RN Jobs in Devon, PA

Care Pavilion Nursing and Rehab

RN Registered nurse- Offering $4000 sign of bonus

RN Registered Nurse - Offering $4000 Sign-On Bonus Join the Care Pavilion Nursing and Rehab Team! At Care Pavilion Nursing and Rehab, nestled in the heart of Philadelphia, Pennsylvania, we are dedicated to providing exceptional care to our residents. As a full-service care center, we offer both short-term post-acute rehabilitation and long-term skilled nursing care, delivered with a personalized and compassionate approach that puts our residents first. About the Role: We are seeking a dedicated and compassionate RN Registered Nurse to join our team. As a Registered Nurse at Care Pavilion, you will have the opportunity to make a positive impact on the lives of our residents. You will be responsible for providing high-quality, patient-centered care, including administering medications, developing care plans, and collaborating with our interdisciplinary team. If you are passionate about delivering exceptional care and making a difference in the lives of others, we encourage you to apply for this rewarding role. Responsibilities: Provide direct patient care, including administering medications, wound care, and treatment plans Develop and implement individualized care plans, in collaboration with the healthcare team Conduct initial and ongoing assessments of patients' physical and emotional needs Collaborate with the interdisciplinary team to ensure comprehensive care Maintain accurate and up-to-date records of patient care and progress Participate in quality improvement initiatives and continuing education opportunities What We Offer: Competitive salary and benefits package Opportunities for professional growth and development A supportive and collaborative work environment A chance to make a positive impact on the lives of our residents How to Apply: If you are a motivated and compassionate Registered Nurse looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application to join our team and help us exceed expectations in delivering exceptional care to our residents.
Temple Health

RN-Staff/Clinical Nurse- Pediatrics-Primary Care (Temple Faculty Practice)

Provides professional nursing care at the proficient level which includes assessment, planning, implementation, and evaluation in accordance with care standards, under the direction of a licensed physician or other licensed medical professional. Contributes to a safe and therapeutic environment that is centered on the needs of the patients, caregivers and others demonstrating concern for the patient's privacy, comfort, and emotional state. Treats patient with consideration to age, race, gender, gender identity, sexual orientation, religion, socioeconomic background, and culture in a caring, ethical, and professional manner. Education Bachelor's Degree Preferred Other Graduate of an accredited school of nursing Required Experience 1 year experience in area of clinical specialty Preferred General Experience In An Outpatient / Ambulatory Setting Preferred General Experience with EPIC EMR Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
Main Line Health

Registered Nurse (RN) Neonatal ICU Weekend Program

Could you be our next Neonatal ICU Nurse at Bryn Mawr Hospital? Why work as a Weekend Nurse 2/4? Make an Impact! Working Every Other Weekend as a Staff Nurse in Neonatal ICU will offer you the experience of collaborating with an interdisciplinary team within the 14 bed unit. Your care and treatment of these patients is an integral part of their Patient Experience. As a Registered Nurse, you would be caring for a critically ill newborn Develop and Grow Your Career! You are encouraged to attend MLH Education & Development Classes that offer a variety of relevant courses, tools, and resources to help achieve your personal and professional goals. On-going feedback and career development are provided by your Manager through the use of performance appraisals and 1:1 communication to further develop yourself professionally. Get Involved! Become engaged by joining hospital & system-wide Nursing Committees, Unit Councils, evidence-based research projects, precepting new staff, and pursuing the Clinical Ladder program. Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a common purpose: providing superior service and care. Position-Specific Benefits Include We offer a number of employee discounts to various activities, services and vendors... And parking is always free! Position Registered Nurse RN - Neonatal ICU Shift Nights 7:00pm- 7:30am ; Every Other Weekend, Saturday and Sunday Experience One year(s) of recent neontal nurse experience required 2 plus years neontal nursing perferred. Education RN Diploma, ASN required; BSN preferred. Licensures/Certifications PA RN license OR a multi-state license verified in one of the approved states through the Nursing Licensure Compact. Provider BLS (American Heart Assoc/American Red Cross) required. NRP
Affinity Hospice Management LLC

Hospice Registered Nurse RN

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)
Temple Health

RN-STAFF/CLIN NURSE PACU 36HR Day Flex (6am-6:30pm) TUH Women and Families

Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using the nursing process, the RN collaborates with the patient, patient's family member(s)/significant others, professional peers and other members of the health care team to individualize patient care. Directs nursing support staff in the provision of patient care according to the standards of nursing practice, administrative and departmental policies and procedures. Professional education, training or additional certifications may be required by specialty area. Education Bachelor's Degree Preferred Other Graduate of an accredited school of nursing Required Experience 1 year experience in area of clinical specialty Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
Encore at Wilmington

Assistant Director of Nursing ADON

We are looking for an experienced and caring assistant director of nursing ADON to join our team! The schedule will be Monday through Friday and on call GENERAL SUMMARY: The Assistant Director of Nursing is an RN who is responsible for the overall supervision of nursing care in the Health Center. PRINCIPLE DUTIES: Essential Job Duties: Supervises direct nursing care in the Health Center. Administers direct nursing care when more than routine care is indicated. Makes routine rounds to assure proper care and a safe, clean resident environment. Assures accuracy and completeness of medical records. Coordinates, conducts, and documents the MDS, resident care plans and conference in the absence of the MDS nurse. Supervises nursing personnel on all shifts. Participates in staffing, scheduling, counseling, orientation, and evaluation of nursing staff. Assists with orientation of nursing personnel. Participates in family/resident counseling. Responds to emergency calls as necessary. Functions in the capacity of DON in his/her absence. Assures effective communication with other shifts and departments as it relates to resident care. Some “on call” is required. Other Duties: Assures timeliness of physician visits. Accompanies physicians when making rounds. Notifies physician and family of changes in resident’s condition. Encourages rehabilitative techniques in order to restore residents’ independence. Assures proper functioning of medical equipment and adequate medical supplies. Assists DON in developing and implementing policies and procedures. Assists in infection control, safety and pharmacy rounds and audits. 8. Attends in-service training and education sessions, as assigned. 9. Performs specific work duties and responsibilities assigned by supervisor. HOSPITALITY FOCUS: The Community fully embraces a culture of hospitality. To that end, we include the following hospitality promises as a guide for our interpersonal interactions with residents, co-workers, and guests: 1. We greet residents, employees and guests warmly, by name and with a smile. 2. We treat everyone with courteous respect. 3. We strive to anticipate resident, employee and guest needs and act accordingly. 4. We listen and respond enthusiastically in a timely manner. 5. We hold ourselves and one another accountable. 6. We embrace and value our differences. 7. We make residents, employees and guests feel important. 8. We ask “Is there anything else I can do for you?” 9. We maintain high levels of professionalism, both in conduct and appearance, at all times. 10. We pay attention to details. WELLNESS FOCUS: The Community employees are expected to promote a healthy community culture for all residents and employees. This is a whole-person approach to health and wellness which includes eight dimensions of wellness: Emotional, Environmental, Health Services, Intellectual, Physical, Social, Spiritual and Vocational. Through these efforts we can ensure and exceed residents’ wellness needs relating to their mind, body and soul, which may also have a positive effect on the employees, as a result. 1. Graduate of an accredited school of nursing. Registered nurse with a current license in community’s state. 2. Two years experience in geriatric nursing and/or B.S. Degree in nursing. Participation in professional organizations, dealing primarily in geriatrics preferred. Minimum of two years nursing administration experience, preferably in a long term care setting. NADONA certification a plus. 3. Basic computer proficiency. 4. Strong interpersonal and communication skills. PHYSICAL REQUIREMENTS/WORKING CONDITIONS : Ability to move throughout the facility promptly, especially in emergency situations. Must be able to lift up to 50 lbs. unassisted, and up to 150 lbs. with the assistance of one. Must be able to stoop, bend, and reach; must be able to push and pull up to 150 lbs in a wheelchair; good visual and hearing acuity required; good verbal communication skills required. Must be able to walk or stand for up to 80% of the workday. Must be free of communicable disease; may be exposed to communicable diseases, and blood and body fluids that may contain HIV and/or HBV. May be exposed to cleaning chemicals and offensive odors. This organization does not discriminate in hiring or employment on the basis of ancestry, race, color, religion, national origin, sex, sexual orientation, age, military status, veteran status, or disability. No question on the application is intended to secure information to be used for such discrimination. This application will be given every consideration, however its receipt does not imply employment for the applicant.
Temple Health

Registered Nurse, 4A Med Surg, Full Time, Night shift, 7p-7:30a, Jeanes Campus

Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using the nursing process, the RN collaborates with the patient, patient's family member(s)/significant others, professional peers and other members of the health care team to individualize patient care. Directs nursing support staff in the provision of patient care according to the standards of nursing practice, administrative and departmental policies and procedures. Professional education, training or additional certifications may be required by specialty area. Education Bachelor's Degree Preferred Other Graduate of an accredited school of nursing Required Experience 1 year experience in area of clinical specialty Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
Acts Retirement-Life Communities

Registered Nurse (RN)

$35.02 - $43.36 / hour
Overview Join our team and grow with us both professionally and personally! Next day pay: Work today, get paid tomorrow with our PayActiv benefit! We strongly believe in providing our team members with great benefits, such as tuition reimbursement, commuter benefits, scholarship awards, professional development programs, university partnerships, referral and discount programs, appreciation events, wellness initiatives, and much more! Acts is currently seeking qualified candidates for the role of Registered Nurse (RN) in our skilled nursing neighborhood. In this role, you will be responsible for providing prescribed medical treatment and personal care services to our residents in skilled nursing, while following established policies and procedures and providing compassionate care to our residents. Requirements The ideal candidate will meet the following requirements: Current State Registered Nurse (RN) license Current or eligible for certification in CPR Team members are eligible for a generous benefit package including health benefits (medical, prescription, dental and vision), flexible spending accounts, life insurance, disability programs, 401(k) plan (with 4% company match after one year of employment), paid time off and holidays, and much more! Eligibility may vary based on status. For more information or to apply, visit us at www.acts-jobs.org and join our Talent Network to receive e-mail alerts with new job opportunities that match your interests! Acts Retirement-Life Communities is one of the largest not-for-profit owners, operators, and developers of resort-style continuing care senior living communities, including independent living, assisted living, and skilled nursing. The Acts family proudly consists of 28 communities in 9 states, and over 8,500 team members. Acts provides residents with a lifestyle that includes on-campus conveniences, services, and amenities such as casual and fine dining venues, beauty salons, fitness centers, security, healthcare, activity programs, and much more. Our team members are inspired by a culture of Loving-Kindness, and we are fully committed to appreciating the array of backgrounds and talents demonstrated by our team members. Acts is an equal opportunity employer that is committed to diversity and inclusion in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, gender, gender identity or expression, sexual orientation, marital status, national origin, non-disqualifying disability, veteran status, or any other characteristic protected by law. Acts is committed to providing reasonable accommodations for candidates with disabilities in our hiring process. #ActsLife #CAZR Pay Range $35.02 - $43.36 / hour. Starting rate will vary based on skills and experience.
Tucker House Nursing and Rehab

RN Registered nurse- overing $4000 sign on bonus

RN Registered Nurse - $4000 Sign on Bonus Join the Tucker House Nursing and Rehab Team! At Tucker House Nursing and Rehabilitation, we believe that a warm, personal, and homelike environment is the most essential ingredient in a truly healing healthcare experience. As a Registered Nurse with our team, you will be part of a community that treats each individual with dignity, respect, and personalized care. About the Role: We are seeking a compassionate and experienced Registered Nurse to join our nursing team. As an RN with Tucker House, you will be responsible for providing high-quality patient care, working collaboratively with our interdisciplinary team, and contributing to a positive and supportive work environment. In this role, you will have the opportunity to make a meaningful difference in the lives of our residents and their families. Responsibilities: Provide direct patient care, including administering medications, performing treatments, and educating patients and families on disease management and self-care Develop and implement individualized care plans in collaboration with the interdisciplinary team Monitor and report patient progress, identifying areas for improvement and implementing strategies to optimize outcomes Participate in quality improvement initiatives, incorporating best practices and evidence-based guidelines into practice Collaborate with other healthcare professionals to ensure seamless transitions and comprehensive care Maintain accurate and timely documentation of patient care, including progress notes and med administration records About Tucker House: Tucker House Nursing and Rehabilitation is a committed and compassionate organization dedicated to providing exceptional care and services to our patients. Our team of experts is passionate about creating a home-like environment that fosters healing, growth, and comfort for our residents. As a proud member of the American Healthcare Association, we are committed to upholding the highest standards of care, integrity, and innovation in long-term and post-acute rehabilitation. What We Offer: A $4000 sign on bonus A comprehensive orientation program and ongoing training and education opportunities A supportive and collaborative work environment A competitive salary and benefits package (to be determined) How to Apply: If you are a dedicated and compassionate Registered Nurse passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Join our team and experience the difference that Tucker House Nursing and Rehabilitation has to offer. Apply now to become a part of our dynamic and compassionate team!
Acts Retirement-Life Communities

Registered Nurse (RN) - $2,000 Sign-On Bonus

$35.02 - $43.36 / hour
Overview $2,000 Sign-On Bonus! Join our team and grow with us both professionally and personally! Next day pay: Work today, get paid tomorrow with our PayActiv benefit! We strongly believe in providing our team members with great benefits, such as tuition reimbursement, commuter benefits, scholarship awards, professional development programs, university partnerships, referral and discount programs, appreciation events, wellness initiatives, and much more! Acts is currently seeking qualified candidates for the role of Registered Nurse (RN) in our skilled nursing neighborhood. In this role, you will be responsible for providing prescribed medical treatment and personal care services to our residents in skilled nursing, while following established policies and procedures and providing compassionate care to our residents. Requirements The ideal candidate will meet the following requirements: Current State Registered Nurse (RN) license Current or eligible for certification in CPR Team members are eligible for a generous benefit package including health benefits (medical, prescription, dental and vision), flexible spending accounts, life insurance, disability programs, 401(k) plan (with 4% company match after one year of employment), paid time off and holidays, and much more! Eligibility may vary based on status. For more information or to apply, visit us at www.acts-jobs.org and join our Talent Network to receive e-mail alerts with new job opportunities that match your interests! Acts Retirement-Life Communities is one of the largest not-for-profit owners, operators, and developers of resort-style continuing care senior living communities, including independent living, assisted living, and skilled nursing. The Acts family proudly consists of 28 communities in 9 states, and over 8,500 team members. Acts provides residents with a lifestyle that includes on-campus conveniences, services, and amenities such as casual and fine dining venues, beauty salons, fitness centers, security, healthcare, activity programs, and much more. Our team members are inspired by a culture of Loving-Kindness, and we are fully committed to appreciating the array of backgrounds and talents demonstrated by our team members. Acts is an equal opportunity employer that is committed to diversity and inclusion in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, gender, gender identity or expression, sexual orientation, marital status, national origin, non-disqualifying disability, veteran status, or any other characteristic protected by law. Acts is committed to providing reasonable accommodations for candidates with disabilities in our hiring process. #ActsLife #CAZR Pay Range $35.02 - $43.36 / hour. Starting rate will vary based on skills and experience.
Temple Health

Registered Nurse, Emergency Dept, Full Time, 7pm-7:30am, Chestnut Hill Hospital

The registered nurse develops, implements and evaluates the nursing plan of patient care and implements the medical plan of care in collaboration with all disciplines. Professional education, training or additional certifications may be required by specialty area. Education Experience Other Accredited School of Nursing Required General Experience Relevant Experience Required Licenses PA Registered Nurse License Required or PA Reg Nurse Temp Permit Required Basic Life Support Required Multi State Compact RN License Required Or
United Surgical Partners International, Inc

OR RN

RN Operating Room Circulator Premier at Exton Surgery Center Welcome to Premier at Exton Surgery Center At Premier at Exton Surgery Center, we believe health and care are inseparable. We focus on offering a high quality, service oriented environment for your surgical procedure. Our technology allows surgeons to perform procedures in the specialty areas of: Pain Management, Orthopedic Surgery, Total Joint Replacement, Orthopedic Spine Surgery, Podiatric Surgery, Hand Surgery Operating Room Registered Nurse (OR RN) The Registered Nurse Circulator provides nursing care and service during surgery cases. The Circulating RN will be responsible for positioning the patient, prepping the patient, and circulating the case. Experienced in surgical procedures in the following specialties: Spine Care & Traditional Total Joint Replacement. Schedule: 9-5:30pm, two-three days per week. Qualifications Graduate of an accredited RN School of Nursing; BSN preferred. Must have a current unrestricted RN license in PA. BLS, ACLS, or PALS certified A minimum of 1 year experience working as a Circulator Ability to make decisions based on nursing judgment 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. #LI-LL1
OPCO Skilled Management

Director of Nursing

Job Type: Full-time Relocation is required. Relocation Bonus Applies: $2,500. Job Location: Roswell, New Mexico Job Setting: Skilled Nursing Licensed Capacity: 118 beds. Benefits: 401 (k) Dental Insurance Health Insurance Life Insurance Vision Insurance You come First. People are the heart of our business and we recognize the responsibility of providing quality services. Our quality of care is a reflection of our dignified, respectful, and loving envionment. We are looking for a friendly and experienced Director of Nursing to ensure the highest level of care! You should be experienced building strong teams and maintaining a welcoming culture. Now grab your stethoscope and prepare to care! Your Job The Registered Nurse will be responsible for the administration and management of Nursing Services to residents in accordance with orders of the physicians and total needs of the residents. The Registered Nurse will be responsible for the 24-hour supervision of Nursing Services and directs the Nursing Department to maintain quality standards of care in accordance with the Federal, State and company standards as well as guidelines and regulations. In the absence of the Administrator, The Director of Nursing will assume the responsibility for the center's operations. This position will conduct the nursing process – assessment, planning, implementation and evaluation – under the scope of the State’s Nurse Practice Act of Registered Nurse licensure. Principal Responsibilities Assumes ultimate responsibility for coordinating plans for the total care of each resident which comply with physician’s orders, governmental regulations and facility resident care policies. Communicates and interprets policies and procedures to nursing staff, and monitors staff practices and implementation. Participates in all admissions decisions, and may visit prospective residents before admissions. Participates in daily and weekly management team meetings to discuss resident status, census changes, personnel, or resident complaints or concerns. Other duties, responsibilities and activities may change or assigned at any time with or without notice. Qualifications Currently licensed as RN in the state practiced. Associate or Bachelor Degree from an accredited nursing school required. Five years in long-term or acute health care preferred; At least 2 years nursing supervisory experience required.
Encore at Wilmington

Registered Nurse (RN) (PRN)

Encore at Wilmington is seeking a compassionate and skilled PRN Registered Nurse (RN) to join our clinical team. The Registered Nurse (RN) provides direct nursing care to residents while ensuring compliance with all federal, state, and facility regulations. This role supports resident safety, clinical excellence, and teamwork across the care team. Essential Duties and Responsibilities: • Provide direct nursing care to residents in accordance with physician orders and care plans. • Assess residents’ physical, psychosocial, and functional status and document appropriately. • Administer medications and treatments safely and accurately • Monitor residents for changes in condition and promptly report to physician and nursing leadership. • Supervise and support LPNs and CNAs on assigned unit or shift. • Ensure compliance with infection control, safety, and regulatory standards. • Participate in care planning, shift reports, and interdisciplinary meetings. • Respond to emergencies and provide first aid or CPR as needed. • Accurately complete medical records, MARs, TARs, and incident reports. • Educate residents and families regarding care, treatments, and health conditions. • Adhere to attendance, scheduling, and block schedule commitments as assigned. Qualifications: • Current, active Registered Nurse (RN) license in the state of Delaware • Strong clinical assessment and documentation skills • Ability to supervise staff and work collaboratively with the healthcare team • Excellent communication and organizational skills Physical Requirements: • Ability to stand, walk, bend, lift, and assist residents as needed • Ability to lift up to 50 lbs with or without accommodation Community / State-Specific Addendum: Licensure requirements, scope of practice, staffing ratios, and scheduling structures may vary by state and community. Employees must comply with all applicable state regulations and facility-specific policies. Encore Healthcare Services is an Equal Opportunity Employer. This organization does not discriminate in hiring or employment on the basis of ancestry, race, color, religion, national origin, sex, sexual orientation, age, military status, veteran status, or disability. No question on the application is intended to secure information to be used for such discrimination. This application will be given every consideration, however its receipt does not imply employment for the applicant.
Emerald Hills

Registered Nurse (RN)

Registered Nurse (RN) Seeking an experienced and talented Registered Nurse for a full-time position. A successful candidate for this position will need to be compassionate and attentive, as well as flexible and able to work well with others. Responsibilities : Provide general care to residents. Handle emergencies, including administering medication and performing CPR. Communicate with physicians and other healthcare professionals. Assist in activities of daily living. Maintain resident records and ensure they are accurate. Job Types: Full-time, Part-time, PRN Work Location: In person Benefits : 401(k) Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance
Temple Health

RN-Staff/Clinical Nurse- Pediatrics-Primary Care (Temple Faculty Practice)

Provides professional nursing care at the proficient level which includes assessment, planning, implementation, and evaluation in accordance with care standards, under the direction of a licensed physician or other licensed medical professional. Contributes to a safe and therapeutic environment that is centered on the needs of the patients, caregivers and others demonstrating concern for the patient's privacy, comfort, and emotional state. Treats patient with consideration to age, race, gender, gender identity, sexual orientation, religion, socioeconomic background, and culture in a caring, ethical, and professional manner. Education Bachelor's Degree Preferred Other Graduate of an accredited school of nursing Required Experience 1 year experience in area of clinical specialty Preferred General Experience In An Outpatient / Ambulatory Setting Preferred General Experience with EPIC EMR Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
Jefferson Health

RN Division Resource, Full-Time, Nights, Med/Surg & Tele Units, New Jersey

$45.77 - $65.23 / hour
Job Details Summary 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 Summary 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 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 & ACLS - American Heart Association or Red Cross RN - Licensed Registered Nurse_NJ - State of New Jersey Preferred Qualifications BSN or completion of BSN or appropriate advanced degree within 3 years of hire strongly preferred Minimum of two years Med/Surg/Tele nursing experience, float/resource nursing experience preferred Physical Demands 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. Salary Range $45.77 to $65.23 Hourly The actual hiring rate will be determined based on candidate experience, skills and qualifications. This position is not eligible for an annual incentive. Work Shift Workday Night (United States of America) Worker Sub Type Regular Employee Entity Kennedy University Hospitals, Inc Primary Location Address 2201 Chapel Ave West & Cooper Landing Rd, Cherry Hill, New Jersey, 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
Logan Square Rehabilitation and Healthcare Center

RN Unit Manager

Join our team at Logan Square Rehabilitation and Healthcare Center as a Unit Manager. Proudly supported by Marquis Health Consulting Services Full-time opportunity available $79,000-$125,000 annually (all inclusive) Same Day Pay! At Logan Square Rehabilitation and Healthcare Center , we believe that strong clinical leadership at the unit level is essential to delivering safe, consistent, and high-quality resident care. Guided by our core values of Passion, Respect, and Excellence , the Unit Manager oversees nursing operations on an assigned unit and ensures residents receive comprehensive, person-centered care. Responsibilities for Unit Manager: Assume full responsibility and accountability for resident care on the assigned nursing unit. Oversee and coordinate resident care to promote the highest possible level of physical, mental, and psychosocial functioning. Ensure timely and accurate incident reporting, with appropriate follow-up and communication to the Administrator and the Director of Nursing. Participate in facility committees and programs as directed by the Director of Nursing. Assist in the development, implementation, and evaluation of policies and procedures based on identified clinical and operational needs. Provide clinical leadership, guidance, and support to nursing staff on the unit. Monitor compliance with care plans, regulations, and quality standards to ensure optimal resident outcomes. Collaborate with interdisciplinary teams to support resident-centered care and continuous improvement. Qualifications for Unit Manager: Must possess a current, unencumbered active license to practice as an RN in the state of Pennsylvania. Valid BLS Certification (CPR) required. A nursing degree from an accredited college or university is preferred. Minimum of five (5) years of nursing experience required. Minimum of two (2) years of supervisory experience in a nursing care center, hospital, or other healthcare setting required. Our Core Values in Action Passion – Leading with dedication to ensure residents receive the highest quality of clinical care. Respect – Supporting staff and residents with professionalism, empathy, and dignity. Excellence – Upholding the highest standards of clinical leadership, accountability, and resident outcomes. Benefits for a Unit Manager Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company-sponsored life insurance Employee assistance program (EAP) resources Join our team at Logan Square Rehabilitation and Healthcare Center, a 109-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
Temple Health

Registered Nurse, Med Surg Float Team, Full Time, 7am-7:30pm, Jeanes Campus

Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using the nursing process, the RN collaborates with the patient, patient's family member(s)/significant others, professional peers and other members of the health care team to individualize patient care. Directs nursing support staff in the provision of patient care according to the standards of nursing practice, administrative and departmental policies and procedures. Professional education, training or additional certifications may be required by specialty area. Education Bachelor's Degree Preferred Other Graduate of an accredited school of nursing Required Experience 1 year experience in area of clinical specialty Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
Redeemer Health

Emergency Room RN - 36/12; 3p-3a/7p-7a

OVERVIEW Join us at Redeemer Health and choose your ideal clinical setting from our hospital, home care services, or senior care communities. Here, you're not just a nurse but a respected patient advocate and clinical expert. Our workforce spans southeastern Pennsylvania and New Jersey, offering a vibrant, inclusive environment that values your professional growth. Along with competitive benefits, we provide educational assistance, nursing scholarship opportunities, and a unique onboarding program that ensures your long-term success by immersing you in our mission and celebrated service orientation. Together, let's drive excellence in healthcare. SUMMARY OF JOB Up to $6000 Sign On Bonus The Registered Nurse must be able to perform all aspects of the nursing process under the Professional Nursing Law. Responsibilities include facilitation, communication, assessment, intervention, education, planning and providing comprehensive nursing care for patients, families and significant others. Provides direct and indirect patient care and supervises others providing this care. Communicates with multidisciplinary team members as appropriate about changes in a condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate direction or supervision. Acts as a patient/customer advocate and an HRHS representative meeting the patient/family needs throughout the hospital experience. As a professional, the RN assists in the development of new staff nurses and the future development of the nursing profession. Connecting to Mission: All individuals within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of the position, every job contributes to the challenge of providing healthcare. There is an ongoing responsibility for ensuring the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the service we provide. RECRUITMENT REQUIREMENTS Graduate of an accredited School of Nursing Registered licensed in the Commonwealth of Pennsylvania BSN completed, or attained within 3 years of hire Specialty certification preferred IV skills BLS certification required ACLS in specialty areas (L&D, ED, ICU, PACU, ACU, CVC – required within 6 months) NRP (NICU, LDR, MIU, Nursery – required within 6 months PALS (ED, PACU 0 required within 6 months) Fetal monitor certification preferred for LDR (required within 1 to 2 years based on experience) 8 hours annual stroke education and NIH certification for Telemetry RNs 8 hours annual stroke education and NIH certification for ED and ICCU RNs One hour annual stroke education for Nurses not assigned to stroke units such as Medical Surgical and Obstetric nurses Must be available for alternate shift work Must meet satisfactory completion of orientation and competency validation within probationary period License and Regulatory Requirements: Registered licensed in the Commonwealth of Pennsylvania EQUAL OPPORTUNITY Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.
Epic Healthcare

Director of Nursing

Now Hiring: Director of Nursing (DON) We are seeking a dynamic and experienced Director of Nursing (DON) to lead our clinical team and ensure the highest standard of care for our residents. This is a key leadership position offering the opportunity to make a meaningful impact in a supportive and resident-focused environment. Key Responsibilities: Oversee all aspects of nursing care and clinical services Lead and support nursing staff in providing high-quality care Ensure compliance with state, federal, and facility policies and regulations Develop and implement nursing policies and procedures Collaborate with interdisciplinary teams to support resident care and satisfaction Maintain accurate documentation and support survey readiness Qualifications: Current RN license in the state of Pennsylvania Previous experience as a DON or ADON in long-term care required Strong leadership, organizational, and communication skills Knowledge of regulatory standards and quality assurance practices Passionate about improving the lives of residents and empowering nursing teams What We Offer: Competitive salary and comprehensive benefits Supportive leadership and administrative team Opportunity to shape a positive and collaborative nursing culture Professional growth and development opportunities If you’re a compassionate leader committed to clinical excellence, we invite you to join our team. Apply today and lead with purpose.
Main Line Health

Registered Nurse (RN) - Stepdown

Could you be our next Stepdown Nurse at Bryn Mawr Hospital? Why work as a Stepdown/PCU Nurse? Make an Impact! As a part of our Interdisciplinary Team working within the 14 bed unit, your care and treatment of these patients is an integral part of their Patient Experience. As a Registered Nurse, you would be caring for the Stepdown/Progressive Care (PCU) patient population. Develop and Grow Your Career! Be one of the many MLH Nurses who pursue certifications or advanced nursing degrees (BSN, MSN, MBA, PhD, DNP) by taking advantage of our Tuition Reimbursement Program! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. Get Involved! Become engaged by joining hospital & system-wide Nursing Committees, Unit Councils, evidence-based research projects, precepting new staff, and pursuing the Clinical Ladder program. Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a common purpose: providing superior service and care. Position-Specific Benefits Include You are eligible for up to 200 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free! Position Registered Nurse (RN) - Stepdown/PCU Shift 36 hrs per week, Nights (7pm-7:30am); Weekend rotation required. Experience One year(s) of recent Telemetry or Stepdown level Nurse experience required. Recent Stepdown experience preferred. Education RN Diploma, ASN required. BSN preferred. Licensures/Certifications PA RN license OR a multi-state license verified in one of the approved states through the Nursing Licensure Compact. Provider BLS (American Heart Assoc/American Red Cross) preferred.
Cooper University Health Care

REGISTERED NURSE - TRAUMA MED SURG

About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The Registered RN is a professional caregiver, who as a member of a multidisciplinary healthcare team, assumes responsibility and accountability for a group of patients for a designated time frame. They supervise and provide care to these patients utilizing the nursing process, including the therapeutic use of self. Key Responsibilities Follows established policies and procedures. Communicates openly with internal customers and supervisors. Provides excellent customer service, interfacing well with all levels of staff, management, and physicians. Applies Cooper's core values. Performs Other duties as required. Overview Kelemen North 7 is a 23-bed medical surgical/telemetry unit specializing in the care of traumatically injured patients. Patients with injuries that are stable but require ongoing close monitoring are admitted to this unit directly from the ED or the Ross Trauma Admitting Area. Patients are also admitted to the unit as they are downgraded from the Trauma/Surgical ICU or the Trauma Step-Down Unit. Patients usually cared for in this area include those with traumatic brain injuries, spinal cord injuries, rib fractures and lung injuries, as well as diverse orthopedic injuries requiring frequent monitoring and care. The unit is staffed with registered nurses, critical care technicians, trauma surgery nurse practitioners and resident physicians. Staff also work closely with respiratory therapy and specialized surgical groups such as orthopedics and neurosurgery. Nurses and critical care technicians working in this area receive education specific to the care of the trauma patient. Experience Required A minimum of one year or more of RN acute care experience in an inpatient setting is preferred Education Requirements Graduate of NLN accredited School of Nursing. License/Certification Requirements Current NJ-RN License (Registered Nurse). Current NJ-BLS Certification (Basic Life Support) Certain specialties may require advanced certification (i.e., ACLS, NALS, PALS).
Nemours Children's Health

Registered Nurse - 3E, Intermediate Care Unit

Job Description Nemours is seeking a Registered Nurse for our general pediatrics stepdown unit to join our team in Wilmington, Delaware . This position is FULL-TIME, 72 hours biweekly, 12-hr rotating shifts, with every third weekend and holiday rotation . 3 East is a surgical intermediate unit with a high population of patients requiring post-operative care for urological issues, traumatic injuries, and general surgery. 3 East also cares for patients with acute and end stage renal disease and patients requiring an intermediate level of nursing care due to their tracheostomy and/or ventilator needs. Each patient room is equipped with oxygen, compressed air, and suction along with state-of-the-art cardiorespiratory bedside monitors and computers that enable the healthcare team to access a patient’s electronic medical record. The patient care complexity directly relates to the wide range of patient care skills required for this diverse patient population. The goal of this unit is to provide high-quality, cost-effective patient care. The Synergy model is used in making appropriate patient assignments based on patient and family needs and nursing skill set. Special equipment used on this unit includes infusion pumps, syringe pumps, feeding pumps, BiPap respirators, Oxygen delivery methods, PCA & epidural pumps, wound vacutainers, ventilators and specialty beds. Nursing competencies include: chest tube management, pain management, blood product administration, urinary catheterization, tracheostomy care, ventilator management, and central line care and management. Qualifications We are looking for professional and dedicated nurses passionate about pediatrics BSN preferred; if have associate's degree must receive BSN within three years Pediatric experience preferred At least 6 months of nursing experience required Bilingual Preferred Must be eligible for or have current DE nursing license. Must have BLS certification through the American Heart Association. About Us Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued. Learn more at Nemours.org .
Temple Health

Assistant Nurse Manager, Operating Room, Fox Chase Cancer Center

Under the direction of the Nurse Manager/Clinical Director, plans, directs, organizes, coordinates, and evaluates overall clinical and administrative activities of an assigned nursing unit. In the absence of the Nurse Manager/Clinical Director, assumes ultimate responsibility for staff oversight and the care of patients on a nursing unit. Supervises, evaluates, guides and counsels nursing staff in their work performance. Ensures that staffing patterns provide optimal delivery of nursing service. Demonstrates a thorough knowledge of nursing theory and practice and principles, methods and techniques involved in providing nursing care, familiarity with organization and function of departments, policies, procedures and regulations and knowledge of principles of leadership and management. Assists in meeting the educational needs of the staff. National certification in Nursing or Healthcare related specialty preferred. Education Bachelor's Degree Nursing Required Other Graduate Of An Accredited School Of Nursing Required Master's Degree Nursing or related health care field Preferred Experience 3 years experience in oncology Required General Experience In a Clinical Leadership Role Preferred Licenses Basic Life Support Required PA Registered Nurse License Required Multi State Compact RN License Required Or