaboration with study statistician and PI, produce curated reports with missing data, and follow-up with research coordinators to address the missing data. Assists with manuscript writing, e.g., integrate comments from co-authors to revise a manuscript - Formatting of manuscripts to comply with guidelines for authors from scientific journals. Performs submissions of manuscripts to scientific journals. Assists with editing, formatting and submitting abstracts to scientific meetings. Produces reports of relevant research program data, for instance, human subjects tables for progress reports and grant applications to funding agencies. Provides regular updates to PI and other members of the research team. Assists with regulatory tasks (e.g., complete data required for IRB renewals, notes to file, reports). Orders and maintains study supplies and equipment. Maintains records and regulatory documents and records for research studies. Serves as a lead to junior research staff and/or research volunteer teams. This includes, mentorship and training. Performs other job-related duties as assigned. Minimum Qualifications Associate's Degree or Bachelor's Degree in Nursing. Two years of relevant experience as a licensed Registered Nurse (RN). Current license as a Registered Nurse (RN) by the State of Texas Board of Nursing. Basic Life Support (BLS) Certification. Preferred Qualifications Certified Diabetes Educator (CDE). Bilingual in English/Spanish. Experience with venipuncture. Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

PCU

Part-time

1 week ago

RN, Neuro PCU - Night - Part-time - Memorial City

Memorial Hermann Health System Houston, TX

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Collaborates with the physician and healthcare team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records. MHHS hires RNs based on years of experience groupings (i.e. newly licensed RN [working under the supervision of RN clinical preceptor], less than 1 year, 1-3 years, 3 to 10 and 10+). Job Description Minimum Qualifications Education: Graduate of an accredited School of Professional Nursing; Bachelors of Nursing preferred Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified in Basic Life Support Additional certifications may be required based on discipline and/or nursing unit requirements Experience / Knowledge / Skills: RN I

LVN

Outpatient

1 week ago

LVN I/II/III - Plastic Surgery - Kelsey-Seybold Clinic - Main Campus

UnitedHealthcare Houston, TX

$20 - $36 / hour

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. We are seeking qualified candidates for the role of Licensed Vocational Nurse at varying levels (I, II, III). The selected candidate will be placed at the appropriate level based on qualifications and experience. All levels contribute to patient care under the supervision of licensed medical professionals, with increasing responsibilities at higher levels. Primary Responsibilities: The vocational nurse provides nursing care to patients in an assigned clinical area, under the supervision of a Nurse Supervisor, or Nurse Coordinator The LVN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards The LVN identifies priorities and makes judgments concerning the basic needs of multiple patients to organize care 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: Graduate from an approved vocational nursing program Current and valid Texas LVN license 6+ months in a clinical area or successful completion of a KSC LVN Residency program BLS through the American Heart Association Ability to use equipment and related supplies for selected patient population for the assigned clinical area Computer experience Preferred Qualifications: For LVN II: 4+ years in a clinical area (Licensed Vocational Nurse II) For LVN III: 9+ years in a clinical area (Licensed Vocational Nurse III) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

Caregiver Needed North Houston Immediate Opening

Touching Hearts at Home Houston, TX

$13 - $13.50 / hour

Caregiver Touching Hearts at Home of North Houston Are you a dependable, experienced Caregiver ready to start working right away? If you're serious about working, reliable, and have a heart for the elderly, we want to interview you this week. Why Work with Us? • One-on-One Client Care – No facility overload • Variety of Times to work – Day, evening, and overnight shifts • Fast Start Opportunities – Work as soon as you're cleared • Consistent Clients Available What We Do: Assist clients with: • Personal care (bathing, grooming, dressing, toileting) • Safe transfers & fall prevention • Companionship & memory care support • Light housekeeping & meal prep • Medication reminders • Transportation & errands What We’re Looking For • Reliable transportation (required) • Dependable and shows up on time • Strong communication skills • 1+ year caregiving experience (preferred) • Able to pass background check & drug screening Pay & Perks • Holiday Pay (1.5x) • Bonuses & Shift Incentives • Free Ongoing Training • Supportive Team That Has Your Back Apply Today – Limited Openings We are hiring serious caregivers who are ready to work now. If that’s you, apply today and interview this week.

ICU

Full-time

1 week ago

ICU RN FT Nights

ScionHealth Webster, TX

Description Kindred Hospital Clear Lake is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care and telemetry-level services, offering advanced monitoring and support for patients requiring extended medical care. With a multidisciplinary team dedicated to personalized treatment plans, we focus on helping patients achieve significant recovery and transition to the next level of care. Job Summary Provides quality patient care to critically ill patients, through the nursing process of Assessment, Planning, Intervention, and Evaluation. Serves as a patient advocate at all times. Supervises the nursing care provided to each patient by other caregivers. Develops the plan for nursing care as a result of coordination with the patient, family and staff of other disciplines as necessary. Applies critical thinking in order to promote positive clinical outcomes. Ensures patient education. Participates in discharge planning. Essential Functions Maintains the standard of nursing care and implements the policies and procedures of the hospital and the nursing department. Assesses the patient on admission within the required time frame. Makes referral to other disciplines based on the assessment, such as rehabilitation and nutritional services. Develops a nursing care plan for assigned patient on admission and updates the plan of care as needed. Ensures the plan is discussed and developed as a result of the coordination of patient and family and the interdisciplinary team. Able to release, remove, and reapply restraints to patient. Ensures patient is in proper position and alignment. Documents patient admission assessment and reassessments, patient care plans, and other pertinent information completely in the patient’s electronic medical record. Demonstrates correct use of Biomedical equipment such as defibrillator, Suction machine, IV and feeding pumps, PCA pump, blood glucose monitoring machine. Demonstrates safe and effective delivery of patient care such as completing team/patient assignments on time, making effective use of available time, showing initiative and teamwork. Obtains consents for procedures and blood transfusions, ensuring patient has necessary information to make an informed decision. Receives physician’s orders, ensures transcription is accurate, and order entry is accurate. Follows through to ensure order is carried out. Recognizes and responds appropriately to patient change in condition such as Cardiac rhythm, respiratory distress, GI bleed, pulmonary emboli/ edema, diabetic Ketoacidosis, adverse drug reaction and Blood transfusion reaction, etc. Institutes emergency action, notifies physician, obtains orders, etc. Completes and documents patient admission assessment and reassessments as required according to policy. Reports pertinent observations and reaction regarding patients to the appropriate person (i.e., physician, supervisor, charge nurse) and records these observations accurately. Administers medications with verbalized knowledge of the action, side effects, correct dosages and route according ICU policies and procedures. Demonstrates ability to recognize and Institute arrhythmia protocol for the following Cardiac rhythms V-tach, V-fib, PVC’s, asystole, 1st, 2nd and 3rd degree heart block, atrial fibrillation, and atrial flutter. Directs, supervises, and evaluates nursing care provided to patients. Administers medications utilizing the seven “rights” of medication administration: right patient, route, time, medication, dose, reason and documentation. Assist physicians with special tests and procedures such as thoracentesis, paracentesis, arterial line and bronchoscopy. Participates in economical utilization of supplies and ensures that equipment is maintained in a clean and safe manner. Participates in orientation of new personnel and performance evaluations of nursing staff. Assists team members in giving care to patients or administers direct care when professional nursing skills and judgment are needed. Coordinates nursing care of patients when scheduled for therapy or procedures by other departments. Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest, respiratory arrest, or sepsis. Participates in the maintenance of a clean and safe environment. Is knowledgeable about the emotional and rehabilitative aspects of care and is capable of applying appropriate therapeutic interventions. Provides assessment utilizing current ACLS certification and protocols renders lifesaving first aid and makes appropriate referral to the nearest organization that is capable of providing needed services. Demonstrates ability to manage various types of tubes and other devices such as Foley /straight catheter, feeding tubes, chest tubes, JP drains, Hemovacs. T-tubes, wound drains, ostomy care, suprapubic catheter, continuous bladder irrigation. Demonstrates correct set up and performance monitoring of hemodynamic systems such as Swan-ganz catheter, arterial catheter, and cardiac output. Demonstrates accurate knowledge of critical Lab values and their normal ranges. Reports and documents appropriately. Demonstrates ability to verify correct lead telemetry placement. Validates telemetry strips every 4 hours and PRN. Documents appropriately. Participates in assessing and meeting patient and family education needs. Provides complete patient report to oncoming RN, ensures documentation is complete, physician orders are signed off, and patient rooms are in order. Communicates pertinent information to RN, physician, and patients as needed. Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty. Completes annual health, safety, and education requirements. Maintains professional growth and development. Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served. Attends all mandatory in-services and staff meetings. Represents the organization in a positive and professional manner. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department. Maintains current licensure/certification for position, if applicable. Demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact. Follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures. Knowledge/Skills/Abilities/Expectations Excellent oral and written communication and interpersonal skills. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Organize tasks, develop action plans, set priorities, and function under stressful situations. Maintain good working relationship with co-workers. Must read, write and speak fluent English. Must have good and regular attendance. Approximate percent of time required to travel: 0% Performs other related duties as assigned. Qualifications Education Graduate from an accredited Registered Nursing program. Licenses/Certifications Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required Health Services\BCLS - Basic Life Support Facility-Specified Required Health Services\ACLS - Advanced Cardiac Life Support Facility-Specified Required Experience Minimum one year training and experience in Critical Care. Able to communicate effectively in English- both written and verbal

Full-time

1 week ago

RN, Neuro Acute - Night - Memorial City

Memorial Hermann Health System Houston, TX

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Collaborates with interdisciplinary team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records. MHHS hires RNs based on years of experience groupings. (i.e. newly licensed RN [working under the supervision of RN clinical preceptor], less than 1 year, 1-3 years, 3 to 10 and 10+). Job Description Minimum Qualifications Education: Graduate of an accredited School of Professional Nursing; Bachelors of Nursing preferred Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified in Basic Life Support Additional certifications may be required based on discipline and/or nursing unit requirements Experience / Knowledge / Skills: RN I

PACU

Full-time

1 week ago

Registered Nurse (RN) - PACU

Texas Children's Hospital Houston, TX

Job Description We are searching for a Registered Nurse (RN) - PACU - We are looking for someone who works well in a fast-paced setting. In this position you’ll provide quality nursing care to patients by assessing, planning, educating, implementing, and evaluating age-appropriate care in a manner that incorporates family-centered principles and cost-effective care. We need someone who can collect and analyze data from the medical record in order to coordinate patient care. Think you’ve got what it takes? Schedule will be 6am-230pm rotating every 2 weeks with 730am-4pm) Qualifications Bachelor's degree in nursing or other degree in nursing with acceptance or current enrollment in a BSN program and signed agreement Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS certification are required 9 months of professional nursing experience The ability to demonstrate positive and appropriate interpersonal skills, good time and resource management skills, flexibility, strong oral and written communication skills, knowledge of unit-specific equipment, and knowledge of the nursing process, critical thinking skills, PALS, and interdisciplinary collaboration As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Responsibilities Perform and document assessments of the patient/family including biophysical, psychosocial, developmental, cultural, spiritual, and environmental needs Collect and analyze data from the medical record in order to coordinate patient care Analyze situations, anticipate potential problems, and detect changes in patient status Identify each patient’s needs pertaining to patient teaching, discharge planning, growth and development, nutritional screening, functional status, and pain management Develop an individualized plan of care based upon the nursing assessment and re-prioritize and change as necessary Determine which standards of care and practice apply to the patient and coordinate among other health team members as appropriate Participate in interdisciplinary rounds and/or patient care conferences Execute therapeutic physician or nurse interventions according to established standards Evaluate and document the patient’s response to the care provided and recognize their progress towards the desired outcome Identify actual/potential barriers to learning and utilize various teaching strategies to overcome them as appropriate Maintain confidentiality concerning patient/family issues Act as a resource in educating new employees/team members Participate in achieving hospital/unit goals, structures, and priorities About Us Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children ’ s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children ’ s Hospital West Campus, a community hospital in suburban West Houston; Texas Children ’ s Hospital The Woodlands, the first hospital devoted to children ’ s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children ’ s Health Plan, the nation ’ s first HMO focused on children; Texas Children ’ s Pediatrics, the largest pediatric primary care network in the country; Texas Children ’ s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children ’ s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Caregiver Jobs Near You – Flexible Schedules Available

Touching Hearts at Home Houston, TX

$13 - $13.50 / hour

Are you a dependable, experienced Caregiver ready to start working right away? Touching Hearts at Home of North Houston is hiring Caregivers and CNAs to provide one-on-one care to seniors in their homes. If you’re serious about working, reliable, and have a heart for the elderly , we want to interview you this week. Why Work with Us? One-on-One Client Care – No facility overload Variety of Times to work – Day, evening, and overnight shifts Fast Start Opportunities – Work as soon as you're cleared Consistent Clients Available What We Do: Assist clients with: Personal care (bathing, grooming, dressing, toileting) Safe transfers & fall prevention Companionship & memory care support Light housekeeping & meal prep Medication reminders Transportation & errands What We’re Looking For Your own reliable transportation (required) Dependable and shows up on time Strong communication skills 1+ year caregiving experience (preferred) Able to pass background check & drug screening Pay & Perks Holiday Pay (1.5x) Bonuses & Shift Incentives Free Ongoing Training Supportive Team That Has Your Back Apply Today – Limited Openings We are hiring serious caregivers who are ready to work now. If that’s you, apply today and interview this week.

Caregiver Position North and Northwest Houston Immediate Start

Touching Hearts at Home Houston, TX

$13 - $13.50 / hour

Caregivers and CNAs Wanted! Are you a dependable, experienced Caregiver ready to start working right away? Touching Hearts at Home of North Houston is hiring Caregivers and CNAs to provide one-on-one care to seniors in their homes. If you’re serious about working, reliable, and have a heart for the elderly, we want to interview you this week. Why Work with Us? ✔ One-on-One Client Care – No facility overload ✔ Variety of Times to work – Day, evening, and overnight shifts ✔ Fast Start Opportunities – Work as soon as you're cleared ✔ Consistent Clients Available What We Do: Assist clients with: • Personal care (bathing, grooming, dressing, toileting) • Safe transfers & fall prevention • Companionship & memory care support • Light housekeeping & meal prep • Medication reminders • Transportation & errands What We’re Looking For ✔ Reliable transportation (required) ✔ Dependable and shows up on time ✔ Strong communication skills ✔ 1+ year caregiving experience (preferred) ✔ Able to pass background check & drug screening Pay & Perks • Holiday Pay (1.5x) • Bonuses & Shift Incentives • Free Ongoing Training • Supportive Team That Has Your Back Apply Today – Limited Openings We are hiring serious caregivers who are ready to work now. If that’s you, apply today and interview this week.

Full-time

1 week ago

Experienced Clinical Nurse - Surgical Urology & Orthopedics

MD Anderson Cancer Center Texas Houston, TX

$68,000 - $142,500 / year

The Experienced Clinical Nurse at MD Anderson Cancer Center manages patient outcomes by providing, coordinating and supporting clinical aspects of direct patient care across the continuum of care. They impact quality of patient care, patient outcomes and use of resources in a designated area in collaboration with a multidisciplinary team. The ideal candidate will have a Bachelor's Degree in Nursing, an RN license and at least twelve months of recent RN experience in medical/surgical or an acute care setting. The candidate must be available to work the Day/Evening shift (7am - 7pm), with rotating weekends and holidays required. The Surgical Urology/Orthopedic unit is a 32-bed unit for an adult patient population. This fast-paced environment has rapid turnover for surgical procedures, which include postoperative prostatectomy, cystectomy, penectomy, nephrectomy, and orthopedic surgeries. Unique postoperative care of hemipelvectomy, flap monitoring, and testicular cancer surgeries are also managed on this unit. The team uses an interdisciplinary collaborative approach to patient care. Integrated in our nursing practice are tools used to maximize the skills of team members to achieve optimal outcome and improved healthcare quality. Hourly breakdown of salary range: Minimum $32.70 - Midpoint $50.00 - Maximum $67.30 MD Anderson offers our nurses: Three 12 hour shifts per week, 1872 hours per year (minimum) Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week Group Dental, Vision, Life, AD&D and Disability coverage Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals Paid institutional holidays, wellness leave, childcare leave and other paid leave programs Tuition Assistance Program after six months of service Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans Employer paid life, AD&D and an illness-related reduced salary pay program Health Savings Account and Dependent Care Reimbursement flexible spending accounts Fertility benefits State of Texas longevity pay Extensive wellness, recognition, fitness, employee health programs and employee resource groups. PLUS - nurses will earn up to $8,320 in annual department-based differentials for all inpatient units. Clinical Nurses relocating from 100+ miles from MD Anderson will also qualify for up to $10,000 in relocation assistance! MD Anderson is among 1% of hospitals nationwide who have earned five consecutive Magnet Recognition Program® designations from the American Nurses Credentialing Center. Our nursing community transforms nursing care through clinical practice, education and research. Each day, more than 4,400 registered nurses deliver compassionate, evidence-based cancer care to patients and their families. Manages patient outcomes by providing, coordinating and supporting clinical aspects of direct patient care across the continuum of care. Collaborates with physicians, other services, patient and patient's family to plan care and evaluate outcomes. Improves practice by integrating results and theories of research studies. Participates in data collection for current studies. Demonstrates clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies. Accesses, inputs and retrieves information from computer systems. Assures continuity of care through appropriate discharge planning, patient education and coordination of services. Acts as a patient and family advocate in order to uphold patient rights. Trains, coaches and assists team members to ensure optimum patient care and efficient use of resources. Education Required: Graduation from an accredited school of professional nursing. Education Preferred: Bachelor of Science in Nursing would be a plus. Experience Required: All clinical nurses with less than one-year registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program. This position is not eligible for the residency program. Experience Preferred: Must have at least one year of clinical nursing experience in an acute care setting. Licenses/Certification Required: Current State of Texas Professional Nursing license (RN). Licenses/Certification Preferred: Certification in oncology or other nursing specialty. American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) certification as required by patient care area. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information Requisition ID: 181389 Employment Status: Full-Time Employee Status: Regular Work Week: Day/Evening, Rotating, Weekends Minimum Salary: US Dollar (USD) 68,000 Midpoint Salary: US Dollar (USD) 105,200 Maximum Salary : US Dollar (USD) 142,500 FLSA: exempt and eligible for overtime, paid at a time and a half rate Fund Type: Hard Work Location: Onsite Pivotal Position: Yes Referral Bonus Available?: Yes Relocation Assistance Available?: Yes

1 week ago

Registered Nurse (RN) PRN

UHS Houston, TX

Responsibilities Cypress Creek Hospital is a free-standing 128-bed, acute care psychiatric hospital located in north Houston, TX, and minutes south of The Woodlands. Cypress Creek Hospital features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Cypress Creek Hospital. We are comprised of a tenured dedicated team of Psychiatrists, Nurses, Social Workers, Mental Health Technicians and Support Staff where delivering compassionate care is our mission. To learn more about Cypress Creek Hospital visit our website at: www.cypresscreekhospital.com We currently have opportunities for PRN Registered Nurses – Various Shifts Position Summary The RN is responsible for implementing and evaluating patient care on the Adult/Adolescent/Geriatric units; for providing supervision and guidance for nursing staff members; for assuming responsibilities delegated by the Chief Nursing Officer, Assistant Chief Nursing Officer, or House Supervisor; for personal and professional growth and development. Performs other duties as assigned. Job Duties Completes patient admissions process, including nursing assessment. Documents ongoing patient assessments/progress clearly and concisely as required by hospital and regulatory agency standards. Medication management – administer medication and medical treatment as prescribed by a physician. Participates as member of interdisciplinary treatment team. Ensures nursing interventions. Provides milieu management and unit team leadership. Provides appropriate nursing intervention/documentation in crisis situations. Reports unsafe conditions. Provides age-specific communication, limit setting and interventions. Provides health education to patients and their families. Prepares and adheres to facility patient discharge process. Interacts with patients and staff in professional manner, promotes teamwork and demonstrates Service Excellence Attends mandatory staff meetings. Performs other duties as assigned. Benefits for Registered Nurses includ e: Challenging and rewarding work environment SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com . Qualifications Registered Nurse Job Requirements Graduation from an accredited nursing program. Licensed by the Board of Nurse Examiners for the State of Texas (or licensed in a compact state). One-year psychiatric nursing experience preferred. CPR and hospital de-escalation certifications which can be obtained during orientation. Must be able to complete new hire requirements such as a nationwide background check and pre-employment drug screen. State and Federal Office of the Inspector General check. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Medical Assistant II - Gastroenterology

UTHealth Houston Houston, TX

The UTHealth Department of Gastroenterology, part of the Department of Internal Medicine, is seeking a dedicated full‑time Medical Assistant to join our team in Greater Heights, Houston. In this role, you will serve as an essential member of our clinical care team, providing supportive services that ensure patient care is safe, effective, patient‑centered, timely, efficient, and equitable. This position offers the opportunity to make a meaningful impact each day while working alongside a collaborative, patient‑focused group of healthcare professionals. Location: UT Physicians Gastroenterology- Greater Heights - 1631 North Loop W. Houston, TX 77008 What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in. Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) The longer you stay, the more vacation you’ll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as... Free financial and legal counseling Free mental health counseling services Gym membership discounts and access to wellness programs Other employee discounts including entertainment, car rentals, cell phones, etc. Resources for child and elder care Plus many more! Position Summary: Functions as a member of clinical team performing a supportive role in the delivery of patient care that is safe, effective, patient-centered, timely, efficient and equitable. Position Key Accountabilities: 1. Performs responsibilities in a manner that promotes quality patient care and customer service/satisfaction. 2. Effectively participates in planning and preparing for patient visits ensuring appropriate schedules, test results, and clinic specific requirements are available. 3. Rooms patients consistent with clinic needs while determining and documenting chief complaint and reason for visit, vital signs, medication list, allergies, smoking history and other information as required by clinic. Keeps patients informed of delays and progress of clinical appointments. 4. As required and competency validated, performs appropriate hearing and vision testing, EKG, spirometry, point of care testing, specimen collection, equipment cleaning/reprocessing and other requested procedures. 5. Prepares and stocks rooms (daily/weekly) and clinic supplies in advance of clinic visit as well as cleaning rooms appropriately between patients. 6. Prepares for and assists with routine and specialty procedures. 7. Schedules patients for follow up appointments or referrals and performs routine clerical duties for team and staff to include photocopying, scanning and faxing. 8. Performs telephone messaging and in person screening with appropriate follow up. 9. Responds to emergency situations. 10. Respects and maintains privacy and confidentiality per HIPAA guidelines. 11. Performs other duties as assigned. Certification/Skills: Basic Life Support (BLS) by American Heart Association (AHA) required Certified Medical Assistant (CMA) by American Association of Medical Assistants (AAMA) required or Registered Medical Assistant (RMA) by American Medical Technologist (AMT) required or Certified Clinical Medical Assistant (CCMA) by National Healthcareer Association (NHA) required or National Certified Medical Assistant (NCMA) by National Center for Competency Testing required Minimum Education: High school diploma or equivalent Completion of an approved Medical Assistant training program OR one (1) year of experience (in addition to the one year of experience required to meet the experience requirement) AND certification may be substituted for Medical Assistant training program. Minimum Experience: One year of related experience Physical Requirements: Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects. Security Sensitive: This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4. Veteran Information: Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 001260, 4N0X1, 68W, 18D, 68C, 4T0X1, 4A0X1, For a complete list please visit www.uthealth-veterans.jobs . Residency Requirement: Employees must permanently reside and work in the State of Texas.

Aesthetic

Full-time

1 week ago

Registered Nurse - Aesthetic Training Provided

LaserAway Friendswood, TX

$40 / hour

Aesthetic Registered Nurse $40/hr base + $5/hr weekend differential No overnights Full-Time You'll be the clinical expert patients trust to achieve results they didn't think were possible without surgery — owning every treatment relationship from first consult through long-term results. About LaserAway LaserAway is the nation's leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology. Our clinics run at high volume with a team-first culture — clinicians here help build loyal patient books and have a real voice in how care is delivered. What You'll Own Your patient's full clinical journey — from initial skin assessment and treatment planning through follow-up care and long-term results. You'll partner with Patient Care Coordinators and Location Directors to deliver seamless, individualized care on a busy clinic floor. Day-to-day: performing laser, injectable, and skin rejuvenation treatments; documenting accurately; and staying engaged in a high-volume environment. You'll work with a custom EMR built for LaserAway — fully digital and designed to simplify charting so you stay focused on patients, not paperwork. And as we continuously add the latest FDA-cleared technologies to our treatment menu, you'll always be practicing at the forefront of aesthetic medicine. Who Thrives Here Current, active unencumbured RN license (state-issued) Background in acute care (ER, ICU, Med-Surg) or aesthetics practice preferred, but not required Professional, dependable, and genuinely patient-centered Weekend availability Comfortable in a high-volume clinic environment treating 15–25 patients per day Ability to work at up to 3 assigned locations Compensation & Benefits Competitive base pay + $5/hr weekend differential Full-time hours available (32–40 hrs/week, 8-hour shifts) Scheduling flexibility to balance clinical volume with your lifestyle Medical, dental, and vision insurance 401(k) with company match Paid time off Free Figs scrubs Employee discounts on treatments and products Growth Path Comprehensive hands-on training across all aesthetic modalities from day one Clear advancement into Lead Nurse and Regional Clinical Trainer roles Clinicians who excel here become the clinical voice that shapes how we train the next wave of practitioners LaserAway is an Equal Opportunity Employer. We're committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.

Outpatient

1 week ago

RN- Urology - Kelsey-Seybold Clinic - Main Campus

UnitedHealthcare Houston, TX

$29 - $52 / hour

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The registered nurse provides nursing care to patients in an assigned clinical area and leadership on the unit, under the supervision of a Nurse Supervisor, or RN Coordinator. The RN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards. The RN utilizes critical thinking to identify priorities and make judgments concerning basic and comprehensive needs of multiple patients in order facilitate appropriate and timely care. 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: Graduate from an approved professional registered nursing program Current and valid Texas RN license Current BLS through American Heart Association 1+ years of KSC experience may be considered in lieu of 6 months RN experience with approval from Sr Dir Nursing Services 6+ months in a clinical area Computer experience Proven ability to use equipment and related supplies for selected patient population for the assigned clinical area. Including CPR, oxygen administration, and intravenous therapy Preferred Qualifications: Bachelor's degree in nursing Specialty nursing certification in ambulatory care or one appropriate to the specialty area assigned ACLS and/or PALS 2+ years of ambulatory care EPIC experience Proven windows bases computer skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

Outpatient

Full-time

2 weeks ago

Outpatient Registered Nurse - RN

Fresenius Medical Care Deer Park, TX

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

Oncology

Full-time

2 weeks ago

Experienced Clinical Nurse - Surgical Oncology

MD Anderson Cancer Center Texas Houston, TX

$68,000 - $142,500 / year

The Experienced Clinical Nurse at MD Anderson Cancer Center manages patient outcomes by providing, coordinating and supporting clinical aspects of direct patient care across the continuum of care. They impact quality of patient care, patient outcomes and use of resources in a designated area in collaboration with a multidisciplinary team. The ideal candidate will have a Bachelor's Degree in Nursing, an RN license and at least twelve months of recent RN experience in medical/surgical or an acute care setting. The candidate must be available to work the Day/Evening shift, from 7am - 7pm, with rotating weekends and holidays required. P10 Surgical/Oncology is a specialized inpatient unit providing care for surgical oncology patients, including those undergoing complex cancer-related procedures. Nurses on this unit deliver pre- and post-operative care, manage pain and complications, and provide education and emotional support to patients and families. Hourly breakdown of salary range: Minimum $32.70 - Midpoint $50.00 - Maximum $67.30 MD Anderson offers our nurses: Three 12 hour shifts per week, 1872 hours per year (minimum) Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week Group Dental, Vision, Life, AD&D and Disability coverage Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals Paid institutional holidays, wellness leave, childcare leave and other paid leave programs Tuition Assistance Program after six months of service Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans Employer paid life, AD&D and an illness-related reduced salary pay program Health Savings Account and Dependent Care Reimbursement flexible spending accounts Fertility benefits State of Texas longevity pay Extensive wellness, recognition, fitness, employee health programs and employee resource groups. PLUS - nurses will earn up to $8,320 in annual department-based differentials for all inpatient units. Clinical Nurses relocating from 100+ miles from MD Anderson will also qualify for up to $10,000 in relocation assistance! MD Anderson is among 1% of hospitals nationwide who have earned five consecutive Magnet Recognition Program® designations from the American Nurses Credentialing Center. Our nursing community transforms nursing care through clinical practice, education and research. Each day, more than 4,400 registered nurses deliver compassionate, evidence-based cancer care to patients and their families. Manages patient outcomes by providing, coordinating and supporting clinical aspects of direct patient care across the continuum of care. Collaborates with physicians, other services, patient and patient's family to plan care and evaluate outcomes. Improves practice by integrating results and theories of research studies. Participates in data collection for current studies. Demonstrates clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies. Accesses, inputs and retrieves information from computer systems. Assures continuity of care through appropriate discharge planning, patient education and coordination of services. Acts as a patient and family advocate in order to uphold patient rights. Trains, coaches and assists team members to ensure optimum patient care and efficient use of resources. Education Required: Graduation from an accredited school of professional nursing. Education Preferred: Bachelor of Science in Nursing would be a plus. Experience Required: All clinical nurses with less than one-year registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program. This position is not eligible for the residency program. Experience Preferred: Must have at least one year of clinical nursing experience in an acute care setting. Licenses/Certification Required: Current State of Texas Professional Nursing license (RN). Licenses/Certification Preferred: Certification in oncology or other nursing specialty. American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) certification as required by patient care area. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information Requisition ID: 181457 Employment Status: Full-Time Employee Status: Regular Work Week: Day/Evening, Rotating, Weekends Minimum Salary: US Dollar (USD) 68,000 Midpoint Salary: US Dollar (USD) 105,200 Maximum Salary : US Dollar (USD) 142,500 FLSA: exempt and eligible for overtime, paid at a time and a half rate Fund Type: Hard Work Location: Onsite Pivotal Position: Yes Referral Bonus Available?: Yes Relocation Assistance Available?: Yes

Licensed Vocational Nurse (LVN) - PRN Days | Voyages Sugar Land

Voyages Behavioral Health of Sugar Land Sugar Land, TX

Overview If you're looking for a schedule that fits your lifestyle, check out Voyages Behavioral Health. Some things that our hospital can offer YOU: Opportunities for growth and advancement Flexible scheduling Supportive leadership Responsibilities Under the direction of the Chief Nursing Officer or House Supervisor, the Licensed Vocational Nurse (LPN/LVN) is responsible for utilizing the nursing process while delivering, directing and supervising care to patients admitted to the nursing unit. The Licensed Vocational Nurse plans, coordinates, and provides patient care to include interdisciplinary planning, discharge planning, patient and family teaching for post-hospitalization, and accessing community resources. Qualifications Education and Training: Holds current licensure as a Licensed Vocational Nurse/ Licensed Practical Nurse in the state where the hospital resides. Current BLS certification is required. Crisis management certification per hospital policy and standards required. Experience: One year of inpatient behavioral health nursing experience preferred but not required. About PAM Health Voyages Behavioral Health is committed to being the most trusted source for behavioral health services in every community it serves by utilizing experienced and dedicated staff to provide high quality patient care and customer service. As an affiliate of PAM Health , our organization has more than 80 long-term acute care hospitals and physical medicine and rehabilitation hospitals, as well as wound clinics and outpatient physical therapy locations, in 17 states, proudly offering services including comprehensive wound care, aquatic therapy, ventilator weaning, amputation treatment, pain management and now Behavioral Health, inpatient, outpatient, and ECT service lines. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.voyageshealth.com for a comprehensive look at how we're able to positively impact our local communities. Voyages Behavioral Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.

Per Diem

2 weeks ago

Registered Nurse II - AOD - PRN

Houston Methodist Sugar Land, TX

*** Day Shift - 9 shifts/6-week schedule *** At Houston Methodist, the Registered Nurse (RN) PRN Periop. Servs position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN PRN Periop. Servs position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN PRN Periop. Servs position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN PRN Periop. Servs position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section EXPERIENCE Two years registered nurse experience in a healthcare environment LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification PALS - Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care within 4 months KNOWLEDGE AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations as defined in orientation checklist and annual departmental competency checklist Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act Demonstrates proficient time management skills Maintains level of professional contributions as defined in Clinical Career Path program guide Working knowledge of Microsoft products including Outlook ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care. Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes. Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard. SERVICE ESSENTIAL FUNCTIONS Follows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles. Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient’s needs, abilities and preferences. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources. Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly. Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards. QUALITY/SAFETY ESSENTIAL FUNCTIONS Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document. Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation. Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient’s condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach. Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team. FINANCE ESSENTIAL FUNCTIONS Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities. Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: Yes Business professional: No Other (department approved): No ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below. On Call* Yes TRAVEL** **Travel specifications may vary by department** May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section EXPERIENCE Two years registered nurse experience in a healthcare environment LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification PALS - Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care within 4 months

Caregiver

SYNERGY HomeCare Houston, TX

Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate caregivers like YOU! When you join the SYNERGY HomeCare team, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring the full support for fuller lives and to elevate their confidence knowing they have a caregiver like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for caregivers who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking caregivers to join our independently owned and operated national agency. SYNERGY HomeCare offers: Competitive pay Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching caregivers with nearby clients Employee recognition programs As a Caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!

Per Diem RN II- Medical Imaging - Kelsey-Seybold Clinic - Main Campus (Travel to Fort Bend, Bay Area, Meyerland, Memorial Villages as needed)

UnitedHealthcare Houston, TX

$29 - $63 / hour

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Per Diem RN in Medical Imaging is responsible for providing direct patient care by applying special clinical nursing knowledge and skills related to the Medical Imaging setting. He or she will strive to ensure the safety and comfort of patients and families according to legal, organizational and professional standards. Primary Responsibilities: Provide direct patient care for patients undergoing procedures in the imaging suite such as CT, MR, US, Radiography, Mammography, Nuclear Medicine and Cardi Lab where applicable. Assist physicians and technologists with patient preparation for procedures Assists during procedures Gather information. Responsible for appropriate labeling, handling, delivering and tracking of specimens from collection to reporting. Provide health education information. Provide post procedure instructions. AEB: skill demonstration, observation, document audits, attendance at educational inservices Care of patients: performs technical and supportive patient care skills including, but not limited to: Waived testing Respiratory care Medical emergency response Safe and effective medication administration Prioritization of urgent patient care needs IV skills, venipuncture Catheterization skill EKG monitoring AEB: skill demonstration, observation, attendance at educational inservices and log audits Infection control: Provides environment to prevent and control the spread of disease within the clinical setting. Includes, but is not limited to: Handwashing Aseptic technique Sterile technique Care, cleaning, and sterilization of instruments as applicable AEB: Adherence to EHS standards Management of Information: Accurately documents and communicates to appropriate care providers. Includes, but is not limited to: Confidentiality Documentation Clerical duties Release of Information Triage and telephone message taking Computer use Follows test results reporting policies and procedures to include obtaining, interpreting and communication of results to providers and patients as applicable. Appointment scheduling AEB: chart audits, documentation review and appointment accuracy Environment of Care: Assists with maintenance of equipment, supplies and environment. Including, but not limited to: Orders supplies Maintains equipment to include departmental crash cart according to established clinic guidelines Adheres to Clinic safety standards for employees, patients, and visitors Identifies and reports potential barriers for the safe provision of patient care and maintains a safe patient environment Supports initiatives related to OSHA and accreditation standards AEB: Physical survey of exam rooms. Maintenance of cleaning logs. Survey for non-functional equipment. Observation, skills demonstration. Attends quarterly EHS education Patient Rights and Responsibilities: practices positive guest and peer relations. Supports and respects patient rights. Includes, but is not limited to: Advanced Directives Informed consent Complaint resolution Post-procedure patient education AEB: chart audits, demonstration, complaint tracking Human Resources: Responsible for personal growth and career development. Includes but is not limited to: Maintaining licensure and certifications Annual competency assessment Teamwork Effective communication AEB: Attends education offerings/meetings appropriate to duties and responsibilities. Over 10 programs or inservices=3, 8-10 programs or inservices=2,