Ernest Health

Registered Nurse House Supervisor Full Time Nights

$38.28 - $45.75 / hour
Overview House Supervisor RN - Full Time - Thornton, Colorado **This position will pay an additional $5 hourly for working the House Supervisor role. Denver Regional Rehabilitation Hospital, serving the greater Denver, Colorado area, provides specialized inpatient rehabilitative services in a warm and patient focused setting. We offer intensive therapy programs for patients recovering from strokes, neurological injuries, spinal cord and orthopedic trauma, and other debilitating conditions. Our dedicated team of rehabilitation experts works closely with each patient and their family to create personalized treatment plans – including physical, occupational, and speech therapies – aimed at restoring function and hope. Accredited and stroke rehabilitation certified, Denver Regional Rehabilitation Hospital has earned national recognition for effective, timely care, allowing patients to receive the highest level of rehab close to home. Experience the perfect balance of city life and natural beauty in Thornton, Colorado. Just eight miles from downtown Denver and a short drive to Rocky Mountain National Park, the area offers 300 days of sunshine annually and endless recreational opportunities. Whether you’re catching a game from one of Denver’s four professional sports teams or enjoying a concert at the iconic Red Rocks Amphitheater, there’s always something exciting nearby. Nestled at the foot of the Rocky Mountains, Thornton is an ideal destination for outdoor lovers and urban explorers alike. We are seeking a House Supervisor to join our team of passionate patient caregivers! As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through “My Ernest Journey” and through our Engagement Survey, where our approach is “You Spoke, We Listened”. These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them. Our hospital offers comprehensive benefits, designed to support your health and financial well-being. Benefits: PPO and High Deductible Medical Plan options Flexible Spending and Health Savings Account options available Dental and Vision coverage 401K with employer matching Life insurance Short-and-long term disability Wellness & Work Life Balance: Employee Assistance Program Wellness Program with quarterly wellness challenges with participation incentives Earned Time Off - start accruing vacation time on start date Professional Growth: Continuing education opportunities Qualifications Required Skills: Current state Registered Nurse license required. Current CPR Certification required. One (1) year recent experience required. Acute care setting preferred. ACLS certification preferred. Additional Qualifications/Skills: Knowledge of and adherence to current nursing theory and practice, infection control, and wound care standards of practice. Knowledge of accreditation standards to ensure adherence to all standards set forth by state and accrediting agencies of TJC and CMS. Knowledge of clinical operations and procedures, and utilizes proper policies, procedures, and guidelines in caring for patients. Demonstrates critical thinking skills. Demonstrates general computer skills including: data entry, word processing, email, and record management. Effective organizational and time management skills. Effective written and verbal communication skills. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others. Ability to maintain quality, safety, and/or infection control standards. Responsibilities The House Supervisor is responsible for administrative supervision of nursing services on the assigned shift. Supervises and coordinates activities of nursing personnel to maintain continuity of patient care. Provides professional nursing care to patients within assigned unit. Integrates the hospital’s mission and “Guiding Principles” into daily practice. Posted Total Compensation The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $ Minimum Salary USD $38.28/Hr. Maximum Salary USD $45.75/Hr.
Hackensack Meridian Health

Registered Nurse / RN L&D

Overview Join our team as a night shift, full-time, Labor & Delivery (L&D) Registered Nurse in Montclair, NJ. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. Make Healthcare Better: We use advanced technology to support our team and enhance patient care. Learn more about the benefits offered for this job. Get to Know Your Team: Hackensack Meridian Mountainside Medical Center is an 820,000-square-foot facility that offers the latest medical programs, cutting-edge technology, and patient-focused care that includes 365 beds, 1,200+ employees and a 27-bed Emergency Room/Fast Track Unit. Responsibilities The Registered Nurse, Labor and Delivery, is responsible for the delivery of patient care through the antepartum and postpartum phases utilizing the nursing process of assessment, planning, implementation, and evaluation. Qualifications Job Requirements: Associate’s degree in nursing 1 year of experience as an RN in a hospital setting Current NJ State Registered Nurse license BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care. NRP and ACLS to be completed within 6 months of employment. Preferred Job Requirements: Bachelor's degree in nursing Rate of pay is determined based on experience and education and may include other pay components such as differentials and call pay based on role.
Franciscan Missionaries of Our Lady Health System

Registered Nurse - Emergency Department (Full-Time, Nights)

Job Description The Registered Nurse provides safe therapeutic care in a holistic and systematic way, incorporating differences into the provision of care. Integrates knowledge, skills, and experiences to meet the needs of patients and families throughout the continuum to include patient and family education. Relies on education and training to complete responsibilities within scope of licensure as registered nurse. Responsibilities Clinical Practice and Care Management Performs psycholosocial/physiologic assessments that integrates changing data Formulates a plan of care based on trends of similar patients, including patient education and discharge planning. Tailors and prioritizes caring practice to individual needs, including cultural/ ethical/ spiritual needs. Participates in the planning of routine transitional health care needs. (i.e. treatment options patient placement options, end of life options) Responds to changes in patient's needs and provides holistic care using independent clinical judgment based on knowledge drawn from education and experience. Adapts planned educational programs and information to individual patients and family by modifying teaching strategies or content. Integrates education during the delivery of patient care. Collaborates with patients/ families to identify realistic desired outcomes. Ensures efficiency in the delivery of care: determines immediate priorities and offers solution for problems. Actively advocates for patient rights and identifies potential conflict. Seeks counsel for resolution of conflict. Identifies variances from expected outcomes. Evaluates patient outcomes and makes revisions in the plan of care. Documents all patient care activities as per documentation standards. Assists the healthcare team with the documentation process. Communication and Collaboration Consistently communicates/collaborates with the health care team members, patients and families to maximize patient outcomes. Appropriately delegates patient care activities to other health care team members and participates in making and revising staff assignments to achieve maximum productivity Maintains knowledge regarding unit initiatives, and incorporates the outcomes of the team/ committees work into practice. Participates on unit teams, work groups and/ or committees. Anticipates needs and voluntarily assists others. Quality Demonstrates knowledge of unit based quality improvement initiatives. Participates in quality improvement initiatives by utilizing standards, guidelines, and pathways for care delivery. Incorporates evidence based practice and research findings into nursing practice to enhance outcomes. Professional Development Acts as a clinical resource and serves as a mentor to health care team members; displays leadership behaviors. Identifies own learning needs based on self-evaluation and the progress made from the previous year's goals. Accountable for all documentation and completion of all required continuing education and competencies relevant to area of practice as defined by clinical management. Ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. Provides direction and guidance to others regarding practice, serves as a resource, preceptor, and mentor. Leadership skills in critical thinking, decision-making, and problem solving. Other duties Consistently performs 12 organizational Service Standards focused on Values, Service and Quality. Qualifications Education - Graduate of accredited school of nursing Special Skills - Proficient in the English language, verbal and written communication skills, computer skills Licensure - Current Louisiana State license as RN; BLS certification; ACLS and PALS Certification within first 6 months of hire, CPI and NIH Stroke Scale Certifications within first year of hire
University of Miami Health System

Registered Nurse - Pre-Post Doral - Per Diem

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . CORE JOB FUNCTIONS Assesses assigned patients and evaluates plans to include documentation of nursing care. Reports symptoms and changes in patients’ condition and vital signs. Modifies patient treatment plans as indicated by patients’ responses and conditions, and physician orders. Reviews, evaluates, and reports diagnostic tests to assess patient’s condition. Consults with physicians and other healthcare professionals related to assigned patients to assess, plan, implement and evaluate patient care plans. Prepares patients for, and assists with examinations, procedures, and treatments. Considers patient age and culture during patient treatments and provides any needed information regarding treatment plan. Nurtures a compassionate environment by providing psychological support. Performs appropriate patient tests and safely administers medications within the scope of practice. Administers and maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures, and physician orders. Communicates plan of care in a timely manner to patient and family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (i.e., HIPAA). Uses best practices for transition of patient care. Utilizes available resources to assist in discharge planning. Plans, prioritizes, and adjusts assignments to accomplish goals and render superior patient care; seeks assistance when needed. Adapts to changing work demands and environment. Operates the appropriate medical equipment. Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor of Science in Nursing Certification and Licensing: Florida Registered Nurse License Advanced Cardiovascular Life Support Certification (ACLS) Basic Life Support Certification (BLS) Pediatric Advanced Life Support (PALS) Experience: Minimum 2 years of nursing experience Knowledge, Skills and Attitudes: Knowledge of medical terminology Knowledge of nursing care methods and procedures In-depth knowledge of health and safety guidelines and procedures (i.e., sanitation, decontamination etc.) Ability to recognize, analyze, and solve a variety of problems. Ability to maintain effective interpersonal relationships Ability to communicate effectively in both oral and written form This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Part time Employee Type: Temporary
Roper St. Francis Healthcare

Registered Nurse (RN) - Emergency Department (ED) - Mt. Pleasant Hospital

Thank you for considering a career at Roper St. Francis Healthcare! Scheduled Weekly Hours: 36 Work Shift: Evenings/Nights (United States of America) Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness; administers medications in a safe manner consistent with the State of Practice and organization policies and procedures; serves as point of contact for patients' care coordination throughout hospital departments. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Incorporates the professional practice model into care delivery Skills • Knowledge of contemporary nursing practice and future innovations • Nursing judgment and skill based on principles of the biological, physical, behavioral, and social sciences • Application of the nursing process in patient care delivery • Coordination of patient care delivery • Evaluation of professional nursing practice to optimize goals and outcomes • Health teaching and health promotion • Patient advocacy and partnership • Interprofessional collaboration and leadership • Understanding and utilization of office and clinical technologies • Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence • Integration of quality improvement, evidence based practices and research in practice • Accountability for professional actions • Effective stewardship of available resources • Conflict management and resilience • Authority for delegating activities to others, while remaining responsible and accountable for outcomes Certifications BLS Basic Life Support, American Heart Association (required at hire for Roper St Francis Healthcare locations; preferred at hire, required prior to independent patient care at BSMH) Valid nursing license from the state of practice (required) Education Associate of Nursing, nursing (required) OR Diploma in Nursing (required) Bachelors of Science, nursing (preferred) Roper St. Francis Healthcare is an equal opportunity employer. As a Roper St. Francis Healthcare teammate, you’re part of a Misson 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, HAS/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, and short- and long-term disability Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Emergency Department - Mt Pleasant Hospital 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 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@RSFH.com .
MUSC

Registered Nurse II- MedTele-Weekend Work Plan

Job Description Summary Under general supervision, the Registered Nurse II provides individualized, goal-directed patient care to families and patients at a competent level utilizing the principles and practices of the nursing process; delivers safe and effective care and interacts with other members of the health care team to achieve desired results. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005559 COL- 3 Tower (DMC) Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 36 Work Shift Job Description *** $30,000 Sign-On Bonus Available to New Hires w/Experience! *** Entity/Organization: MUHA (Medical University Hospital Authority/Medical Center) Hours Per Week : 36 Scheduled Work Hours/Shift: 3 twelve-hour shifts per week Job Summary/Purpose : Under general supervision, the Registered Nurse II provides individualized, goal-directed patient care to families and patients at a competent level utilizing the principles and practices of the nursing process; delivers safe and effective care and interacts with other members of the health care team to achieve desired results. Minimum Training and Education : Associate degree in nursing. Bachelor’s degree preferred. At least one year of experience as a Registered Nurse. Required Licensure, Certifications, Registrations : Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state. Current Basic Life Support (BLS) required , either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider. Advanced Cardiac Life Support (ACLS) is required. Additional Job Description Physical and Mental Requirements : Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that cannot assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions) If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
Sarasota Memorial

Registered Nurse

Department Neuro/Med Surg Job Summary Provides professional nursing care to patients and families in an acute clinical care environment, guided by the SMHCS nursing professional practice model and in accordance with the ANA's Standards of Professional Practice. Required Qualifications Require graduate of an accredited school of nursing or a diploma program. For new hires after 2012, Bachelor of Science Degree in nursing (BSN) is required within specified timeframe as outlined in the New Hire BSN Agreement policy (126.045). - Require basic working knowledge of commonly used computer applications. Preferred Qualifications - Prefer certification in nursing specialty area. Mandatory Education Preferred Education BSN: Bachelor of Science in Nursing Required License and Certs BLS: Basic Life Support/CPR FL RN: FL Registered Nurse License Preferred License and Certs ACLS: Advanced Cardiac Life Support Employment Screening Requirements As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/
United Surgical Partners International, Inc

Registered Nurse Med Surg Nights PRN

Baylor Scott & White Medical Center - Trophy Club is hiring a PRN Registered Nurse for our Post-Surgical Unit! *Night Shifts* Welcome to Baylor Scott & White Medical Center - Trophy Club, TX , where we are dedicated to providing the pinnacle of excellence you've come to expect from Baylor – right within your own community! Why Choose Baylor Scott & White Medical Center - Trophy Club? · A Commitment to Excellence: Join a team devoted to delivering top-tier clinical care and an outstanding patient experience, all within your local reach. Our commitment to excellence is palpable in every facet of your journey. · Diverse Specializations: Our specialties range from Bariatrics to Urology, catering to a wide spectrum of medical needs. We currently have 9 Operating Room, Bariatric Center of Excellence and are Total Joint Accredited. Whether it's a specialized procedure or general care, you'll play an essential role in our commitment to patient well-being. · 24/7 Emergency Care: Our 24-hour emergency department is always primed to handle unexpected pain or injuries, providing timely care when it's needed most. · Cutting-Edge Facilities: Our six advanced operating rooms enable our physicians to deliver the highest standard of surgical care. Extensive onsite diagnostic imaging expedites treatment and enhances patient care. · USPI Partnership: Baylor Scott & White Medical Center - Trophy Club stands as a testament to collaborative excellence, as a partnership between Baylor Scott & White and USPI. This synergy fosters a culture of innovation, learning, and collective growth. · Committed Patient Care: Just as we would for our own families, we are unwavering in our commitment to providing quality, specialized treatment with compassion tailored to each individual under our care. Join us at Baylor Scott & White Medical Center - Trophy Club and embark on a career journey that marries professional growth with impactful patient care. Apply today to be part of our dynamic team, where your dedication and expertise create an environment dedicated to exceptional service. Your path to a rewarding career starts here! Registered Nurse Post-Surgical Unit at Baylor Scott & White Medical Center - Trophy Club: · The Post-Surgical Unit RN has the responsibility to plan, direct organize, coordinate and implement all nursing care services for the post-surgical patients in a manner suitable to accepted standards of care. · He/she ensures the highest quality and safe delivery of patient care, maintains compliance with professional nursing, The Joint Commission, and all Federal and State standards of care. · The Post-Surgical Unit RN is assigned to respond to patients presenting to facility with a healthcare need and will provide the Medical Screening Exam as delegated by the Medical Executive Committee. Qualifications Education: · Graduate of accredited school of professional nursing. Licensure/Certification: · Current Texas RN License · BLS and ACLS required Required Experience: · At least one (1) years' experience as an RN in hospital Medical/Surgery or ICU unit preferred. · Telemetry experience required What We Offer: As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes: Medical, dental, vision, and prescription coverage Life and AD&D coverage Availability of short- and long-term disability Flexible financial benefits including FSAs and HSAs 401(k) and access to retirement planning Paid holidays and vacation Who We Are: At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. Required Skills:
Lexington Medical Center

Utilization Review Specialist RN PRN

Utilization Management Dept. PRNAny Variable Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.Job Summary Performs admission and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting. Follows patient throughout hospitalization collaborating with attending physician and other health care providers. Communicates with third party payors to obtain authorization. Contributes to appropriate throughput and length of stay. Assists with denial management. Reviews physician medical record documentation and consults with physicians regarding completeness. Minimum Qualifications Minimum Education: ADN, Diploma Nursing Degree, or Bachelor of Science in Nursing Minimum Years of Experience: 3 Years of experience in an acute care hospital setting Substitutable Education & Experience: None. Required Certifications/Licensure: Registered Nurse currently licensed in the State of South Carolina Required Training: None. Essential Functions Works in a cooperative manner, which fosters favorable relations between employees and patients, patients' families, visitors, fellow employees, and the medical staff. Accepts chain of command, supervision, and constructive criticism. Exhibits commitment and pride through personal example by positively speaking about LMC, the department, employees and guests. Contributes to teamwork and creates harmonious, effective and positive working relationships with others. Respects, understands, and responds with sensitivity to employees and guests by treating others as one would wish to be treated. Resolves conflicts and problems-solves by remaining calm when confronted, attempting to identify solutions or referring person to appropriate authority and attempting to deliver more than is expected. Exhibits telephone courtesy by: Answering promptly with name and department. Speaking with pleasant tone while focusing on caller. Transferring calls correctly and promptly. Attending to calls on hold in a timely manner. Maintains confidentiality by: Discouraging gossip. Using discretion when discussing patient, work, or LMC-related information with others. Utilizes the service recovery process to resolve complaints (GIFT). Demonstrates competence in providing duties within role. Demonstrates competence to provide developmentally appropriate planning/review for patients of all age groups. Identifies need for professional growth and seeks appropriate professional development opportunities attaining a minimum of 15 hours of continuing education in topics related to the role annually. Serves as role model for other members of the health care team. Demonstrates receptiveness to change and flexibility in meeting department needs. Assists in orientation and training of staff. Performs admission and continued stay medical record review to gather information to support medical necessity of the admission and communicate with third party payors. Performs timely review of admissions utilizing InterQual criteria to assess for appropriate level of care assignment. Reviews both inpatient admissions and patients placed in Observation. Incorporates applicable governmental regulatory guidelines in effect for Medicare and/or Medicaid admissions. Submits clinical data to third party payors and documents authorization in electronic medical record system. Performs continued stay reviews based on intensity of service, clinical response to care, expected length of stay and readiness for discharge, or at intervals which correspond to authorized days. Refers Observation or Inpatient admissions that lack documented medical necessity for the stay to the Physician Advisor and completes any needed follow through to ensure correct level of care and billing based on the Physician Advisor’s determination. Documents pertinent clinical data on worksheets. Ensures regulatory compliance and revenue integrity utilizing appropriate billing policies. Certifies Medicare admission utilizing established admission screening criteria. Duties & Responsibilities Applies appropriate condition codes and modifiers in electronic medical record system to communicate accurate claims information for billing. Documents denial information in electronic medical record system including attempts at resolution/overturning of the denial. Provides all payor communication to be scanned into the system for use in appeals. Maintains good working relationships with other departments within the revenue cycle. Conveys and receives information efficiently to and from third party payors, physicians, patients/families, physician practices, other members of the health care team, and other external agencies. Respects patient confidentiality and uses discretion in all interactions regarding patient protected health information. Consults with attending physician when documentation in the medical record does not support admission or continued stay and seeks to ensure completeness of all clinical documentation. Functions as liaison between the Physician Advisor and the attending physician. Serves as a resource to physicians, patients, physician practices, and other members of the health care team regarding issues related to patient classification and reimbursement. Issues letters of non-coverage in cases where the admission or continued stay is not certified, as necessary. Ensures patient/family notification of Observation status and documents in electronic medical record. Communicates insurance authorization information to physician's office as requested. Communicates with case management triad regarding reimbursement issues. Uses appropriate channels for reporting progress or concerns. Participates in making appropriate and efficient discharge plans for patients on assigned areas. Consults with members of the health care team effectively and efficiently regarding patient discharge plans. Manages inpatient Medicare discharge expedited appeals process through the QIO. Notifies attending physician and other members of the health care team of inappropriate admissions, denials, end of authorized days, or other factors that have a reimbursement impact. Consults Physician Advisor in cases where patient demonstrates readiness for discharge, but there is no documented intent to discharge. Identifies and documents potentially avoidable days in electronic medical record system. Assist Social Work staff to coordinate/obtain authorization for post acute services as needed. Identifies opportunities for improvement and coordinates/participates in the development and implementation of action plans to make improvements. Participates in unit discharge planning activities and in interdisciplinary patient care conferences. Indentifies abnormal patterns of utilization and refers to Manager/Director. Recommends changes to system/processes to eliminate identified problems. Represents department on various committees/taskforces. Adapts to change in timely and positive manner. Strives to meet department and hospital goals. Performs all other duties as assigned by authorized personnel or as required in an emergency (e.g., fire or disaster). We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity EmployerIt is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.
Norton King's Daughters' Health

RN, GI Specialty Mixed Acuity Unit, 6:45p - 7:15a

Responsibilities A professional nurse is an individual accountable for the care of a group of patients. The Registered Nurse (RN) focuses on safe effective patient and family centered care, customer satisfaction and quality outcomes. The RN is responsible for assisting in maintaining a financially stable unit, promoting his/her own development with an emphasis on evidence based practice and education supported by a Practice Governance framework. The RN supervises licensed and non-licensed staff members. Applying the caring processes of the Kristin M. Swanson Model of Care, the RN has the responsibility to assess, develop, implement and evaluate the plan of care. The RN focuses on patient and family comforts, education and satisfaction. The RN applies his/her educational and professional experiences in the delivery of quality care and mentoring/precepting staff. Discover a healthcare career designed with you in mind at Norton Healthcare. Whether you are an upcoming New Graduate RN pursuing an ADN or BSN or are an Experienced RN , the Norton Healthcare team will walk you through career opportunities and pathways. We invite you to learn more about what it means to be a part of the Norton Healthcare family through our interactive Zoom information sessions: For New Graduate RNs, click here to sign up for a zoom session. As an employee, you will have access to a variety of programs to enhance your experience and well-being, including learning and career growth opportunities, an employee wellness program, employee resource groups, and volunteer opportunities. You may be eligible for some of our programs: Tuition Assistance to aid with school costs. Relocation Assistance to help you make the Louisville Metropolitan or Southern Indiana area your new home. Encompass Program : Supports new graduate nurses during transition from the role of student to practicing nurse, helping them gain confidence and develop professional relationships in the process. Employee Referral Incentive to support your networking and help others join our team. Comprehensive Benefits to choose from to support your needs. Retention Incentive Program : Designated Units may qualify for additional incentive payments. Qualifications Required: No experience required for full-time or part-time positions. If PRN, must have one year of RN/LPN experience in an inpatient, acute-care setting. Diploma or Associate Nursing Registered Nurse (KY)
Lovelace Health System

Registered Nurse / RN ER

Overview Join our team as a night shift, full-time, Emergency Room (ER) Registered Nurse in Albuquerque, NM. You may be eligible for a sign on bonus for up to $16,000. You may also be eligible for relocation assistance. (if applicable) Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. Make Healthcare Better: We use advanced technology to support our team and enhance patient care. Get to Know Your Team: Lovelace Women’s Hospital is a 53-bed advanced neonatal intensive care unit, family care unit, an award-winning breast care center and the first robotic surgery program in the state recognized as a Center of Excellence in Robotic Surgery by Surgical Review Corporation. Responsibilities The Registered Nurse is r esponsible and accountable for the practice of Professional Nursing, to include patient care and staff management assigned to the RN in his/her charge. May serve in the role of Charge Nurse and is accountable for professional practice. Adheres to policies and procedures and regulations to ensure compliance and patient safety. Qualifications Job Requirements: Associate’s Degree or Diploma of Nursing Valid NM Nursing license or NM compact license (within 90 days of hire) BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care. DEPARTMENT MAY ALSO REQUIRE ACLS and or PALS Preferred Job Requirements: Bachelor’s Degree in Nursing. 2 years of experience in a specialty 2 years of general nursing experience.
Mount Sinai Health System

Clinical Nurse-Med-Surge-SpineCenter-8C-Mount Sinai Hospital-FT/Nights

$64.85 / year
Description Job Title: Clinical Nurse-Med-Surge-SpineCenter-8C-Mount Sinai Hospital-FT/Nights The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others. Responsibilities Patient Care Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management. Integrates relevant assessment and intervention skills in the delivery of nursing care. Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate. Educates patients and caregivers while anticipating needs and readiness to learn, about their plan of care, transition of care, promotion of health, and prevention of disease. Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team. Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively. Patient Experience Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain and Plan of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. Considers the patients values, preferences, expressed needs and knowledge in all aspects of care. Establishes and maintains a therapeutic relationship with the patient and family. Uses evidence-based practices to increase understanding of patient's perceptions of care. Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions. Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care. Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps. Quality and Safety Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. Implements process improvement strategies based on institutional, evidence-based ensure and procedures. Engages in formal and informal peer and institutional review processes. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies. Contributes to quality and safety practices and required compliance measures. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives. Operations Performs charge nurse duties as assigned. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator to ensure supplies are appropriately utilized and inventory is sufficient for patient care. Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Administrator. Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources. Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. Facilitates patient throughput on a shift basis. Professional Development Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. Advances clinical competence in nursing practice to progress from novice to expert. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy. Incorporates ethical principles into decision making for patient and family. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs. Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives. Serves as a professional role model and preceptor for new staff and students. Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care. Contributes to the profession of nursing through participation in professional organizations. Qualifications Graduation from an accredited Nursing program. Bachelor’s Degree in Nursing. (BSN) Associate’s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year. Any Associate’s Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO. Relevant clinical competence in area of nursing practice assigned; new graduates must possess current knowledge of the nursing process and its application Licensed as a registered nurse with current registration in New York State Name: Basic Life Saver (BCLS) Issuing Agency: AHA Certification: NRP (Labor and Delivery, NICU dept) Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology Certification: PALS (in ED; PACU; Endoscopy; IR; Peds ICU, and APNs Pediatric Oncology depts.) Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64.8517 - $64.8517 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
UnityPoint Health

Registered Nurse - Labor/Delivery

$32.73 - $49.09 / hour
Area of Interest: Nursing Salary Range: $32.73-$49.09/hr* Sign On Bonus: $10,000 FTE/Hours per pay period: 0.9 Department: Mother/Baby- MO Shift: Varied Job ID: 186028 Overview $10,000 Sign-On Bonus for External Candidates for Full-Time Roles ]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" data-turn-id="request-WEB:9e48e650-29b0-46b8-98d2-5db7bc812fa1-2" data-turn-id-container="request-WEB:9e48e650-29b0-46b8-98d2-5db7bc812fa1-2" data-testid="conversation-turn-6" data-turn="assistant"> Multiple RN Opportunities Available in our Labor/Delivery Unit Shifts Available: Full-Time (0.9): Day Shift: 6:45 AM - 7:15 PM Night Shift: 6:45 PM - 7:15 AM Part-Time (0.6): Nights: 6:45 PM - 7:15 AM Join our team as a nurse in the Labor and Delivery Unit, caring for antepartum, intrapartum, and postpartum mothers. BirthPlace in Moline is a Level II Plus Labor department and includes a six-bed triage , eight labor deliver and recovery rooms, two operating rooms, 17-bed Mother/Baby Unit , and a 10-bed Neonatal Special Care Unit. With approximately 450 deliveries per year supported by a Maternal Access Health Solutions model and midwifery. We follow AWHONN staffing guidelines and foster a collaborative environment focused on providing exceptional care to mothers and newborns. Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Assess patient and family needs, provide education, and coordinate referrals to ensure continuity of care. Develop and implement individualized plans of care in collaboration with patients, families, and the interdisciplinary healthcare team. Deliver safe, high-quality nursing care utilizing the nursing process, clinical expertise, and evidence-based practice. Monitor patient conditions, apply critical thinking skills, and make independent clinical judgments to support positive patient outcomes. Accurately and promptly document patient assessments, interventions, and outcomes in the medical record. Delegate and coordinate patient care activities while providing guidance and support to other healthcare team members. Promote patient safety and education by utilizing age-appropriate teaching strategies, preventing errors and infections, and supporting patients and families throughout their care journey. Qualifications Education: Diploma from an RN program. License(s)/Certification(s): Current licensure in good standing to practice as a Registered Nurse in primary state. Must apply within 90 days for licensure in secondary state. Must possess and maintain current Basic Life Support (BLS) certification. Must possess and maintain ACLS Specific offers are determined by various factors, such as experience, skills, internal equity, and other business needs. The salary range listed does not include other forms of compensation which may include bonuses/incentive, differential pay, or other forms of compensation or benefits that may be applicable to this role.
Covenant Health (MA)

REGISTERED NURSE-CRITICAL CARE

$36.86 - $50.76 / hour
Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!
St. Luke's Rehabilitation Hospital

Registered Nurse (RN) - PRN Nights | St. Luke's Rehab

Overview If you’re looking for a schedule that fits your lifestyle, check out PAM Health. Some things that our hospital can offer YOU: Opportunities for growth and advancement Flexible scheduling Employee Bonus Referral Program $$$ Supportive leadership Responsibilities Under the direction of the Chief Nursing Officer/Director of Nursing, Nurse Manager or Charge Nurse, the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering, directing and supervising care to patients admitted to the nursing unit. The Registered Nurse plans, coordinates, and provides patient care to include interdisciplinary planning, discharge planning, patient and family teaching for post-hospitalization, and accessing community resources. May perform other related duties as assigned or requested, including Charge Nurse (ACLS certification required). Qualifications Education and Training: Holds a current licensure as a registered nurse (RN) in the state where the hospital resides, or compact licensure if state participates. Current BLS certification is required. Evidence of ACLS certification is required within 90 days of employment. BLS and ACLS certifications must be AHA approved within 90 days of employment. Current ACLS certification is required for Charge Nurses. Experience: One year of inpatient medical-surgical nursing experience preferred but not required. About PAM Health PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities. PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.
Bronson Healthcare

Oncology Infusion RN - Full Time (80 hours per pay period) Monday-Friday 8 am-430 pm, Bronson Oncology and Hematology - Battle Creek

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BBC Bronson Battle Creek Title Oncology Infusion RN - Full Time (80 hours per pay period) Monday-Friday 8 am-430 pm, Bronson Oncology and Hematology - Battle Creek Under general supervision and in accordance with the policies, procedures and guidelines established within the organization, the unit, and the Michigan Public Health Code, the registered nurse manages the care delivery for patients in the organization throughout the length of stay to achieve quality outcomes and timely discharge by the following: utilizing the nursing process of assessment, planning, diagnosing, implementation and evaluation; coordinating the care provided by other professionals; delegating selected acts, tasks or functions that fall within the scope of professional nursing practice and the abilities of patient care assistants and universal service assistants; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. Associate's degree in Nursing required Bachelor's degree in Nursing preferred, must obtain within 8 years of hire Licensed Registered Nurse in good standing for the state of Michigan As of December 29, 2013, any nurse hired by Bronson who does not hold a BSN (or higher nursing degree) will be given 8 years from date of hire date to obtain. If, after 8 years, the nurse has not met this requirement, employment will be terminated. BLS certification required by completion of core orientation Critical care or ALS as well as other certifications may be required for some RNs, unit specific Bronson South Haven Specific - Effective July 1, 2017 all new hires are expected to successfully obtain their BSN within 8 years of hire date. Bronson South Haven Specific : Emergency Department: SALT triage, ESI Triage, and NIH Stroke Scale to be completed within 90 days of hire date. Advanced Cardiac Life Support, Pediatric Advanced Life Support, and Trauma Nursing Core Course (TNCC only required for FT and part -time nurses) within 6 months of hire date. Special Care Unit: All nurses in department will need to have Pediatric Advance Life Support certification within 6 months of hire. RNs in Labor & Delivery and Mother/Baby/Antepartum at BMH & BBC Specific : The Electronic Fetal Monitoring Certification through PQF or NCC is required within 6 months of completing intermediate fetal monitoring Current driver's license in the state of Michigan and proof of insurance required for BAH • Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action • Must be able to constantly communicate both verbally, in writing and electronically Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Involves regularly lifting of bulky or moderately heavy weights (i.e., up to 50 pounds), and occasionally assisting with heavier tasks or expending the equivalent effort in pushing, pulling, or otherwise handling material, equipment, and other objects. Standards of Practice: • The registered nurse collects comprehensive data pertinent to the patients’ health or the situation. o Assesses the patient’s physical and developmental needs o Analyzes assessment data to identify appropriate patient needs o Documents nursing history and age appropriate physical/emotional needs/strengths for assigned patients o Reviews vital signs to assess condition of patient and detect deviations from normal. • The registered nurse analyzes the assessment data to determine patient problems or issues o Uses the assessment data to identify patient problems o Confirms problems with patient and family when appropriate o Documents the expected outcomes and plan of care related to the problems through use of the clinical pathway and outcome teaching record • The registered nurse identified expected outcomes for a plan individualized to the patient o Utilizes the patient/family input when defining outcomes. Incorporates the patient values, ethical and cultural considerations. o Coordinates discharge planning for outcomes not achieved utilizing the continuum of care available. • The registered nurse develops a plan that prescribes interventions to attain expected outcomes. o Incorporates clinical pathways into the plan when appropriate o Develops individualized interventions with patient input when appropriate o Considers data from other members of the healthcare team when developing the plan of care • The registered nurse implements the identified plan. o Implements appropriate interventions. o Administers prescribed medication and treatment in accordance with approved nursing techniques and polices. o Utilizes evidence-based interventions specific to the patients plan o Maintains awareness of comfort and safety needs of the patient. o Initiates a patient education plan according to the individualized needs of the patient, and coordinates the implementation of the plan. o Manages the care plan for patients by organizing and delegation patient care interventions to be implemented. Evaluates the effectiveness of care given by self and others. • The registered nurse evaluates progress toward attainment of the expected outcomes o Evaluates the effectiveness of the planned interventions and the patient response toward achievement of the expected outcomes. o Documents the patient response toward the expected outcomes. Standards of Professional Performance: • The registered nurse systematically evaluates the quality and effectiveness of nursing practice. o Participates in quality improvement activities o Uses the results of quality improvement activities to initiate changes in nursing practice. • The registered nurse attains knowledge and competency that reflects current nursing practice. o Participates in ongoing educational activities related to appropriate knowledge and professional issues. o Maintains professional records that provide evidence of competency and continued ongoing educational activities. • The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. o Provides age appropriate care in a culturally and ethnically sensitive manner. o Participates in self-evaluation, identifying areas of strengths as well as areas benefiting from professional development. o Participates in systematic peer review as appropriate. • The registered nurse interacts with and contributes to the professional development of peers and colleagues. o Shares knowledge and skills with peers and colleagues o Maintains compassionate and caring relationships with peers and colleagues o Contributes to a supportive and healthy work environment. • The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. o Partners with the multiple health disciplines to effect change and generate positive outcomes for the patient and family, based on the plan of care. • The registered nurse integrates ethical provisions in all areas of practice. o Delivers care in a manner that preserves and protects patient autonomy, dignity, confidentiality and rights. o Demonstrates a commitment to connecting with self and others through relationship centered care giving. o Serves as a patient advocate • The registered nurse integrates research finding into practice. o Uses research to improve the health of patients and the practice environment. o Participates in the various levels of research based on their level of education. Such activities may include: identifying clinical problems, participating in data collection, participating in the research committee, sharing research activities/finding with others, conducting research, analyzing data and trends of nursing practice to develop changes in nursing practice and utilizes evidence based practice in the development of policies, procedures and standards of practice in patient care. • The registered nurse considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services. o Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the nursing activity, required problem solving and innovation, predictability of outcome, extent of patient interaction o Assists the patient and family in becoming informed consumers about the options, costs, risks and benefits of treatments and care. • The registered nurse provides leadership in the professional practice setting and the profession. o Participated in nursing councils, hospital and unit based committees as appropriate. o Attends at least 50% of unit staff meetings o Works to create and maintain professional, healthy work environment when representing Bronson in all settings (local, regional or nationally) • Responsibilities related to the Scrub RN o Interprets procedure card, assesses case cart for supplies prior to the scheduled procedure time. Identifies missing equipment and/or supplies and makes arrangements to acquire those supplies. o Applies knowledge of operative procedure and physician preferences by anticipating physicians' needs. o Observant of overt changes in patient's condition that indicates a problem has emerged. o Evaluates and updates case information, i.e., preference cards, broken or misplaced equipment, back-ordered supplies, and recommended changes in procedure. o Remains aware of the proper use of equipment and instruments, and discourages improper use and handling by co-workers & physicians. o Is observant of the changing needs of the operative field and the surgical team, anticipates potential needs, and takes appropriate actions. o Acts as the specialist and resource for circulators who may be unfamiliar with positioning devices, specialty equipment, and/or implants needed. o Assigned and responsible for after-hour call on a rotational basis. o Ability to perform scrub duties in multiple services; ie: neuro and ortho STII able to perform spinal fusions in bother services. For HDU Department Only: Additional on call requirements above and beyond regular scheduled hours For Bronson Lakeview Hospital and Bronson South Haven Hospital: The RN is responsible for completing the Workday CBL –“Swing beds”. This is an annual CBL that describes the difference in a swing bed patient versus an in-patient or observation patient. The RN will understand the documentation differences and the specific care required for each individual swing bed patient. Bronson South Haven Hospital and Bronson Lakeview Hospital employees who are approved to work in a Swing Bed Facility only: Employees may be expected to cover shifts at Bronson Lakeview Hospital and/or Bronson South Haven Hospital depending on patient acuity and staffing needs. Virtual Registered Nurse (VRN) Role: The virtual registered nurse leverages technology to deliver patient care remotely, collaborating with bedside staff and the broader care team to ensure quality outcomes and timely discharge. Core responsibilities include, but not limited to: Conducting admission screening, patient/family education, discharge planning, and medication dual acknowledgments via secure digital platforms. Completing diagnostic testing questionnaires and supporting patient safety initiatives. Mentoring and supporting nursing staff and facilitating patient progression toward discharge using electronic health record (EHR) tools such as checklists and clinical pathways. Analyzing assessment data to identify patient problems, confirming issues with patients/families as appropriate, and documenting individualized care plans in collaboration with bedside RNs. Systematically evaluating the quality and effectiveness of virtual nursing services, ensuring compliance with professional standards and organizational policies. Ability to project voice at volume that can easily be heard by individuals with little to no hearing impairment via audio-visual technology; speech in English is easy to understand Ability to grip and use computer keyboard and mouse Shift First Shift Time Type Full time Scheduled Weekly Hours 40 Cost Center 8553 Chemotherapy (BBC) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates (“Bronson”) strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!
BJC HealthCare

Neurosurgery Registered Nurse - Nights

Additional Information About the Role BJC Registered Nurse Career Ladder: The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description. Position Highlights $15,000 Sign On Bonus eligible! 3 (12)hr Night shifts 7p to 7a Weekend Requirement Every 3rd Weekend Benefit eligible first day of month after start 401(k) with match Neurosurgery is a 21-bed unit that primarily cares for patients who have undergone cranial procedures. We also are a prime choice for patients who have had spinal surgery, have been affected by a stroke, or have other neurological deficits or diseases. Our unit is mostly private rooms with advanced technology, dedicated leadership support, and skilled preceptors who want to help develop you into the nurse you have the potential to be. Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education Nursing Diploma/Associate's - Nursing Experience No Experience Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Education Bachelor's Degree - Nursing Experience
Novant Health

Registered Nurse - General Med/Surg

What We Offer The Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. The Registered Nurse utilizes best scientific evidence and compassion to assist the patient in navigating their health journey. The Registered Nurse accepts responsibility, authority, and accountability for management and provision of care in accordance with the current policies and procedures. What We're Looking For Education : 4 Year / Bachelors Degree, preferred. Graduate of an accredited school of nursing required. If your RN nursing license has been inactive, retired or lapsed for five years or more and you have not been licensed in another state during the last five years, successful completion of a Board approved refresher course is required prior to reactivating or reinstating your license. In order to be considered for current licensure status, you must apply for reinstatement within one year of completing the refresher course. Experience : One year relevant experience, preferred. Licensure/Certification: Current RN licensure in appropriate state, required. Job Opening ID 184970
Jefferson Health

Registered Nurse - Divisional Float Resource (Full Time, Nights) Northeast-Jefferson

Job Details With a commitment to patient- and family-centered care, the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical, psychological, emotional, and social needs of the diversity of patients served by Jefferson Health. Develops nursing plans of care with the patient and their designated care partner(s) to effectively address the individualized needs and priorities of patients and are consistent with their cultural beliefs and values. Job Description Job Duties Interacts with co-workers, patients, their family/designated care partner(s), and other staff consistent with the values of Jefferson. Integrates Evidence-Based Practice, clinical expertise, patients, their family/designated care partner(s) preferences and cultural beliefs and values for delivery of optimal healthcare. Partners with patients, their family/designated care partner(s)) in identifying learning needs and priorities and provides education in ways that are useful, understandable, and affirming. Minimizes risk of harm to patients and others by following established nursing practices and protocols and individual performance. Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making. Uses data to monitor the outcomes of care processes and uses improvement methods to design and test changes to continuously improve the quality and safety of patient care. Functions effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. Recognizes the patients, their family/designated care partner(s) in providing safe, compassionate and coordinated care based on respect for patient's personal preferences, priorities, needs, and cultural beliefs and values. Creates an environment of belonging and inclusion, demonstrating skills in problem solving and conflict resolution. Demonstrates a commitment to learning and seeks opportunities for continued professional growth and development and acts in primary preceptor role to appropriate staff members Actively participates in hospital- and practice setting-based committees, including safety and quality improvement. Demonstrates willingness to give and receive feedback and integrates appropriate changes into practice. Minimum Qualifications Graduate of an accredited school of nursing required Patient-and Family-Centered Practice Knowledge of how to convey respect and collaborate with each patient, family and/or designated care partner in care and care planning Cultural Awareness Knowledge of people with diverse backgrounds and the ability to convey respect and connect effectively Effective Communication Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors. Uses the language of partnership with patients and families, engaging them in their health and health care. Appropriately and respectfully delegates to other team members Patient Assessment and Care Knowledge of and ability to assess ailments and injuries of patients and implement a treatment plan Patient and Designated Care Partner Education Knowledge of child and adult education techniques and the ability to elicit learning priorities and needs and educate patients and their designated care partners on the patient's condition, the treatment and medications suggested and given, and the next steps in the patient's recovery Medication Administration and Prescription Knowledge of various medications used to treat patients, ability to apply this knowledge to the administration of medications and to the prescription of drugs for continuing treatment outside of the hospital. Discharge Planning Knowledge of the patient's post-discharge needs and the ability to partner with the patient and family/designated care partner(s) in developing a discharge plan and arranging for follow-up care. Assessment and Diagnosis Knowledge of various tools and techniques for patient assessment and nursing diagnosis or clinical judgement, ability to explore and analyze reasons behind symptoms and generate resolutions according to available drugs, facilities and techniques Health Information Documentation Knowledge of the relevance of health information and appropriate documentation methods, ability to record medical histories, symptoms, vital signs, medications, diagnoses, treatment plans, procedures, tests, and medical results in written or electronic form BLS - Basic Life Support AHA - American Heart Association or American Red Cross RN - Licensed Registered Nurse - PA - State of Pennsylvania Minimum 2 years RN experience required - Critical Care/ICU experience highly preferred Shift/Hours: Full Time/Nights - 36 hours weekly This position float between Bucks (primary hospital), Frankford, and Torresdale Preferred Qualifications BSN or completion of BSN or appropriate advanced degree within 3 years of hire strongly preferred Physical Demands Lift and carry 40-50 lbs. Examples: Push/pull patients on bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient's weight. Frequent to continuous standing/walking. Patient transporters can walk 8-10 miles per shift. *Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Work Shift Workday Night (United States of America) Worker Sub Type Regular Employee Entity Jefferson Health Northeast Primary Location Address 10800 Knights Road, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance. For more benefits information, please click here
Parkland Health (TX)

Senior Registered Nurse - Gynecology Oncology

Location: WISH: 2nd FLRBLK 100 🌟 10K SIGN-ON BONUS AVAILABLE 🌟 Full-Time - Oncology Experience Preferred PRIMARY PURPOSE The RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate patient care delivery, that focuses on a particular patient population(s)/specific health conditions, by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. MINIMUM SPECIFICATION Education Must be a graduate from an accredited school of nursing. Experience Must have two years of nursing experience. Equivalent Education and/or Experience: None Certification/Registration/Licensure Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or valid Compact RN license. Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Must have Oncology Nursing Society (ONS) Chemotherapy and Immunotherapy certificate within six months of placement in the role. Current incumbents hired prior to May 1, 2022 that are not in possession of the certificate will be expected to attain no later than May 31, 2022. Required Tests for Placement Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards. Must demonstrate ability to safety and successfully perform all responsibilities of Registered Nurse II-Oncology Services. Must have comprehensive understanding of chemotherapy as it relates to indications and side effects. Must be able to start and discontinue intravenous access. Must be able to access and provide maintenance of central line devices. Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care. Exercises independent judgment in providing nursing care. Must be able to demonstrate effective interpersonal skills and possess good oral and written communication skills. Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures. May be required to communicate effectively, via the overhead paging system. Must be able to demonstrate the ability to provide direction to non-nursing staff, serve as a preceptor, and serve on rotation as a Charge Nurse. Must be able to prepare and conduct in-service educational programs. Must be able to demonstrate patient centered/patient valued behaviors. As applicable, will be required to demonstrate acceptable knowledge of nursing standards of care for specialty care area. Must satisfactorily complete the oncology orientation to all applicable competencies. Responsibilities Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues. May participate in community outreach activities (such as health fairs, community collaborations or outreach clinics) as assigned. Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern nursing practice, and ensures the hospital and Parkland are in compliance. This includes EMTALA, Order of Productive Custody, Memorandum of Transfer and APOWW. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials. Performs appropriate patient assessments meeting admission and discharge criteria, provide safe medication administration using the patients six (6) rights, adequately perform POC monitoring and demonstrate safe infection control practices. Performs patient assessments related to cancer care and other medical diagnosis to include allergies and hypersensitivity reactions, physical, signs and symptoms, changes in activities of daily living, psychosocial, support network and financial dimensions across the continuum of care (diagnosis, treatment, surveillance, and end of life). Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of Oncology Services and Parkland. Educates patients, families and significant others on cancer care, therapies, treatment side effects, interventions and prevention. Performs patient teaching with documented care plans that are disease site oriented as related to phase of care across the continuum and for discharge planning. Collaborates with wound care stoma and ENT nurses for performing wound, colostomy and tracheotomy care as directed. Manages triage for patients/families/other internal and external health care professionals to optimally navigate the health care system. Seeks and utilizes direction from more experienced staff and team members as needed. May work with other staff in providing direction to non-nursing staff. Participates in information exchanges with nursing and other Parkland staff that support the standards, missions, goals, and objectives of Oncology Services and Parkland. Identifies ways to improve work process and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of Oncology Services and Parkland. Serves as a preceptor or trainer to newer nursing staff members. Serves as a Charge Nurse on rotation as necessary. Serves as a role model for oncology nursing. Serves as a resource to unit nurses. Stays abreast of the latest developments, advancements and trends in nursing practice by attending seminars/workshops, reading professional journals and actively participating in specialty nursing organizations. Keeps abreast of current clinical trials relevant to the patient population and specific cancer, communicating effectively with clinical trial staff. Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices. Prepares and conducts an in-service educational program for Oncology Services, at least once per year. Will maintain current Commission on Cancer specific certification in the nurse's specialty by an accredited certification program or will continue ongoing education by earning 12 cancer-related continuing education nursing contract hours per year or 36 cancer-related continuing education nursing contract hours each accreditation cycle (3 years). Requisition ID: 989115
Freeman Health System

Registered Nurse - Cath Lab - Day Shift - $10,000 Sign-on Bonus

Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. Schedule Full-time, day shift, 36 hours per week, 6:30 AM - 7:00 PM $10,000 Sign-On Bonus About Us - Cardiac Cath The Cardiac Cath Lab (CCL) is designated by the state of Missouri as a level I STEMI center. The CCL provides specialized diagnostic and interventional services for both inpatient and outpatient adults. The CCL is committed to staying at the cutting edge of heart disease diagnosis and treatment by utilizing state-of-the-art technologies and equipment in our lab. Procedures that are included but not limited to: cardiac and peripheral diagnostics and revascularizations, electrophysiology studies, structural heart procedures, and vascular embolization. The normal hours of operation for the CCL are Monday through Friday 6:30am to 7:00pm with extended hours until 9:00pm on Tuesday, Wednesday, and Thursday. On call critical care/emergency services are provided 24 hours a day, 7 days a week. Call is a requirement for this department with a required 20-minute staff response time. The call-team members consist of a Cardiologist, RN circulators, cath lab technologists, or Special Procedure Technologists. What You’ll Do In conjunction with the medical plan of care, independently performs systematic and continuous assessment of the physical, emotional, clinical and psychosocial needs of assigned patients and families. Plans and implements appropriate interventions; and evaluates effectiveness and adjusts plan as indicated in a timely manner in the provision of safe and effective care. Requirements Current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse’s state of residence. Preferred Requirements Minimum of 1 year high acuity ICU or ER experience Freeman Perks and Programs For eligible full-time and part-time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one! Health, vision, dental insurance Retirement with employer match Wellness program with discounts to Health Insurance or Cash Bonus with Participation Milestone payments with longevity of employment Paid time off (PTO) Extended Sick pay Disability pay Learning Center designated only for Freeman Family members Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.
Oceans Healthcare

Registered Nurse (RN) - Nights

Full-time RN * NEW GRADS WELCOME * Competitive Pay Rates & Shift Differentials Available Shift Options: * 3rd Shift: 11p-7:30a (4-8 hr shifts/week & weekend rotation) * Night Shift: 7p-7a (3-12 hr shifts/week & weekend rotation) About Haven Behavioral Hospital of Eastern PA Haven Behavioral Hospital of Eastern PA is an 86 bed acute-care Joint Commission Accredited psychiatric hospital that offers care for adults dealing with mental health conditions and co-occurring disorders. We are dedicated to partnering with individuals, families, and communities to improve the lives of patients through the delivery of high-quality, specialty behavioral health services. Benefits We Offer: Medical, Dental, Vision Coverage (Multiple Plan Options) - Eligible first of the month after 30 days. 401 (k) Retirement Savings Plan with Discretionary Company Match Tuition Reimbursement Daily Pay Paid Time Off Competitive Market Compensation Short Term Disability, Long Term Disability Life Insurance Employee Assistance Program The Registered Nurse assumes primary leadership accountability and responsibility for milieu management and directing patient care activities of other nursing staff. The Registered Nurse maintains standards of professional nursing practice in accordance with facility policy and procedures, other external governing and credentialing bodies, performance improvement standards, and psychiatric nursing standards. The Registered Nurse assesses the patient utilizing the nursing process to formulate an individualized plan of care for each patient, implements interventions, and evaluates outcomes consistent with policy and appropriate to the current client’s condition, which promote, maintain, and restore physical and mental health, and prevent illness. The Registered Nurse interprets age/disability specific information in response to client population served. The Registered Nurse provides for the safe delivery of medication in accordance with the policies and procedures, physicians orders and/or current practice. The Registered Nurse is responsible for thorough, accurate reporting, and documentation of the patient’s symptoms, responses, and progress. The Registered Nurse assumes responsibility for professional development, continuing education and maintaining licensure. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and Performance Improvement Standards. Essential Functions: Utilizes the nursing process: assessment, planning, intervention, implementation, and evaluation and formulating nursing interventions directed towards development of an individualized plan of care and treatment modalities. Identifies risk levels, precautions, and expected outcomes individualized to the client to include discharge planning; prescribes interventions to attain expected outcomes; evaluates the effectiveness of interventions in relation to expected outcomes; conducts ongoing assessment of clients from admission to discharge; initiates medical/psychiatric crisis intervention to stabilize and ensure the well-being of the patient's conditions. Demonstrates knowledge of psychiatric disorders and appropriate nursing interventions; implements nursing interventions identified in the plan of care that is individualized to the patient needs. Applies appropriate interventions to progress the patient towards wellness and addresses maintenance of wellness. Administers medications as prescribed safely; provides education on prescribed medications; recognizes signs and symptoms of adverse drug reactions. Demonstrates professionalism, accountability, and responsibility for decision making, quality nursing care, and knowledge base of psychiatric nursing care. Reviews, revises, and updates medical records within facility guidelines and timeframes. Transcribes and implements physician's orders according to facility policy; documents care, progress, response to intervention in medical record in an accurate, thorough and concise manner. Follows up on client care responsibilities, communicates incomplete assignments, and current client needs to staff to assure continuity of care. Implements staff assignments and delegation of duties using appropriate judgment and knowledge; Demonstrates positive willingness to assist staff and patients; functions as an advocate for patient needs/safety Utilizes nursing knowledge to successfully meet the needs of the facility, patient population, and staff members utilizes nursing resources to enhance evidence-based practice Float among various clinical services, where qualified and competent and performs other duties and projects as assigned.
The US Oncology Network

Oncology Registered Nurse

Overview Alliance Cancer Specialists is seeking a compassionate and skilled Registered Nurse (RN) to join our oncology care team at our Glenn Mills/ Riddle Practices . In this role, you’ll provide high-quality, patient-centered care in a collaborative clinical environment as needed. You’ll work closely with physicians and the interdisciplinary team to support patients through every step of their cancer journey. Key Responsibilities: Deliver professional nursing care in accordance with national standards and oncology-specific guidelines Assess patient health status through interviews, physical exams, and review of medical history Administer medications, blood products, and therapies under physician supervision Perform venipuncture, access ports, and maintain central line devices Monitor lab results and collaborate with physicians on dose modifications and symptom management Educate patients and families on treatment plans, medications, and available resources Provide psychosocial support and coordinate care with the interdisciplinary team Maintain accurate documentation and ensure compliance with OSHA and infection control protocols Assist with scheduling, triaging patient calls, and managing medication refill requests Serve as a mentor to LPNs, MAs, and less experienced nurses Participate in professional development and stay current with oncology nursing best practices Qualifications: Graduate of an accredited nursing program Current RN license and registration with the State Board of Nursing Current Basic Life Support (BLS) certification Minimum 1 year of clinical nursing experience (oncology experience preferred) Physical & Work Environment Requirements: Ability to stand and walk for extended periods and lift up to 40 lbs Manual dexterity and visual acuity required for patient care tasks Exposure to communicable diseases, toxic substances, and medical preparations common to oncology clinics In-person interaction with patients, physicians, and clinical staff is essential Travel between our Glenn Mills and Riddle Practices is expected. Why Join Alliance Cancer Specialists? At Alliance, you’ll be part of a mission-driven team that’s making a real difference in the lives of patients. We offer a supportive work environment, opportunities for growth, and a commitment to excellence in oncology care. ⚠️ Important Notice: Beware of fraudulent job postings. Alliance Cancer Specialists and The US Oncology Network will never request financial information during the hiring process. Verify legitimate job postings at: 🔗 https://careers.usoncology.com/main/
UChicago Medicine

Registered Nurse (RN) - Med Surg, Full-Time, Nights

Be a part of a world-class academic healthcare system, UChicago Medicine Ingalls Memorial Hospital as a Registered Nurse in the Medical Surgical Department. This position is a 100% onsite opportunity . You will need to be based in the greater Chicagoland area. Eligible for a Sign-On Bonus up to $15,000! With the leadership of the Manager, the Registered Nurse functions as an interactive resource in clinical nursing and professional practice. The Registered Nurse is responsible for the coordinating of and performing direct nursing care for patients, utilizing concepts of the nursing process, serves as resource, preceptor, mentor, and leader for physicians, professional peers and other fellow employees, and provides participative supervision to the Patient Care Team Members in collaboration with the Patient Manager. Essential Job Functions Collaborates closely with physicians to assess, design, coordinate, implement, and evaluate the patients’ plan of care and the patients’ outcomes Demonstrates the necessary skills and knowledge to provide complex nursing skills and delegates tasks to other Care Team members according to unit specific competencies as appropriate to the age of the patients served as delineated in the Patient Care Centers Scope of Care Responsible for and monitors the quality of patient care and patient satisfaction Accurately and independently pursues professional development opportunities Assumes responsibility to assure the daily operations of the Patient Care Center are effectively and efficiently maintained Works within the accepted service standards and supports the Vision of Ingalls Hospital Works in partnership with other patient care team members and pro-actively identifies and provides for individual patient, family, and physicians needs exceeding their expectations, and employing appropriate customer relations Knows, follows and actively supports the philosophy, mission and Vision of Ingalls Hospital Adheres to all hospital policies, procedures and standards of care Observes and adheres to all corporate compliance requirements and communicates issues as they arise to the appropriate parties as identified in the Corporate Compliance Plan Required Qualifications Graduation from an accredited school of nursing with an Associate's degree in Nursing or higher Must hold a current RN Licensure State of Illinois Department of Professional Regulation or valid temporary permit to practice nursing in the State of Illinois Active BLS certification from the American Heart Association (AHA) Preferred Qualifications A Bachelor's degree in Nursing from an accredited school of nursing Acute care or related experience providing nursing care to patients within at least the last five years Position Details Job Type/FTE: Full Time, 12-hour shifts Shift: Night, 7p – 7:30a Work Location: Onsite Unit/Department: Harvey E/4 CBA Code: Union
Shirley Ryan AbilityLab

Clinical Nurse Leader - Spinal Cord Innovation Center Nursing

$34.23 - $59.86 / hour
Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none — one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together. Job Description Summary The Clinical Nurse Leader is a micro-system outcomes manager for a specified group of patients. Collaborates with other healthcare disciplines, research and administration teams to manage clinical, functional, cost, and satisfaction outcomes. Partners with the education and practice arenas to provide patient care. The Clinical Nurse Leader serves as a leader through consultation, collaboration and application of the nursing process with a focus on improving outcomes at the unit level. The Clinical Nurse Leader consistently demonstrates support of the SRAlab statement of Mission and Philosophy by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute. The Clinical Nurse Leader demonstrates SRAlab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and SRAlab Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties. Job Description The Clinical Nurse Leader : Collects physiological, psychosocial, and functional data to formulate nursing diagnosis utilizing evidence-based techniques and instruments. Implements interventions consistent with the established plan of care, interdisciplinary treatment plan, and available resources and evaluates progress toward goal attainment modifying the plan of care as indicated. Partners with interdisciplinary team to address complex patient and family goals and collaborates with Allied Health staff on interventions to improve performance and outcomes. Provides comprehensive nursing care for assigned patients, which includes performing specializing treatments, administering prescribed medications, delegating duties to appropriate persons, and coordinating patient care with other departments. Collects and reports pertinent physiological, psychological, and functional data based on patient plan of care or patient need. Collects and analyzes nursing outcome data and collaborates with manager to develop plan to improve performance. Monitors patient satisfaction and preparation for discharge scores and works with nursing staff to improve levels of performance. Orients patient and family to SRAlab, solicits feedback from nurses to evaluate outcomes, coordinates the handoff of nursing care, identifies high-risk home discharges, and coordinates follow-up phone calls. Reviews and critiques care plans for patients and works with staff to customize interventions to attain patient family goals and reduce the risk of complications during the rehabilitation stay. Identifies and develops plan to address learning needs of patients and families by providing accurate Identifies gaps in current available data and develops plan to collect, interpret, analyze, and use data to improve outcomes. Reviews, evaluates and makes recommendations regarding Institute policies and procedures to insure they are evidence-based and bring research to the clinical practice. Establishes and maintains learning environment by working with health team members, assisting with care and documentation and initiating and conducting patient care conferences with staff. Assumes charge nurse responsibilities including working with team members and resolving interdepartmental problems and barriers to provision of necessary services to patients. Performs all other duties that may be assigned in the best interest of SRAlab. Reporting Relationships Reports directly to the Nurse Manager. Knowledge, Skills & Abilities Required Minimum education requirement of a Master's of Science degree (or equivalent) from an accredited nursing program. National certification as Clinical Nurse Leader, or completion of CNL within one year, and ongoing maintenance of Clinical Nurse Leader national certification/annual continuing education requirements. Current Illinois Registered Professional Nurse license. Current CPR certification. Minimum 4 years of relevant nursing experience. Understanding of the growth and development of infant, child, adolescent, young adult, middle-aged adult and geriatric patients. Demonstrates the ability to interpret growth and development related information to assure patient needs are met. Demonstrated success in leadership roles and initiatives. Excellent problem solving abilities. Ability to communicate effectively using timely verbal, non-verbal and written communication. Demonstrated critical thinking skills and ability to make sound judgments and to monitor and respond to patient needs or changes in condition. Ability to anticipate, assess, and address the needs of patients. Ability to transfer and position patients consistent with lifting 30 lbs. Working Conditions Normal patient care environment with little or no exposure to dust or extreme temperature. Exposure to moderately adverse working conditions in performing certain patient care activities. Occasional exposure to infectious diseases when working with patients. Pay and Benefits : Salary Range : $34.27-$56.88 Benefits : Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits *Benefits and benefits’ eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Pay and Benefits*: Pay Range: $34.23 - $59.86 Benefits: Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits *Benefits and benefits’ eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role. Equal Employment Opportunity Employer Shirley Ryan AbilityLab is an Equal Employment Opportunity Employer. All applicants will be afforded equal employment opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, citizenship status, age, disability, sexual orientation, gender identity, genetic information, military status, order of protection status, unfavorable discharge from military service, or any other characteristics protected by law. EEO is the Law | EEO is the Law - Know Your Rights | View our Full Policy Shirley Ryan AbilityLab is an Affirmative Action Employer as required by law.