Nursing Jobs in West Alexandria, OH

Arcadia Care at Dayton

(RN) Registered Nurse Night Shift Supervisor

Now Hiring RN Supervisor – Skilled Nursing Facility in Dayton, OH! We are seeking a dedicated RN Supervisor to lead our skilled nursing and rehabilitation team, ensuring the highest quality of resident care. Benefits Offered: Extremely low-cost Health, Dental, Vision 401K and more $25,000 Company Paid Life Insurance – at no cost to you Leadership Training to enhance your management skills Paid vacation (rolls over each year), sick time, and holidays Tuition Reimbursement Daily, weekly, and monthly employee appreciation events Birthday and anniversary celebrations Free Employee Assistance Programs for family, financial, health, legal, and personal support Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you Virtual doctor visits 24/7 without additional accounts or appointments Paid break time for nursing mothers Time off to vote Qualifications: Registered Nurse (RN) license in Ohio Minimum of 1 year of experience in a skilled rehabilitation or hospital setting Strong leadership skills with the ability to plan, organize, and implement care programs Knowledge of federal, state, and local nursing standards and regulations Responsibilities: Supervise daily nursing operations, including charge nurses and CNAs Ensure quality care for skilled rehab patients Serve as a liaison with physicians, labs, radiology, and other clinicians Problem-solve issues as they arise, maintaining smooth facility operations Why Join Us: Join a team that values professional growth, celebrates achievements, and fosters a supportive environment. Make a meaningful impact in the lives of residents while enjoying competitive benefits and a positive workplace culture. APPLY NOW!
Quality Correctional Care

Licensed Practical Nurse (LPN) Every other Weekend - Bonus Offered

Quality Correctional Care (QCC) is a mission-driven organization that provides medical and mental healthcare and addiction recovery services to justice-involved patients. Our approach to patient care is uniquely compassionate and holistic emphasizing dignity, respect, and rehabilitation through effective healthcare. QCC changes the lives of our patients by raising the standard for correctional healthcare to promote sustainable wellness and successful reintegration following release from incarceration. We are looking for passionate and driven professionals who appreciate a commitment to an important mission. WHY QCC? Mission and Culture: Deep commitment to our mission and prioritization of patient care Strong communication from the leadership team Advocacy and support from administration Team-member wellness initiatives to combat job-stress and burnout Transformative healthcare that makes a difference in communities where you live and work Cooperative and supportive team culture within the organization We cannot achieve our mission without innovative expert healthcare professionals with the courage to care. Come join the QCC team and be part of our vision for the future! Nursing Responsibilities: Assess, plan, and deliver comprehensive healthcare to patients by providing the following: Administer medications Perform medical intakes and assess if patient is fit for incarceration, as needed Respond to sick call requests and follow up with the medical provider when needed Check and/or change medical dressings as required by the medical provider Performing 14-day physicals Managing chronic care Providing patient education on health concerns Responding to medical emergencies Be capable of performing life saving measures and ability to take charge and give direction in an emergency. Maintain working knowledge of pharmacology, including but not limited to drug reaction/overdose, formulary/non-formulary medications, and knowledge of medication costs Be able to provide insight and direction to Medically Trained Personnel, as needed. Comply with all current and future state, federal, and local laws and regulations Location: LaGrange County Jail, LaGrange, Indiana Shift Opening(s): Part-Time 7 AM to 3 PM Every Other Weekend Pay Range: $30-$35/hour based on experience BONUS: $4000 Retention Bonus Offered Requirements: Valid LPN licensure Valid CPR certification Must be able to stand for extended periods of time Must be able to push, pull, reach, and bend frequently Must be capable of lifting up to 50 pounds QCC’s Benefits: Competitive compensation packages Paid time off Referral Program Employee Assistance Program Financial Wellness Program 401K with a 4% company match IND123
NaphCare, Inc.

Registered Nurse (RN)

Overview NaphCare is hiring Registered Nurses (RNs ) to join our team of medical professionals in Dayton, OH, where we manage all aspects of healthcare for the individuals who are currently incarcerated in the Montgomery County Jail. As a Correctional Registered Nurse (RN ), you will work alongside correctional officers and other medical professionals to provide care to the individuals in residence. Working within a controlled environment, where security is top priority and the days are never dull, you will have various duties to keep you engaged including performing physical assessments, administering medications, managing chronic illnesses, and responding to emergencies. This is a unique position where you can make a difference to this diverse population of patients with complex medical needs. *New grads are encouraged to apply - we'll train you in the exciting field of correctional healthcare! * Responsibilities As a Registered Nurse you will play a critical role in our continued mission to provide quality care that protects the rights, dignity, and health of our unique patient population. Duties and responsibilities may include and are not limited to: Performing initial health screenings and physical assessments of newly detained individuals. Monitoring and documenting patient health including vital signs, medical histories. Providing direct patient care, triaging, assessing patient needs, developing care plans, and coordinating services. Managing acute and chronic conditions such as asthma, hypertension, and diabetes. Responding to medical emergencies, providing first aid, and ensuring timely transport to appropriate healthcare facilities. Educating patients on preventative care, healthy lifestyle choices, and substance abuse prevention. Understanding and adhering to correctional facility security protocols, while working closely with correctional officers and other healthcare professionals, to ensure the safety and well-being of patients. Maintaining accurate medical records, documenting treatment plans, and reporting any relevant information. Qualifications Experience / Requirements / Qualifications Holds a current, unrestricted license as a Registered Nurse within the state Must possess an active BLS CPR Certification (AHA preferred) Knowledge of nursing practice principles and techniques, occupational health and safety standards, infectious disease management, applicable health care laws, regulations, and procedures for direct health care services. Excellent communication, organizational, and problem-solving skills Able to work independently and in a team Flexible schedule and availability to work overtime when needed Integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements Ability to interact effectively with patients from diverse backgrounds, including those with mental health or substance abuse issues Must have the ability to maintain confidentiality of all proprietary and/or confidential information and integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements Must pass the facility’s criminal background check and drug screening Physical Capabilities: Must have the ability to stand for long periods, lift and move patients (up to 50 pounds), bend, squat, reach, push, pull, walk significant distances, and perform physically demanding tasks like CPR, all while maintaining good balance and endurance throughout a shift. Why Join NaphCare? NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time! In addition to competitive salaries and generous employee benefits, we have opportunities for new graduates and experienced medical professionals, promote educational growth, and strongly support career advancement within the company. NaphCare Benefits for Full-Time Employees Include: Health, dental & vision insurance that starts day one! Prescriptions free of charge through our health plan, beginning day one Lowest Cost Benefits! Employee Assistance Program (EAP) services 401K and Roth with company contribution that starts day one! Tuition Assistance Referral bonuses Term life insurance at no cost to the employee Generous paid time off & paid holidays Free continuing education and CMEs Want a better idea of what it’s like to work in a jail? See what our RNs do: NaphCare - Life as an RN - YouTube If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process , and I’ll be in touch. Equal Opportunity Employer: disability/veteran Follow Us: Instagram | Facebook | LinkedIn | Advancing Correctional Healthcare | NaphCare
Quality Correctional Care

Registered Nurse (RN) Part Time Every Other Weekend - Bonus Offered

Quality Correctional Care (QCC) is a mission-driven organization that provides medical and mental healthcare and addiction recovery services to justice-involved patients. Our approach to patient care is uniquely compassionate and holistic emphasizing dignity, respect, and rehabilitation through effective healthcare. QCC changes the lives of our patients by raising the standard for correctional healthcare to promote sustainable wellness and successful reintegration following release from incarceration. We are looking for passionate and driven professionals who appreciate a commitment to an important mission. WHY QCC? Mission and Culture: Deep commitment to our mission and prioritization of patient care Strong communication from the leadership team Advocacy and support from administration Team-member wellness initiatives to combat job-stress and burnout Transformative healthcare that makes a difference in communities where you live and work Cooperative and supportive team culture within the organization We cannot achieve our mission without innovative expert healthcare professionals with the courage to care. Come join the QCC team and be part of our vision for the future! Nursing Responsibilities: Assess, plan, and deliver comprehensive healthcare to patients by providing the following: Administer medications Perform medical intakes and assess if patient is fit for incarceration, as needed Respond to sick call requests and follow up with the medical provider when needed Check and/or change medical dressings as required by the medical provider Performing 14-day physicals Managing chronic care Providing patient education on health concerns Responding to medical emergencies Be capable of performing life saving measures and ability to take charge and give direction in an emergency. Maintain working knowledge of pharmacology, including but not limited to drug reaction/overdose, formulary/non-formulary medications, and knowledge of medication costs Be able to provide insight and direction to Medically Trained Personnel, as needed. Comply with all current and future state, federal, and local laws and regulations Location: LaGrange County Jail, LaGrange, Indiana Shift Opening(s): Part-Time 7 AM to 3 PM Every Other Weekend OR every weekend, if desired Pay Range: $36-40+/hour based on experience BONUS: $4000 Retention Bonus Offered Requirements: Valid RN licensure Valid CPR certification Must be able to stand for extended periods of time Must be able to push, pull, reach, and bend frequently Must be capable of lifting up to 50 pounds QCC’s Benefits: Competitive compensation packages Paid time off Referral Program Employee Assistance Program Financial Wellness Program 401K with a 4% company match
Dayton Children's

Clinical Nurse - Mental Health Unit - Part time - Nights

Facility: Mathile Center for Mental Health and Wellness Department: Mental Health Support Services Schedule: Part time Hours: 24 Job Details: The Registered Nurse provides professional nursing care using the standards of care and the standards of professional performance outlined by the American Nurses Association and the Ohio Board of Nursing. The RN interacts with an interdisciplinary team to promote the optimal health potential of the patient and family, delivering proficient nursing care based on a detailed assessment of the patient/family needs and the hospital mission. The RN promotes a patient and family experience-oriented environment and acts as a change agent to meet the rapidly changing census and needs of all customers-both internal and external. Department Specific Job Details: Education: Associates degree in nursing required. Graduation from an accredited program of nursing. Dedication to acquire Bachelors of Science in Nursing within 5 years of hire. Certification/Licensure: Registered Nursing license in State of Ohio CPR : Cardio-Pulmonary Resuscitation - required Schedule/Location: part time, 24 hours 2 (12) hour shifts nights, 7:00 PM - 7:30 AM weekend and holiday rotation eligible for benefits and PTO serving the inpatient mental health unit at the Mathile Center
Alternate Solutions Health Network

Registered Nurse (RN) Case Manager

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Schedule: Monday through Friday 8:30 am to 5:00 pm Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As an RNCM you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You’ll assume ultimate accountability and leadership for the assessment of the patient condition and plan of care. You will case manage and provide clinical care under the direction of the physician. You’ll educate patients and their family members and ensures the safety of the patient. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administer medication as prescribed by the physician and help decrease re-hospitalizations by prioritizing visits for high-risk patients. Supervision: Oversee and supervise total care of patient provided by nurse aides and LPNs Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease process using teach back methods to ensure patient and family understanding. Policies: Complete all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborate with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: Understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting. Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
QualDerm Partners

Medical Assistant - Centerville, OH

QualDerm Partners is seeking a dedicated Medical Assistant to join our dynamic team in Centerville, OH. At QualDerm Partners, we’re committed to being the nation’s premier source for comprehensive skin and aesthetics wellness. Our mission is to support patients’ lifetime wellness journeys with unmatched care across dermatology, skin cancer treatment, cosmetics, and plastic surgery. As a Medical Assistant, you will play a vital role in providing exceptional patient care, contributing to our commitment to excellence, and being a part of a talented team dedicated to creating a standout patient experience. If you are passionate about skin and aesthetics wellness and are eager to work in a supportive and collaborative environment, this is the opportunity for you. Your contributions will directly influence the lives of our patients, ensuring they receive the highest quality of care as they navigate their wellness journeys. Join us in making a difference in the lives of our patients as we continue to expand our footprint in the hospital and healthcare industry, elevating the standard of care in our communities. Responsibilities Prepare patients for examination by taking vital signs and recording medical history. Assist the physician during examinations and procedures, ensuring all necessary instruments are available. Perform basic laboratory tests and prepare specimens for laboratory analysis. Maintain patient records, ensuring accuracy and confidentiality at all times. Schedule patient appointments and manage office communications. Educate patients on treatment plans, medications, and proper skincare practices. Ensure the examination rooms are clean, organized, and fully stocked with supplies. May participate in supporting the clinic’s social media presence, including gathering content, sharing clinic-approved updates, and assisting with community engagement efforts as directed High school diploma or equivalent; certification as a Medical Assistant preferred. Proven experience as a Medical Assistant or similar role in a clinical setting. Knowledge of medical terminology and practices relevant to dermatology. Strong communication skills, both verbal and written, to interact with patients and staff effectively. Ability to handle sensitive information with discretion and maintain patient confidentiality. Excellent organizational skills with attention to detail in a fast-paced environment. Basic proficiency in using electronic health records (EHR) systems and general office software. Benefits of joining Qualderm Partners: Competitive Pay – Attractive compensation to reward your hard work Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges Exclusive Employee Discounts – Save on products and services with special discounts just for you Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.
Premier Health Partners

PRN Registered Nurse (RN) - Echocardiography

ECHOCARDIOGRAPHY Monday-Friday 8:00am-4:30pm (PRN) Support The Clinical Nurse is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards. Education Minimum Level of Education Required: Associate degree in Nursing Licensure/Certification/Registration Valid Ohio RN license Experience Minimum Level of Experience Required: 2 years of RN experience in the ER or a procedural area. Knowledge/Skills Must be able to multitask with constant interruptions while maintaining a pleasant demeanor Basic computer knowledge Strong organization skills Effective interpersonal and communication skills
Premier Health Partners

Infection Prevention Specialist Coordinator / REGISTERED NURSE / RN /

Position: Infection Prevention Specialist Coordinator-RN Department: PHP Infection Prevention Shift: 7AM-3:30PM Facility: Miami Valley Hospital/ Will cover all hospitals The Infection Prevention Specialist Coordinator is responsible for alignment of the infection prevention program’s goals with the system/organizational strategic priorities and annual operating plan. The role is developed from the needs of the entire Premier Partners system and hospital community to reduce the risk of infection for patients, all staff and visitors. The IPC collaborates with persons administratively and clinically responsible for inpatient and outpatient departments as well as non-patient care support areas based on interpretation and evaluation of CMS, CDC, OSHA, ODH, APIC, TJC, and EPA guidelines, standards and/or regulations or other standards related to infection control and epidemiology. Education Minimum Level of Education Required: Bachelor's degree Additional Requirements Type of degree: Bachelor’s Degree in Nursing required; Master’s Degree in Nursing preferred Licensure/Certification/Registration Current State of Ohio licensure as Registered Nurse Certification in Infection Control strongly preferred (upon hire) or completed within 3 years from date in position or as outlined in MOU. Experience Minimum Level of Experience Required: 3 - 5 years of job related experience Preferred experience: Two years of experience in the specialty of infection control is preferred Other experience requirements: Three years clinical experience in an acute care hospital setting required Knowledge/Skills Attendance at a basic infection control training course may be required when eligible. Skilled at using NHSN (CDC's National Healthcare Safety Network); ability to evaluate others performance. Possesses understanding of epidemiology and study design; can conduct basic cluster/epidemic investigations. Proficient in key clinical and administrative databases required for active surveillance (i.e. EMRs, lab systems, ADT, surgery systems, pharmacy and radiology information). Must have a nimble adaptive management style that can adapt to rapid change or shift in emerging science or regulatory requirements. Must be able to lead and facilitate multidisciplinary teams and provide consensus building skills as needed. Effective verbal and written skills are required. Has experience in presenting to large audiences.
Premier Health Partners

Registered Nurse (RN) - Operating Room

On call required. Must be able to reach the hospital within 30 minutes* Full time/80 hours per pay 7:00am-3:00pm The Clinical Nurse is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards Education Graduation from accredited school of nursing Licensure/Certification/Registration Valid Ohio RN license Experience Minimum Level of Experience Required: 2 years of hospital based floor nursing experience such as ICU or ER is required. Knowledge/Skills Must be able to multitask with constant interruptions while maintaining a pleasant demeanor Basic computer knowledge Strong organization skills Effective interpersonal and communication skills
Premier Health Partners

LPN-MED PASS-IV-MEDSURG UNIT/ AMC

The Licensed Practical Nurse administers patient care under the direction of the Registered Nurse. The Licensed Practical Nurse collaborates as a member of the nursing team to accomplish patient care activities and contributes to the implementation of patient care. The LPN is accountable for compliance with the Ohio Nurse Practice Act, applicable regulatory standards, and institutional policies and procedures. The LPN provides physical, emotional and spiritual support that directly/ indirectly impacts patient outcomes and care provided to patients/ families/ significant others. Education Minimum Level of Education Required: Diploma Program Additional Requirements Type of degree: N/A Area of study or major: Practical nursing Preferred educational qualifications: N/A Position specific testing requirement: N/A Licensure/Certification/Registration Valid Ohio Licensed Practical Nurse (LPN) license Current AHA BLS certification Certified to administer medications Preferred: IV Certification Experience Minimum Level of Experience Required: No prior job-related work experience Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred experience: N/A Other experience requirements: N/A Knowledge/Skills Must be able to multitask with constant interruptions while maintaining a pleasant demeanor Basic computer knowledge Strong organization skills Effective interpersonal and communication skills
State of Indiana

LPN

Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About Richmond State Hospital: Richmond State Hospital is about the people we serve and the community relationships we have developed, dating back to 1890. Richmond State Hospital is a public behavioral health facility operated by the state of Indiana and one of six state psychiatric hospitals within the Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve consumers across the state as the Eastern Center of Excellence in Mental Health and Addiction Services. Nestled in northwestern Richmond, our beautiful campus provides a quiet and peaceful environment. We provide psychiatric and co-occurring treatment to all adults regardless of race, religion, sex, gender identification, age, handicap, national origin, and ability to pay for services. We are proud of our heritage and committed to continuing our tradition of service. Richmond State Hospital offers individual psychotherapy, group psychotherapy, chaplain services, family therapy and education, group psych-education, rehabilitation therapies, and patient employment opportunities. Unit-based programming is augmented with campus-wide specialty groups. RSH has been a state leader in evidenced-based medication prescribing to both reduce the risks associated with polypharmacy and optimize clinical outcomes. The hospital clinical and medical leadership collaborate with the unit treatment teams to provide the most contemporary and comprehensive care possible. Salary Statement : The salary for this position traditionally starts at $45,422.00 but may be commensurate with education or work experience. A Day in the Life: Program Administration Support Prioritize and organize the daily care of individuals to ensure consistent and effective service delivery. Make care assignments and assist in creating treatment plans in collaboration with other clinical staff to meet individual needs. Provide direct observation of individuals with specific monitoring situations (e.g., line-of-vision or one-on-one precautions) to ensure safety and therapeutic engagement. Direct support staff to coordinate workflow and communicate problems to unit supervisors to maintain smooth operations. Complete required documentation of nursing notes, transfer forms, and other records to ensure accurate and timely reporting. Provide orientation and support to staff on the unit to maintain continuity and quality of care. Program Management Support Provide ongoing assessment and documentation of individuals' physical and psychosocial status from admission to discharge to inform care decisions. Administer medications and treatments according to state-operated health care facility policies and procedures to support recovery and wellness. Develop and implement nursing care plans for acute medical problems to address evolving needs. Complete medication administration supervision monitors and clinical observation notes for support staff to ensure compliance and quality Educate individuals and family members regarding medication, procedures, and treatment goals and objectives to promote understanding and engagement. Respond and intervene in emergency situations and with agitated individuals to maintain safety and therapeutic environment. Ensure proper safety and infection control standards are met for the unit to protect staff and individuals. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time. What You'll Need for Success: Individuals in this role should minimally be able to articulate or demonstrate the following: Effective verbal and written communication skills. Ability to proofread and edit documentation for clarity and accuracy. Ability to understand and apply medical and facility terminology. Knowledge of and ability to interpret nursing and facility policies and procedures. Ability to use MS Office applications and electronic patient records. Proficiency in computer skills and ability to learn programs used in maintaining electronic medical records. Ability to serve as a patient advocate. Additional knowledge and/or ability may be required based on the population the facility serves (e.g., children, adolescents, geriatrics). Ability to respond compassionately and effectively in high-stress or emergency situations. A degree is not required. However, a current Indiana license to practice as a Licensed Practical Nurse, maintained CPR certification, and ongoing completion of required behavioral intervention training are required. Individuals should have the ability to perform essential functions with or without reasonable accommodation. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefit package for full-time employees which includes: Three (3) medical plan options (including RX coverage) as well as vision and dental plans Wellness Rewards Program: Complete wellness activities to earn gift card rewards Health savings account, which includes bi-weekly state contribution Deferred compensation 457(b) account (similar to 401(k) plan) with employer match Two (2) fully-funded pension plan options A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers Up to 15 hours of paid community service leave Combined 180 hours of paid vacation, personal, and sick leave time off 12 paid holidays, 14 on election years Education Reimbursement Program Group life insurance Referral Bonus program Employee assistance program that allows for covered behavioral health visits Qualified employer for the Public Service Loan Forgiveness Program Free Parking for most positions Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov .
Arcadia Care at Dayton

(LPN) Licensed Practical Nurse | Fulltime | 6a-6p

Licensed Practical Nurse (LPN) – Skilled Nursing Facility, Ohio We are seeking a dedicated Licensed Practical Nurse (LPN) to provide high-quality care under the direction of RNs and physicians. We offer competitive hourly wages and a growth-oriented work environment where your skills and career development are valued. Benefits Offered: Extremely low-cost Health, Dental, Vision 401K and more $25,000 Company Paid Life Insurance – at no cost to you Leadership Training to enhance your management skills Paid vacation (rolls over each year), sick time, and holidays Tuition Reimbursement Daily, weekly, and monthly employee appreciation events Birthday and anniversary celebrations Free Employee Assistance Programs for family, financial, health, legal, and personal support Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you Virtual doctor visits 24/7 without additional accounts or appointments Paid break time for nursing mothers Time off to vote Qualifications for Licensed Practical Nurse (LPN) : Active Ohio Licensed Practical Nurse license Strong teamwork Effective communication skills Essential Duties of Licensed Practical Nurse (LPN) : Provide direct resident care with compassion and professionalism Administer medications and assist with treatments Collaborate effectively with the nursing team to ensure resident well-being Maintain accurate and thorough documentation Why Join Us: Join a team that values professional growth, celebrates achievements, and fosters a supportive environment. Make a meaningful impact in the lives of residents while enjoying competitive benefits and a positive workplace culture. APPLY NOW!
Alternate Solutions Health Network

Weekend RN (Registered Nurse)

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Schedule: Mon/Wed/Sat 8:00 am to 5:00 pm Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse (RN) the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You'll provide skilled nursing care in a patient's home as directed by the attending physician.. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administers medication as prescribed by the physician and helps decrease re-hospitalizations by prioritizing visits for high-risk patients. Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease processes using teach back methods to ensure patient and family understanding. Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborates with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
Alternate Solutions Health Network

Weekend Registered Nurse (RN)

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Schedule: Tuesday, Thursday, and Saturday 8:00 am to 5:00 pm Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse (RN) the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You'll provide skilled nursing care in a patient's home as directed by the attending physician.. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administers medication as prescribed by the physician and helps decrease re-hospitalizations by prioritizing visits for high-risk patients. Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease processes using teach back methods to ensure patient and family understanding. Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborates with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
Kettering Health Network

Nursing Assistant - 5 Main Acute Medical and Oncology

Job Details KH Hamilton | Full-Time | Days Responsibilities & Requirements Responsibilities The Nursing Assistant serves as a member of our interdisciplinary patient care team. The Nursing Assistant focuses on supporting patients with activities of daily living and performs patient care skills as delegated by the licensed nurse within the Ohio Board of Nursing Scope of Practice. The Nurse Assistant is responsible for maintaining and demonstrating knowledge, skill, and ability of the delegated tasks. The Nursing Assistant also supports department operational needs, and performs other duties as assigned. The Nursing Assistant reports to the Clinical Nurse Manager. Qualifications Applicants Must Have: Successful completion of KH Nursing Assistant orientation Certification in CPR/BLS Must have one of the following: Six months experience as a nursing assistant in a hospital or a long-term care facility Completion of Nursing Assistant course in the last six months Nursing student or listed as pre-nursing as shown on transcripts Current employee with Kettering Health Preferred Qualifications Would Prefer Applicants Have: Reading, writing and basic match Effective interpersonal and communication skills Basic computer knowledge and keyboarding skills Customer service skills Ability to multitask, prioritize and function in a high stress environment Ability to problem solve Ability to comprehend and complete delegated tasks Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
Premier Health Partners

Nursing Assistant Specialist

Dayton, Ohio 1st and 2nd shift General Summary/Responsibilities The Nursing Assistant Specialist is a paraprofessional member of the health care team who provides physical and mental support for the patient, performs light housekeeping and meal preparation and provides companionship and incidental personal care. This specialist may work under the supervision of a licensed nurse to perform basic nursing tasks as assigned. Dimensions Assigned to cases by Scheduling Department to work with patients in variety of settings. FIDRNOCT Qualifications Education Minimum Level of Education Required: High School completion / GED Additional Requirements Licensure/Certification/Registration  CPR Certification Experience Minimum Level of Experience Required: 1 - 3 years of job-related experience Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred experience: N/A Other experience requirements: N/A Successful Completion Of One Of The Following Nurse’s aide training course within the last twelve months. Direct patient care experience within the last six months. Currently enrolled in nursing school with the completion of core nursing classes. Knowledge/Skills Must be able to read, write, and follow written instructions and document care given. Must complete agency competencies. Must display good physical and emotional health and be capable of stooping and bending and lifting up to 50 lbs. Should demonstrate good personal hygiene. Must be self-directed with the ability to work with little direct supervision and have the maturity necessary for establishing and maintaining a good work relationship with the patient, the patient's family and all other office personnel. Must have a sincere interest in and sympathetic attitude toward caring for the sick and disabled at home. Must meet all agency personnel policies. Must have reliable transportation.
Premier Health Partners

Registered Nurse (RN) - Emergency Department

Full time/72 hours per pay 7:00pm-7:30am The Clinical Nurse is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards Education Graduation from accredited school of nursing Additional Requirements Type of degree: Graduation from an accredited school of nursing. Licensure/Certification/Registration Valid Ohio RN license Experience Minimum Level of Experience Required: No prior job-related work experience Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred Experience Other experience requirements: N/A Knowledge/Skills Must be able to multitask with constant interruptions while maintaining a pleasant demeanor Basic computer knowledge Strong organization skills Effective interpersonal and communication skills
Premier Health Partners

Medical Assistant or LPN - Bariatrics

Premier Weight Loss Solutions (MA or LPN) FT / 80 hours per pay period Summary Of Position The Licensed Practical Nurse is responsible for general clinical and procedural patient care under the direction and direct supervision of the center’s physicians or practice manager. Nature and Scope The Licensed Practical Nurse works under the direct supervision of the physician and/or provider. A patient base of 1,000 to 3,000 patients is served and 20-50 patients are seen each day; resulting referrals, correspondence, reports, and phone calls are handled. Qualifications Associates degree and completion of a practical nursing program and pharmacology program and maintains current state licensure with CNE requirements. Prior experience in ambulatory health care facility preferred. Ability to learn related center tasks and be of assistance to management and physicians. Self-motivated to achieve the highest patient care and customer service standards. CPR certified within the first 3 months of employment. Knowledge of ICD-10 and CPT coding. Familiarity with the EPIC EMR is strongly preferred. Thorough understanding of HIPAA law.
Kettering Health Network

Nursing Assistant - 5 Main Acute Medical and Oncology

Job Details KH Hamilton | Part-Time | Days Responsibilities & Requirements Responsibilities The Nursing Assistant serves as a member of our interdisciplinary patient care team. The Nursing Assistant focuses on supporting patients with activities of daily living and performs patient care skills as delegated by the licensed nurse within the Ohio Board of Nursing Scope of Practice. The Nurse Assistant is responsible for maintaining and demonstrating knowledge, skill, and ability of the delegated tasks. The Nursing Assistant also supports department operational needs, and performs other duties as assigned. The Nursing Assistant reports to the Clinical Nurse Manager. Qualifications Applicants Must Have: Successful completion of KH Nursing Assistant orientation Certification in CPR/BLS Must have one of the following: Six months experience as a nursing assistant in a hospital or a long-term care facility Completion of Nursing Assistant course in the last six months Nursing student or listed as pre-nursing as shown on transcripts Current employee with Kettering Health Preferred Qualifications Would Prefer Applicants Have: Reading, writing and basic match Effective interpersonal and communication skills Basic computer knowledge and keyboarding skills Customer service skills Ability to multitask, prioritize and function in a high stress environment Ability to problem solve Ability to comprehend and complete delegated tasks Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
Arcadia Care at Dayton

State Tested Nursing Assistant (STNA) FULLTIME Day Shift 6a-6p

STNA Job Summary: The State Tested Nursing Assistant is responsible for providing resident care and support in all activities of daily living and ensures the health, welfare, and safety of all residents. Essential Duties: · Assist residents with daily needs including eating, bathing, grooming, eating, exercising and mobility transfers. · Monitor vitals and resident behavior and report them to the nurse and medical staff. Benefits Offered: Extremely low-cost Health, Dental, Vision, 401K, and more $25,000 Company Paid Life Insurance – at no cost to you Paid Vacations - rolls over each year Paid Sick Time Paid Holidays Tuition Reimbursement – we will pay for CNA and Nursing School Daily, Weekly, Monthly Employee Appreciation Events Birthday, Anniversary Celebrations Full-time Free Employee Assistance Programs - professional support & guidance on family, money, health, legal services and more Huge Discounts at all major retailers (Walmart, Costco, etc.) at no cost to you Virtual Visits with Doctors 24/7, without setting up additional accounts or appointments Paid Break Time for Nursing Mothers Time Off to Vote Preferred Qualifications: Must possess a STNA license per ODH. DAY STNA
Premier Health Partners

PRN Registered Nurse (RN) - Pre Op

PRN (Support) 8a-4:30pm The Clinical Nurse-CN-Supp is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards. Education Graduation from accredited school of nursing Licensure/Certification/Registration Valid Ohio RN license Experience Minimum Level of Experience Required: Pre Op/PACU experience required Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred Experience Other experience requirements: N/A Knowledge/Skills Must be able to multitask with constant interruptions while maintaining a pleasant demeanor Basic computer knowledge Strong organization skills Effective interpersonal and communication skills
Dayton Children's

Clinical Nurse - Mental Health Unit - Part time - Nights

Facility: Mathile Center for Mental Health and Wellness Department: Mental Health III Schedule: Part time Hours: 24 Job Details: The Registered Nurse provides professional nursing care using the standards of care and the standards of professional performance outlined by the American Nurses Association and the Ohio Board of Nursing. The RN interacts with an interdisciplinary team to promote the optimal health potential of the patient and family, delivering proficient nursing care based on a detailed assessment of the patient/family needs and the hospital mission. The RN promotes a patient and family experience-oriented environment and acts as a change agent to meet the rapidly changing census and needs of all customers-both internal and external. Department Specific Job Details: Education: Associates degree in nursing required. Graduation from an accredited program of nursing. Dedication to acquire Bachelors of Science in Nursing within 5 years of hire. Certification/Licensure: Registered Nursing license in State of Ohio CPR : Cardio-Pulmonary Resuscitation - required Schedule/Location: part time, 24 hours 2 (12) hour shifts nights, 7:00 PM - 7:30 AM weekend and holiday rotation eligible for benefits and PTO serving the inpatient mental health unit at the Mathile Center
Premier Health Partners

Registered Nurse (RN) - Ortho Joint and Spine

Job Title: Registered Nurse (RN) Unit: Ortho Shift: 7:00PM-7:30AM Status: Full time Facility: Miami Valley Hospital South The Clinical Nurse is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards. Education Graduation from accredited school of nursing Licensure/Certification/Registration Valid Ohio RN license Experience Minimum Level of Experience Required: No prior job-related work experience Knowledge/Skills Must be able to multitask with constant interruptions while maintaining a pleasant demeanor Basic computer knowledge Strong organization skills Effective interpersonal and communication skills
Premier Health Partners

System ED Float RN/ ED Float Pool

Position: System ED Float RN Department: Premier Nursing Float Pool Facility: Emergency Department - All Facilities & Freestanding ED's Shift: Full-time Days 7:00am-7:30pm/ 72 Hours Per Pay The Clinical Nurse is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards. The Premier System Float Level 1 – Acuity Specific RN System-wide Float rotates to acuity specific units to subsidize staffing shortages as needed enterprise-wide. Education Minimum Level of Education Required: Diploma Program Additional Requirements ▪ Type of degree: Graduation from an accredited school of nursing ▪ Area of study or major: Nursing ▪ Preferred educational qualifications: BSN Preferred ▪ Position specific testing requirement: N/A Licensure/Certification/Registration ▪ Valid Ohio RN license ▪ Current CPR certification required at the time of hire. Experience Minimum Level of Experience Required: One year of experience working in an emergency department setting as an RN Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred experience: N/A Other experience requirements: Recent Acuity Specific experience within an acute care setting required.