Nursing Jobs in West Carrollton, OH

American Medical Associates

Director of Nursing

$110,000 - $115,000 / hour
Director of Nursing - LTC Located in Englewood, OH **Salary: $110K to $115K per year (depending on experience)** Requirements: Must have Ohio RN license Must have current experience as a Director of Nursing in a nursing home setting Must have long term care experience Proven Leadership & Management Skills Must be a self-starter and energetic Responsibilities: Supervises all nursing staff in the facility Development and implementation of nursing policy and procedure Overseeing the hiring and continued employment of nursing staff Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident #6507
Premier Health Partners

LPN-MED PASS-IV (LPN) / Pulmonary Unit

Position: Licensed Practical Nurse Department: Pulmonary Shift: 7:00 am-7:00 pm Full Time 36 hours a week, 72 hours per pay period Facility: Miami Valley Hospital 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
University of Cincinnati Health

Registered Nurse (RN), Step Down, Part-time, Night Shift

Job Description At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO Employer. The Registered Nurse (RN) is an individual who holds a current state license to practice nursing. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social and nursing sciences to assess, plan, implement and evaluate patient care. The care is culturally based and age specific. Location West Chester, OH, United States Qualifications Graduate from an accredited school of nursing. Bachelor of Science in Nursing preferred. | Current Ohio RN license. | Medical/Surgical: 0+ (will accept new grads) Critical Care: 2+ years equivalent experience preferred Perioperative Services: 2+ years equivalent experience preferred Emergency Department: 2+ years equivalent experience preferred Obstetrics/Gynecology: 2+ years equivalent experience preferred Mobile Care/Transport: 2+ years critical care/emergency nursing or 2 years’ pre-hospital Paramedic level experience and 2 years’ critical care/emergency experience. Transport nursing experience preferred. Radiology: 2+ years of critical care or emergency care experience preferred; one year interventional radiology preferred PICC (peripherally inserted central catheter): 2 + years clinical nursing experience required; Prefer critical nursing experience or one year of PICC experience Responsibilities PATIENT POPULATION - (CLINICAL ONLY): Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. Assessment Demonstrates nursing clinical skills necessary to make pertinent and accurate assessments of the physical, psychosocial, spiritual and educational needs of the patient. Demonstrates knowledge base of normal age-specific, physiological and psychosocial functions of the unit’s population. Performs a basic physical assessment. Initiates upon admission, a nursing admission history and nursing assessment including an educational needs assessment. Initiates referrals upon admission and throughout care as based on patient assessment. Understands signs and symptoms and data related to the patient’s presenting problems and potential problems. Reassesses and evaluates patient needs each shift and more frequently when indicated by unit standards of care or patient condition. Assesses patient and environmental safety continuously. Receives and gives a complete, concise and timely report on condition of assigned patients. Recognizes and appropriately reports basic abnormal data and subtle changes in patient conditions. Incorporates into plan of care as applicable. Collaborates with other health team members to collect and share pertinent data regarding patient’s physiological and psychological condition. Participates in discharge planning. Planning Utilizes collected data to establish and prioritize a list of actual, and potential, individualized age-specific patient problems and/or needs. Prepares, implements, evaluates, revises and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other health care team members and patient/family within the time frame indicated by unit’s standards of practice. Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient’s care. Demonstrates ability to establish priorities of care based on patients’ assessment and needs. Implementation Implements plan of care and interventions to provide quality care based on assessed needs, established standards of care and according to policy and procedures. Implements nursing actions, either by direct care or delegation of responsibility, based upon patient’s plan of care and skill level of personnel. Implements plan of nursing care in collaboration with the patient, family/designee, and other health care team members. Demonstrates critical thinking and accountability in evaluating and implementing of physician. Demonstrates competency for medication administration as allowed by licensure and institution policy Able to recognize emergent situations and implement emergency measures. Demonstrates professional manner during emergent situations. Based upon nursing assessment, makes appropriate referrals to other health care team members in a timely manner. Implements safety interventions to maintain patient/family/staff safety. Reports actual and potential patient safety issues. Demonstrates competency in infection control measures. Professional Development Assumes responsibility for personal professional development and contributes to the professional development of peers, colleagues and others. Participates in unit or department staff meetings. Utilizes learning opportunities on the unit for improvement of self and others. Identifies personal strengths and weaknesses as a professional nurse. Takes initiatives in professional growth in regards to identified weaknesses. Maintains individual competency in nursing practice. Completes all educational, certification and regulatory requirements, submits required tests and paperwork in a timely manner. Involved in best practice recommendations and implementation to improve patient care at the unit or department level. Evaluates nursing practice by participating in self/peer review and performance improvement activities. Documentation Nursing process is accurately and concisely documented, including evaluation of treatment. Documents according to UC Health policy and procedures. Documents plan of care reflective of collaborative practice with other health care team members. Documents patient/family/designee teaching and response appropriately. Evaluation Continuously evaluates nursing practice in relation to the standards of care and individual plan of care. Evaluates effectiveness of nursing care interventions and revises or continues with plan of care based on patient’s response. Involves patient, family and other health care team members in evaluation process when appropriate. Maintains continuity of care between shifts or encounter and transfers by reporting or following up on patient care needs if applicable. Leadership Effectively manages care through others. Demonstrates time management when providing patient care. Demonstrates flexibility and a cooperative attitude to meet the needs of the unit. Acts as a resources person and mentor for new personnel, floater, and/or supplemental staff working on the unit. May function as a preceptor. Appropriately delegates to ancillary staff; communicates effectively. Productivity Considers factors related to cost and effective outcomes when planning patient care. Manages workload effectively. Initiates care in a timely manner. Answers and responds to patient requests or call lights promptly when applicable Supports effective use of staff and supplies.
Aventura at Shiloh Springs

Registered Nurse

$35 - $40 / hour
NOW HIRING: REGISTERED NURSE (RN) Join the Caring Team at Aventura at Shiloh Springs! Make Your Career Matter At Aventura at Shiloh Springs , nursing is more than a job it’s a calling. We’re looking for a compassionate and skilled Registered Nurse (RN) ready to make a real difference in the lives of our residents while growing in a supportive, team-driven environment. Shifts Available Part-Time | Full-Time| PRN 7:00 AM – 7:30 PM Why You’ll Love Working Here We take care of our team so you can take care of others: Competitive Pay Low-Cost Health Insurance (open network—choose your doctor) Dental & Vision Coverage PHMP Wellness Plan (Free unlimited telemedicine + increased take-home pay) AFLAC Voluntary Benefits (life, disability, indemnity & more) All-Inclusive PTO – Take time off when you want Daily Pay – Access your earnings anytime 401(k) Retirement Plan Weekly and Monthly Employee Appreciation Events Supportive Staffing Ratios Fun, Friendly Work Environment with Great Leadership What You’ll Do Conduct comprehensive resident assessments and respond to changes in health status Develop, implement, and evaluate individualized nursing care plans Administer medications and monitor for side effects or adverse reactions Supervise and delegate duties to LPNs, CNAs, and staff Communicate with physicians, families, and interdisciplinary teams Document care accurately and in compliance with all regulations Respond promptly to emergencies and medical situations Participate in quality assurance and compliance initiatives Educate residents and families on care plans and treatments Ensure adherence to infection control, safety, and HIPAA standards Serve as a role model for professionalism and compassionate care Qualifications Active RN license in the state of employment Associate or Bachelor’s degree in Nursing (ADN or BSN) Current CPR/BLS certification At least 1 year of nursing experience (long-term care preferred) Strong clinical assessment and critical thinking skills Excellent communication, leadership, and organizational abilities Proficiency in EMR/EHR systems Walk-In Interviews Welcome Ready to take the next step in your nursing career? We’d love to meet you. Apply Today! Join Aventura at Shiloh Springs and make a meaningful impact on the lives of our residents.
Premier Health Partners

Medical Assistant or LPN - Urgent Care

Premier Health Urgent Care (MA or LPN) FT / 72 hours per pay period Summary Of Position A Medical Assistant for the Premier Health Physician Companies will typically see upwards of 30 patients per day, and is responsible for general clinical and procedural patient care, under supervision of the Practice Manager and/or center Physicians/Providers. Our Medical Assistant are an integral part of our offices, and are relied upon to assist in delivering the very best in Patient Experience. Every patient, every time. Nature and Scope Independently performed procedures may include, but is not limited to, rooming patients and collecting vitals, pulmonary function tests, administration of injections, EKGs, breathing treatments, lab testing, dressing changes, wound cleaning, hearing and vision tests, and other duties as assigned. Attention to detail and excellent documentation skills will be an ongoing expectation. Qualifications High School diploma or equivalent certificate Qualified applicants must have graduated from a recognized Medical Assistant program and/or will be a Certified Medical Assistant. 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.
Amada Senior Care Cincinnati

STNA | State Tested Nursing Assistant for 8H | 12H shifts (Dayton)

$18 - $20 / hour
***OFFERING A $450 SIGN-ON BONUS! *** LOOKING FOR CAREGIVERS / HOME HEALTH AIDES / CERTIFIED NURSE AIDES / STATES TESTED NURSE AIDES WHO CAN WORK IN THE GREATER CINCINNATI AREA INCLUDING INDIAN HILL, MADISONVILLE, MILFORD, SHARONVILLE, BLUE ASH, MAINEVILLE, LOVELAND, MASON and WEST CHESTER! Amada Senior Care Cincinnati is a non-medical in-home care company that is currently seeking experienced, compassionate, dedicated CAREGIVERS HOME CARE AIDES CERTIFIED NURSE AIDES STATE TESTED NURSE AIDES to join our team. Our mission is to enrich the lives of others. Our clients and their families depend on our expertise and support 24/7 and we take that responsibility seriously. We are committed to providing the highest quality of care to our clients; and that means employing the most qualified and compassionate caregivers / home care aides / certified nurse aides / state tested nurse aides. In Amada, our caregivers are superheroes in disguise that change the lives of our clients every day and we will show you just how much we appreciate you! We are the only A+ rated Home Care Agency by Home Care Standards Bureau in the greater Cincinnati area and you are very much welcome to join us. AMADA SENIOR CARE OFFERS: Industry Leading Pay Flexible schedules: we’ll work with you to find a schedule that works for you based on cases available 401 (k) ACA Medical Plan Paid Time Off Holiday Pay Weekly Pay 24-Hour Support Direct Deposit Overtime Pay over 40 hours a week Employee Referral BONUS One-on-One client care Employee Appreciation: Caregiver of the month incentives and recognition, gift cards, raffles, etc. Travel Time & Mileage Reimbursement Mobile access to your work schedule and client care plan On-going Free Caregiver Education / Career Growth Opportunities App-based access to your work schedule and client care plan A positive work environment which places high respect for the caregiver and the work they do AMADA’s ideal CAREGIVER / HOME CARE AIDES / CERTIFIED NURSE AIDES provide: Companionship Assistance with Activities of Daily Living Light housekeeping / laundry Transportation Personal care Meal preparation Medication reminders AMADA’s ideal Caregiver / Home Care Aide / Certified Nurse Aide will have : Passion for serving others At least 1-year caregiving experience (preferred) Valid driver’s license Personal vehicle/current auto insurance Access to mobile smartphone (preferred) Ability to pass a drug screen, criminal background check If you believe you are the perfect fit for Amada Senior Care, apply today ! We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state and local protected class. URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE
Premier Health Partners

Medical Assistant or LPN - Cardiology

Premier Cardiovascular Institute: MVHN FT/ DAYS/ 80 hours per pay Summary Of Position A Certified Medical Assistant for the Premier Physician Network will typically see upwards of 30 patients per day, and is responsible for general clinical and procedural patient care, under supervision of the Practice Manager and/or center Physicians/Providers. Our Certified Medical Assistants are an integral part of our offices, and are relied upon to assist in delivering the very best in Patient Experience. Every patient, every time. Nature and Scope Independently performed procedures may include, but is not limited to, rooming patients and collecting vitals, pulmonary function tests, administration of injections, EKGs, breathing treatments, lab testing, dressing changes, wound cleaning, hearing and vision tests, and other duties as assigned. Attention to detail and excellent documentation skills will be an ongoing expectation. Qualifications High School diploma or equivalent certificate Qualified applicants must be a Certified Medical Assistant, and will have graduated from a recognized Medical Assistant program. 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.
Premier Health Partners

Medical Assistant or LPN - Hand

Hand and Reconstructive Surgeons & Associates FT/ DAYS/ 80 hours per pay Summary Of Position A Certified Medical Assistant for the Premier Physician Network will typically see upwards of 30 patients per day, and is responsible for general clinical and procedural patient care, under supervision of the Practice Manager and/or center Physicians/Providers. Our Certified Medical Assistants are an integral part of our offices, and are relied upon to assist in delivering the very best in Patient Experience. Every patient, every time. Nature and Scope Independently performed procedures may include, but is not limited to, rooming patients and collecting vitals, pulmonary function tests, administration of injections, EKGs, breathing treatments, lab testing, dressing changes, wound cleaning, hearing and vision tests, and other duties as assigned. Attention to detail and excellent documentation skills will be an ongoing expectation. Qualifications High School diploma or equivalent certificate Qualified applicants must be a Certified Medical Assistant, and will have graduated from a recognized Medical Assistant program. 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.
Premier Health Partners

Registered Nurse (RN) - Special Care Nursery

Part time/48 hours per pay Days/7:00AM-7:30PM 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: Nursery of NICU experience 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

Registered Nurse (RN) - Special Care Nursery

Full time/72 hours per pay Nights/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 Minimum Level of Education Required: Associate degree in Nursing Licensure/Certification/Registration Valid Ohio RN license Experience Minimum Level of Experience Required: Acute care RN experience 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

Medical Assistant or LPN - Orthopedics

Premier Orthopedics Vandalia FT / 80 hours per pay Summary Of Position A Certified Medical Assistant for the Premier Physician Network will typically see upwards of 30 patients per day, and is responsible for general clinical and procedural patient care, under supervision of the Practice Manager and/or center Physicians/Providers. Our Certified Medical Assistants are an integral part of our offices, and are relied upon to assist in delivering the very best in Patient Experience. Every patient, every time. Nature and Scope Independently performed procedures may include, but is not limited to, rooming patients and collecting vitals, pulmonary function tests, administration of injections, EKGs, breathing treatments, lab testing, dressing changes, wound cleaning, hearing and vision tests, and other duties as assigned. Attention to detail and excellent documentation skills will be an ongoing expectation. Qualifications Qualifications - External High School diploma or equivalent certificate Qualified applicants must be a Certified Medical Assistant, and will have graduated from a recognized Medical Assistant program. 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.
Premier Health Partners

Registered Nurse (RN) - Progressive Care Unit

Job Title: Registered Nurse (RN) Unit: Progressive Care Unit Shift: 1900 - 0730 Status: Part Time/48 hours per pay Facility: Atrium Medical Center 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: Diploma Program Nursing degree 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: 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
Affinity Care of Ohio

Hospice Registered Nurse (RN) Admissions 7 On 7 Off

**Hospice Experience Required** **RN License Required** JOB DESCRIPTION SUMMARY As an Admissions Nurse, you are responsible as a member of the Interdisciplinary Team for the provision of skilled nursing assessment, planning and care on an on-call basis in order to maximize the comfort and health of patients and families consistent with Hospice policies & procedures. You will collaborate with the patient, caregivers, clinical manager, case managers, and physician(s) to complete the patient care planning at the onset of care. You will provide skilled interventions and instructions to the patient and caregivers to provide optimum symptom control and patient comfort. You will function as a liaison between disciplines during the admission process. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of the nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Ohio Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice in the state of Ohio 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Hospice Experience a MUST. BENEFITS 1. PTO & Paid Holidays 2. Health, Dental, and Vision Insurance 3. Short Term Disability 4. Accident, Hospital Indemnity, and Chronic Illness Insurance 5. Life Insurance 6. 401(k) 7. Employee Referral Bonus 8. Mileage Reimbursement
Premier Health Partners

LPN-MED PASS-IV (LPN) / Inpatient Trauma Unit

Position: Licensed Practical Nurse Department: Inpatient Trauma Shift: 7:00 am-7:00 pm Full Time 36 hours a week, 72 hours per pay period Facility: Miami Valley Hospital The Licensed Practical Nurse (LPN) plays a crucial role in patient care, working collaboratively under the direction of a Registered Nurse (RN). The LPN is an integral part of the nursing team, contributing to the successful implementation of patient care plans. This role requires accountability for adhering to the Ohio Nurse Practice Act, applicable regulatory standards, and institutional policies. Ultimately, the LPN provides essential physical, emotional, and spiritual support that directly Qualifications For The Position A valid Ohio Licensed Practical Nurse (LPN) license. Current AHA BLS (American Heart Association Basic Life Support) certification. Certified to administer medications. A minimum of a diploma-level education. IV Certification, preferred Key Skills: Strong organizational skills. The ability to multitask effectively, even with frequent interruptions, while maintaining a pleasant demeanor. Practical interpersonal and communication skills. Basic computer knowledge.
Premier Health Partners

Registered Nurse (RN)/Neuro Advanced Care

Registered Nurse (RN) NEURO Advanced Care Miami Valley Hospital FULL TIME/7P - 7:30A/72 HOURS PER PAY The clinical nurse (CN) functions in a multi-faceted role that demonstrates professionalism and promotes excellence in the practice of Nursing. The CN is responsible for maintaining high standards for a caseload of patients as described by the scope of care for the area of practice and demonstrates appropriate actions based on sound scientific research and evidence-based principles. The CN also coordinates/directs care delivered by the interdisciplinary team. The CN is accountable for compliance with the Ohio Nurse Practice Act, applicable regulatory standards, and institutional policies and procedures. The CN provides physical, emotional and spiritual support that directly/indirectly impacts the patient outcomes and care provided to patients/ families/ significant others. Education: Graduation from accredited school of nursing; BSN required or must obtain within 5 years of hire. Proof of enrollment required within 6 months of hire. ** RNs with min. 2 years of acute care hospital experience may elect to forgo the BSN requirement and sign a Professional Certification MOU which must be obtained with 3 years of hire. Licensure/Certification/Registration  Valid Ohio RN license  Current AHA BLS certification required at the time of hire. Experience: Previous hospital based RN experience is preferred. 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
Amada Senior Care Cincinnati

Private Duty Home Health Aide (Dayton)

$15 - $18 / hour
***OFFERING A $450 SIGN-ON BONUS! *** LOOKING FOR CAREGIVERS / HOME HEALTH AIDES / CERTIFIED NURSE AIDES / STATES TESTED NURSE AIDES WHO CAN WORK IN THE GREATER CINCINNATI AREA INCLUDING INDIAN HILL, MADISONVILLE, MILFORD, SHARONVILLE, BLUE ASH, MAINEVILLE, LOVELAND, MASON and WEST CHESTER! Amada Senior Care Cincinnati is a non-medical in-home care company that is currently seeking experienced, compassionate, dedicated CAREGIVERS HOME CARE AIDES CERTIFIED NURSE AIDES STATE TESTED NURSE AIDES to join our team. Our mission is to enrich the lives of others. Our clients and their families depend on our expertise and support 24/7 and we take that responsibility seriously. We are committed to providing the highest quality of care to our clients; and that means employing the most qualified and compassionate caregivers / home care aides / certified nurse aides / state tested nurse aides. In Amada, our caregivers are superheroes in disguise that change the lives of our clients every day and we will show you just how much we appreciate you! We are the only A+ rated Home Care Agency by Home Care Standards Bureau in the greater Cincinnati area and you are very much welcome to join us. AMADA SENIOR CARE OFFERS: Industry Leading Pay Flexible schedules: we’ll work with you to find a schedule that works for you based on cases available 401 (k) ACA Medical Plan Paid Time Off Holiday Pay Weekly Pay 24-Hour Support Direct Deposit Overtime Pay over 40 hours a week Employee Referral BONUS One-on-One client care Employee Appreciation: Caregiver of the month incentives and recognition, gift cards, raffles, etc. Travel Time & Mileage Reimbursement Mobile access to your work schedule and client care plan On-going Free Caregiver Education / Career Growth Opportunities App-based access to your work schedule and client care plan A positive work environment which places high respect for the caregiver and the work they do AMADA’s ideal CAREGIVER / HOME CARE AIDES / CERTIFIED NURSE AIDES provide: Companionship Assistance with Activities of Daily Living Light housekeeping / laundry Transportation Personal care Meal preparation Medication reminders AMADA’s ideal Caregiver / Home Care Aide / Certified Nurse Aide will have : Passion for serving others At least 1-year caregiving experience (preferred) Valid driver’s license Personal vehicle/current auto insurance Access to mobile smartphone (preferred) Ability to pass a drug screen, criminal background check If you believe you are the perfect fit for Amada Senior Care, apply today ! We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state and local protected class. URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE URGENTLY NEEDED CAREGIVER/HOME CARE AIDE / CERTIFIED NURSE AIDE / STATE TESTED NURSE AIDE
Premier Health Partners

REGISTERED NURSE (RN) - Pulmonary Medical Advanced Care

Job Title: Pulmonary Medical Advanced Care Shift: 7:00pm-7:30am Status: Part-time/ 42 Hours Per Pay Facility: Miami Valley Hospital The Pulmonary unit at Miami Valley Hospital is a 38 bed advanced care floor in a level 1 trauma center hiring for both new grads and expereinced RNs! Patient Population With Which You Will Work COPD Pneumonia Pulmonary Embolism Pulmonary Edema Influenza Diabetic ketoacidosis Equipment On The Unit You Will Learn Telemetry Tracheotomy Chest tubes High flow Oxygen Chronic Ventilators BIPAP Drips 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 Preferred educational qualifications : BSN Preferred; BSN Completion or Professional Certification may be required. RNs with a minimum 2 years of acute care hospital experience may elect to forgo the BSN requirement and sign a Professional Certification MOU which must be obtained with 3 years of hire. Licensure/Certification/Registration Valid Ohio RN license Current CPR certification required at the time of hire 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

PRN Regional Referral Center RN/ Regional Referral Center

Position: Registered Nurse Department: Regional Referral Center Facility: 1611 S Main St., Dayton, OH 45409 Shift: PRN Varied Hours/ 8 Hours Per Pay This position consists of the responsibilities of the System Access Center Coordinator and the System Patient Logistics Nurse Coordinator. The System Access Center’s RN will be crossed trained to oversee and support all roles within the RRC Access Call Center. The Nurse’s primary focus will be on the clinical assessment and the identifying the needs of the complex transfers. The RN will provide leadership and guidance to the Access Center coordinators. The Clinical nurse can share her critical expertise and provide direction for the Access coordinators. This position includes broad customer relations skills and will serve as the initial point of contact for internal and external customers for the Regional Referral Center. The RN will communicate and can dialogue with the referring and accepting physicians in order to comprehend and plan for the needs of this complex transfer. He/She has the clinical knowledge and skill to suggest and drive the admission process. The System Access Center RN will provide guidance, leadership, and clinical expertise for the System Access Center Coordinator (ASCC). The ASCC has the responsibility for coordinating all calls for Premier Health including all paging requests, consults, direct admits, and transfers from internal and external customers. The Access Coordinator will enter the on-call schedule for the various providers into the approved schedule data base as well as maintain it for any incremental changes. The Clinical Nurse will manage and guide the Access Center Coordinators. The Clinical Nurse also has the responsibility to oversee the process for all “alerts” across the system. These include: Stroke, AMI, hip fracture and sepsis alerts. This requires expertise in multiple applications to ensure proper notification to all caregivers, including physicians, nurses, medical imaging, etc. to ensure quick response to critical patients. The knowledge and critical thinking skills processed by the Clinical RN will ensure professional oversite and coordination of the management of the “alerts” across the Premier health System. The System Patient Logistics Nurse Coordinator has the responsibility of coordinating the movement of patients throughout the entire Premier Health System and outside transfers into Premier Health. The nurse will utilize her/ or his clinical expertise and critical thinking skills to ensure a seamless transfer process for both Internal and External customers. The nurse will gather medical information pertinent to the level of care which will allow her to guide the referring and accepting physician to make the best choice for appropriate level of care for the patient. The nurses’ understanding of the ‘comprehensive plan of care’ will ensure that the patient is placed on the level of care necessary to ensure delivery of quality safe care and provide a positive patient experience. The Patient Logistics nurse will be cross trained in Central Logic application to facilitate rapid bed placement, monitor bed placement by utilizing the EPIC bed boards for the system, work with physicians, nursing leadership, and EVS to expedite discharge of patients. These functions are designed to decrease length of stay, and decrease patients leaving without being seen, ultimately increasing patient satisfaction/experience. The nurse will work proactively with the referring facilities to drive emergent and non-emergent referrals to all Premier Health Facilities. The nurse will continually evaluate capacity needs and will work collaboratively with the Regional Access Center and Regional Transportation to ensure a seamless transfer process. The nurse will identify capacity needs. Education Minimum Level of Education Required: Associate degree Additional Requirements ▪Type of degree: Graduate from an accredited school in nursing ▪Area of study or major: Nursing ▪Preferred educational qualifications: BSN Preferred; BSN Completion or Professional Certification may be required. ▪Position specific testing requirement: NA Licensure/Certification/Registration ▪Valid State of Ohio RN license Experience Minimum Level of Experience Required: 3 - 5 years of job related experience Prior job title or occupational experience: NA Prior specific functional responsibilities: NA Preferred experience: Clinical experience preferred: ED, Critical Care, Advanced Care. Customer Service Experience Preferred. Other experience requirements: NA
Brookdale Senior Living

Caregiver

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Caregivers have the option to explore exciting opportunities for advancement in positions such as Certified Nursing Assistant (CNA/STNA) and Medication Technician (QMAP). Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Caregivers provide direct care to residents, recognize individual needs, encourage independence and treat each senior with respect and dignity. You will assist residents with activities of daily living, including bathing, dressing, grooming and other personal care needs, as well as help residents with vacuuming, dusting, sweeping, mopping and dishes. Engage residents in meaningful conversations and provide attentive care. Based on state regulation, completion of training/certification may be required. Brookdale is an equal opportunity employer and a drug-free workplace.
Dayton Children's

Clinical Nurse - Mental Health Unit - Part time - Days

Facility: Mathile Center for Mental Health and Wellness Department: Mental Health II 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: part time, 24 hours day shift, 7:00 AM - 7:30 PM 2 (12) hour shifts weekend and holiday rotations serving the Mental Health Unit at the Mathile Center
Kettering Health Network

RN-DO IMC 4N

Job Details Kettering Health Dayton l Dayton l Full-time l Nights Responsibilities & Requirements Responsibilities The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings in collaboration with other health care providers. The RN is accountable for his/her own professional development and practice within the scope of care defined by law. Utilizing organizational resources, the RN acts as a patient advocate for the delivery of safe care including delegation of care and participation in performance and practice improvement activities. The delivery of nursing care within the Kettering Health Network reflects the missions, vision, values, and philosophies, of the organization and nursing departments Qualifications Applicants Must Have: Licensed in the state of Ohio as a Registered Nurse Graduate of an accredited school of nursing (NLN, ACEN, or CCNE) if they are a new graduate nurse. Bachelor of Science in nursing preferred (must be completed within 5 years of hire). A nurse who is returning to the acute care setting after five or more years may be required to provide evidence of successful completion of a refresher course. BLS certification ACLS, NRP, PALS as determined by unit scope of practice Preferred Qualifications 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

Registered Nurse (RN)/Advanced Care

Registered Nurse (RN) Advanced Care Unit Miami Valley Hospital FT, 7p-7:30a, 72 hours/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. Education Minimum Level of Education Required: Associate degree in Nursing Preferred educational qualifications : BSN Preferred; BSN Completion or Professional Certification may be required. RNs with a minimum 2 years of acute care hospital experience may elect to forgo the BSN requirement and sign a Professional Certification MOU which must be obtained within 3 years of hire. Licensure/Certification/Registration Valid Ohio RN license Current CPR certification required at the time of hire 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
Cedars of Lebanon

RN (Registered Nurse) Behavioral Unit Dayshift $10,000 Sign On Bonus

RN (Registered Nurse) Behavioral Unit Dayshift - $10,000 Sign On Bonus if hired on Full Time Job Summary: We are seeking a compassionate and skilled Registered Nurse (RN) to join our Behavioral Unit team at Cedars of Lebanon in Lebanon, Ohio. As a valued member of our healthcare team, you will play a vital role in providing high-quality care to our residents. Our Behavioral Unit is dedicated to providing a safe and supportive environment for individuals with mental health and behavioral needs. If you are passionate about making a difference in the lives of others, we encourage you to apply for this rewarding opportunity. Responsibilities: Provide direct patient care to residents in our Behavioral Unit, including assessing, planning, implementing, and evaluating individualized care plans Administer medications, treatments, and therapies as prescribed by physicians and in accordance with our policies and procedures Develop and maintain effective relationships with residents, families, and interdisciplinary team members to ensure comprehensive care Monitor and report any changes in resident status or condition to the charge nurse or supervisor Participate in quality improvement initiatives to improve resident outcomes and satisfaction Collaborate with other departments, such as social services and therapeutic recreation, to provide a holistic approach to resident care Requirements: Current Registered Nurse (RN) licensure in the state of Ohio 0 years of experience (new graduates welcome to apply) Ability to work effectively in a fast-paced, dynamic environment Strong communication and interpersonal skills Commitment to providing high-quality, patient-centered care About Cedars of Lebanon: At Cedars of Lebanon, we are committed to resident satisfaction and providing services which recognize the specific needs of each person in our care. Our professional, dedicated staff provide both skilled and non-skilled quality services. We work hard to promote a family-oriented atmosphere while maintaining the individual dignity, privacy, and respect of each resident. Join our team today and experience the difference that Cedars of Lebanon can make in your career! Apply now to take the first step towards a rewarding and fulfilling opportunity. Note: The $10,000 sign on bonus will be offered to the selected candidate who are hired FULL TIME Don't miss this opportunity to join our compassionate and dedicated team! Apply now to become a part of Cedars of Lebanon's Behavioral Unit team. IND123
Cedars of Lebanon

STNA (State Tested Nursing Assistant) Behavioral Unit Dayshift FT 3,000$ Sign on Bonus

CNA (Certified Nursing Assistant) Behavioral Unit Dayshift 3,000$ Sign on Bonus if hired Full Time Job Summary: At Cedars of Lebanon, we are committed to resident satisfaction and providing services which recognize the specific needs of each person in our care. Our professional, dedicated staff provide both skilled and non-skilled quality services. We work hard to promote a family-oriented atmosphere while maintaining the individual dignity, privacy, and respect of each resident. Responsibilities: • Provide direct resident care, including personal care, mobility assistance, and vital sign monitoring • Assist with daily living activities, such as bathing, dressing, and grooming • Assist with mealtime activities, including feeding and hydration • Maintain accurate and timely documentation of resident care and services • Participate in resident assessments, care planning, and interdisciplinary team meetings • Provide emotional support and companionship to residents Requirements: • Must be certified as a State Tested Nursing Assistant (STNA) in the State of Ohio • High school diploma or equivalent required • 0 years of experience as an STNA (new graduates encouraged to apply!) Additional Information: As a valued member of our behavioral unit team, you will have the opportunity to work in a dynamic and supportive environment, providing high-quality care to our residents and promoting their independence and overall well-being. Cedars of Lebanon a $3,000 sign-on bonus to candiadates hired on FT. If you are a compassionate and skilled STNA who is passionate about delivering exceptional care, we encourage you to apply for this rewarding opportunity. IND123
Premier Health Partners

NURSE NAVIGATOR-FETAL/NEWBORN

General Summary/ Responsibilities The Nurse Navigator for Fetal/Newborn Care (NN) plans, coordinates and executes prenatal services for the patients at Miami Valley Hospital and Dayton Children’s Hospital. The Nurse Navigator will guide patients through delivery and beyond. The position includes supporting physicians at both DCH and MVH in the coordination and flow of patient visits. The NN also assists with maintaining patient care websites/databases/educational materials and coordinating outreach education and marketing activities. Maintenance of the overall program includes budget support, and data analysis. The FCC will coordinate research IRBs and grant administrations to support the overall mission of Miami Valley Hospital-Dayton Children’s Fetal to Newborn Care Center. 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: Master's degree Additional Requirements Type of degree: Nursing Area of study or major: N/A Preferred educational qualifications: N/A Position specific testing requirement: N/A Licensure/Certification/Registration Valid Ohio RN license Current CPR certification required at the time of hire. Certified in area of specialty within 12 months. Experience Minimum Level of Experience Required: 5 - 7 years of job related experience Prior job title or occupational experience: N/A Prior specific functional responsibilities: N/A Preferred experience: Obstetrical or neonatal experience Other experience requirements: five years of clinical experience in area of specialty. 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