Nursing Jobs in Winchester, NH

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Nights, 7:00pm - 7:00am, Every third weekend, Every third holiday $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patient’s response to medication. Provides appropriate care to the postpartum and gynecological patient. Safely cares for surgical and postpartum patients, recognizes complications and initiates appropriate nursing interventions in collaboration with physicians. Provides appropriate information and education to patients and families based upon individual needs so they may effectively care for themselves during hospitalization and following discharge. Ensures new mothers and families have the basic understanding of newborn care and resources available after discharge. Demonstrates knowledge of medications and the correct administration based on age of patient and their clinical condition. Demonstrates proper technique for assessing fundal height, and fundal massage. Demonstrates ability to assess lochia, perineum, breast, bowel, bladder and emotional status. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Provides assessment and planning for individualized patient care in collaboration with physicians and other disciplines. Assesses the normal stages of labor, delivery and recovery, as well as, identifies any deviation of the normal pattern and progress and takes appropriate action. Utilizes fetal monitoring equipment, external and internal (FSE and IUPC), and correctly interprets FHR patterns and initiates appropriate nursing interventions as needed. Assists in the stabilizing of high-risk patients and accompanies them during transfer to a level two or tertiary care center as appropriate. Communicates with physicians about changes in patients’ clinical condition. Safely administers and demonstrates knowledge of medications used in labor and delivery. Implements appropriate procedure for labor checks, inductions, augmentations, NSTs, external cephalic versions and epidurals. Able to articulate care for patients with fetal demise based on perinatal loss protocol and appropriately provides care when applicable. Performs a systematic and thorough newborn assessment based upon knowledge of expected adaptation to extrauterine life so that deviation can be recognized. Communicates appropriately and clearly with physicians concerning any changes in newborn condition and/or abnormal diagnostic test results. Performs neonatal resuscitation, assisting physician as necessary. Identifies newborn problems, initiates appropriate nursing interventions, and assists in the stabilization of a critical newborn. Provides care and support to mother in her chosen method of infant feeding so that learning is enhanced. Demonstrates to new mothers appropriate feeding techniques using literature and teaching videos as appropriate (frequency and symptoms of adequate intake). Provides teaching to new mother on newborn care based upon individual patient/family needs so that new mother is able to care for newborn upon discharge. Utilizes informative discussions, videos, handouts, one on ones, teaching class to individualize newborn teaching. Utilizes appropriate nursing interventions for infants experiencing difficulty adjusting to extrauterine life. Sets up phototherapy, monitors vital signs, including pulse oximetry, according to policy and procedure; demonstrates proper technique for administering CPAP via mask or RAM cannula Demonstrates knowledge of medications and their correct administration based on age of newborn and his/her clinical condition. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience Minimum one year med/surg experience required Maternity experience preferred Minimum Licenses and Certifications Current MA license IV competent, ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire NRP certified or ability to obtain NRP certification within 90 days of hire. For nurses working L&D, must have/complete AWHONN’s Introduction to Fetal Monitoring and also must have/attend AWHONN’s Intermediate Fetal Heart Monitoring within 1 year Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.

Registered Nurse, Watkins 2, 32-Hours, Evenings, 3:00pm - 11:30pm, Every other weekend, Every other holiday, $25,000 Sign-On Bonus

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $25,000 Sign On Bonus! Hours: 32-Hours, Evenings, 3:00pm - 11:30pm, Every other weekend, Every other holiday $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending provider. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Work Experience 1 year Med/Surg experience preferred 1 year Telemetry experience preferred 1 yr Pediatrics experience preferred Minimum Licenses and Certifications Current MA RN license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire PALS preferred Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy) Promotes a positive working environment We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.

Other

RN, Pre Admission Testing, Per Diem, 8 Hour Day Shift

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, 8 Hour Day Shift $37.26 - $76.63 Job Summary: Primary role of a pre-admission testing Register Nurse (RN) is to evaluate patients prior to their arrival to perioperative services, which includes, but is not limited to: completing and documenting a thorough nursing assessment, history and physical as applicable, initiate pertinent patient teaching, initiate and evaluate pertinent diagnostic tests and notify physicians/providers as necessary. Pre-admission testing RN works closely with perioperative staff, surgeons, proceduralists and anesthesia providers to ensure patient readiness for their scheduled procedures. Responsibilities Essential Functions Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Assesses patient pain level as necessary, depending upon diagnosis utilizing the numerical pain scale Obtains supporting information and completes required documentation related to medication reconciliation in the electronic record. Collaborates with surgeon, proceduralist, radiologist, anesthesiologist, cardiologist, primary care physician, etc to assure patients’ wellbeing and appropriate plan for perioperative period. Assures pertinent diagnostic tests (e.g. labs, EKG, xray, etc) are obtained. Communicates abnormal values effectively to medical providers as necessary. Identifies patients correctly by checking patient identification bands and consent forms as well as verifying operative procedure and site. Demonstrates competency in providing infection prevention, pre-anesthesia and post-operative care education to patients, family or health care proxy as applicable. Seeks out learning opportunities, practice recommendations and updates relevant to perioperative care. Exhibits excellent customer relations to patients, visitors, physicians and co-workers. Provides compassionate patient centered care at all times. Demonstrates competency in accurate and thorough documentation of pre-admission nursing assessment, history, physical (as applicable) and pre-anesthesia screening. Maintains all competencies and certifications required for this position Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing. Minimum Work Experience Qualified candidates must have minimum 3 years of experience within Perioperative Services. Minimum Licenses and Certifications [Massachusetts, United States] Registered Nurses Current MA license and CPR certification required. Required Skills Must be self-directed; must be able to manage time efficiently; must demonstrate mature professional behaviors, (i.e. tact, empathy and diplomacy); must be willing to work/cross train to other areas within perioperative services if needed. We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.

Part-time

Covenant Living Communities Keene, NH

Nurse, RN

$35.09 - $44.59 / hour

We Are Inspired to Serve. Join us! Making a difference in the lives of others – that’s what working at Covenant Living is all about. Our healthcare professionals have the opportunity each and every day to make a difference in the lives of older adults. From improving our residents’ quality of life, to creating peace of mind for them and their families, our team members know that as a part of our community, they are changing lives. Covenant Living, the nation’s sixth-largest nonprofit senior living provider, is seeking qualified candidates for Registered Nurses (RNs) to help in fulfilling our common purpose: to create joy and peace of mind for our residents and their families by creating a better way of life. Join our organization, where teamwork, respect, and service is part of our everyday environment and build your health care career in a supportive, faith-based community. Positions are available in assisted living, skilled nursing and memory care. This position to ensure that quality care is delivered through assessment and monitoring of staff performance, physician contact, care planning and daily resident assessment. This position also provides direct care to residents. All this is done according to nursing standards of practice, standard procedures, and established State and Federal regulations for skilled nursing facilities. In this role, the Registered Nurse will: Provide routine daily direction and monitor the work of the LPNs and nursing assistants on the unit, assuring a high standard of nursing care and satisfactory completion of tasks. Assist in the orientation of new nursing personnel and reinforce training standards to maintain a high quality of care. Assist in motivating LPNs and CNAs assigned to the nursing unit. Provide explanation of nursing procedures and assistance to staff to assure ongoing understanding and training. Communicate on a regular basis with the Director of Nursing regarding assessments, observations, and suggestions of problem areas, resident and employee activities, concerns, needs, conditions, etc. Observe and evaluate residents' health, mental and emotional conditions and communicate significant changes to appropriate staff. When indicated is responsible for notifying the physician and family members according to prescribed procedures. The ideal candidate will have: Graduate of an approved school of nursing. Current license as a Registered Nurse in the State. One year nursing experience necessary. Devotion to standards and principles of professional nursing. Skill in assessing problems, planning and evaluating solutions in relationship to routine supervision of LPNs and nursing assistant and resident needs. Understanding, patience and tact in dealing with people. Must be tactful and possess excellent communication skills (written and verbal, English). Genuine compassion for senior adults and the disabled. Requires good human relation skills and the ability to monitor and direct the activities of others. Availability when necessary to work beyond normal working hours and in other related positions on a temporary basis; as well as availability on weekends and holidays, or on days and shifts other than those for which hired. #RN Compensation Pay Range: $35.09 - $44.59 per hour Reasonable Pay Estimate A reasonable estimate of the pay range for this position is $35.09 - $44.59 per hour. There are numerous factors taken into consideration in determining the actual offered rate of pay, including but not limited to: job-related qualifications, experience, skills, education, geographic location, and consideration of internal and external equity. For full time employees, we offer a generous benefits package that includes: Medical, dental and vision insurance Employer paid group term life and disability Paid Time Off (PTO) & six paid holidays 403(b) with a 3% employer match Fitness center use at most facilities. Various voluntary benefits: Life, AD&D Tuition assistance and scholarships Employee assistance program Legal services, home/auto insurance, discount purchasing program Pet Insurance For more information about Covenant Living and CovenantCare at Home, please visit www.covliving.org or www.covenantcareathome.org . Covenant Living and CovenantCare Home Health and Hospice are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin or ancestry, age, disability, marital status, pregnancy, protected veteran status, protected genetic information, or any other characteristics protected by local laws, regulations, or ordinances.

Registered Nurse, RN, PPV

LHC Group Gardner, MA

$64,100 - $141,500 / year

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: Clinical Competence Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations Provides required supervisory visits Documentation and Care Delivery Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely Documents patient visits per policy and payer requirements, and syncs timely per LHC policy Quality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence Teamwork Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes Participates in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization management model Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in state of practice Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Preferred Qualifications: Current CPR Certification or ability to complete within 90 days of hire 1+ years of Home Health experience Ability to work independently Solid communication, writing, and organizational skills Pay Range $64,100 - $141,500 annual total cash target pay $36.98 - $81.63 per visit point $30.82 - $68.03 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of 'direct' and 'indirect' patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealthcare Gardner, MA

Registered Nurse, RN, PPV

$64,100 - $141,500 / year

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: Clinical Competence Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations Provides required supervisory visits Documentation and Care Delivery Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely Documents patient visits per policy and payer requirements, and syncs timely per LHC policy Quality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence Teamwork Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes Participates in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization management model Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in state of practice Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Preferred Qualifications: Current CPR Certification or ability to complete within 90 days of hire 1+ years of Home Health experience Ability to work independently Solid communication, writing, and organizational skills Pay Range $64,100 - $141,500 annual total cash target pay $36.98 - $81.63 per visit point $30.82 - $68.03 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of 'direct' and 'indirect' patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Registered Nurse

LHC Group Gardner, MA

$64,100 - $141,500 / year

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. Primary Responsibilities: Clinical Competence Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations Provides required supervisory visits Documentation and Care Delivery Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely Documents patient visits per policy and payer requirements, and syncs timely per LHC policy Quality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence Teamwork Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes Participates in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization management model Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in state of practice Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Preferred Qualifications: Current CPR Certification or ability to complete within 90 days of hire 1+ years of Home Health experience Ability to work independently Solid communication, writing, and organizational skills Pay Range $64,100 - $141,500 annual total cash target pay $36.98 - $81.63 per visit point $30.82 - $68.03 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of 'direct' and 'indirect' patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

NP

Integritus Healthcare Greenfield, MA

NURSE PRACTITIONER

$62 - $66 / hour

Come join this collaborative and innovative team. At Integritus Healthcare /Pioneer Valley Hospice, you will enjoy WEEKLY pay, generous time off, exceptional health insurance and the ability to grow in your career. Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why choose Integritus Healthcare – Pioneer Valley Hospice & Palliative Care: Competitive Compensation Employee Satisfaction Growth and Career Advancement Cookouts and Luncheon’s Culture of Respect and Empowerment Celebrating Individuality Recognizing Excellence Benefits include but not limited to: Paid time off (vacation, sick, holiday) Medical Insurance FSA Dental Vision Life Insurance Long-term disability Insurance HRA 401(k) From short term rehab and recovery to long term skilled nursing care, hospice services, restorative care, and even respite care, we are by your side. Name of your nursing home, has been caring for area families since 1989, providing top-quality skilled nursing care for short-term rehabilitation and long-term care. We focus on maximizing patient recovery, comfort, and independence for the highest possible quality of life. From post-surgery and post-hospital rehabilitation to long-term care for a chronic illness, our highly skilled care teams provide compassionate attention and specialized care every step of the way. Position Summary : The Nurse Practitioner (NP) at Pioneer Valley Hospice & Palliative Care (PVHPC) is responsible for serving as a representative of the organization, within their scope of practice, to support hospice and palliative patients and caregivers and provide clinical expertise to the Interdisciplinary Team (IDT). The Nurse Practitioner travels throughout the Pioneer Valley, providing Hospice patient assessments and Palliative Consultations. Essential Job Functions Demonstrates understanding of the hospice and palliative care philosophy/principles and an ability to clearly articulate these with others. Performs Face-to-Face encounters with hospice patients within the standard time frame to identify/monitor existing or potential health problems and gather findings to help determine continued eligibility for hospice care. Evaluates patients in assigned settings, including, but not limited to, a patient’s home, nursing home, hospital, or assisted living facility. Participates in patient case review at weekly IDT meeting as appropriate. Completes timely documentation in accordance with medical guidelines. Assists the IDT to evaluate an appropriate plan of care in collaboration with the patient/family, with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort. Coordinates with other hospice and palliative care team members as appropriate. Collaborates with the hospice medical director, keeping them informed of patient status through timely submission of documentation as appropriate. Recommends pain and symptom interventions as appropriate. Completes, maintains, and submits accurate and relevant clinical notes regarding Face-to-Face assessment of patients’ condition and care in all settings. Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service. Provides fiscally responsible care without compromising care and services. Manages multiple priorities and demonstrates effective problem solving and decision-making in a relatively broad range of situations. Represents the programs and services associated with PVHPC specifically to physicians, continuing care entities, community groups, presentations, and via professional meetings when needed. Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-services. Collects, compiles, and documents performance improvement monitoring information according to established standards and time frames. Participates in the conception, development, and implementation of new procedures and programs within the organization. Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor. Other duties as assigned. Qualifications (Minimum qualifications will be considered required unless specifically stated otherwise) Experience: Minimum of three (3) years of experience in health care. Experience in a hospice, homecare or Long Term Care preferred. Experience in acute care in an institutional setting preferred. Understands palliative care and hospice philosophy, and issues of death/dying. Familiar with and practices according to Massachusetts Regulations Governing the Practice of Nursing in the Expanded Role CMR 244, 4.00-4.28 Education and Training: (Acquired through formal education, outside study, training on jobs of lesser degree, or by any combination of these. May be expressed in terms of formal educational equivalents): Registered Nurse, and an MS in nursing required License, Certification & Registration: Possesses and maintains current CPR Certification. Current Massachusetts licensure: Registered Nurse, certified as an Adult or Family Nurse Practitioner Valid driver’s license Advanced certification in Palliative Care preferred Other Requirements: Demonstrates excellent verbal and written communication and organization skills. Strong observation and problem-solving skills. Working Conditions: Uniform / Dress Requirements (see policy). Workspace primarily in the Greenfield office, which is a busy, professional office with a moderate level of noise, activity and interaction with others. The majority of time is spent on visits to patient care facilities or patient/family homes where space, climate, facilities and conditions may vary. May be exposed to extremes of heat and cold in all weather conditions. Must drive in various weather conditions on roads in varying repair. Occasional evening and weekend assignments with prior notice (presentations, events) May be exposed to infections and contagious diseases. Contact with patients under a wide variety of circumstances. May be exposed to /occasionally exposed to patient elements. Subject to varying and unpredictable situations. Handles emergency or crisis situations. Travel required. OSHA exposure category: OSHA exposure category: Category I Category I : Position includes tasks that involve exposure to blood, body fluids, and tissues. Category II : Position includes tasks that involve no exposure to blood, body fluids, tissues, but employment may require unplanned Category I tasks. Category III : Position includes tasks that involve no exposure to blood, body fluids, tissues; would not be required to perform Category I tasks.

Registered Nurse RN Home Health

Enhabit Home Health & Hospice Greenfield, MA

$89,000 - $95,000 / year

Overview Compensation Range: $89,000 - $95,000 (based on years of experience) 30 Paid Days Off Annually – Up to 6 weeks (PDO includes company observed holidays) Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO – Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities In addition to performing visits and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved with providing care to patients and oversees the frequency of visits for the episode. The Registered Nurse RN consults as needed with the physician and the office giving details about patient care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role. Qualifications Registered Nurses (RNs) must meet the following requirements: Be currently licensed as a Registered Nurse (RN) in the state of employment A minimum of one year of clinical experience is preferred Demonstrate knowledge and skill in current nursing practice Possess a valid state driver’s license and automobile liability insurance Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Registered Nurse RN Home Health

Enhabit Home Health & Hospice Gardner, MA

$89,000 - $95,000 / year

Overview Compensation Range: $89,000 - $95,000 (based on years of experience) 30 Paid Days Off Annually – Up to 6 weeks (PDO includes company observed holidays) Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO – Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities In addition to performing visits and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved with providing care to patients and oversees the frequency of visits for the episode. The Registered Nurse RN consults as needed with the physician and the office giving details about patient care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role. Qualifications Registered Nurses (RNs) must meet the following requirements: Be currently licensed as a Registered Nurse (RN) in the state of employment A minimum of one year of clinical experience is preferred Demonstrate knowledge and skill in current nursing practice Possess a valid state driver’s license and automobile liability insurance Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

CNA

Part-time

NA/CNA, Watkins 1, 24-Hours, Days, 7:00am - 3:30pm, (3) 8 hour shifts, Every other weekend and holiday, Sunday-Saturday

$18.50 - $26.39 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 24-Hours, Days, 7:00am - 3:30pm, (3) 8 hour shifts, Every other weekend and holiday, Sunday-Saturday Nurse Aide: $18.50 - $24.41 Certified Nurse Aide: $20.00 - $26.39 Job Summary: The C.N.A. acts as a vital member of the patient care delivery team, performing delegated nursing duties, environmental service duties and food service duties to enhance the satisfaction level of the hospitalized patient. Responsibilities Essential Functions Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures under direction of a licensed nurse. Collects basic health data as directed by a licensed nurse. Assists patients with activities of daily care (e.g. personal hygiene, toileting, nutrition, ambulation, etc). Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.) Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides thorough, timely, and accurate documentation of all pertinent patient according to established standards. Maintains clean and safe work environment (identifies and/or removes safety hazards). Provides timely and thorough information on assigned patients to supervising licensed nurse and other health care team members. Participates in learning for colleagues and self (attends educational programs, in-services, assist with orientation of new staff). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Assists patients with activities of daily living, including bathing, shampooing, shaving, brushing teeth, etc. Obtains heights and weights of assigned patients per care plan. Assists patients with ambulation using appropriate technique (i.e. gait belt). Assists patients with turning in bed and transferring from bed to stretcher or chair using appropriate technique (i.e. transfer mattress). Provides incontinent care to patients. Assists patients with eating and drinking per care plan. Maintains and documents fluid intake, output measurements and vital signs on patients per care plan. Assists with obtaining late trays as needed. Maintains infection control precautions per Infection Control Policy. Cleans the food refrigerators on a weekly basis. Maintains unit food inventory on a daily basis. Prepares room for the next patient by cleaning and making bed. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently kneels (bending the legs at knee to come to rest on knee or knees), reaches (extending hands and arms in any direction), and feels (perceiving attributes of items as size, shape, temperature, or texture by means of fingertips). Occasionally crouches (bending body downward and forward by bending legs and spine), and stoops (bending the body downward and forward by bending the spine at the waist). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education High School Diploma preferred AHA CPR certification obtained within 60-days of hire MOAB class required within 60 days of hire Minimum Licenses and Certifications Current Certified Nursing Assistant certification required -OR- A minimum of 75 hours in an accredited nursing program to include completion of first rotation -OR- Active EMT or Paramedic Certification - OR- Active Patient Care Technician/Assistant Certification -OR- Active Home Health Aide Certification Successful completion of a Nurse Aide program OR previous Massachusetts CNA licensure for Nurse Aide Minimum Work Experience 1 year experience in a long term care facility. Med/Surg experience preferred.

LPN

Other

LPN, MHU, Per Diem, Varied Shifts

Monadnock Community Hospital Peterborough, NH

$29.27 - $37.54 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Varied Shifts $29.27 - $37.54 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan in conjunction with RN and team to address Safely administers medications in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collects patient information from all available resources to assist in formulation of the comprehensive database, ongoing treatment plan, and ensures that all care delivered is appropriate to identified patient needs, standards of care and standards of practice Assures that all care is coordinated with the patient care provider (PCP), outpatient providers, and other services Responds to all case management within Heywood Hospital for the provision of differential diagnostics, treatment planning and disposition to appropriate level of care Identifies insurance and obtains approval and/or a referral for services provided Provides individual and group therapies according to Mental Health Unit standards to meet identified patient needs Takes instruction from and reports updates to registered nurse and or overseeing provider Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient De-escalates volatile situations and/or individuals using non-violent techniques Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care Meets with families and significant others and residential providers in planning appropriate disposition and discharge Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Organizational Expectations Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. Funct ional Demands Physical RequirementsExerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands). Occasional stooping (bending the body downward and forward by bending the spine at the waist), crouching (bending the body downward and forward by bending legs and spine). Qualifications Job Requirements Minimum Education Completed state-approved LPN education program Minimum Work Experience Six months skilled nursing care with dementia and behavioral health experience preferred Minimum Licenses and Certifications Current LPN license to practice in MA American Heart Association CPR certified

Registered Nurse - Medical Surgical Telemetry - Part Time Nights

**Sign on bonus available for qualified applicants!** Exceptional new grads are encouraged to apply!! If you possess both compassion and expertise as a healthcare professional and have a deep commitment to delivering exceptional patient care, we invite you to submit your application. Become a valued member of our team and make a significant contribution to the provision of high-quality healthcare at our small hospital. Here, each employee plays an indispensable role in ensuring the well-being of our community through the delivery of outstanding medical services. The Registered Nurse prescribes and coordinates professional nursing care for assigned patients carrying out these responsibilities independently within the guidelines of accepted nursing practice, medical direction, and hospital policies, procedures, and standards. The RN utilizes the Nursing Process to assess, plan, implement, and evaluate nursing care. This is a part time nights position in Medical Surgical Telemetry at Monadnock Community Hospital. ** Up to $5,000 Sign on Bonus Available For Qualified Applicants! ** Apply today to become part of our skilled team! Responsibilities: Patient Care: Provide direct patient care by assessing, planning, implementing, directing, and evaluating nursing interventions to ensure optimal outcomes. Collaborative Teamwork: Collaborate with physicians, fellow nurses, and other healthcare professionals to develop and implement individualized patient care plans. Function in one unit on a particular shift. Relate effectively with other shifts for continuity of care. Maintain satisfactory relations with other departments and nursing units. Documentation and Reporting: Maintain accurate and detailed medical records of patients' conditions, treatments, and progress. Report any changes or concerns promptly to the appropriate team members. Medication Administration: Administer medications and treatments as prescribed, ensuring adherence to hospital policies and protocols. Patient Education: Educate patients and their families on disease management, treatment options, and preventive measures to promote overall wellness. Supervision: Participates in all phases of education, maintenance of records, and upgrading of policies, procedures, and skills of personnel. Support and Advocacy: Offer emotional support and advocate for patients' rights, ensuring they receive compassionate and respectful care. Adherence to Policies and Regulations: Comply with hospital policies, procedures, and regulatory guidelines to maintain a safe and ethical work environment. The ANA’s standards apply to all nurses in all settings, and additional specialty standards apply to all specialty nurses in defining what is a competent or an excellent clinician Continuous Learning: Stay updated on medical advancements, best practices, and industry standards through ongoing professional development activities. And More: Other duties as assigned. Requirements: Maintenance of confidential information. Strong knowledge of medical terminology, procedures, and equipment. Valid Registered Nurse (RN) license issued by New Hampshire Board of Nursing. Additional Competencies and Skills: *Candidates may acquire these skills through on-the-job training* Adaptability: Flexibility to adapt to changing priorities and handle high-pressure situations while maintaining composure. Attention to Detail: Meticulous in documentation, medication administration, and adherence to protocols to ensure patient safety. Clinical Skills: Possess comprehensive knowledge and proficiency in medical-surgical nursing, including strong assessment and critical-thinking abilities. Commitment to Mission: Passionate about working in a nonprofit healthcare setting and dedicated to serving the community. Communication Skills: Excellent verbal and written communication skills to effectively interact with patients, families, and interdisciplinary healthcare teams. Compassion and Empathy: Demonstrate a caring and empathetic attitude towards patients, treating them with dignity and respect. Education: Hold a valid nursing degree from an accredited institution and maintain an active Registered Nurse (RN) license. Experience: Experience as a Registered Nurse, preferably in a hospital or acute care setting. Team Player: Ability to collaborate effectively within a multidisciplinary team, fostering a supportive and cooperative work environment. Working Hours: This is a part time night position Salary: Up to $50.00/hour. About Our Benefits: Amazing people deserve amazing benefits. We strive to employ and retain the most highly qualified individuals by providing equitable wages and benefits, promoting from within, and supporting the continuing education efforts of our staff. You will be valued and rewarded for the work you do here with excellent pay and outstanding benefits. At MCH, you’ll find great opportunities for career advancement as well as personal and professional growth. Full-time employees enjoy: Health insurance Dental insurance Vision coverage Flexible spending accounts Life insurance Short and long-term disability insurance Accident and Critical Illness insurance Identity theft insurance Retirement savings plan Lifestyle spending account Free membership to local gym Generous paid time off plans Opportunities for professional development and training Positive work environment with a supportive team and opportunities for growth Scholarship Opportunities Tuition reimbursement Caring for Coworkers Nursing Loan Assistance Childcare Subsidy Apply Now! or click the Apply button above About Monadnock Community Hospital: Reach new heights at Monadnock Community Hospital. MCH is a critical access hospital in beautiful, historic Peterborough, New Hampshire. For 100 years, we have provided outstanding care to our communities, earning a reputation for excellence that has made us one of New Hampshire’s most successful and beloved small hospitals. Join a culture of Compassion, Collaboration, Honesty, and Respect! Our employees are the heart and soul of Monadnock Community Hospital. In every department and at every level, MCH employees go above and beyond to deliver an exceptional patient experience in an atmosphere that is healthy, friendly, respectful, and personally fulfilling. About the Monadnock Region: A great place to live, work, and play. One of the best things about working at Monadnock Community Hospital is that you get to live in a community that offers an amazing quality of life. The state of New Hampshire consistently ranks in the Top Ten of all American states for its overall quality of life. Towns are small and friendly here, crime is low, schools are good, and the air and water are clean. Balance meaningful work with a great life. Here in the Monadnock Region, you can enjoy a standard of living that is hard to match anywhere. Let’s start with our mountain for which we are named. Around the 3,165 foot Mount Monadnock with 100-mile views are forests, woods, lakes, and protected rivers providing abundant opportunities for hiking, biking, kayaking, fishing, cross-country skiing – you name it! And if you’re into the arts, the region also offers a lively arts scene, with galleries, theatres, and concert venues. New England community spirit Family-friendly Arts and culture All-season outdoor recreation Just 1.5 hours to Boston Are you ready for a great job in a great place? Are you ready for a career the supports your aspirations? Are you ready to work in the best place you've ever lived? Apply Now! or click the Apply button above Our small hospital is committed to diversity, inclusion, and equal opportunity employment. We welcome applications from individuals of all backgrounds and abilities. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

NP

Kaleida Health Williamsville, VT

Nurse Practitioner

$63.15 - $79.40 / hour

FNP/ANP*Department: MFS Operating RoomLocation:Millard Fillmore SuburbanLocation of Job: US:NY:WilliamsvilleWork Type: Per-DiemScheduled Work Hours:VariableShift 9 Job DescriptionPractice of registered professional nursing by a nurse practitioner may include the diagnosis of illness and physical conditions and the performance of therapeutic and corrective measures within a specialty of practice, in collaboration with a licensed physician qualified to collaborate in the specialty involved, provided such services are performed in accordance with a written practice agreement and written practice protocols. Education And CredentialsCompletion of masters, post-masters or doctorate NP program accredited by CCNE or ACEN;Current active RN and NP license in NYS. National NP certification (Family/Adult) Internal hire: Required upon transfer into new position. External hire: Required at the time of application. Current BLS, ACLS. DEA or DEA eligible. Completed RNFA if in OR. Agreement from appropriate physician to enter into a collaborative agreement. ExperienceTwo (2) years of clinical experience in specialty area of practice (surgical services) as RN or NP preferred.**For Registered Nurse clinical positions, internal applicants must have been employed in the same job title as the per diem position for which they are applying or in a comparable area of practice. Internal applicants must have a minimum of nine (9) continuous months of comparable work experience within two (2) years of the time the per diem job is posted. External applicants must have a minimum of one (1) continuous year of comparable work experience within two (2) years of the time the per diem job is posted. All applicants will be required to satisfy all orientation/probationary requirements.**Working Conditions Job DetailsStandard Hours Bi-Weekly:15.00FTE: 0.200000Weekend/Holiday Requirement:YesOn Call Required:NoWith Rotation:Work Arrangement: OnsiteUnion Code: U15 - CWA 1168 Millard Suburban RNRequisition ID#: 14643Grade: RN5APay Frequency: Bi-WeeklySalary Range:$63.15-$79.40*Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.Kaleida Healths mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!

Registered Nurse, ICU, Temp, 36-hour, evening/night shifts, 7:00 pm - 7:30 am, 11:00 pm - 7:30 am

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 36-hour, evening/night shifts, 7:00 pm - 7:30 am, 11:00 pm - 7:30 am, every other weekend and holiday $37.26 - $76.63 Under the supervision of the Nurse Manager, or designee, the Registered Nurse functions as a professional participant in the health care team who provides direct and indirect care to patients, families, and significant others utilizing the nursing process in accordance with the philosophy, goals, and objectives of Nursing Services. Responsibilities ESSENTIAL FUNCTIONS Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs accurate and timely identification of cardiac arrhythmias. Performs accurate and timely interpretation of EKG configuration changes (i.e. PR interval, ST segment). Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates knowledge of mechanical ventilation (e.g. modes, settings, and adjuncts associated with mechanical ventilation. Demonstrates skills associated with initiation, maintenance, and care of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Demonstrates understanding hemodynamic monitoring procedures, sets up equipment, assists with arterial artery and central vein cannulation. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Provides ongoing assessment and monitoring of the patient in the immediate post-operative phase according to established standards and protocols. Demonstrates appropriate interventions related to potential problems/complications during the recovery phase of general, regional, spinal, or conscious sedation. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications JOB REQUIREMENTS Minimum Education• Graduate of accredited school of nursing• MOAB class required within 60 days of hire Minimum Work Experience• 1 yr med-surge experience preferred• Previous telemetry experience preferred• ICU experience preferred Minimum Licenses and Certifications Current MA Registered Nurses license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire CCRN preferred

Registered Nurse, Emergency Room, 32-Hours, Nights, 11:00pm - 7:00am, Every other weekend, Every other holiday, $30,000 Sign-On Bonus

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $30,000 Sign On Bonus! Hours: 32-Hours, Nights, 11:00pm - 7:00am, Every other weekend, Every other holiday $37.26 - $76.63 Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

LPN

Part-time

LPN, MHU, 24-Hours, Evenings, Every other weekend and holiday, $6,250 Sign-On Bonus

$29.27 - $37.54 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $6,250 Sign On Bonus! Hours: 24-Hours, Evenings, Every other weekend and holiday $29.27 - $37.54 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan in conjunction with RN and team to address Safely administers medications in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collects patient information from all available resources to assist in formulation of the comprehensive database, ongoing treatment plan, and ensures that all care delivered is appropriate to identified patient needs, standards of care and standards of practice Assures that all care is coordinated with the patient care provider (PCP), outpatient providers, and other services Responds to all case management within Heywood Hospital for the provision of differential diagnostics, treatment planning and disposition to appropriate level of care Identifies insurance and obtains approval and/or a referral for services provided Provides individual and group therapies according to Mental Health Unit standards to meet identified patient needs Takes instruction from and reports updates to registered nurse and or overseeing provider Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient De-escalates volatile situations and/or individuals using non-violent techniques Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care Meets with families and significant others and residential providers in planning appropriate disposition and discharge Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Organizational Expectations Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. Funct ional Demands Physical RequirementsExerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands). Occasional stooping (bending the body downward and forward by bending the spine at the waist), crouching (bending the body downward and forward by bending legs and spine). Qualifications Job Requirements Minimum Education Completed state-approved LPN education program Minimum Work Experience Six months skilled nursing care with dementia and behavioral health experience preferred Minimum Licenses and Certifications Current LPN license to practice in MA American Heart Association CPR certified

Registered Nurse, Emergency Room, 32-Hours, Evenings, 3:00pm - 11:00pm, Every other weekend, Every other holiday, $25,000 Sign-On Bonus

$37.26 - $76.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $25,000 Sign On Bonus! Hours: 32-Hours, Evenings, 3:00pm - 11:00pm, Every other weekend, Every other holiday $37.26 - $76.63 Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

Caregiver

Associated Home Care Sunderland, MA

Caregiver

$18 - $21 / hour

Join the Associated Home Care Team! Location: Multiple locations across Massachusetts Company: Associated Home Care Job Type: Full-Time, Part-Time, or Per Diem About Us At Associated Home Care , our caregivers are the heart of what we do. We provide compassionate, personalized care that helps seniors live safely and comfortably in their own homes — with dignity, independence, and joy. We’re an independent, non-franchise home care company , and our team truly feels like family. If you have a passion for helping others and want to make a real difference in your community, we want to hear from you! We’re Hiring: Personal Care Assistants (PCAs) Home Health Aides (HHAs) Homemakers (HMKs) Why You’ll Love Working With Us 💰 Competitive Pay with Direct Deposit 🏥 Benefits: Medical, Dental, and 401(k) 📅 Flexible Scheduling – pick shifts that fit your lifestyle (weekdays or weekends) 💼 Career Advancement Opportunities 🎓 Ongoing Training & Mentor Program 💸 Referral Bonus – earn extra $$ for great referrals 🌴 Paid Sick Time & Holiday Pay ❤️ A supportive, family-oriented work culture that values caregivers Your Responsibilities Assist clients with light housekeeping, errands, meal prep, grocery shopping, and transportation . Provide personal care including bathing, dressing, mobility support, and incontinence care. Offer companionship and conversation to promote emotional well-being. Provide medication reminders as needed. Document daily activities, client well-being, and any changes in condition. What We’re Looking For High School Diploma or GED (required). Valid driver’s license, car insurance, and reliable transportation (required). HHA Certificate or CNA License preferred , but not required — we provide training! Open availability strongly preferred. Must pass a criminal background check . Previous experience as a CNA, PCA, Homemaker, or Companion is a plus. Compassionate, patient, and dependable personality. Who Thrives Here Associated Caregivers have that special something — empathy, reliability, and heart. They make clients feel seen, heard, and cared for — whether by preparing a favorite meal, helping with mobility, or sharing a smile. If you believe in helping older adults live their best lives at home, you’ll fit right in with our team. Ready to Make a Difference? Apply today and become part of a company where caregivers are family . Your compassion and commitment can truly change someone’s life — starting today. 👉 Apply Now! HouseWorks, LLC and its Family of Companies is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability or genetic information.

Per Diem

Grace Cottage Family Health & Hospital Townshend, VT

Per Diem Registered Nurse (RN) - Inpatient Unit, Day Shift

$37 - $67 / hour

Description Position Summary: Primary responsibility is to deliver and coordinate patient care on the assigned shift and provide leadership to the staff with direct oversight of LPNs and LNAs. Qualifications: Education/ Experience: Graduate of an accredited school of nursing. Current Vermont RN license in good standing. AHA BLS certification required. Other Requirements: Computer skills and familiarity with using an electronic medical record essential. Excellent customer services skills. Strong team player. Requirements Essential Functions Of The Position: Provides care, treatments, and services within the RN scope of practice. Implementation of provider’s orders to include medication administration and treatments. Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. Prepares and administers prescribed medications with appropriate documentation. Reports adverse reactions to medications or treatments in accordance with the policy. Identifies psychosocial needs of patients and family and incorporates them into the patient’s care plan. Educates patients on medical procedures and patient’s personalized plan of care. Provides bedside care for a variety of medical patients. Initiates patient education plan. Teaches patients how to manage their care. Complies with Pyxis Medication Dispensing policies and protocols. Maintains POC competency and documents per hospital standards and policies. Assist Providers with procedures as requested and within scope of practice, demonstrating good technical and manual skills. Consults other departments, as appropriate, to provide for an interdisciplinary approach to the patient’s needs. Aware of available support services. Is flexible, organized, and able to function in stressful situations. Performs all aspects of patient care in an environment that optimizes patient safety. Manages and operates all equipment safely and correctly. Records patients’ medical information, vital signs and care information concisely, accurately and completely, in a timely manner.

Per Diem

Grace Cottage Family Health & Hospital Townshend, VT

Per Diem Registered Nurse (RN) - Inpatient Unit, Night Shift

$37 - $67 / hour

Description Position Summary: Primary responsibility is to deliver and coordinate patient care on the assigned shift and provide leadership to the staff with direct oversight of LPNs and LNAs. Qualifications: Education/ Experience: Graduate of an accredited school of nursing. Current Vermont RN license in good standing. AHA BLS certification required. Other Requirements: Computer skills and familiarity with using an electronic medical record essential. Excellent customer services skills. Strong team player. Requirements Essential Functions Of The Position: Provides care, treatments, and services within the RN scope of practice. Implementation of provider’s orders to include medication administration and treatments. Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. Prepares and administers prescribed medications with appropriate documentation. Reports adverse reactions to medications or treatments in accordance with the policy. Identifies psychosocial needs of patients and family and incorporates them into the patient’s care plan. Educates patients on medical procedures and patient’s personalized plan of care. Provides bedside care for a variety of medical patients. Initiates patient education plan. Teaches patients how to manage their care. Complies with Pyxis Medication Dispensing policies and protocols. Maintains POC competency and documents per hospital standards and policies. Assist Providers with procedures as requested and within scope of practice, demonstrating good technical and manual skills. Consults other departments, as appropriate, to provide for an interdisciplinary approach to the patient’s needs. Aware of available support services. Is flexible, organized, and able to function in stressful situations. Performs all aspects of patient care in an environment that optimizes patient safety. Manages and operates all equipment safely and correctly. Records patients’ medical information, vital signs and care information concisely, accurately and completely, in a timely manner.

NA/CNA, 2nd FL Med/Surg, 24-Hours, Days, 6:45am - 3:15pm, 3 shifts per week, Every other weekend (Saturday and Sunday), Every other holiday

Heywood Healthcare Athol, MA

$18.50 - $26.39 / hour

Overview Hours: 24-Hours, Days, 6:45am - 3:15pm, 3 shifts per week, Every other weekend (Saturday and Sunday), Every other holiday NURSE AIDE - $18.50 - $24.41 CNA - $20.00 - $26.39 Responsibilities Essential Functions Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures under direction of a licensed nurse. Collects basic health data as directed by a licensed nurse. Assists patients with activities of daily care (e.g. personal hygiene, toileting, nutrition, ambulation, etc). Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.) Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides thorough, timely, and accurate documentation of all pertinent patients according to established standards. Maintains clean and safe work environment (identifies and/or removes safety hazards). Provides timely and thorough information on assigned patients to supervising licensed nurse and other health care team members. Participates in learning for colleagues and self (attends educational programs, in-services, assist with orientation of new staff). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Assists patients with activities of daily living, including bathing, shampooing, shaving, brushing teeth, etc. Obtains heights and weights of assigned patients per care plan. Assists patients with ambulation using appropriate technique (i.e. gait belt). Assists patients with turning in bed and transferring from bed to stretcher or chair using appropriate technique (i.e. transfer mattress). Provides incontinent care to patients. Assists patients with eating and drinking per care plan. Maintains and documents fluid intake, output measurements and vital signs on patients per care plan. Assists with obtaining late trays as needed. Maintains infection control precautions per Infection Control Policy. Cleans the food refrigerators on a weekly basis. Maintains unit food inventory on a daily basis. Prepares room for the next patient by cleaning and making bed. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently kneels (bending the legs at knee to come to rest on knee or knees), reaches (extending hands and arms in any direction), and feels (perceiving attributes of items as size, shape, temperature, or texture by means of fingertips). Occasionally crouches (bending body downward and forward by bending legs and spine), and stoops (bending the body downward and forward by bending the spine at the waist). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education High School graduate or equivalent preferred. Current Nursing Assistant Certification required or Minimum of 75 hours in an accredited nursing program to include completion of first rotation OR active EMT or Paramedic Certification OR active Patient Care Technician/Assistant Certification OR active Home Health Aide Certification OR active Medical Assistant Certification OR successful completion of a Nurse Aide program. OR previous Massachusetts CNA licensure for Nurse Aide Minimum Work Experience 1 year Long Term Care or Acute Care experience preferred Required Licenses Current AHA BLS upon hire or obtained within 60 days.

LNA

Pine Heights at Brattleboro Center for Nursing & Rehabilitation Brattleboro, VT

LNA- Licensed Nursing Assistant

$18 - $27.50 / hour

- A Great Place to Work Pine Heights at Brattleboro is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - What You'll Do: As a Licensed Nursing Assistant (LNA), you will play a crucial role in delivering compassionate and personalized care to our residents. You will assist residents with activities of daily living, monitor their health, provide emotional support, and collaborate with other healthcare professionals to ensure the highest quality of care. * Fulltime and part-time evening and night shifts available. * $1,500.00 Sign-On Bonus for fulltime * WEEKLY PAY! * per diem also available Key Responsibilities: Assisting residents with activities of daily living, including bathing, dressing, and grooming Monitoring and recording vital signs Providing emotional support and companionship to residents Assisting with mobility and transfers Collaborating with the nursing team to develop care plans Maintaining a clean and safe environment for residents If you are passionate about making a real difference in people's lives in an environment where compassion, care and expertise come together, we invite you to join our team as a Licensed Nursing Assistant (LNA)! - What We Offer As an affiliate of National Health Care, our Brattleboro team enjoys: Competitive compensation and benefits package Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents Rate of Pay USD $18.00 - USD $27.50 /Hr. - What You'll Bring: Qualifications of a Certified Nursing Assistant (LNA) include: Valid state certification as a Nursing Assistant (LNA) Compassionate and empathetic nature Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Excellent communication and interpersonal skills Ability to work effectively in a team environment Dedication to upholding high standards of care - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

LNA