RN Jobs in Exton, PA

Temple Health

ED NURSE COORD- QUAL, PI & EOC

Responsible for all Performance Improvement and Education activities/programs within the entity's Emergency Departments. Assures department is competitive based on evidence based practice, quality outcomes & efficiency of care. Performs a leadership role and collaborates with other Hospital leaders to establish and implement department policies and practices. Maintains environment of care (EOC) readiness in the department. Reports and follows-up on inquiries, equipment problems and EOC issues. Education Bachelor's Degree Nursing Required Master's Degree Nursing, Education, Business Administration or other related area Preferred Experience 5 years experience in clinical Emergency Department role and/or leadership experience Required General Experience and knowledge of the Principles of Learning and methods of teaching and professional nursing practice and theory Required Licenses PA Registered Nurse License Required Multi State Compact RN License Required Or
Devereux Advanced Behavioral Health

Director of Nursing

Are you able to lead, influence and direct a team to provide quality care and outstanding performance in the areas of direct nursing care, regulatory compliance and best practices? Do you possess an understanding of operational business and oversight that allows you to ensure fiscal responsibility and management? If you answered YES to these question, consider joining Devereux Advanced Behavioral Health. We are currently seeking a DIRECTOR OF NURSING for our PA Adult Services Center. We Offer: The ability to make a difference in the lives of others Opportunities to supervise, train and model nursing best practices to a committed workforce Direct involvement in Leadership decisions that direct operations and program development and allows you an opportunity to showcase your business and operational expertise Stable national non-profit employer offering a strong support system and is forward thinking in their clinical practice and research. BENEFIT ELIGIBILITY AFTER 30 DAYS OF EMPLOYMENT (1st day of the first pay period after 30 days). Job Summary Directs Center nursing activities to assure the delivery of quality nursing services, in accordance with established nursing procedures, regulatory requirements, Devereux Standards of Care and best practices. Serves as a nursing expert and guides staff to implement a program focusing on high quality health care services. Provides leadership, training, and ongoing support to nursing staff. Maintains department budget and fiscal health Coordinates and collaborates with other departments to include medical, admissions, operations, quality management, etc. Serves as liaison with on-call physicians, community medical providers, and independent contractors. You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND–the first career accelerator program exclusively designed to give behavioral healthcare workers – the career guidance, one-on-one coaching, skills and financial assistance you need to reach your full potential. This program includes 100% of tuition covered (up to $15k reimbursed annually for undergraduate and $25k reimbursed annually for graduate) and student loan repayment, among other benefits! #Sponsored Qualifications EDUCATION: Must be a graduate of an accredited school of nursing, and have a license to practice nursing as a Registered Nurse in the Commonwealth of Pennsylvania. BSN required, MSN preferred. EXPERIENCE: Requires a minimum of five (5) years nursing experience in a health care facility, preferably working with adults with intellectual/developmental disabilities, mental health diagnoses, and/or TBI. At least three (3) years supervisory experience Excellent oral and written communication skills. Proficient computer skills and mastery of Microsoft applications. Must possess and maintain valid driver's license, and be at least 21 years of age. Company Overview Company Overview Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year. Our Mission: Devereux changes lives – by unlocking and nurturing human potential for people living with emotional, behavioral or cognitive differences. With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving individuals in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. Our Culture, Our Expectations At Devereux, Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven, people-first mindset is at the heart of the compassionate and high-quality programming we provide – every day – for the individuals and families we serve, and other key stakeholders. Devereux offers challenging and exciting work, and our team environment creates an empowering, positive and rewarding atmosphere. To be successful at Devereux, you will: put the needs of others first, feel called to serve and called to lead. As a member of our team, you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services, and within all policies and employee practices. We believe a workplace rooted in inclusivity – offering a sense of belonging to all those who walk through our doors – is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces, we will engage in work that gives each of us a chance to change the world – one person, one family, one community at a time. What Devereux Offers You In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of employment. In addition, we offer; Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. Student loan debt assistance, tuition reimbursement and continuing education assistance. Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. Employee assistance / work-life balance program. Visit www.mydevereuxbenefits.org to see why Devereux is a great place to work! Devereux is a drug-free workplace, drug screening required. EOE
Temple Health

RN Clinical Registered Nurse 5S Cardiac Neuro FT 36HR Nights Flex Shift 7p-7:30a at 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
Temple Health

Registered Nurse Intermediate Care Unit

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
Autumn Lake Healthcare at Memorial Bridge

Registered Nurse (RN)

NEW RATES ! !! $3,500 Sign on bonus !! Join our wonderful team as a Registered Nurse (RN) today! Autumn Lake Healthcare at Memorial Bridge is an exceptional team-oriented company hiring for Registered Nurse (RN) ! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Autumn Lake Healthcare at Memorial Bridge is proud to offer competitive pay. Please note that these rates are simply a starting point, and we are happy to negotiate based on experience and knowledge. Benefits for Registered Nurse (RN): NEW RATES ! $3,000 Sign on bonus ! Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Qualifications & Experience Requirements for Registered Nurse (RN) : Previous Experience as a Registered Nurse (RN) preferred Registered Nurse License d HP
Temple Health

RN-STAFF/CLIN NURSE-4B-Medical Surgical- 36HR Night Shift

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
Temple Health

RN Registered Nurse - EP Lab- Cardio Cath- FT 40HR working four 10s 7a-5:30p

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
Temple Health

RN-STAFF/CLIN NURSE- 8N-Medical Surgical- 36HR Night Flex Shift

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
Temple Health

RN-STAFF/CLIN NURSE-Radiology-Special Procedures- 40HR Day Shift (8-630 with rotation)

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
Temple Health

RN Clinical Registered Nurse 5S Cardiac Neuro FT 36HR Days Flex Shift 7a-7:30p at 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 Graduate of accredited school of nursing Required General Experience Relevant Experience Required Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
Temple Health

RN-Staff/Clinical Nurse- Surgery (40/hrs, Day Shifts) - 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
Temple Health

RN-Staff/Clinical Nurse- Otolaryngology (40/hrs, Day Shifts) - 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
Temple Health

RN-Staff/Clinical Nurse- Pulmonary (40/hrs, Day Shifts) - 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
Temple Health

RN Registered Nurse PT 24hrs Nights Flex 6:45p-7:15a Progressive Care Unit at FCCC

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 Other Graduate Of An Accredited School Of Nursing Required Bachelor's Degree Required Experience 2 years experience in area of clinical specialty Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Multi State Compact RN License Required Or
BAYADA Home Health Care

Registered Nurse

When you know Home is the future of Healthcare Jefferson Health at Home by BAYADA was founded on the principle that healthcare gets better when people get better care at home – the place where they feel best. We are currently recruiting for a compassionate Home Health Registered Nurse (RN) to reliably serve patients in Philadelphia, PA. This is a full-time, salaried position. What you’ll do: As a Jefferson Health at Home by BAYADA Nurse, you’ll use your clinical skills and compassionate heart to treat patients where they want to be the most – in the comfort of their own home. As a Jefferson Health at Home by BAYADA RN you will: See a client through their care needs – from hospital discharge to living a safe home life with comfort, independence, and dignity. Deliver 1:1 skilled nursing, intervention, and supportive care in accordance with individual care plan, including administration of medication, wound care, treatments, and comfort care Perform client assessments, provide education to the patient and/or their family, and monitor patients' condition. What you should have: Active and current license to practice as a professional registered nurse (RN) in the state of Pennsylvania. One year of clinical experience strongly preferred. Previous home healthcare experience welcomed, but not required. We will train you. Ability to travel to cases as assigned A calm and reassuring presence, active listening skills, excellent assessment skills and strong written and verbal communication. The ability to deliver patient care as you would want those you love to be treated, with compassion, excellence, and reliability. Why you’ll love what you do at Jefferson Health at Home by BAYADA: We are committed to providing patients the highest-quality care, enabling them to live at home with comfort, independence, and dignity. At Jefferson Health at Home by BAYADA, we believe our employees are our greatest asset. As a Jefferson Health at Home by BAYADA Registered Nurse, you’ll enjoy: Flexible schedules for work/life balance: full-time, part-time, per-diem, and on-call. Scheduling is primarily during the daytime hours. 1:1 hands on training supplemented with virtual learning. Ability to perform 1:1 direct client care and advocate for clients’ needs 24/7 clinical support as part of a larger care team with the highest safety standards. PTO and benefits offerings based on commitment level Continued education and training; tuition reimbursement As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Trinity Health at Home

Registered Nurse - Palliative Home Care

Employment Type: Full time Shift: Day Shift Description: Mercy Home Health, a member of Trinity Health at Home, is seeking a dedicated Full-time Registered Nurse for our Palliative Care program. This position is based out of South Broad Street and support North, South, and West Philadelphia. ****$10K Sign On bonus offered**** Current employees, prior employees who have left within a year are not eligible for Sign on or referral bonuses Your Opportunity: Provide one-to-one care with your patients in their homes. Enjoy a truly patient-centered focus. Excel with supportive, motivated colleagues in an inspiring environment. Flexible scheduling opportunities. Competitive salary. Career paths and professional development. Learn the industry's best, easy-to-use, advanced technology. Key Responsibilities: Provide comprehensive care to patients and families in the palliative care program. Offer clinical consultation in palliative care. Develop, coordinate, and evaluate palliative and end-of-life care programs. Qualifications: Education: BSN required. Licensure: Current PA RN License and CPR Certification. Certifications: Hospice/Palliative Care Certification required. Experience: Home care experience, strong clinical knowledge base, and hospice experience preferred. Skills: Strong interpersonal, organizational, problem-solving, critical thinking, and priority-setting skills. Ability to work independently and as part of a team. Proficient in computer skills. Other Benefits: Health, dental, and vision insurance starting on your first day. Short and long-term disability. 403b retirement plan. Generous paid time off. Mileage reimbursement. Comprehensive orientation. Minimum Qualifications: Graduate of an approved nursing education program. Licensure as a Registered Nurse in the state of PA. Palliative Care Certification is required One (1) year of experience as a professional care nurse in home care or hospice care is a plus. Must have a current driver’s license and reliable transportation. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Penn Medicine

Clinical Nurse 2- Inpatient Medical Oncology at HUP, FT Rotating Shifts

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? 12 Campus is a 36-bed medical oncology unit. We provide care to patients, age 18 years and older. The patients on 12 Campus have a wide range of oncologic diagnosis. Nurses within our unit are trained in delivery of chemotherapy and biotherapy, autologous stem cell transplant and clinical research trials. We see patients through many phases of their cancer care from new diagnosis, chemotherapy or radiation treatment, and symptom management. Close relationships are developed between the patients and the rest of the care team. The ideal candidate will be a team player, compassionate, empathetic, and motivated to provide the highest level of care to our patients. Summary: The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description addendum. The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Responsibilities: Professional Practice Competency Domains DefinitionsContinuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Credentials: Basic Cardiac Life Support (Required) BLS/CPR, as a healthcare provider as per the American Heart Association. Registered Nurse - PA (Required) Pennsylvania RN licensure Education or Equivalent Experience: Bachelor of Arts or Science (Required) Education Specialization: BSN from an accredited school of nursing Equivalent Experience: •And More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Penn Medicine

PRN Nurse RN - Radiology - Per Diem - Pennsylvania Hospital

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Summary: The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description addendum. The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Responsibilities: Professional Practice Competency Domains DefinitionsContinuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Credentials: Basic Cardiac Life Support (Required) BLS/CPR, as a healthcare provider as per the American Heart Association. Registered Nurse - PA (Required) Pennsylvania RN licensure Education or Equivalent Experience: Bachelor of Arts or Science (Required) Education Specialization: BSN from an accredited school of nursing Equivalent Experience: •And More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Temple Health

Certified Diabetes Care and Education Specialist - RN (Temple Hospital Episcopal Campus)

The certified diabetes care and education specialist delivers comprehensive seamless educational support svcs to patients and their families/care partners to bridge the gap and integrate clinical/self-mgmt. aspects of diabetes. Provides collaborative comprehensive person-centered care/education conducive to behavior change and improved quality of life across the lifespan. Supports/advocates for those affected by diabetes to optimize quality care. Promotes self-mgmt. to achieve individualized behavioral/treatment goals that reduce risks and optimize health outcomes. Participates in case mgmt, patient care planning, goal setting, and development and maintenance of education curricula/materials. Assists the Education Coord in assessing, planning, implementation and evaluation of Patient Centered Diabetes Educ program. Collaborates with other educators identifying the needs, developing/providing clinical programs and services. Promotes and disseminates diabetes information to professionals and public following established American Diabetes Association guidelines. Educator Credentialing as Diabetes Care and Education Specialist required within 1 year of hire. Must maintain 15 diabetes related CEU credits per year and active registration and licensure. Education Bachelor's Degree Nursing Required Experience 3 years experience as a Registered Nurse Required 3 years experience in Diabetes self-management education and support experience Required General Experience And Working Knowledge Of Diabetes Technology Required General Experience working with a diverse patient population Required 1 year experience in a community health or ambulatory care setting Preferred Licenses PA Registered Nurse License Required or Multi State Compact RN License Required Cert Diabetes Care and Ed Spec Within 1 year Required
Jefferson Health

Registered Nurse - PACU - Per Diem, Day - Jefferson Lansdale

Job Details With a commitment to patient- and family-centered care, the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical, psychological, emotional, and social needs of the diversity of patients served by Jefferson Health. Develops nursing plans of care with the patient and their designated care partner(s) to effectively address the individualized needs and priorities of patients and are consistent with their cultural beliefs and values. Job Description 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. Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Lansdale Hospital Primary Location Address 100 Medical Campus Drive, Lansdale, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance. For more benefits information, please click here
DaVita Kidney Care

Registered Nurse

Posting Date 06/11/2026 3823 Market St, Philadelphia, Pennsylvania, 19104-3145, United States of America Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. DaVita requires teammates to comply with Federal and State requirements related to vaccination against Covid-19. This includes being up to date with vaccinations or having a qualified exemption. For our teammates who work to support in-patient treatments in hospital or healthcare systems, there may be additional booster requirements prior to providing patient care services. #LI-DO1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
ChristianaCare

Clinical Nurse Specialist - Christiana Emergency Department

$100,152 - $160,243.20 / year
Job Details Clinical Nurse Specialist (CNS) – Emergency Department Are you ready to lead transformational change in emergency care? ChristianaCare is seeking a Clinical Nurse Specialist (CNS) to join our dynamic Emergency Services team at Christiana Hospital and our Middletown Emergency Department. This is your opportunity to make a lasting impact on patient outcomes and nursing practice. ChristianaCare’s Emergency Departments offer a unique opportunity to practice across a high-performing, nationally recognized health system that combines the intensity of a major academic medical center with the accessibility of a community-based setting. Christiana Hospital is home to one of the busiest Emergency Departments in the nation, caring for more than 200,000 patients annually. As Delaware’s only Level I Trauma Center, it delivers the highest level of emergency and trauma care, supporting a broad range of complex and high-acuity patients in a fast-paced, multidisciplinary, academic environment. With a strong focus on evidence-based practice, innovation, and care delivery transformation, Christiana Hospital provides an exceptional setting for clinical leaders to drive quality and influence outcomes at scale. Complementing this is the Middletown Emergency Department, a dynamic, community-based site serving a rapidly growing population. This location provides high-quality, patient-centered emergency care in a collaborative, team-oriented environment with a strong emphasis on efficiency, safety, and patient experience. Fully integrated with Christiana Hospital, the Middletown ED offers seamless access to advanced specialty care and transfer capabilities while maintaining a close-knit team culture. Across both settings, ChristianaCare fosters a culture of clinical excellence, continuous improvement, and innovation—offering Clinical Nurse Specialists the opportunity to influence practice, lead quality initiatives, and enhance patient outcomes across diverse emergency care environments. PRINCIPAL DUTIES AND RESPONSIBILITIES: Acts as transformational leader, catalyzing and facilitating change toward higher levels of professionalism and competency. Provides advanced clinical consultation and serves as a resource for patients, families, and staff in specialty areas. Collaborates with interdisciplinary teams to enhance patient outcomes and promote structural empowerment. Leads and disseminates research and quality improvement initiatives, supporting new knowledge, innovations, and clinical improvements. Models exemplary professional practice through direct patient care, mentorship, and staff development. Evaluates and reports empirical outcomes, using data to drive practice improvements. Ensures care delivery is evidence-based and consistent with the relationship-based care model. EDUCATION AND EXPERIENCE REQUIREMENTS: Graduate of an accredited school of nursing. Clinical Nurse Specialist license in Delaware OR Maryland with willingness to obtain in both states. Master’s degree in nursing with completion of a CNS program. National CNS certification required ANCC CNS-BC. Minimum five years of relevant clinical and leadership experience. Current Registered Nurse License in Delaware. Current Clinical Nurse Specialist license in the state of DE. Current BLS certification required. Nurse Executive Board Certification preferred. Schedule: This position is an exempt position with typically a Monday - Friday day shift schedule, requiring flexibility to meet the needs of the department. What we Offer: · Robust medical, dental and eyecare benefits, effective Day One! · 403b with defined contribution. · Generous paid time off with annual roll-over and opportunities to cash out. · 12 week paid parental leave. ChristianaCare fully absorbs cost of Delaware PMFL. · Incredible work/life benefits including membership to care.com, access to back up care services for dependents, retirement planning services, financial coaching, fitness and wellness reimbursement and great discounts through several vendors for hotels, rental cars, theme parks, shows and sporting events. Annual Compensation Range $100,152.00 - $160,243.20 This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law. Post End Date Sep 1, 2026 EEO Posting Statement ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/
Penn Medicine

RN Clinical Nurse 2- Inpatient Medical ICU FT Nights - Penn Presbyterian

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? The Medical ICU is a 16-bed unit located on the 2nd floor of the Myrin Building. The unit focuses on performance improvement and evidenced based practice to provide the best possible care. MDs, RNs, unit secretaries, and ancillary staff work collaboratively to care for a wide variety of patient populations. Interdisciplinary rounds are performed twice daily. The complexity of these patients requires a patient ratio of 1:1 or 1:2. The MICU population may at any given time consist of a diverse range of morbidities including, medical patients diagnosed with respiratory failure requiring mechanical ventilation, multi-system organ failure/ sepsis, renal failure, gastrointestinal bleeding, pulmonary hypertension, and liver failure. Interventions, depending upon the disease process, may require continuous renal replacement therapy (CRRT), hemodynamic drips, and inhaled prostacycline. Nurses operate in collaboration with other staff as well as autonomously when as appropriate, evidenced by nurse driven insulin protocol for DKA patients. Summary: The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description addendum. The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Responsibilities: Professional Practice Competency Domains Definitions Continuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Credentials: Basic Cardiac Life Support (Required) BLS/CPR, as a healthcare provider as per the American Heart Association. Registered Nurse - PA (Required) Pennsylvania RN licensure Education or Equivalent Experience: Bachelor of Science Nursing (Required) BSN from an accredited school of nursing and More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Bryn Mawr Extended Care Center

Assistant Director of Nursing (ADON)

$53 / hour
** $10,000 Sign On Bonus!! ** Join a team where compassion meets excellence - we're dedicated to delivering heartfelt care and making a meaningful difference in every patient's life! We’ve been recognized by Newsweek and Plant-A Insights Group as one of America’s Most Admired Workplaces for 2026! Advantages: On Demand Pay – Get paid tomorrow for work done today! Or choose our Weekly Pay option! Grow Into a Leadership Role – Training Provided to Become a Director of Nursing (DON)! Exceptional PTO & Benefits – Enjoy a generous paid time off plan and a robust benefits package that supports your well-being. Tuition Assistance – Invest in your future with educational opportunities that help you advance your career. Strong, Supportive Leadership – Be a part of a stable management team committed to excellence in customer service and staff development. Dedicated Team Culture – Work alongside passionate professionals who care deeply about making a difference. Benefits and Perks*: DAILY Pay! Benefit eligibility the first of the month following 30 days Comprehensive benefit packages including medical, dental, and vision, and more. Health Savings Account available with employer contribution. 401K through Fidelity Employer-paid life insurance (FT employees) Robust Employee Assistance Program Generous Paid Time Off (PTO) Educational, leadership, and tuition opportunities Various discount programs offered, including discounted childcare programs through KinderCare Wellness programs offered through WebMD Employee recognition programs Culture of employees creating an IMPACT! Position Summary: The primary function of the Assistant Director of Nursing is to assist the Director of Nursing in planning, organizing, developing, managing, and directing the day-to-day functions of the SNF Nursing Service Department in accordance with current federal, state and local standards, guidelines and regulations that govern the facility. The Assistant Director of Nursing will work alongside the Director of Nursing with the Administrator and the Medical Director to ensure the highest degree of quality of care is maintained for each resident at all times. Follows all health, sanitary and infection control policies and maintains established standards of practice set forth by the facility's administration and Nursing Policies and Procedures. Education/Qualifications: Must possess a current, unencumbered license to practice as a RN within the state in which you work or licensed as an LPN if the state you operate in allows. Minimum two (2) years of experience in a supervisory role in a hospital, nursing facility or other related healthcare facility, preferably in long term care. Must possess basic computer skills and ability to navigate through various software programs, including electronic health record software. Shift & Wage: Full-Time Opportunity Available Shifts Needed: Days Wage: $55.00 per hour Sign On Bonus: $10,000 Paid Out In Quarterly Installments *Program details can vary amongst buildings. Please see HR for the facility-specific benefit plans. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
Wyndmoor Hills Health Care & Rehab Center

Nurse Leadership Role (RN) *Nights*

Wyndmoor Hills Health Care Center is now seeking a compassionate and professional RN NURSE LEADER for our Night Shift (11p-7a) to work in coordination with the DON to support the nursing department functions of our rehabilitation and skilled nursing facility. As a leader, you can take advantage of a unique opportunity to help us reach our goal of becoming a premier facility RESPONSIBILITIES OF THE NURSE LEADER: Ensure that all nursing personnel in our facility comply with established standards, practices, and regulatory requirements for the highest quality of resident care Support the development and implementation of nursing department budgets in coordination with the facility administration. Implementing compliance and quality improvement policies, programs and procedures Is responsible for surveillance, rounding, analyzing, interpreting and the reporting of healthcare-associated infections Supports the development of evidence-based organizational infection prevention policies/standards that meet state, federal, regulatory and accrediting agencies standard Leads in infection prevention and serves as a resource, educator, researcher and proponent of change in order to influence infection prevention improvement to provide quality health care within the organization REQUIREMENTS OF NURSE LEADER: Associate degree in Nursing or higher from an accredited school of nursing. Must have a valid PA RN license Minimum 3 years’ experience in Long Term Care experience may be considered