RN Jobs in Brattleboro, VT

Integritus Healthcare Greenfield, MA

2 days ago

Hospice RN - After-Hours, On-Call, 8p-8a

$38 - $47.97 / hour

Salary Range $38.00-47.97 per hour, with evening and Weekend shift differentials available This is a part-time, on-call position (Mon-Fri, 8:00 p.m.- 8:00 a.m) Come join this collaborative and innovative team. At Pioneer Valley Hospice, you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career. Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why Pioneer Valley Hospice & Palliative Care: Competitive Compensation Employee Satisfaction Growth and Career Advancement Cookouts and Luncheon’s Culture of Respect and Empowerment Celebrating Individuality Recognizing Excellence Benefits include but not limited to: Paid time off (vacation, sick, holiday) Medical Insurance FSA Dental Vision Life Insurance Long-term disability Insurance HRA 401(k) The RN helps triage, coordinate, and administer hospice care for patients, families and caregivers through the utilization of hospice services and resources. The hospice RN is responsible for utilizing hospice and community resources to coordinate and drive services through a plan of care to meet the needs of patients and families. Essential Job Functions · Demonstrates understanding of the hospice philosophy/principles and an ability to clearly articulate these with others. · Manages the plan of care from referral through discharge for assigned hospice patients and families per regulations and agency standards. · Completes initial nursing assessment of patient/family to determine hospice needs. · Provides complete physical assessment and history of current and previous illness(es). · Initiates and implements plan of care in collaboration with patient/family with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort. · Administers medications/treatments as prescribed by the physician. Observe/document responses to interventions and promptly communicate untoward reactions and modify the plan of care as indicated. · In collaboration with interdisciplinary team, provides teaching and guidance to patient/family regarding interventions for pain and symptom management. · Coordinates patient care with team, family, and physician for assigned patients. · Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care. Documents measurable outcomes related to symptom management. · Completes patient discharges, both pronouncement visits and live discharges, to include the appropriate communication and documentation per regulations and agency standards. · Appropriately documents at the point of service, synchronizes patient data and effectively communicates with the IDT. · Communicate with the medical director and attending physician regarding patient needs and changes. Obtains physicians’ orders as required. · Participatory member of Interdisciplinary team meetings. · Provides and maintains a safe environment for the patient. · Keeps supervisor informed of potentially problematic patient/family issues and significant changes in patient status. · Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service. · Manages multiple priorities and demonstrates effective problem-solving and decision-making. · Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-services. · Provides complete and timely nursing reports/handoffs to hospice staff, facility staff, and providers. · Participates in agency Quality Improvement Program. · Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor. · Other duties as assigned. Qualifications (Minimum qualifications will be considered required unless specifically stated otherwise) Experience: · Minimum of one (1) to two (2) years of experience in health care. · Experience in a hospice, or home health preferred. · Experience in acute care in an institutional setting preferred. · Understand hospice philosophy and issues of death/dying. Education and Training: · An associate’s degree in nursing is required. · A bachelor’s degree in nursing is preferred. License, Certification & Registration: · Possesses and maintains current CPR Certification. · Current Massachusetts licensure: Registered Nurse required · Valid driver’s license · Hospice and Palliative Care Nurse Certification preferred

Hospice

Integritus Healthcare Greenfield, MA

2 days ago

Hospice RN - After-Hours, On-Call

$38 - $47.97 / hour

Salary Range $38.00-47.97/hr. (based on experience) This is a part-time, on-call position (Mon-Fri, 4:30 p.m.- 8:00 p.m) Come join this collaborative and innovative team. At Pioneer Valley Hospice, you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career. Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why Pioneer Valley Hospice & Palliative Care: Competitive Compensation Employee Satisfaction Growth and Career Advancement Cookouts and Luncheon’s Culture of Respect and Empowerment Celebrating Individuality Recognizing Excellence Benefits include but not limited to: Paid time off (vacation, sick, holiday) Medical Insurance FSA Dental Vision Life Insurance Long-term disability Insurance HRA 401(k) The RN helps triage, coordinate, and administer hospice care for patients, families and caregivers through the utilization of hospice services and resources. The hospice RN is responsible for utilizing hospice and community resources to coordinate and drive services through a plan of care to meet the needs of patients and families. Essential Job Functions · Demonstrates understanding of the hospice philosophy/principles and an ability to clearly articulate these with others. · Manages the plan of care from referral through discharge for assigned hospice patients and families per regulations and agency standards. · Completes initial nursing assessment of patient/family to determine hospice needs. · Provides complete physical assessment and history of current and previous illness(es). · Initiates and implements plan of care in collaboration with patient/family with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort. · Administers medications/treatments as prescribed by the physician. Observe/document responses to interventions and promptly communicate untoward reactions and modify the plan of care as indicated. · In collaboration with interdisciplinary team, provides teaching and guidance to patient/family regarding interventions for pain and symptom management. · Coordinates patient care with team, family, and physician for assigned patients. · Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care. Documents measurable outcomes related to symptom management. · Completes patient discharges, both pronouncement visits and live discharges, to include the appropriate communication and documentation per regulations and agency standards. · Appropriately documents at the point of service, synchronizes patient data and effectively communicates with the IDT. · Communicate with the medical director and attending physician regarding patient needs and changes. Obtains physicians’ orders as required. · Participatory member of Interdisciplinary team meetings. · Provides and maintains a safe environment for the patient. · Keeps supervisor informed of potentially problematic patient/family issues and significant changes in patient status. · Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service. · Manages multiple priorities and demonstrates effective problem-solving and decision-making. · Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-services. · Provides complete and timely nursing reports/handoffs to hospice staff, facility staff, and providers. · Participates in agency Quality Improvement Program. · Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor. · Other duties as assigned. Qualifications (Minimum qualifications will be considered required unless specifically stated otherwise) Experience: · Minimum of one (1) to two (2) years of experience in health care. · Experience in a hospice, or home health preferred. · Experience in acute care in an institutional setting preferred. · Understand hospice philosophy and issues of death/dying. Education and Training: · An associate’s degree in nursing is required. · A bachelor’s degree in nursing is preferred. License, Certification & Registration: · Possesses and maintains current CPR Certification. · Current Massachusetts licensure: Registered Nurse required · Valid driver’s license · Hospice and Palliative Care Nurse Certification preferred

Home Infusion RN

CureCare Greenfield, MA

$45 - $58 / hour

Are you looking for something new? Have you been spending long hours on your feet, rushing from patient to patient with no time to provide quality care? It's time for a change. Join CureCare, a trusted home infusion nursing provider that has been serving patients across the Northeast for over a decade. At CureCare, we value your expertise and offer a supportive work environment that allows you to make a meaningful difference in patients' lives. CureCare is searching for hardworking RNs to join our team of dedicated Home Infusion nurses. As a Home Infusion RN, you will have the opportunity to provide infusion therapy and nursing services to patients in the comfort of their own homes, ensuring the highest quality of care and patient satisfaction. With CureCare, you'll have a great deal of flexibility in your per diem role, and employees working an average of 32+ hours or more per week, consecutively for 3 months, are eligible for full-time benefits. Our nurses are expected to have at least 20 hours of availability per month to see patients. This position will require you to build your book of business; no hours are guaranteed.* Step away from the hectic pace of traditional nursing and experience the rewarding work of providing personalized care in a home setting. Join us at CureCare to experience a fulfilling work environment and make a difference in patients’ lives. Don't miss this opportunity to enhance your nursing career with a company that values your expertise and focuses on patient-centered care. Hourly Pay Range: Pay is based on experience. Responsibilities: CureCare’s nursing team provides best-in-class clinical care. As a member of the nursing team, you will: • Build rapport with patients, provide infusion therapy, education, and monitoring. • Establish and maintain vascular access devices as prescribed. • Administer medications, assess for side effects. • Maintain knowledge of infusion therapies. • Assess patient appropriateness for home infusion. • Document patient history and clinical information. • Provide skilled care as ordered. • Communicate patient response to care promptly. Why CureCare: Join CureCare as an infusion nurse and enjoy the perks: • Flexible work schedules • Reimbursement for travel expenses based on the IRS standard mileage rate • Digital nurse documentation • Incentivized nurse referral program • Convenient access to infusion materials, delivered directly to patients' homes • Supported by both CureCare's Clinical and Corporate Teams Qualifications: • Active and unrestricted RN licensure in state(s) of practice • Valid Driver’s License and ability to commute to patient’s house • Minimum 2+ years of general Infusion Experience in clinical care setting (e.g. medical surgical unit, emergency department, intensive care unit) • Ability to work independently in home • Able to complete nursing documentation using electronic medical record documentation • Proficient with peripheral IV insertion • Current CPR Certification • Covid vaccination preferred, but not mandatory • Home Infusion experience preferred

Home Health

Associated Home Care Greenfield, MA

Field RN - Home Care

$40 - $42 / hour

💰 $5,000 SIGN-ON BONUS! Eligible for a $5,000 sign-on bonus upon successful completion of 90 days of employment. 🕐 Flexible Part-Time Schedule This position offers 20–24 hours per week with a flexible and accommodating schedule based on consumer needs. Hours are primarily during weekdays, with occasional weekend availability as needed. About Associated Home Care Fueled by a real understanding of today’s challenges, Associated is committed to a fundamental re-imagining of what it means to age. With over 20 years of operating experience, we have built a replicable service prototype, developed profitable, long-standing referral relationships, and created an innovative brand that positions us to serve the future customer. We are embarking on an exciting new growth chapter that focuses on client service excellence, caregiver engagement, technological innovation, and growth in new markets. The Opportunity We are a mission-driven organization that is dedicated to improving the lives of seniors as they age. We are passionate about what we do -- providing seniors and their families with a comprehensive, vetted and coordinated in-home service network that is high-touch, tech-enabled, compassionate and extremely well managed. We are in the exciting and dynamic home healthcare industry. Our market opportunity is large and growing as the baby boomers age and the home increasingly becomes the epicenter for care as consumers demand convenience and lower-cost solutions. Job Summary: The RN is responsible for administering the Care Plan and the patient/client’s health and wellness as indicated by the Care Plan. Assures compliance with nursing/clinical standards federal, state, and local government regulations, and company policies. This role will treat patients, when appropriate and as needed for Skilled Nursing Services. Essential Functions: 1. Follows the appropriate Care Plan in collaboration with the Director of Nursing, patient/client/caregivers, the patient/client’s physician and other care team members as appropriate. 2. Performs on-site Orientation, quarterly Supervision Visits, Skill Checks and Annual Performances of home care aides in compliance with Federal, State and applicable Accrediting body Regulations and AHC Policies. 3. Provides on-going instructions to home health aides during field visits including reinforcement of Standard Precautions, Client Respect. HIPPA and Safety. 4. Review Personal Care Plans from Aging service Access Points, (ASAP), orienting aides in following the care plan as authorized by the ASAP RN. 5. Documents services rendered and changes in client conditions and/or family and home situation. 6. Communicates with ASAP Case Managers or client’s legal representative/family any concerns or issues regarding client status as necessary. 7. Performs other duties as assigned. Knowledge, Skills and Abilities: Excellent problem-solving ability; organizational skills and requires minimal direction. Demonstrated competence in applying processes designed to ensure adherence to all pertinent federal and state rules and regulations. Strong communication skills. Possess the ability to clearly and effectively communicate with staff, physicians, referral sources, patients and their families. Demonstrated computer literacy skills. Qualifications: Required Graduate of an approved school of professional nursing. Current licensed Registered Nurse in practicing state. One or more years of experience and responsibilities in clinical home health services, or equivalent preferred. Must be a licensed driver in the appropriate state and have available independent transportation with current insurance coverage. Preferred Current CPR certification. Make a difference in the life of a senior. Apply now! Pay Range: The hiring range for this position is $40-$42/Hourly. Various factors will determine final compensation such as a candidate’s years of relevant work experience, skills, certifications, and location. AHCOFFHI HouseWorks, LLC and its Family of Companies is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability or genetic information.

Outpatient

Office Nurse, Tully Family Medicine, Heywood Medical Group

$26.66 - $50.29 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 40-Hours, Days/Evenings, 8:30am - 5:00pm, Monday-Friday, Shift time flexible depending on department needs RN: $31.92 - $50.29 LPN: $26.66 - $46.37 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Responsibilities Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe practice and hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Heywood Healthcare Attendance and Tardiness Policy. Completed all Heywood Healthcare and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Clinical duties include: patient care, telephone triage, patient education, obtaining and recording patient health information including vitals and injections. Communicate normal and abnormal lab results with patients and communicate clinical plan and significance Completes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner Queues orders and prescriptions as directed and according to practice procedure Utilizes MassPat/Prescription Monitoring program as directed and according to practice procedure Competently manages provider controlled substance registry program as directed and according to practice procedure Prepare forms and educational materials as directed by Provider to be communicated to and/or mailed to patients Provide mentoring to other clinical staff (such as Medical Assistants) Rooming patients and begin basic documentation for medical provider: Performs Phlebotomy services and administers vaccines Performs basic office laboratory procedures such as urinalysis, urine culture, hematocrit, sed rate, mono spot, pregnancy tests, throat cultures and related procedures Coordinates patient flow and prepares patient for examination. Takes and records vital signs and EKG’s. Documents intake assessment. Assists physician and others in clinical procedures as required or directed Manage State Vaccine program under the direction of the Nurse Manager. Obtains necessary prior- authorizations for ordered medications, procedures and diagnostic studies as required or directed Maintains records, reports, logs and other statistical information as required or directed. Instruments and equipment are prepared and sterilized according to procedure to support infection control. Processes Medical Records incoming and outgoing according to practice guidelines and regulations Maintains assigned office and/or clinical supplies. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items. Performs a variety of clerical functions to support office such as answering telephone, scheduling in office appointments, taking messages accurately and routing appropriately,and related duties as required or directed Complies with established departmental policies, procedures, and objectives Complies with all health and safety regulations and requirements Attends variety of meetings, conferences, training and seminars as required or directed. Demonstrates use of quality improvement in daily operations Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Provide coverage when needed at other locations within Heywood Medical Group. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications Job Requirements Required Licenses Current Massachusetts RN or LPN License required. Current BLS certification required Required Skills Excellent written and verbal communication skills required. Excellent customer service skills required. Ability to prioritize tasks in a busy environment General comfort level with computers/technology and ability to learn programs as needed. Knowledge of Electronic Medical Records Preferred and word processing skills required Ability to maintain strict compliance with HIPPA regulations is required. Must be able to work flexible shifts, some evenings & weekends may be required. Reliable transportation in order to travel between locations is also required Minimum Work Experience One (1) year experience as an RN or LPN in medical office setting preferred Functional Demands Physical Requirements Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).

Five Star Nursing Keene, NH

Registered Nurse / RN

$44 / hour

Hiring Registered Nurses (RNs) for Long Term Care Facilities Hourly pay rate: $44 Make a difference on your own schedule and terms. As one of FS Nursing’s Registered Nurses, you will have access to: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Lucrative Referral Bonuses RN/ Registered Nurse Requirements: Currently holds an active RN license to work in New Hampshire Meets all State and Federal requirements for US employment in a Nursing Facility Ability to communicate effectively Reliable transportation to worksite location Strong patient assessment skills and demonstrated clinical competency We look forward to hearing from you soon. Apply today!

Registered Nurse, Athol Emergency Room

$39 - $68.39 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $12,500 Sign On Bonus! Hours: 24-Hours, Days, 7:00am - 7:00pm, Every third weekend, Every third holiday $39.00-$68.39 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 1 year emergency department or intensive care unit experience preferred. 1 year telemetry or med-surg experience required. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

Other

Registered Nurse, Athol Emergency Room

$39 - $68.39 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Days, Evenings, 16-hours per month, One holiday per year $39.00-$68.39 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 1 year emergency department or intensive care unit experience preferred. 1 year telemetry or med-surg experience required. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

Langdon Place of Keene Surry, NH

Per Diem RN

$42 - $49 / hour

Join Our Team as a Per Diem RN! At Langdon Place of Keene, our nurses set the tone for exceptional resident care. We’re looking for a confident, compassionate Registered Nurse (RN) who brings strong clinical judgment, leadership ability, and a commitment to supporting both residents and fellow caregivers. If you thrive in a collaborative environment, value resident dignity, and enjoy guiding and mentoring nursing staff, this role offers a rewarding opportunity to grow your career while making a difference. Compensation: $42.00 - $49.00 Shifts: Weekends as needed; other shifts available as needed At Langdon Place of Keene, we are committed to providing exceptional care in a nurturing and welcoming environment. We are seeking per-diem RNs to work as needed. If you are passionate about delivering high-quality care and are looking for a supportive and dynamic work environment, we want to hear from you! What We Offer: Competitive Salary: Attractive pay rates with opportunities for career advancement. Flexible Scheduling Supportive Environment: Be part of a team that values your skills and supports your professional growth. Responsibilities: Provide high-quality, compassionate care to residents during night and weekend shifts. Administer medications and treatments as prescribed by physicians. Monitor and document patient conditions, collaborating with the healthcare team to adjust care plans as needed. Ensure a safe, clean, and comfortable environment for all residents. Respond to resident needs and emergencies promptly and efficiently. Educate residents and their families about health management and care plans. Requirements: Valid RN license in New Hampshire or a valid multistate compact nursing license with authority to practice in New Hampshire Strong clinical skills and a compassionate approach to patient care. Excellent communication and interpersonal skills. Ability to work effectively both independently and as part of a team. Previous experience in long-term care or a similar setting is preferred but not required. If you’re dedicated to making a positive impact in patient care and are excited about joining a newly revitalized team, apply today! Langdon Place of Keene is an equal opportunity employer.

Home Health

Phoenix Staffing Solutions Athol, MA

Registered Nurse

Job Title: Registered Nurse (RN) Location: Athol, Mass Company: Phoenix Staffing Solutions About Us: Phoenix Staffing Solutions is dedicated to connecting compassionate and skilled healthcare professionals with facilities that prioritize patient care and well-being. We are currently seeking motivated and caring Registered Nurses (RN) to join our team and make a positive impact in the lives of our patients. Job Description: As a Registered Nurse at Phoenix Staffing Solutions, you will provide essential nursing care and support to patients in various healthcare settings. You will collaborate with a team of healthcare professionals to deliver high-quality care. Key Responsibilities: - Provide direct patient care, including administering medications, monitoring vital signs, and assisting with daily living activities. - Collaborate with healthcare team members to develop and implement individualized care plans. - Educate patients and their families regarding health management and treatment plans. - Maintain accurate and timely records in accordance with facility policies and regulations. - Assist with the coordination of patient care and ensure a safe and comfortable environment. - Participate in ongoing professional development and training. Qualifications: - Valid RN license in Massachusetts. - Previous experience in a healthcare setting preferred. - Strong communication and interpersonal skills. - Ability to work effectively in a team-oriented environment. - Compassionate approach to patient care with a focus on empathy and respect. - Basic life support (BLS) certification is a plus. Benefits: - Competitive salary and flexible scheduling options. - Opportunities for professional growth and development. - Supportive team environment with a focus on quality patient care. How to Apply: If you are a dedicated and compassionate Registered Nurse looking to make a difference, we want to hear from you! Please submit your resume and cover letter. Phoenix Staffing Solutions is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Outpatient

The Gathering Place (Brattleboro Area Adult Day Services) Brattleboro, VT

Registered Nurse (RN) - 4-6 hours/week + substitute coverage

$42 / hour

Registered Nurse (RN) The Gathering Place (Brattleboro Area Adult Day Services), is an Adult Day program serving Windham County Vermont. We serve adults with a wide range of physical and cognitive abilities. Our participants enjoy music, arts, games, exercise and companionship - just to name a few! We are seeking a Registered Nurse (RN) for a small, regular weekly schedule to augment our existing nursing coverage and provide substitute coverage as needed. This position is approximately 4–6 hours per week on either Monday or Friday, with some flexibility in scheduling. Additional hours to collaborate with other staff when mutually available. Working in coordination with our regular RN and program staff, responsibilities may include: Routine and preventive nursing care, including health monitoring, medication administration, vital sign checks and response to participant health needs. Reviewing and documenting relevant clinical information in participant records. Communicating with participants, caregivers, physicians and other members of the care team as needed. Supporting direct care staff with participant health care and nutritional needs. May assist with competency evaluation and delegation of nursing tasks as appropriate Assisting with health assessments, care plans and other nursing documentation as needed. Providing substitute nursing coverage for our regular RN when mutually available. Schedule: Approximately 4–6 hours per week, Monday or Friday during regular business hours, with occasional substitute coverage opportunities. No weekends or evenings; we are closed major holidays. Rate of pay: From $42/hr depending on experience Qualifications Nursing assessment skills Effective written and verbal communication Ability to work effectively in an environment with frequent interruptions and changing priorities Documentation skills with experience working on electronic health records Computer competence Education, Experience, Certifications Registered Nurse with current Vermont State license or eligible to practice in the state of Vermont via a multi-state license At least one year’s nursing experience, preferable working with older adults and adults with disabilities and their families Schedule: Day shift

Grace Cottage Family Health & Hospital Townshend, VT

Emergency Department RN - Full-time, Days

$38 - $68.52 / hour

Description This position will consist of ED and inpatient hours. 24 hours per week ED/ 12 inpatient Job Summary: Primary responsibility is to provide strong, prioritized patient care in a variety of urgent or emergent situations while maintaining a global perspective of the department. Qualifications: Graduate of an accredited school of nursing, BSN preferred. Current Vermont RN license in good standing. Two-three years’ experience in Emergency Nursing. Current BLS, ACLS, PALS, required. TNCC, ENPC, and CEN preferred. Other Requirements: Computer skills and familiarity with using an electronic medical record essential. Excellent customer services skills. Strong team player and ability to function autonomously. Must be willing to work nights. Requirements Essential Functions Of The Position: Performs triage using the Emergency Severity Index, while considering both physical and psychosocial elements to determine the degree of urgency for treatment. Maintains a strong understanding of the Incident Command Structure and can operate fluidly within it, maintaining patient and facility safety during an internal or external crisis. Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient plans of care and treatment. Manages basic life support needs, based upon GCFHH nursing standards and protocol. Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays including but not limited to; Cardiac monitoring, EKG monitoring, respiratory ventilators, non-invasive positive pressure machines and high flow nasal cannula. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology within the GCFHH nursing standing orders in addition to notifying the Provider. Records patients’ vital signs and all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. Works directly under Providers, assisting them during exams, diagnostic testing and treatments Prepares and administers medications and records medication administration appropriately, including scanning patient identification and medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse. Maintains proper supplies and appropriate medical equipment to care for patients. Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment. Displays professionalism while completing multiple urgent tasks in a timely manner. Performs other position-related duties as assigned, depending on assignment setting.

Registered Nurse, Athol Emergency Room

Grace Cottage Family Health & Hospital Townshend, VT

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

$37 - $67 / hour

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

Grace Cottage Family Health & Hospital Townshend, VT

Emergency Department RN - Per Diem, Nights

$38 - $68.52 / hour

Description Job Summary: Primary responsibility is to provide strong, prioritized patient care in a variety of urgent or emergent situations while maintaining a global perspective of the department. Qualifications: Graduate of an accredited school of nursing, BSN preferred. Current Vermont RN license in good standing. Two-three years’ experience in Emergency Nursing. Current BLS, ACLS, PALS, required. TNCC, ENPC, and CEN preferred. Other Requirements: Computer skills and familiarity with using an electronic medical record essential. Excellent customer services skills. Strong team player and ability to function autonomously. Must be willing to work nights. Requirements Essential Functions Of The Position: Performs triage using the Emergency Severity Index, while considering both physical and psychosocial elements to determine the degree of urgency for treatment. Maintains a strong understanding of the Incident Command Structure and can operate fluidly within it, maintaining patient and facility safety during an internal or external crisis. Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient plans of care and treatment. Manages basic life support needs, based upon GCFHH nursing standards and protocol. Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays including but not limited to; Cardiac monitoring, EKG monitoring, respiratory ventilators, non-invasive positive pressure machines and high flow nasal cannula. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology within the GCFHH nursing standing orders in addition to notifying the Provider. Records patients’ vital signs and all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. Works directly under Providers, assisting them during exams, diagnostic testing and treatments Prepares and administers medications and records medication administration appropriately, including scanning patient identification and medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse. Maintains proper supplies and appropriate medical equipment to care for patients. Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation, as well as provides referrals to other healthcare professionals for follow-up treatment. Displays professionalism while completing multiple urgent tasks in a timely manner. Performs other position-related duties as assigned, depending on assignment setting.

Grace Cottage Family Health & Hospital Townshend, VT

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

$37 - $67 / hour

Registered Nurse- MedSurg, Tele

Baystate Health Greenfield, MA

$37.98 - $62.87 / hour

Location: Baystate Franklin Medical Center Schedule: 36 hours, 7pm-7am. Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Franklin Medical Center is looking for a Registered Nurse (RN) to join our Emergency Department in Greenfield, MA ! SCHEDULE: Every over weekend and rotating holidays. ***SIGN-ON BONUS ELIGIBLE*** Why Choose Baystate Franklin Medical Center? As an 89-bed, nonprofit community hospital, we are a self-sufficient leader in patient care for Franklin County and surrounding areas. Baystate Franklin Community Hospital provides a welcoming environment that prioritizes teamwork and professional development. We are committed to supporting our staff through continuous training and development, fostering a fulfilling and rewarding career. Our strong sense of community, both within the hospital and beyond, allows team members to maintain a healthy work-life balance while making a meaningful impact on the lives of our patients every day. DEPARTMENT HIGHLIGHTS: Equipped with advanced technology : This includes telemonitoring systems, and access to a network of specialists. Well-staffed : Strong, well-rounded support team with dedicated management, supervisors, and multiple nurse educators & coordinators available on every shift. Comprehensive orientation : The training program features evidence-based online education, classroom lectures, and high-fidelity simulation. Enjoy the benefits of a smaller, community hospital: You’ll receive personalized, tailored orientation and career development, such as cross-training or dual department roles, to help you thrive in your nursing role. You will never get lost in a crowd! THE ADVANTAGES OF WORKING WITH BAYSTATE! Excellent Compensation Union benefits, set pay increases and peer advocacy around working environments High-quality, low-cost medical, dental and vision insurance Pet, home, auto and personal insurance Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Certification and continuing education reimbursement Nursing forgivable loan program First time homebuyer program Free money coach advice from a certified professional Reimbursement for a variety of wellbeing activities, included but limited to: gym membership and equipment, personal trainer, massage and so much more! QUALIFICATIONS: Successfully passed Board of Registration in Nursing Examination and is licensed in the Commonwealth of Massachusetts BLS (can be obtained after offer) Education: Diploma in Nursing We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! Education: Diploma in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts Compensation Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $37.98 - $50.43 - $62.87 Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

Registered Nurse- MedSurg Telemetry

Baystate Health Greenfield, MA

$37.98 - $62.87 / hour

Location: Baystate Franklin Medical Center Department: Medical Surgical, Telemetry Schedule: 7am-7:30pm ** New Graduates are Encouraged to Apply! ** Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Franklin Medical Center is looking for a Registered Nurse (RN) to join our Medical Surgical Unit in Greenfield, MA ! Why Choose Baystate Franklin Medical Center? As an 89-bed, nonprofit community hospital, we are a self-sufficient leader in patient care for Franklin County and surrounding areas. Baystate Franklin Community Hospital provides a welcoming environment that prioritizes teamwork and professional development. We are committed to supporting our staff through continuous training and development, fostering a fulfilling and rewarding career. Our strong sense of community, both within the hospital and beyond, allows team members to maintain a healthy work-life balance while making a meaningful impact on the lives of our patients every day. DEPARTMENT HIGHLIGHTS: Inpatient acute care unit : Offering comprehensive care for a variety of patient needs, including medical/surgical, telemetry, and intermediate care. Equipped with advanced technology : This includes telemonitoring systems, and access to a network of specialists. Well-staffed : Strong, well-rounded support team with dedicated management, supervisors, and multiple nurse educators & coordinators available on every shift. Comprehensive orientation : The training program features evidence-based online education, classroom lectures, and high-fidelity simulation. Enjoy the benefits of a smaller, community hospital: You’ll receive personalized, tailored orientation and career development, such as cross-training or dual department roles, to help you thrive in your nursing role. You will never get lost in a crowd! SCHEDULE DETAILS: Every over weekend and rotating holidays. THE ADVANTAGES OF WORKING WITH BAYSTATE! Excellent Compensation Union benefits, set pay increases and peer advocacy around working environments High-quality, low-cost medical, dental and vision insurance Pet, home, auto and personal insurance Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Certification and continuing education reimbursement Nursing forgivable loan program First time homebuyer program Free money coach advice from a certified professional Reimbursement for a variety of wellbeing activities, included but limited to: gym membership and equipment, personal trainer, massage and so much more! QUALIFICATIONS: Successfully passed Board of Registration in Nursing Examination and is licensed in the Commonwealth of Massachusetts BLS (can be obtained after offer) Education: Diploma in Nursing We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! Education: Diploma in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts Compensation Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $37.98 - $50.43 - $62.87 Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

Hospice

Integritus Healthcare Greenfield, MA

Hospice Registered Nurse (RN)

$38 - $47.97 / hour

Salary Range $38.00-47.97/hr. (based on experience) This is a full-time, 40-hour-per-week position. Come join this collaborative and innovative team. At Pioneer Valley Hospice, you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career. Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why Pioneer Valley Hospice & Palliative Care: Competitive Compensation Employee Satisfaction Growth and Career Advancement Cookouts and Luncheon’s Culture of Respect and Empowerment Celebrating Individuality Recognizing Excellence Benefits include but not limited to: Paid time off (vacation, sick, holiday) Medical Insurance FSA Dental Vision Life Insurance Long-term disability Insurance HRA 401(k) The RN helps triage, coordinate, and administer hospice care for patients, families and caregivers through the utilization of hospice services and resources. The hospice RN is responsible for utilizing hospice and community resources to coordinate and drive services through a plan of care to meet the needs of patients and families. Essential Job Functions · Demonstrates understanding of the hospice philosophy/principles and an ability to clearly articulate these with others. · Manages the plan of care from referral through discharge for assigned hospice patients and families per regulations and agency standards. · Completes initial nursing assessment of patient/family to determine hospice needs. · Provides complete physical assessment and history of current and previous illness(es). · Initiates and implements plan of care in collaboration with patient/family with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort. · Administers medications/treatments as prescribed by the physician. Observe/document responses to interventions and promptly communicate untoward reactions and modify the plan of care as indicated. · In collaboration with interdisciplinary team, provides teaching and guidance to patient/family regarding interventions for pain and symptom management. · Coordinates patient care with team, family, and physician for assigned patients. · Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care. Documents measurable outcomes related to symptom management. · Completes patient discharges, both pronouncement visits and live discharges, to include the appropriate communication and documentation per regulations and agency standards. · Appropriately documents at the point of service, synchronizes patient data and effectively communicates with the IDT. · Communicate with the medical director and attending physician regarding patient needs and changes. Obtains physicians’ orders as required. · Participatory member of Interdisciplinary team meetings. · Provides and maintains a safe environment for the patient. · Keeps supervisor informed of potentially problematic patient/family issues and significant changes in patient status. · Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service. · Manages multiple priorities and demonstrates effective problem-solving and decision-making. · Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-services. · Provides complete and timely nursing reports/handoffs to hospice staff, facility staff, and providers. · Participates in agency Quality Improvement Program. · Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor. · Other duties as assigned. Qualifications (Minimum qualifications will be considered required unless specifically stated otherwise) Experience: · Minimum of one (1) to two (2) years of experience in health care. · Experience in a hospice, or home health preferred. · Experience in acute care in an institutional setting preferred. · Understand hospice philosophy and issues of death/dying. Education and Training: · An associate’s degree in nursing is required. · A bachelor’s degree in nursing is preferred. License, Certification & Registration: · Possesses and maintains current CPR Certification. · Current Massachusetts licensure: Registered Nurse required · Valid driver’s license · Hospice and Palliative Care Nurse Certification preferred

Med-Surg

Temporary

Registered Nurse, 2nd FL Med/Surg, Temporary

$38 - $66.63 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 12-Hours, TEMP, Day/Evening, 7:00pm-7:00am Rate: $38.00 - $66.63 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Med/Surg. patients. Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to Med/Surg. patients. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Experience 1 year med-surge experience preferred. Previous telemetry experience preferred. Skilled Nursing experience preferred. Basic Dysrhythmia Course completion within 6 months of hire if no telemetry experience Required Licenses Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire

Baystate Health Greenfield, MA

Registered Nurse- Emergency Department

$37.98 - $62.87 / hour

Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Franklin Medical Center is looking for a Registered Nurse (RN) to join our Emergency Department in Greenfield, MA ! SCHEDULE: 7p-730a, 24 hours Every over weekend and rotating holidays. ***SIGN-ON BONUS ELIGIBLE*** Why Choose Baystate Franklin Medical Center? As an 89-bed, nonprofit community hospital, we are a self-sufficient leader in patient care for Franklin County and surrounding areas. Baystate Franklin Community Hospital provides a welcoming environment that prioritizes teamwork and professional development. We are committed to supporting our staff through continuous training and development, fostering a fulfilling and rewarding career. Our strong sense of community, both within the hospital and beyond, allows team members to maintain a healthy work-life balance while making a meaningful impact on the lives of our patients every day. DEPARTMENT HIGHLIGHTS: Equipped with advanced technology : This includes telemonitoring systems, and access to a network of specialists. Well-staffed : Strong, well-rounded support team with dedicated management, supervisors, and multiple nurse educators & coordinators available on every shift. Comprehensive orientation : The training program features evidence-based online education, classroom lectures, and high-fidelity simulation. Enjoy the benefits of a smaller, community hospital: You’ll receive personalized, tailored orientation and career development, such as cross-training or dual department roles, to help you thrive in your nursing role. You will never get lost in a crowd! THE ADVANTAGES OF WORKING WITH BAYSTATE! Excellent Compensation Union benefits, set pay increases and peer advocacy around working environments High-quality, low-cost medical, dental and vision insurance Pet, home, auto and personal insurance Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Certification and continuing education reimbursement Nursing forgivable loan program First time homebuyer program Free money coach advice from a certified professional Reimbursement for a variety of wellbeing activities, included but limited to: gym membership and equipment, personal trainer, massage and so much more! QUALIFICATIONS: Successfully passed Board of Registration in Nursing Examination and is licensed in the Commonwealth of Massachusetts BLS (can be obtained after offer) Education: Diploma in Nursing We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! Education: Diploma in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts Compensation Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $37.98 - $50.43 - $62.87 Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

Registered Nurse, Emergency Room, 24-Hours, Evening/Nights, 12:00pm - 12:00am, Every third weekend, Every third holiday, $15,000 Sign-On Bonus

$39 - $68.39 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Evening/Nights, 12:00pm - 12:00am, Every third weekend, Every third holiday $39.00 - $68.39 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

Registered Nurse, Athol Emergency Room

$39 - $68.39 / hour

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Evening/Nights, 12:00pm - 12:00am, Every third weekend, Every third holiday $39.00 - $68.39 Disclaimer We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization. Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred