LPN jobs

Part-time LPN Jobs

3rd Shift Licensed Practical Nurse or Registered Nurse (Pediatric)

What’s your purpose? Wonder how AdvisaCare fits with your career goals? Apply today and let’s explore how we can support you in achieving your goals! Nursing as it was intended! **Ready for a change and looking to do one on one nursing care? AdvisaCare is where it is at!!** AdvisaCare is seeking Top of Line Licensed Practical Nurse/ Registered Nurse to service our clients for Private Duty In-Home Care in the Milford, MI area. If you believe each patient is as unique as the care they need - strive to offer the right care customized to each individual all while honoring his or her preferences, choices, abilities and specific needs - YOU'RE THE ONE we're looking for!! -MUST be available on weekends -MUST be willing to work 12 hour shifts 7a-7p/ 7p-7a -MUST be willing to travel to Farmington Hills (Split Custody) Current MI Nursing License High School Diploma or GED Reliable transportation & valid driver’s license Ability to work independently and in a team Able to pass drug screen (Including THC) and background check Benefits AdvisaCare Can Offer YOU: Medical/Dental/Vision Benefits 401K Retirement Plan PTO Paid Mileage Employee of The Month Opportunity

Licensed Practical Nurse - Moorestown

Children’s Hospital of Philadelphia Moorestown, NJ

$28.05 - $35.05 / hour

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview Children's Hospital of Philadelphia is seeking a part time Licensed Practical Nurse for their Moorestown Primary Care office. The shift will be based off of the operational need. Two years of LPN and pediatric experience is preferred. The Licensed Practical Nurse performs routine nursing care of the ill, injured or infirm under the direction of a licensed professional (RN) nurse, nurse practitioner and/or a physician. The LPN participates in the planning, implementation and evaluation of nursing care in accordance with the scope of the LPN as defined by the State Board of Nursing and health system standards. Also supports operations through administrative duties as required. The nurse must demonstrate competence in caring for patients with moderate to complex health issues and assist the Site Manager with administrative issues which affect the clinical practices within the office as well as comply with the administrative policies and clinical protocols as outlined in policy and procedure manual. Administratively responsible to the Site Manager and Ambulatory Nursing Director for nursing practice issues. Must be willing to rotate if needed to other Care Network sites within the designated cluster. What you will do Provide and document direct nursing care of assigned patients under the supervision of a registered nurse or physician. Nursing care is guided by physician orders and the plan of care. Patient response to care is reported to a registered nurse or physician for evaluation, intervention and modification of the plan of care. Assist other health care personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and other material resources. Participate in own professional development by maintaining required competencies and attending educational offerings. Supports the development of other staff and formal learners. Participate in the identification of clinical or operational performance improvement opportunities and assists in performance improvement activities. The LPN may administer medications that are with their scope of practice and organizational standards only if the following conditions are met: a) the LPN has received and satisfactorily completed a Board approved educational program which requires study and supervised clinical practice intended to provide training necessary for administering immunizing agents. b)A written order has been issued by a licensed physician pertaining to an individual patient or group of patients, c) the LPN has knowledge of the health system policies and has met competency training standards. Support clinical activities related to nursing and clinic flow and make recommendations to manager for improvement in quality and effectiveness of nursing care given. Demonstrate commitment to patient safety by speaking up about safety issues and changing nursing practices to enhance safety. Share errors through system reporting mechanisms, and demonstrates shared accountability for safe practices. Perform other related duties incidental to the work described herein. Education Qualifications Technical Diploma License Practical Nursing Program Required Experience Qualifications At least two (2) years experience in the medical field Preferred Pediatric experience Preferred Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Licensed Practical Nurse (LPN) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Licensed Practical Nurse (LPN) (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $28.05 - $35.05 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.

LPN

Part-time

2 days ago

LPN (Licensed Practical Nurse) New Grads Welcome!

Harborview At Doylestown Lambertville, NJ

$30 - $40.44 / hour

Immediately Hiring Licensed Practical Nurse (LPN) **New Grads Welcome** Up to $40.44 an hour! $4 Shift Differential on evenings and $2 on nights! Part-time available Nights Pick Up Bonuses Medical / Dental / Vision insurance 401(k) plan Generous paid time off (PTO) package and paid holidays – take off when YOU want Life insurance Safe and manageable Nurse to patient ratio Referral Bonus – Earn $1,000 to work with your friends and family! Career advancement opportunities Flexible scheduling for a work-life balance Weekly employee appreciation events; we love to celebrate our team! Clean environment with all of the supplies you need to do your job with excellence! FUN and friendly work atmosphere - GREAT leadership team! Location: 432 Maple Ave, Doylestown, PA 18901 Requirements : Licensed Practical Nurse (LPN) license Licensed Practical Nurse (LPN) may start as early as NEXT WEEK! Join us as a Licensed Practical Nurse (LPN) at Harborview at Doylestown today! Walk-in Interviews Welcome Monday to Friday between 10a-4p! APPLY NOW! Licensed Practical Nurse (LPN) Shift and Schedule: 8-hour shift Nights Work Setting : Rehabilitation Center Long term care Nursing Home Acute Care Specialty: Geriatrics

LPN

Part-time

3 days ago

LPN

Massapequa Center for Rehabilitation and Nursing Amityville, NY

$34.50 - $37.95 / hour

Massapequa Center Rehabilitation & Nursing is committed to improving our patients' quality of life & autonomy through innovative rehabilitative services, and an exceptional level of client-centered care and attention. We are seeking a caring and dedicated LPN to join our interdisciplinary team of skilled health care professionals at our skilled nursing facility in Amityville! The purpose of your job as a Licensed Practical Nurse is to perform a variety of care practices under the direction of the Registered Nurse and/or Supervisor of the unit/shift. This includes, but not limited to taking charge of a unit and administering medication as ordered. The ideal candidate will be experienced in performing a variety of care practices under the direction of the Registered Nurse and/or Unit Supervisor. QUALIFICATIONS: 1. Currently licensed by the State of New York. 2. Mentally and physically capable of performing job duties. 3. Possesses leadership and supervisory qualities. 4. Possesses attention to detail and observation skills that enable the recognition of condition changes in the resident. 5. Ability to coordinate all functions in the operation of a resident unit through effective team nursing assignments. 6. Maintain meaningful and accurate documentation of services provided. Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. Benefits: 1199 SEIU

Private Duty Licensed Practical Nurse (LPN/LVN) - Various Patients/Shifts

Thrive Skilled Pediatric Care LLC Fishersville, VA

$26 - $30 / hour

Join a Company That Puts People First! Licensed Practical / Vocational Nurse – LPN/LVN Schedule: Full time and part time hours on all shifts Location/Setting: Fishersville, Waynesboro, and Stuarts Draft Age Range: Various patients and ages Acuity: Low and high acuity patients We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture Indeed’s Work Wellbeing Top 100 Company Multi-year Comparably Award winner in the following categories: Best Company Culture, Best CEO, Best Company Work-Life Balance, Best Company Career Growth, Best Company for Diversity, Best Company for Women Why Join Us? Health, Dental, Vision and Company-Paid Life Insurance Paid Time Off Available Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability! 24/7 Local support from operators and clinicians Aveanna has a tablet in each patient’s home allowing for electronic documentation Career Pathing with opportunities for skill advancement and paid training Weekly and/or Daily Pay Employee Stock Purchase Plan with 15% discount Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader . Qualifications Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice Compact licenses must be transferred to your state of residence within 90 days Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary. TB skin test (current within last 12 months) Six months prior hands-on nursing experience preferred but not required Must have reliable transportation Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply. CCPA Notice for Job Applicants, Contractors, and Employees Residing in California

LPN

Part-time

3 days ago

LPN

Massapequa Center for Rehabilitation and Nursing Amityville, NY

$34.50 - $37.95 / hour

Licensed Practical Nurse (LPN)-Hospice PT/PRN

Care Comfort Hospice Beaver, PA

$28 - $31 / hour

Care Comfort Hospice is looking for Part Time/PRN LPN Hospice Nurses. ALL SHIFTS AVAILABLE! FLEXIBLE SCHEDULE! I. Qualifications Skilled Nurse from an Accredited program currently licensed and in good standing with the Pennsylvania State Board of Nursing. One to 2 years’ experience in nursing in an acute care setting or 1-year experience in home health, hospice or comparable experience is preferred. Desire to learn and demonstration of aptitude for the hospice philosophy and comfort care required. II. Responsibilities It is the responsibility of the Visit Nurse to coordinate and provide the highest level of hospice care to patients and families. The Visit Nurse works in conjunction with the Nurse Case Manager, Director of Nursing (DON) and the Interdisciplinary Team to: · provide hands-on clinical nursing, interacting with patients, family, physicians, Interdisciplinary Team members, and other health care professionals involved in the patient’s care. · assess and coordinate a pain/symptom management program formulated with the participation of family and patient, attending physician and the Interdisciplinary Team, utilizing pharmacological and non-pharmacological methods of pain/symptom control to enhance quality of life. · assist in facilitating freedom of choice, relief of suffering and death with dignity for patients facing end of life issues. · provide support and education for families based on the hospice philosophy of care. Care includes physical, psychological, spiritual, and financial comfort. · participate in Interdisciplinary Team meetings and up-dates the Plan of Care (POC) for assigned patients based on identified problems and needs. · ensure all services provided are in accordance with the patient’s POC. · ensure the POC involves the active participation of the patient, family, PCP, and the Interdisciplinary Team · provide Nurse Case Manager with appropriate information to coordinate all services related to hospice care for assigned patients. Coordination of services include communicating and making referrals for home health aide/homemaker, chaplain, social worker, volunteer, and ancillary services, as well as ordering medications and Durable Medical Equipment · educate patient and family on the disease process and expectation related to the disease progression. · assist with CQI activities. · work as a team member at all times and uphold the Hospice Code of Ethics · provide care to manage patient symptoms. · utilize the medication formulary whenever possible for the management of patient symptoms. · reports to DON as patient condition changes, changes in the patient condition that require change in level of care. III. Orientation and Training Care Comfort Hospice will provide orientation and training, as necessary, to assist the Hospice Nurse in performing the responsibilities listed above. Training may be in-house or outside seminars. Evidence of orientation and training will become part of the personnel file. IV. On Call The Hospice Nurse will be on call according to scheduling. During the hours when on call, the Visit Nurse is expected to follow On Call Protocol and to respond to all pages within 20 minutes. V. Accountability Reports directly to the Nurse Case Manager and Director of Nursing.

Part-time Clinic Nurse (CMA or LPN) - Shelbyville Clinic

Sarah Bush Lincoln Shelbyville, TN

$20.59 - $31.91 / hour

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Part-time Clinic Nurse (CMA or LPN) - Shelbyville Clinic Job Description Certified Medical Assistant are responsible for providing assistance to providers in the direct and indirect care of Practice Management patients. Performs patient or office related duties including but not limited to clinical measurements and data collection. Documents data and provider directed information clearly and accurately in patient records. Functions clinically as support staff to provider(s). Department: Shelbyville Clinic Hours: Part-time 20 hours/week Required: CMA or LPN; BLS within 90 days of hire Pay: Based on experience, starting at $20.59/CMA and $23.87/LPN Responsibilities Accepts reassignment, at the direction and discretion of management, as applicable to staffing levels and patient volumes., Administers medication as directed by the provider., Assists providers with patient exams/ treatments/procedures., Cleans/stocks exam rooms/work spaces on an on-going basis to assure that there is an adequate supply. Performs all tasks related to stocking and cleaning in adherence to regulatory and system infection control policies/protocols. This includes responsibility for discarding outdated items and labeling multi-dose vials with date and initial opened and then discarding them per guidelines., Cleans and sterilizes equipment and instruments based on needs of the practice. Performs tasks and documents them in alignment with infection control regulations and system policies/protocols., Collects patient data including but not limited to heights, weights, vital signs and other measurements., Documents appropriate data/information. Keeps providers aware of patient requests, needs and observations made that could be of value to the provider's assessment, care and follow-up., Documents responses to patient history/screening questions for use by providers during assessments and examinations., Follows Universal Precautions at all times during contact with patients, equipment, instruments, and/or specimens., Obtains provider initials or signature on phone message communications to verify accuracy of information communicated., Performs and documents laboratory duties which may include phlebotomy, specimen collection and performance of routine basic waived testing. Handles and coordinates reference lab testing specimens/reports and corresponding reports/documentation., Performs general clerical duties, as required, such as receiving and mailing patient test results, preparing charge tickets, transcribing data to physical or referral forms, filing and monitoring or ordering supplies., Relays information between provider(s) and client(s), which may include but is not limited to communications with patients, families, pharmacies, nursing homes, consultancy office staff, insurers, and facilities. At provider's instruction, communicates provider advice, instructions, orders and results, as applicable, including accurate documentation., Schedules patients for diagnostic, therapeutic, referral or additional office visits. Requirements High School (Required)BLS or CPR certification (within 90 days of hire) - Sarah Bush Lincoln, Graduate of Accredited LPN Program - Sarah Bush Lincoln, LPN - Licensed Practical Nurse - Illinois Department of Financial and Professional Regulation Compensation Estimated Compensation Range $20.59 - $31.91 Pay based on experience

LPN Home Care VNA Part Time Days

South Shore Health Rockland, MA

$29.41 - $45.30 / hour

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-23376 Facility: LOC0028 - 30 Reservoir Park Drive30 Reservoir Park Drive Rockland, MA 02370 Department Name: SSH VNA Team 2 Status: Part time Budgeted Hours: 24 Shift: Day (United States of America) A professional member of the VNA team, responsible for complete care of all assigned patients within the scope of the Nurse Practice Act, regulations of the State Board of Nursing and the policies and procedures of the Home Care Division. The LPN is responsible and accountable for making decisions and providing care according to these regulations. Compensation Pay Range: $29.41 - $45.30 ESSENTIAL FUNCTIONS 1 - Performs all skills, treatments, procedures competently and within the regulations and licensing laws of the State Nurse Practice Acts, institutions’ and department policies, and other applicable local and federal laws. a - Coordinates and communicates with other clinical team members any changes in the patients' medical or physical condition resulting in a change in the plan of care. b - Completes required documentation to communicate changes in the plan of care, or changes in medications, treatments or visit frequency. c - Performs comprehensive physical and psychosocial re-assessment at each visit d - Assesses pain every visit using appropriate pain scale tool based on patient's abilities and completes documentation as required. e - Evaluates outcome of pain and symptom control measures, creates a plan for management of symptoms in collaboration with the RN, teaches patient and family as needed and documents all necessary information. f - Demonstrates knowledge of Visiting Nurse Association’s policies and procedures for administering and recording medications. g - Adheres to the Fall Risk Assessment Process and completes documentation as required. h - Individualize Pathway, Tasks and Directives, to guide skilled care for scheduled visit. i - In collaboration with RN case manager determines appropriate visit schedule based on patient acuity. j - Communicates at a minimum of weekly with supervising RN to discuss patient status and revisions to the plan of care as established by the RN with input by the LPN. 2 - Demonstrates the skills and judgment necessary to implement medical and nursing Plan of Care, nursing interventions and procedures as necessary for the care of the patient. a - Demonstrates knowledge of commonly used medications: action, dose, and side effects and readily utilizes resources for research. b - Observes the rights for medication administration: a. right patient b. right drug c. right dose d. right method e. right time f. right documentation c - Demonstrates proper procedures in all methods of medication administration. d - Assesses and documents IV site, patency and fluid administration, when applicable. e - Maintains accurate medication profile and reviews medication profile with the patient/family/caregiver at each home visit. f - Completes DRR and medication reconciliation upon admission and with every new medication. g - Demonstrates knowledge of commonly used medications' action, dose and side effects, and readily utilizes resources for research. 3 - Performs routine nursing responsibilities and other general tasks required to provide for the safety, emotional, spiritual, and physical comfort of the patient(s), based on established care plan. a - Collaborates with all members of the interdisciplinary team to meet the needs of the patient. b - Communicates with other clinical team members any changes in the patients' medical or physical condition resulting in a change in the plan of care. c - Participates in and initiates patient care conferences as needed. d - Involves and documents patient/family/caregiver participation in Plan of Care. 4 - Reassesses the identified problems, care provided and patient’s responses in order to meet patient and family needs to assure overall quality of care. a - Assists in assessment of patient needs; then plans, implements, and documents nursing care under the direction of an RN. b - Based on reassessment, the Plan of Care will remain the same or modified to meet the patient/caregiver’s identified needs and notification of any changes will be communicated to nurse manager or designee. c - Assesses the patient/caregiver’s response to teaching plan in order to evaluate the effectiveness of the plan. d - Observes the patient’s condition and reports changes of condition and the need for nursing measures beyond her/his knowledge to nurse manager or designee. e - Assesses and addresses comfort/pain level each visit utilizing appropriate pain tool based on patient ability. 5 - Maintains up–to–date and accurate documentation of nursing care provided to assure the integration of information for use by the healthcare team, in order to assure quality care. a - Each identified problem must be addressed and appropriately documented in the patient record. 6 - Patient Management a - Makes scheduled home visits to patients during the day or evening shift, as evidenced by documentation in the clinical record and nursing day sheet or daily log. b - The LPN demonstrates responsibility and accountability for the plan of care for each patient on caseload under the direction of a Registered Nurse. c - Schedules and prioritizes nursing visits according to patient status. d - Maintains Agency standard of productivity as per team standard. e - Provides verbal/written update of Plan of Care to third party payors as required. f - Orders durable medical equipment (DME) and/or supplies as needed. g - Arranges and obtains lab results per MD order. h - Coordinates and communicates any changes in the plan of care to the appropriate members of the interdisciplinary team. JOB REQUIREMENTS Minimum Education - Preferred Required graduate of an accredited LPN program. Minimum Work Experience Two (2) years of recent experience in acute care facility or homecare. Required additional Knowledge, and Abilities Demonstrated clinical competence in relevant area of nursing practice. Effective and well developed communication skills. Ability to deal well with people. Ability to multi task. Ability to utilize problem solving skills. Ability to confront and resolve issues. Ability to motivate others. Ability to work as a member of a team. 24 hours 8-430, M-F days negotiable 1 S aturday every 4th week 1 holiday per year Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: LPN - Licensed Practical Nurse - Board of Registration in Nursing (Massachusetts)

LPN

Part-time

3 days ago

Licensed Practical Nurse LPN (Assisted Living)

Mountain Glen Mount Vernon, WA

$30 - $35 / hour

Mountain Glen Cascade Living is committed to the quality of life around us, as individuals and as a company. You’ll find that we’re different as our focus is to create a culture of wellness and purposeful living for both residents and employees alike. This is why our motto is: The Difference Between Living and Living Well … Mountain Glen (independent living, assisted living) provides care for residents and their families all over the region, including Bellingham, Oak Harbor, Arlington, Stanwood and La Conner. We invite you to learn more about us and meet the team at: www.mtnglen.com/about/meet-our-team As an LPN (Licensed Practical Nurse) , you’ll provide medication management and skilled nursing procedures for residents in compliance with state regulations. What Cascade Living and Mountain Glen look for in a LPN (Licensed Practical Nurse): Maintains a current state license as a professional Licensed Practical Nurse (LPN) Compassionate individuals who will represent our community in a positive and professional manner Effective communicator who connects with staff, residents and their families Ownership attitude who is able to stay focused despite interruptions throughout the day Demonstrate good judgment, problem solving and decision-making skills Ability to work flexible hours to include evenings and weekends What you can expect to do as an LPN (Licensed Practical Nurse) for Mountain Glen: Make a significant contribution to the quality of life our residents by maintaining the highest possible quality and consistency Implement residents’ personal care plans, focusing on residents’ strengths, preferences and preferred routines Assisting in training and monitoring of medication care administration Demonstrate organizational skills around time management Monitor the performance of caregivers to assure quality care Educate residents and staff about health maintenance and disease prevention Promote the mission, values and beliefs of Cascade Living $30.00 - $35.00/hour *Depending on Experience Shift Opportunities: Part Time Various Shifts Available (Day, Swing, & NOC Shift) Weekend Availability Required Cascade Living Group Benefit Offerings: Competitive wages Career Pathways Health Insurance (for those eligible) Voluntary benefits (Disability, Accident, Life) Flexible Pet Insurance for cats and dogs 401K (with company match) Payroll advances on earned wages Perks at Work Discount Program Generous Paid Time Off Education Assistance Longevity Bonuses Cascade Living Group is an Equal Opportunity Employer. We are committed to hiring and retaining a diverse workforce and do not discriminate against any employee or applicant on the basis of race, color, religion, gender, sexual orientation, gender identity, age, national origin, ancestry, disability, veteran status, marital status, or any other characteristic protected by applicable law. All offers of employment are conditioned on passing a background check. If you need assistance or accommodation due to a disability during the application process, please contact our Human Resources Recruitment Department at 360-979-0149 or recruiter@cascadeliving.com . MGL123

Licensed Practical Nurse

DaVita Kidney Care Reston, VA

$28 - $40 / hour

Posting Date 08/20/2026 530 Huntmar Park DrSte D, Herndon, Virginia, 20170-5100, United States of America DaVita is seeking a Licensed Practical Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various facilities during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Current LPN-LVN license in the state of practice required Current CPR certification required IV certification required if required by state regulations High school diploma or equivalent required Completed training program approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system BONENT or CHT certification preferred or as required by state regulation Minimum of one year's experience in a hospital or clinical setting preferred Basic computer skills and proficiency in MS Word and Outlook required; functional proficiency in computer systems of DaVita within 90 days of hire required) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-CK1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $28.00 - $40.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

LPN

Part-time

3 days ago

Licensed Practical Nurse (LPN) - 5 East Post Surgical Care Unit - Southside Medical Center

Bon Secours Mercy Health Petersburg, VA

$23.20 - $35.97 / hour

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 24 Work Shift: Evenings/Nights (United States of America) Southside Medical Center Bon Secours About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. LPN (Licensed Practical Nurse) Acute Care – Southside Medical Center Job Summary: The LPN (Licensed Practical Nurse) delivers safe and efficient care to patients using nursing interventions. The LPN is responsible for general clinical and clerical duties associated with direct and indirect patient care. Essential Functions: Gives direct nursing care and assists with care of the patient at the direction of a Registered Nurse, Licensed Physician, Physician Assistant, or Advanced Practice Nurse Implements the plan of care by providing direct basic nursing care in accordance with the LPN scope of practice Performs phlebotomy services Contributes to the plan of care with input from patient/family and other members of the healthcare team Administers ordered medications and treatments, within scope of care, prescribed by a Licensed Physician, Physician Assistant, or Nurse Practitioner while using appropriate medical equipment as needed Other duties as assigned Education: High School Degree or GED Completion of an accredited LPN (Licensed Practical Nursing) Program Certifications: Current state licensure as an LPN or LPN applicant (Licensed Practical Nurse) Basic Life Support (BLS) – American Heart Association (preferred, not required) Experience: One year of clinical patient care experience (e.g., PCT, CNA, LPN) in an acute care setting, long-term care facility, or physician practice (preferred, not required) Training: EPIC Electronic Health Record (EHR) training (preferred, not required) Completion of Basic Arrhythmia class with a passing grade on exam (required for Telemetry/Remote Telemetry units) Range: Minimum: $23.20 Maximum: $35.97 Bon Secours is an equal opportunity employer. As a Bon Secours associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Med/Surg (unit/floor 3) - Southside RMC - Petersburg It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .

1st Shift Licensed Practical Nurse or Registered Nurse

AdvisaCare Saint Johns, MI

Nursing as intended! What’s your purpose? Wonder how AdvisaCare fits with your career goals? Apply today and let’s explore how we can support you in achieving your goals! AdvisaCare is seeking experienced Licensed Practical Nurse (LPN) and Registered Nurse (RN) to provide care to our clients in the St. Johns. The ideal candidate must be dynamic, energetic, organized and efficient professionals with experience in all aspects of homecare. ** Work a couple of extra shifts a week and start saving for your upcoming vacations!** Our Nurses and Clients are AdvisaCare's #1 priority! We CARE ABOUT YOU!** Ability to start work immediately after completing our hiring process! 1st Shifts Available Proven nursing experience Familiarity with professional and technical emerging knowledge Problem solving skills and ability to multi-task Compassionate with good communication skills Excellent teamwork skills Benefits AdvisaCare Can Offer YOU: 401K Retirement Plan for full time Medical Benefits Available for hourly employees with 30+ Ability to earn PTO Excellent Pay / Weekly paychecks Employee Appreciation program Rewarding Work Environment Paid General Orientation Advanced Skilled Training offered Therapy Division 24/7 staffing support

Licensed Practical Nurse (PRN)

Proactive MD Sergeant Bluff, IA

People are a company's greatest resource, which is why caring for employees and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. Access to on-site physicians, full direct primary care services, and excellent client support are the hallmarks of our program. By engaging a workforce and offering them a personal relationship with a primary care physician, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs for employers. We put employees' health first because amazing care yields amazing results. We are the next generation of workplace health centers. Job Summary The mission of the Licensed Practical Nurse (LPN) is to support the health and wellness center's clinical and clerical operations. As directed by the provider, the LPN assists the provider and performs appropriate tests and procedures. The LPN is responsible for administrative tasks for the health and wellness center and may assist the Patient Advocate in employee engagement and outreach. Job Description Maintain a professional image and exhibit excellent customer relations to patients, visitors, providers, and co-workers Prepares patients to be seen by the provider by triage, assessment, treatment procedures, and follow-up information Performs tests such as selected laboratory tests, EKG's, Spirometry, inhalation treatments, annual physicals, visual screening, audiometry testing, and CLIA Waived testing Prepares medications and administers injections as ordered by the provider Assist providers with procedures and treatments as needed Check expiration dates on drugs, vaccines, and other products; Dispose of expired medications and products per company guidelines Manage the overall health center inventory and supply management Required Skills & Qualifications Current state LPN license in good standing Current BLS certification Minimum one-year clinical experience as LPN Strong organization and communication skills Ability to communicate effectively and maintain working relationships with people from diverse backgrounds Knowledge of HIPAA confidentiality requirements Proactive MD is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender identity and/or expression, sexual orientation, ethnicity, national origin, age, disability, genetics, marital status, amnesty status, or veteran status applicable to state and federal laws.

Licensed Practical Nurse ( LPN ) or Registered Nurse ( RN )

AdvisaCare Otter Lake, MI

🍂 Fall Into a Rewarding Nursing Career Now Hiring LPNs & RNs for Private Duty Looking for a nursing position where you can focus on quality patient care without the demands of a traditional facility setting? Join AdvisaCare and provide one-on-one care to clients in the Otter Lake and surrounding areas. Our 12-hour shifts allow you to build meaningful relationships with your patients while working alongside a dedicated aide during your shift. What You Can Expect One-on-one patient care 12-hour shift opportunities Aides working alongside nurses Supportive clinical and staffing teams More time to focus on your patient Opportunities for both shift work and nursing visits Additional opportunities available in Home Health and Hospice We’re Looking for LPNs & RNs Who Are Experienced and dependable Organized and efficient Compassionate and patient-focused Strong communicators Comfortable working independently Skilled in problem-solving and time management Committed to providing high-quality care Benefits AdvisaCare Can Offer You 401(k) retirement plan for full-time employees Medical benefits available for hourly employees working 30+ hours PTO opportunities Competitive pay with weekly paychecks Employee appreciation and recognition programs Paid general orientation Advanced skilled training opportunities Therapy division support 24/7 staffing support A rewarding and supportive work environment 🍁 Make this fall the start of something rewarding. If you're an LPN or RN looking for meaningful one-on-one nursing care with a supportive team behind you, apply today!

LVN/LPN - Per Diem

Bristol Hospice Greenwood Village, CO

Are you a compassionate Licensed Vocational Nurse (LVN) ready to get back to the reason you became a nurse in the first place? It's not complicated, join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. An Average Day: (Includes, but not limited to) Provide direct patient care as defined in State Nurse Practice Act, including specialized duties related to end of life care Implement current nursing practice following a comprehensive assessment and the plan of care Provide accurate and timely documentation of patient services to reflect the plan of care Assess and provide patient and family/caregiver education and information pertinent to diagnosis and self-plan of care Participate in coordination of hospice services, appropriately reporting the identified needs to the interdisciplinary group; examples include hospice aide, OT, PT, SW, ST, Dietician or Clinical Supervisor Use and prepare equipment and supplies effectively, adhering to aseptic technique Provide appropriate pain/symptom management Evaluate patients response to treatments/medications Participate in personal, professional growth and development Participate in organization's quality assessment performance improvement teams and activities Perform other duties as assigned by the registered nurse All other duties as assigned Requirements: Must currently be licensed as an LPN/LVN in the State Must have three (3) years nursing experience, community health/hospice or medical/surgical experience is preferred Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

LPN

Part-time

4 days ago

LPN

Genesis HealthCare System Coshocton, OH

GENESIS HEALTHCARE SYSTEM In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. Position Details: Work Shift: Varied Shift (United States of America) Scheduled Weekly Hours: 0 Department: GCMC Emergency Department Overview of Position: Administers skilled direct and indirect patient care to an assigned group of patients according to the patient’s plan of care under the direction of the registered nurse. Adheres to universal precautions and is compliant with infection control policies. Carries out job requirements as delegated by and with the supervision of a registered nurse. ESSENTIAL DUTIES 1 Provides patient care, under the direction of an RN, in a warm and friendly manner. 2 Accurately takes and records measurements or readings. 3 Administers prescribed medications as indicated/documented by prescribing physician. 4 Works collaboratively with other caregivers on the unit. QUALIFICATIONS 1. High school diploma or equivalent. 2. One year previous experience. 3. Current Ohio LPN license. 4. Current IV certification for LPN (unless otherwise noted below) a. IV certification obtained within one year of employment if working for the Genesis Surgery Center. b. IV certification is not required for the following areas: Surgery (excluding Genesis Surgery Center, see above), Endoscopy, Hospice, Palliative care, and Hospital-Based Physician Offices (HOD offices). 5. Current CPR Certification or ability to obtain within 30 days of orientation. 6. Completion of an approved pharmacology course. 7. Ability to communicate effectively in an oral and written manner, as well as the ability to observe, assess, guide, and evaluate others 8. Ability to collect data, interpret findings, set priorities and carry out established plan 9. Ability to read, calculate, and prepare medication, as well as the ability to observe and analyze any resulting reactions and to apply clinical knowledge. PATIENT CENTERED CARE & BEHAVIORAL EXPECTATIONS 1. Living the Genesis Mission, Vision and Values • Performs work in a manner that is quality focused. • Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect. • Results oriented and focused on achievement of objectives. • Acknowledges and responds to the diversity of people and the situation. • Encourages peers (others) to be owners of change. • Always makes the effort to anticipate and exceed customer needs and expectations. • Possesses the ability to engage others with patience and understanding. • Acts in a manner that creates positive first and lasting impressions. • Demonstrates the ability to own issues until they are resolved. 2. Patient Centered Care (patients/families, physicians, co-workers, all other internal/external customers) • Introduces self and role…connects with everyone. • Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback. • Asks for and anticipates needs and concerns of others. • Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.) • Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately. • Responds to requests in an appropriate and timely manner. • Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed. 3. Promotes Patient and Employee Safety • Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.) • Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.) • Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment • Demonstrates Slips/Trips and Falls Awareness. • Actively contributes to maintaining a safe, clean and quiet environment. WORKING CONDITIONS/PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Ability to sit, stand, stoop, push, pull, bend, and walk for extended periods of time 2. Ability to lift 50 pounds to waist level This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent. Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.

Registered Nurse (RN) | Licensed Practical Nurse (LPN) | Flandreau Clinic

Avera Health Flandreau, SD

$22.50 - $41.25 / hour

Location: Avera Flandreau Clinic Worker Type: Regular Work Shift: Primarily days with rotating weekends and holidays (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $22.50 - $41.25 Position Highlights 48 hours/2 weeks - 8 hour Day (8-5) including rotating Sat (8am-12pm) & Mon (5-7p) LPN Wage: $22.50 - 31.50 RN Wage: 27.75 - 41.25 **This position may be eligible for $8000 sign-on bonus** *** : We are seeking a detail-oriented, patient-focused RN or LPN to work closely with a new physician in our clinic. In this role, you’ll coordinate patient care, support clinical workflows, and help ensure timely, accurate communication among the physician, patients, and the care team. Your contributions will help us deliver exceptional outcomes and an outstanding patient experience. Opportunity to provide quality care to patients in a rural setting. Opportunity to care for patients across the lifespan from pediatrics to geriatrics. Faith and family focused care to patients. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Provides for the delivery of professional nursing care under the direction of the provider. What you will do Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards. Coordinates the patient care activities for the clinic. Prepares equipment and assists provider during procedures, treatments, examinations, and testing of patients. Observes, records, and reports patient’s condition and reactions to drugs and treatments to provider. Oversees appointment scheduling and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients. Greets patients and prepares them for physical examination. Screens patients for appropriate information including obtaining the health history, and taking vitals. Documents obtained information in patient chart. Instructs patient in collection of samples and tests. Responds to patient phone calls in a timely manner with appropriate input from the physician. Educates patients and families about diagnostic process, medications, nutrition, and maintenance of health and wellness. Suggests solutions to patient care crisis problems and complaints. Maintains exam rooms with necessary supplies and materials. Ensures cleanliness. Prepares list of medical supplies needed. Assures appropriate labeling of pathology specimens according to lab protocol as needed. Performs quality control and maintains records on all lab testing. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Licensed Practical Nurse (LPN) - Board of Nursing An active license in the state of practice Upon Hire Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

LPN/LVN-Part Time-Dallas, TX

PM Pediatric Care Dallas, TX

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Summary The Licensed Practical or Vocation Nurse (LPN/LVN) is responsible for all departmental functions aligned with the mission, vision, and goals of PM Pediatrics. The LPN/LVN role is an opportunity for a pediatric LPN/LVN to apply their skills in a pediatric urgent care setting and assist with primary patient care based on individual patient needs within their scope of practice under the physician’s direct supervision. This position maintains effective working relationships with all customers, including patients/families, physicians, employees, volunteers, and vendors. Description Job Responsibilities: Provider clinical and administrative support for providers, patients, and office operations Obtain medical history, patient vital signs, intake, and prioritize patient care Perform procedures (venipuncture, IV insertion, urinary straight catheterization), administer medications (oral, rectal, IM, and IV), and assist the physician with total patient care within the scope of practice Remaining knowledgeable in pediatric pharmacology Be an integral part of the patient care team and assist with patient care within the scope of practice Perform monthly quality control checks in the office Assist in performing quality control testing in the lab Ability to assist the physician with patient care, positioning, and comfort during the x-ray process Keep exam rooms stocked with adequate medical supplies, maintain instruments, and proper sterilization tools and equipment as required Practice standard safety practices and precautions Helps patients in distress by responding to emergencies and promptly notifying physician Establish effective rapport with clients, families, other employees, and physicians Maintains operations by following policies and procedures; reporting needed changes to management team Contributes to team effort by accomplishing related results as needed Maintains safe, secure, and healthy work environment by following and enforcing standards and procedures, complying with legal regulations Maintains patient confidence and protects operations by keeping patient care information confidential in compliance with HIPAA regulations Update knowledge by participating in continuing education requirements and opportunities; regarding professional publications; maintaining personal networks; participating in professional organizations Enhances health care practice reputation by accepting ownership for accomplishing new and challenging requests; exploring opportunities to add value to job accomplishments Assisting patients with complaints and taking an active role in service recovery when needed Assist physician with a focus on efficiency metrics to improve urgent care flow and throughput (Arrival to Room, Arrival to Medication Administration, Disposition to Discharge, Discharge Length of Stay) Qualifications Pediatric experience is required; Pediatric ER, Pediatric hospital unit, or Pediatrics Urgent Care Experience preferred Active state nursing license or active compact state licensure from the state you reside Prior experience and competency with nursing procedures (not limited to IV placement, urinary straight catheterization, and medication administration) Current Basic Life Support (BLS) is required, Pediatric Advanced Life Support (PALS) recommended Knowledge of medical practice and terminology, clinic’s processes, and procedures Knowledge of medical equipment and instruments Skill in rapid assessment of the critical presentation of the pediatric population Ability to use sound reasoning and judgment and act calm in emergencies Ability to effectively communicate both verbally and nonverbally Possess the following qualifications: Energetic, Highly Motivated, Customer Service Focus, Positive Attitude, Confidentiality, Teamwork, and Professionalism Compensation: Compensation Dependent Upon Location and Experience The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications. EEO Statement PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Licensed Practical Nurse (LPN)

Alternate Solutions Health Network Lexington, KY

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Schedule: Three weekdays, 8:15AM - 5:00PM, with on-call requirements WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base hourly rate plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. QUALIFICATIONS & ATTRIBUTES: Licensed Practical Nurse with current license in the state of employment. Minimum of one year of experience as a LPN in an acute care setting is required; two years is preferred. Home care experience is desired. Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers. Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients. Knowledgeable on nursing best practices. Ability to make appropriate nursing judgments. Ability to identify a situation and handle it with the best possible solution. Detail-oriented and observant. Disciplined style of work ethic with the ability to prioritize and be timely. Ability to follow directions and work as a team member. Valid driver’s license and auto insurance with your name as a listed driver. MAJOR AREAS OF RESPONSIBILITY: Provides skilled nursing care in a patient’s home as ordered by the attending physician. Performs care by following order sets and goals made by RN. Observes and monitors patient conditions. Notifies RNCM of any changes in patient condition. Administers medication as prescribed by the physician. Counsels patient and family on the disease/injury processes and how to manage. Incorporates patient and family in development of plan of care. Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions. Listens to patient and family members. Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines. Documents all aspects of treatment, assessments, and patient education. Maintains active LPN license in state of employment. Communicates with scheduler any changes outside the normal. Participates in all on-call requirements and case conferences. Attends in-service trainings and mandatory agency meetings. Maintains a professional appearance as a representative of the company. Understands and practices agency policies and procedures. Other duties as assigned. ESSENTIAL FUNCTIONS: Drives to patient’s primary location per scheduled visit. Daily attendance at assigned visit locations. Documents all aspects of subsequent visits within 24 hours of visit to meet Medicare guidelines. Completes and submits all required documentation within specified company requirements. Knowledgeable with providing skilled care within the scope of practice for a Licensed Practical Nurse. Fulfills LPN visits in assigned geographic location per patient need within federal and state specifications. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Below are minimal knowledge/physical requirements of this position. Travel is required for this position. Constantly (66%-100%): Reading, Speaking, Writing English Communications Skills Computer/PDA Usage Hand/finger dexterity Hearing/Seeing Talking in person Hearing in person Vision for close work Frequently (34%-66% ) Walking Sitting Driving Talking on the phone Hearing on the phone Occasionally (2%-33%) Bending Standing Lifting up to 50 lbs. with or without assistance Stretching/Reaching Climbing Stooping (bend at waist) Distinguish smell/taste Rarely (1% or less) N/A We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.

LPN Podiatry

AHS Allina Health System New Ulm, MN

$26.17 - $32.79 / hour

Location Address: 1324 5th St N New Ulm, MN 56073-1514 Date Posted: August 19, 2026 Department: 65005660 Podiatry Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 36 Union Contract: MLPNA-3-New Ulm LPN-LNU Weekend Rotation: Occasional Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: .9 FTE (72 hours per two-week pay period) 8-hour day shifts Occasional weekends Benefit Eligibility Travel to outreach sites required Meet our Care Team Members: Licensed Practical Nurse Job Description: The Licensed Practical Nurse (LPN) - Clinic provides support to providers in the delivery of timely, quality patient health care services in a clinic environment. Some duties may include collecting patient information and data, provide patient care, communicate with patient, and care team member. May work in a team supporting multiple providers. Individuals in this role will work in an outpatient clinic setting. Principle Responsibilities Provides patient care support as delegated by Provider or RN. Administers therapies including medications, scheduling follow up visits (and prior authorization) or other support unique to a specialty provider. Provides patient care pre/post encounter or procedure, preventative or other health information. Collaborates with Provider and team on improving and managing quality goals. May start, monitor, and discontinue IVs (dependent on site needs and training). Rooms patients, manages patient flow and obtains adequate patient medical information/data. Performs rooming and accurately measures patients’ vital signs and other measurement/indicators as necessary and records in medical record. Coordinates communication of medical information and confirms information with patient when necessary and document per practice. policy and standards Assists patients, as necessary, to prepare for physician exam, including providing psycho-emotional support. Assists in the collection, labeling and processing specimens timely/accurately. Assists physician with procedures including preparation of medication as required/needed. Organizes patient flow so physician can move efficiently from one room to the next. Provides outbound calls to patients to follow up as directed which may include notifying patients of test results. Accurately and completely charts information in the patient medical record. May checkout and schedule follow up visits with provider or appropriate staff before patient leaves. Receive or initiate patient phone calls. Answers phones cordially and professionally in a timely manner. May confirm or reiterate patient symptom using patient's own words. Arrange for appropriate appointment or forward to RN or provider for review/recommendation. Documents all encounters and patient interactions accurately and completely in the electronic medical record. Processes physician orders. Performs any clinical functions within scope of license as ordered by physician. Responds promptly to patient needs and requests. Reviews patient charts before the visit to ensure that test results, therapy reports etc. are available. Provides appropriate instructions to patient as directed by physician. Cleans, prepares, organizes and re-stocks exam rooms. Cleans and ensures the proper maintenance occurs for all exam rooms and sterilize instruments as trained. Ensures that required teaching supplies are restocked and readily available. Stocks and supplies exam rooms according to standards and patient needs. Other duties as assigned. Required Qualifications Associate's or Vocational degree from a Board of Nursing approved LPN program Preferred Qualifications Two years clinic LPN experience Licenses/Certifications Licensed Practical Nurse MN BON or Licensed Practical Nurse Wisconsin (if working in Wisconsin or interacting with Wisconsin patients remotely) May require both state licenses based on the services provided at the location hired Must meet at least ONE of the requirements below: ◦ Current BLS certification from the American Heart Association ◦ Current BLS certification from the American Red Cross ◦ Allina in-house BLS training (within 30 days of hire) Physical Demands Light Work: Lifting weight up to 20 lbs. occasionally, up to 10 lbs. frequently Pay Range Pay Range: $26.17 to $32.79 per hour The pay described reflects the base hourly pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work. Benefits include: Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

LPN Primary Care - Utility

AHS Allina Health System New Ulm, MN

$26.17 - $32.79 / hour

Location Address: 1324 5th St N New Ulm, MN 56073-1514 Date Posted: August 19, 2026 Department: 65009900 Clinic Family Practice Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 32 Union Contract: MLPNA-3-New Ulm LPN-LNU Weekend Rotation: Occasional Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: .8 FTE (64 hours per two-week pay period) 8-hour day shift from 7:30 a.m. - 5:00 p.m. Occasional weekends Benefit Eligibility Meet our Care Team Members: Licensed Practical Nurse Job Description: The Licensed Practical Nurse (LPN) - Clinic provides support to providers in the delivery of timely, quality patient health care services in a clinic environment. Some duties may include collecting patient information and data, provide patient care, communicate with patient, and care team member. May work in a team supporting multiple providers. Individuals in this role will work in an outpatient clinic setting. Principle Responsibilities Provides patient care support as delegated by Provider or RN. Administers therapies including medications, scheduling follow up visits (and prior authorization) or other support unique to a specialty provider. Provides patient care pre/post encounter or procedure, preventative or other health information. Collaborates with Provider and team on improving and managing quality goals. May start, monitor, and discontinue IVs (dependent on site needs and training). Rooms patients, manages patient flow and obtains adequate patient medical information/data. Performs rooming and accurately measures patients’ vital signs and other measurement/indicators as necessary and records in medical record. Coordinates communication of medical information and confirms information with patient when necessary and document per practice. policy and standards Assists patients, as necessary, to prepare for physician exam, including providing psycho-emotional support. Assists in the collection, labeling and processing specimens timely/accurately. Assists physician with procedures including preparation of medication as required/needed. Organizes patient flow so physician can move efficiently from one room to the next. Provides outbound calls to patients to follow up as directed which may include notifying patients of test results. Accurately and completely charts information in the patient medical record. May checkout and schedule follow up visits with provider or appropriate staff before patient leaves. Receive or initiate patient phone calls. Answers phones cordially and professionally in a timely manner. May confirm or reiterate patient symptom using patient's own words. Arrange for appropriate appointment or forward to RN or provider for review/recommendation. Documents all encounters and patient interactions accurately and completely in the electronic medical record. Processes physician orders. Performs any clinical functions within scope of license as ordered by physician. Responds promptly to patient needs and requests. Reviews patient charts before the visit to ensure that test results, therapy reports etc. are available. Provides appropriate instructions to patient as directed by physician. Cleans, prepares, organizes and re-stocks exam rooms. Cleans and ensures the proper maintenance occurs for all exam rooms and sterilize instruments as trained. Ensures that required teaching supplies are restocked and readily available. Stocks and supplies exam rooms according to standards and patient needs. Other duties as assigned. Required Qualifications Associate's or Vocational degree from a Board of Nursing approved LPN program Preferred Qualifications Two years clinic LPN experience Licenses/Certifications Licensed Practical Nurse MN BON or Licensed Practical Nurse Wisconsin (if working in Wisconsin or interacting with Wisconsin patients remotely) May require both state licenses based on the services provided at the location hired Must meet at least ONE of the requirements below: ◦ Current BLS certification from the American Heart Association ◦ Current BLS certification from the American Red Cross ◦ Allina in-house BLS training (within 30 days of hire) Physical Demands Light Work: Lifting weight up to 20 lbs. occasionally, up to 10 lbs. frequently Pay Range Pay Range: $26.17 to $32.79 per hour The pay described reflects the base hourly pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work. Benefits include: Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.

PRN LVN/LPN

Crossover Health Moreno Valley, CA

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Crossover Nurse is central and a key partner in creating a strong patient experience. This position actively manages patient care by coordinating and connecting patients with specialists and their facilities. This position follows up with patients, guides them through the process, and while modeling Crossover’s values. The environment is fast-paced and rapidly changing and the philosophy revolves around primary care as the patient centered home and evidence-based medicine guidelines. Job Responsibilities Delivers patient care, practicing under the oversight of an RN or clinic supervisor Collaborates with patient and care team to facilitate a patient-centered medical home Provides evidence-based nursing care at the highest community standard Coordinates and connects the patient with specialists and their facilities Provides phlebotomy services and immunization services Performs other duties as assigned Required Qualifications Licensed Vocational Nurse from an accredited school with a minimum of 3 years of clinical experience Current BLS (Basic Life Support) certification Preferred Qualifications Experience in a fast-paced and rapidly changing environment Demonstrated strong work ethic and takes pride in a detailed oriented approach to work Highly organized and enjoys managing projects, big and small, to completion Creative, flexible, and navigates through obstacles Excellent follow-through with execution skills Able to handle ambiguity and solving issues Physical Job Requirements Requires standing, walking and sitting for extended amounts of time. Occasionally lift and carry items weighing up to 50 lbs. Manual and finger dexterity and hand-eye coordination Includes full range of body motion including potential of handling and lifting patients. Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@crossoverhealth.com . To all recruitment agencies : We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Onsite

Part Time Licensed Practical Nurse Home Health PRN

Thrive Skilled Pediatric Care LLC Athens, AL

$25 - $30 / hour

Position Overview The Licensed Practical Nurse - Part Time PRN is an essential part of the team responsible for providing and documenting skilled nursing care in accordance with the developed care plan and physicians’ orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times. Schedule: PRN Visits as needed Territory: Decatur and Athens - Morgan and Limestone Counties Essential Job Functions Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. • Perfom the continuum of hands on client care through documentation and timely communication with the client's physician and other caregivers Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk. • Educate clients and their family members based on client’s specific needs. Provide care in patients home using a variety of skills such as phone triage, patient education, observation/assessment, wound care, infusions, catheter care, PICC line dressing changes etc. Requirements: An active LPN License in the state of application Valid CPR and Drivers license in the state of application Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year LPN experience in a home health or health care setting Home Care Home Base exp a plus Comprehensive Benefits (Full-time positions) Aveanna offers benefits designed to support you inside and outside of work , including: Competitive pay Medical, Dental, Vision, and Life insurance Voluntary Pet Insurance for your fur babies 401(k) with Company match Vacation time, Sick time, Paid Holidays, and Floating Holidays Tuition reimbursement and tuition discounts Free continuing education units (CEUs) for nurses Employee Assistance Program and Employee Relief Fund Employee Stock Purchase Plan Our Mission Our mission is to revolutionize the way homecare is delivered, one patient at a time . We are committed to innovation, clinical excellence, and compassionate care—because outcomes improve when care is personal. Join the revolution and make a meaningful difference in the lives of patients and families every day.

LPN Primary Care

AHS Allina Health System New Ulm, MN

$26.17 - $32.79 / hour

Location Address: 1324 5th St N New Ulm, MN 56073-1514 Date Posted: August 19, 2026 Department: 65009900 Clinic Family Practice Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 36 Union Contract: MLPNA-3-New Ulm LPN-LNU Weekend Rotation: Occasional Job Summary: Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. Key Position Details: .9 FTE (72 hours per two-week pay period) 8-hour day shift from 7:30 a.m. - 5:00 p.m. Occasional weekends Benefit Eligibility Meet our Care Team Members: Licensed Practical Nurse Job Description: The Licensed Practical Nurse (LPN) - Clinic provides support to providers in the delivery of timely, quality patient health care services in a clinic environment. Some duties may include collecting patient information and data, provide patient care, communicate with patient, and care team member. May work in a team supporting multiple providers. Individuals in this role will work in an outpatient clinic setting. Principle Responsibilities Provides patient care support as delegated by Provider or RN. Administers therapies including medications, scheduling follow up visits (and prior authorization) or other support unique to a specialty provider. Provides patient care pre/post encounter or procedure, preventative or other health information. Collaborates with Provider and team on improving and managing quality goals. May start, monitor, and discontinue IVs (dependent on site needs and training). Rooms patients, manages patient flow and obtains adequate patient medical information/data. Performs rooming and accurately measures patients’ vital signs and other measurement/indicators as necessary and records in medical record. Coordinates communication of medical information and confirms information with patient when necessary and document per practice. policy and standards Assists patients, as necessary, to prepare for physician exam, including providing psycho-emotional support. Assists in the collection, labeling and processing specimens timely/accurately. Assists physician with procedures including preparation of medication as required/needed. Organizes patient flow so physician can move efficiently from one room to the next. Provides outbound calls to patients to follow up as directed which may include notifying patients of test results. Accurately and completely charts information in the patient medical record. May checkout and schedule follow up visits with provider or appropriate staff before patient leaves. Receive or initiate patient phone calls. Answers phones cordially and professionally in a timely manner. May confirm or reiterate patient symptom using patient's own words. Arrange for appropriate appointment or forward to RN or provider for review/recommendation. Documents all encounters and patient interactions accurately and completely in the electronic medical record. Processes physician orders. Performs any clinical functions within scope of license as ordered by physician. Responds promptly to patient needs and requests. Reviews patient charts before the visit to ensure that test results, therapy reports etc. are available. Provides appropriate instructions to patient as directed by physician. Cleans, prepares, organizes and re-stocks exam rooms. Cleans and ensures the proper maintenance occurs for all exam rooms and sterilize instruments as trained. Ensures that required teaching supplies are restocked and readily available. Stocks and supplies exam rooms according to standards and patient needs. Other duties as assigned. Required Qualifications Associate's or Vocational degree from a Board of Nursing approved LPN program Preferred Qualifications Two years clinic LPN experience Licenses/Certifications Licensed Practical Nurse MN BON or Licensed Practical Nurse Wisconsin (if working in Wisconsin or interacting with Wisconsin patients remotely) May require both state licenses based on the services provided at the location hired Must meet at least ONE of the requirements below: ◦ Current BLS certification from the American Heart Association ◦ Current BLS certification from the American Red Cross ◦ Allina in-house BLS training (within 30 days of hire) Physical Demands Light Work: Lifting weight up to 20 lbs. occasionally, up to 10 lbs. frequently Pay Range Pay Range: $26.17 to $32.79 per hour The pay described reflects the base hourly pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work. Benefits include: Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.