RN Jobs in North Haledon, NJ

Five Star Nursing

RN / Registered Nurse

$58 / hour
Hiring Registered Nurses (RNs) for Skilled Nursing Facility Make a Difference on Your Own Schedule and Terms! We are seeking compassionate RNs / Registered Nurses to work within our client's facilities, providing follow-through of the physician-established plan of treatment and working under the supervision of the RN Supervisor. We believe that qualified nurses are advocates and health educators for patients, families, and communities. Hourly pay rate: $58 We would love to hear from you and see how we can help you advance your career in the medical field and earn money while caring for your community! All of our Registered Nurses have access to: Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) Paid Orientations Competitive Weekly Pay with Direct Deposit Paid Sick Leave in accordance with NY law. Dedicated Office staff & 24-hour On-call Service Positive Work Environment Medical, dental, vision, and other insurance options available Lucrative Referral Bonuses RN/ Registered Nurse Requirements: Currently holds an active RN license to work in New York. CPR Certified (BLS or ALS accepted) Meets all State and Federal requirements for US employment in a Nursing Facility Strong patient assessment skills Demonstrated clinical competency We look forward to hearing from you soon. Apply today!
CareWell Health Medical Center

Registered Nurse-Post Anesthesia Care Unit (PACU)

Job Summary The PACU nurse is responsible for providing quality nursing care utilizing the nursing process as reflected in Peri anesthesia Standards of Practice. Post-anesthesia nursing practice includes, but is not limited to, the role of coordinating care of patients/families by intervening in actual or potential problems including evaluation of the patient’s response to the care. Essential Functions Follows the nursing process for patients admitted into PACU Communicates with surgeon, anesthesia care provider, and OR RN about procedure, blood loss, unexpected occurrences during the case, drains/tubes, dressings, pain management, level of nausea and/or vomiting, and relevant patient medical/surgical history and medication allergies Is at the patient’s side during extubation (and reintubation if needed) and waking up from anesthesia; safely positions patient; accurately documents and charges patient, Gives report to SDS, nursing unit, and ICU nurse; includes family in patient status when possible and picks them up on the way to the unit. Has working knowledge of a-lines and monitoring, ventilators, PCA, airway management, hemodynamic status, CVP lines and epidurals, hydration status, infusion pumps, EKG rhythms and appropriate actions based on the reading. Follows recommended practices of ASPAN. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Minimum Education/Certifications Graduate of an accredited school of nursing, preferably BSN program. Current NJ license. CPAN Preferred With Maintenance Of The Required Continuing Education. (BLS) from the American Heart Association and ACLS mandatory. Certification in PACU preferred. Minimum Work Experience Minimum two years of experience in a related healthcare position Previous Endoscopy Experience Required Working Conditions Exposed to unpleasant odors, body waste, and communicable diseases. Encounters stress, crisis, emergencies, trauma, and death. On feet most of the day, lifts patients and moves heavy equipment. Interacts with family, visitors, health team members and other hospital and referral agency personnel. CareWell Health provides a salary/hourly rate range for all open positions to comply with New Jersey Law. The rates listed for each position is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range does not include bonuses/incentives, differential pay or other forms of compensation which can be discussed in detail with your talent acquisition specialist. The salary/hourly rate range for this position is: $65.00 Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health. Candidates should discuss salary/hourly compensation and details of our comprehensive benefits with our talent acquisition specialist if selected for an interview. We offer an excellent benefit package including but not limited to the following benefit offerings: Health, Dental and Vision Insurance Basic Life and Disability Insurance Whole Life, Accident, Critical Illness and Hospital Indemnity Insurance Flexible Spending Accounts Employee Assistance Program 401(k) Paid Holidays and a generous Paid Time Off Plan
Renalliance Group

Registered Nurse

Main Function: Under the supervision of the Clinical Nurse Manager, performs duties in the care and treatment of patients on maintenance dialysis. We are seeking a Registered Nurse who has at least 1 year of experience, caring for patients Mon-Wed-Fri. 5am till 6:30 pm, Candidate must be licensed in New York and have current BCLS certification. Candidate should have knowledge with computers and electronic charting. We offer very competitive compensation and comprehensive benefits. Join us and be part of a dynamic and professional team in a state of the art facility.
The Willows at Ramapo Rehabilitation and Nursing Center

Respiratory RN

Schedule · 5 days a week 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory therapist who has experience in a rehab center and possesses great communication skills to put the “therapy” into respiratory therapy. If you are looking for a challenging and rewarding opportunity, this opportunity can be for you. The position is within a Skilled Nursing facility. As a Post Acute and Long Term Care respiratory therapist, your role would involve providing specialized care and treatment to patients with cardio-pulmonary, respiratory conditions neurological disorders and physical conditions that manifest into respiratory disorders over an extended period. Your primary responsibility would be to assess, provide diagnostic testing, develop treatment plans, and provide treatment to our Skilled Nursing Facility population. Job Description ESSENTIAL JOB FUNCTIONS: 1. Provides patient treatments which meet patient needs and uses current treatment knowledge in accordance with facilities clinical procedures. This includes but is not limited to: · Performing accurate, comprehensive patient evaluations. · Developing an effective plan of treatment and obtaining appropriate approvals from a referring physician. · Communicating with supervisor and interdisciplinary team members regarding patient progress, problems, and treatment plans. · Instructing patient’s families and/or nursing staff in specified follow through programs. · Interviewing patients and families regarding previous level of functioning, lifestyle and current and future expectations for recovery. · Demonstrating knowledge of appropriate resources for problem-solving and clinical best practice. · Evaluating patients within the required timeframe as per facility policies. · Provides patient care as appropriate and necessary, following the position description for the applicable clinical discipline in which licensure or certification is held. 2. Writes accurate, complete, and clear documentation in accordance with the facility’s regulatory, licensing, payor, and accrediting requirements. This includes but is not limited to: · Recording Screens/Resident Needs Reviews, evaluations, daily treatment notes, discharge summaries and walking rounds in accordance with facility Policies and Procedures. · Recording treatment charges accurately and ensuring that documentation is consistent with billing data. · Writing specific, objective documentation that is outcome oriented and details the patient’s needs, potential to benefit from treatment, and progress achieved to date. Includes specific, objective measurable goals. 3 . Consistently demonstrates facility interdisciplinary approach to patient care. This includes but is not limited to: Integrating findings of other members of the interdisciplinary team in treatment assessment and recommendations. Integrating input from patient and family in treatment assessment and recommendations. Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. Collaborating with and informing facility staff in areas of patient progress. Educating members of the team in areas of expertise. Working with a facility to teach documentation practices which assist the respiratory therapy team. Communicating effectively with discharge planners. 4. Contributes to professional development of self. · Maintaining current professional status and licensure. · Adhering to professional standards of conduct and clinical code of ethics and practice. · Implementing in-services and training. · Maintaining a current body of knowledge in areas of clinical expertise through seminars, professional journals, and peers. · Meeting continuing education requirements of regulatory agencies. 5. Aids in building and maintaining the facility’s reputation as the unparalleled respiratory therapy provider by contribution as a professional member of the staff. · This includes but is not limited to oversight of the following departmental operations: · Consistently demonstrating the facility’s core values by interacting with co-workers, patients and families, with all other persons involved with the patient’s care. · Consistently demonstrating professional standards as outlined in the facility’s Employee Handbook and as communicated by the facility’s management. · Contributing to a positive work team by sharing information, using problem solving methods and accepting new ideas, constructive criticism, or advice from others. · Maintaining close communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. · Establishing and maintaining an effective rapport with the facility administrator, MDS, Rehab Director, DON, and medical director. o Demonstrating superior customer service through courtesy, consistent follow-up and positive communication. 6. Demonstrates safe working practices . This includes but is not limited to: Identifying and correcting safety hazards or notifying the facility or the admin so that safety hazards will be immediately remedied. Maintaining work areas in safe and orderly fashion. Maintaining equipment in safe working order by facilitation annual calibration. Using proper body mechanics during treatments of patients and during support activities. Using universal safety precautions. Wearing appropriate protective equipment. QUALIFICATIONS: Skills, Knowledge and Abilities: · Excellent written and verbal communication skills. · Knowledge of the respiratory community. · Skills applicable to clinical discipline. o Knowledge of medical terminology. o Knowledge of respiratory disease and diseases that affect the respiratory system. o Ability to use respiratory therapy equipment. o Ability to exercise judgment and discretion in devising, installing and interpreting rules, regulations, policies, or procedures . o Ability to express ideas and information, clearly, concisely, verbally and writing. o Ability to establish and maintain effective working relationships with superiors, and officials of other departments. · Program development and implementation · Management and administration of therapies as prescribed by a physician and according to the standard procedure. · Preferred experience with the following skilled interventions: o Oxygen weaning therapy o Omni flow – Biofeedback o Group respiratory therapy o Standardized respiratory testing o Aerosol therapy o Incentive Spirometry o Chest physiotherapy o Deep breathing and coughing o Bronchial hygiene therapy o PEP therapy o OPEP therapy o Postal Drainage o Positioning o Oro/Naso-pharyngeal suctioning o Airway clearance/management techniques o Trachea-bronchial suctioning o Tracheostomy care o Spirometry Bedside Testing o CPAP/BIPAP o High-Flow Oxygen o Cardiac Program o Pulmonary Program o 6-minute walk test o 2-minute walk test o Spirometry testing o Cardio-pulmonary resuscitation 10. Education and Experience: · Graduation from an accredited program for Respiratory Therapy preferred · Must possess and maintain a current license in the state of practice as required · Other education and experience may be considered. an equal opportunity employer INDTHE
Oxford Nursing Home

Assistant Director of Nursing (ADON)

*$10,000 Sign on Bonus* Oxford Nursing Home is seeking a compassionate and professional Assistant Director of Nursing to work in coordination with the DON to support the nursing department functions of our personal care facility. If you are looking forward to becoming a part of a dynamic team, we would love to meet you! RESPONSIBILITIES OF THE ADON: 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 ADON: As the Assistant Director of Nursing, you must possess strong interpersonal communication skills and the ability to deal effectively with patients, families, physicians, community resources and the general public. Associate degree in Nursing or higher from an accredited school of nursing. Must have a valid New York RN license Minimum 3 years’ experience as an ADON preferred, Unit Manager/Nursing Supervisor in Long Term Care experience may be considered
Richmond University Medical Center

RN - Inpatient Psych

$59.14 - $68.03 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Night Shift - 12 Hours (United States of America) Uses the Nursing process to plan, implement, direct and evaluate patient care to achieve optimal patient outcomes. Works collaboratively with all other disciplines on assigned unit. Organize and implement group activities in conjunction with the unit program and other staff. Establish and foster collegial relationships with peers and other disciplines, is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity. Demonstrates therapeutic & physical skills required in crisis intervention. Requirements : -Current registration in New York State as an RN, Diploma and Licensure required. -Graduate of an accredited School of Nursing. -BSN preferred. -BLS current required. -Current PMCS preferred. -One year of Psych experience required. -Excellent organization, communication and interpersonal skills needed. Nights w/ eo wknd & hols; 7p-7:30a Salary Range: $59.144/hr - $68.028/hr (Commensurate with Education) Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Northwell Health

Registered Nurse (RN)- Behavioral Health Part time

$64 - $95 / hour
183958 Job Description Delivers and ensures patient care by assessing and diagnosing patient's condition, developing plan of care and evaluating patient's response to care. Participates in patient education and discharge planning. Collaborates with, coordinates and guides designated care team members in planning patient care and achieving goals. Job Responsibility * Develops and evaluates plan of care. Systematically and continuously assesses patient's knowledge base and physical, psychosocial and spiritual health through interviews, physical examinations and data collection Consults with multidisciplinary health care team in regard to nursing assessment findings. Creates written, individualized plan of care based on priority of patient problems, anticipated length of stay, input from patient and family and other members of the health care team. Communicates pertinent information and changes in patient status to appropriate members of care team and other health care providers, as necessary. Collaborates with team members to make changes in plan of care, as necessary. * Provides and/or delegates patient care according to the plan of care and established protocols. Utilizes clinical resources in implementing patient care and provides rationale for patient care decisions. Conducts clinical rounds, provides emergency care and administers medications to patient. Operates equipment required for patient care according to manufacturer's recommendations. Performs and assists with procedures and treatments on unit including but not limited to changing dressings, feeding patients and providing pre/post operative care. Practices and monitors infection control standards. Promotes and provides patient safety in accordance with state and federal guidelines. * Documents patient care, as required on all appropriate forms. Enters date and time of entry and signs name in legible manner on patient's chart. Completes Nursing Admission Assessment 24 hours after admission. Documents patient's response to interventions and plan of care on the Progress Notes Performs vital signs and pain score at least every four hours. Completes Transfer Assessments on patients transferred out of the unit and Perioperative Assessments on patients scheduled for surgery or procedures. Completes Frequent Observations and the Intake/Outtake Record according to established protocols. Initiates and completes health care referrals in collaboration with the interdisciplinary team. * Provides patient education. Identifies patients learning needs upon admission.Informs and educates patient and family to enable participation in their care and decision making. Develops and implements a teaching plan of care.Conducts patient teaching conferences.Documents patient teaching. * Participates in Quality Improvement process. Participates in developing and implementing of unit goals and objectives. Attends in-service programs on new products and equipment used on unit. Completes occurrence reports according to policy and unit-based audits, as assigned. Participates in identifying problems requiring investigation and in developing and implementing corrective action plans for the unit. * Participates in unit staff meetings and unit based clinical conferences, as scheduled.Represents the clinical unit on committees, as assigned.Submits annual record of continuing educations and self-assessment of clinical performance. * Performs the responsibilities of charge nurse and preceptor according to established protocols, as assigned. Performs related duties, as required. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS or PALS, required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Northwell Health

Registered Nurse (RN)- Ambulatory Practice Cardiology Part time

$68,000 - $115,000 / year
184099 Job Description Performs an age specific plan of care for designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate, assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; Assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care; determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; Identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; Identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique; applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions. Participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
SYNERGY HomeCare

Registered Nurse (RN)

SYNERGY HomeCare has an opening for Registered Nurses to become part of our care provider team. This position would be responsible for providing nursing care to our HomeCare clients in Essex, Union, Hudson, Passaic and Morris counties in New Jersey. Our focus is on delivering compassionate and attentive care to individuals, in their private residences. Home Care Registered Nurse Duties include: Assess patient at start of care to develop a plan of care Initiate Plan-of-Care and make necessary changes as patient's needs evolve Evaluate patients in their homes Instruct and advise patients and/or families as well as the home health aides in patients' care Reassess patients every two months to determine any condition change as well as Supervise the home health aide to ensure proper care RN Benefits include: Competitive Salary Paid Vacation days Paid holidays Health Insurance Build your own Schedule Matched 401K Utilizing a Company Car Annual Bonuses SYNERGY HomeCare offers: Competitive pay Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules Employee recognition programs Home Care Registered Nurse Requirements : Valid and current New Jersey Registered Nurse License and Registration Current Driver’s License Organized and Patient oriented Able to work independently Good oral and written communication skills Minimum of 1-2 years clinical nursing experience Licensed home care services As assigned by DON or Administrator As a Registered Nurse with SYNERGY HomeCare, you will: Assess clients and make recommendations for care planning Assist with employee training as needed, utilizing your expertise as a registered nurse Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care as a professional RN SYNERGY HomeCare offers: Competitive pay Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules Employee recognition programs If you would like to join our outstanding team as a registered nurse at SYNERGY HomeCare apply today, email your resume to: swhitehall@shcmetronj.com.
Five Star Nursing

RNS / Registered Nurse Supervisor

$60 - $62 / hour
Registered Nurse Supervisor (RNS) at a Nursing Home Facility Make a Difference on Your Own Schedule and Terms! We are seeking compassionate RNSs / Registered Nurse Supervisors to work within our client's facilities to plan, implement, and document nursing care. Our Registered Nurse Supervisors rely on experience and judgment to plan and accomplish goals. FS believes that qualified nurses are advocates and health educators for patients, families, and communities Hourly pay rate: $60-$62 We would love to hear from you and see how we can help you advance your career in the medical field and earn money while caring for your community! As one of FS's Registered Nurse Supervisors, you will have access to: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Paid Orientations · Competitive Weekly Pay with Direct Deposit · Paid Sick Leave in accordance with NY law. · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Lucrative Referral Bonuses RNS/ Registered Nurse Supervisor Requirements · Currently holds an active RN license to work in New York. · CPR Certified (BLS or ALS accepted) · Meets all State and Federal requirements for US employment in a Nursing Facility · Strong patient assessment skills · Ability to communicate effectively · Demonstrated clinical competency · Sigma Care Experience and Additional Language Fluency are a Plus! We look forward to hearing from you soon. Apply today!
Northwell Health

Registered Nurse (RN)- 5C ICU

$61 / hour
183106 Job Description Performs an age specific plan of care for designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility "1.Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate, assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care. 2.Assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care; determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services. 3.Identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment.Develops patient outcome statement (s) and establishes individualized patient goals. 4.Identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members. 5.Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. 6.Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy. 7.Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. 8.Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. 9.Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique; applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary. 10.Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions.Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions. 11.Participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. 12.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions." Job Qualification “Graduate from an accredited School of Nursing, required. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State, required. Specialized certifications, as needed. Critical care experience, preferred. " Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
NYC Health + Hospitals

Director of Nursing

$220,000 - $240,000 / year
Marketing Statement Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position: Under the direction of the Chief Nursing Officer, with the broadest scope for the exercise of independent initiative and judgment, organizes, directs, coordinates, and evaluates the nursing service and nursing education programs of a health care setting or diagnostic and treatment center; performs related tasks. Essential Duties And Responsibilities Develops, establishes and implements the philosophy, objectives, policies and standards of the Nursing Department. Organizes the Nursing Department to delineate authority, functional responsibilities and lines of communication. Coordinates functions of nursing services with other disciplines, collaborates with administrative staff, other department staff and representatives of allied groups in planning services. Determines staffing requirements in relation to patient care standards and develops procedures to maintain an adequate, competent nursing staff. Maintains a system of continuing evaluation of nursing service provided for patients. Maintains up-to-date policy procedure manuals for all nursing units and evaluates their effectiveness. Establishes an effective system of clinical and administrative nursing records and reports. Directs the preparation of the personnel, equipment and supply budgets for the Nursing Department. Directs the development and implementation of orientation, training and continuing education programs for nursing personnel. Initiates and participates in studies and research projects. Utilizes findings to improve patient care and administrative services. Plans for and coordinates use of clinical facilities by colleges and other agencies for nursing education purposes. Participates in the development of policies and health programs for the health care setting and System policies and programs involving nursing. Develops and maintains sound relationships with the community, labor and professional groups in developing nursing programs and policies. May serve as a consultant for the System for the overall nursing practice, service and education programs; conducts related studies and directs projects, provides leadership in Central Office in the development, coordination and evaluation of System’s central and health care setting nursing services, practice and education programs. Attends community conferences and committee meetings with administrative, Medical Board and department heads. Conducts and chairs staff meetings and working committees with all levels of nursing personnel. Minimum Qualifications Licensed and currently registered to practice as a Professional Nurse in New York State; and, A Master's Degree in Nursing Administration or an equivalent field, and a minimum of four years of high-level responsible experience in nursing administration, three years of which shall have been in a hospital; or, A satisfactory equivalent. However, all candidates must be licensed and currently registered to practice as a Professional Nurse in New York State. Department Preferences This Position will be assigned to organize and lead Med/Surg. How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
American Medical Associates

Day Nursing Supervisor

$100,000 - $120,000 / hour
Day Nursing Supervisor - Nursing Home Located in Brooklyn, NY Monday-Friday; 7AM-3PM Salary: $100K to $120K Per Year ** based on experience ** *Will consider a strong Unit Manager* Responsibilities of the Nursing Supervisor: Orient clinical staff to their job responsibilities and provide leadership in clinical problem solving. Nurse will evaluate and schedule in-services/training as needed. Ensure department activities and records are in adherence to AAAHC and various licensing and regulatory requirements. Qualifications of the Nursing Supervisor: Must have current New York RN license Must have experience in Long Term Care Prior experience as a Nursing Supervisor is strongly preferred Must have supervisory/managerial experience Must have excellent communication skills #5559
Richmond University Medical Center

RN - Inpatient Psych

$59.14 - $68.03 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Day Shift - 12 Hours (United States of America) Uses the Nursing process to plan, implement, direct and evaluate patient care to achieve optimal patient outcomes. Works collaboratively with all other disciplines on assigned unit. Organize and implement group activities in conjunction with the unit program and other staff. Establish and foster collegial relationships with peers and other disciplines, is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity. Demonstrates therapeutic & physical skills required in crisis intervention. Requirements : -Current registration in New York State as an RN, Diploma and Licensure required. -Graduate of an accredited School of Nursing. -BSN preferred. -BLS current required. -Current PMCS preferred. -One year of Psych experience required. -Excellent organization, communication and interpersonal skills needed. Days w/ eo wknd & hols; 7a-7:30p Salary Range: $59.144/hr - $68.028/hr (Commensurate with Education) Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
LaserAway

Registered Nurse

$50 / hour
Aesthetic Registered Nurse – $50/hr + $5/hr Weekend Differential Fixed Schedule: Thursday through Monday| No Overnights | Comprehensive Training Provided About LaserAway LaserAway is the nation’s leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology to help every patient look and feel their best. About The Role We’re seeking an Aesthetic Registered Nurse to join our growing team. In this role, you’ll deliver exceptional patient care, perform advanced laser and injectable treatments, and educate patients on customized plans for long-term results. You’ll work in a supportive, fast-paced clinic environment where teamwork, professionalism, and patient satisfaction come first. Compensation & Schedule $50/hour base pay + $5/hour weekend differential Fixed schedule for work-life balance (no overnights required) Full-time position with benefits and ongoing training Full weekends required What You’ll Do Perform non-surgical aesthetic treatments, including laser hair removal, tattoo removal, injectables, and skin rejuvenation Conduct consultations and skin assessments to design individualized treatment plans Educate patients on procedures, pre- and post-care, and available treatment options Maintain accurate documentation and uphold all clinical protocols Partner with Patient Care Coordinators and Location Directors to ensure seamless patient experiences Float to nearby clinics as needed to support clinic operations Why Join LaserAway Competitive hourly rate + weekend differential Full medical, dental, and vision insurance 401(k) with company match Paid time off Employee discounts on treatments and products Comprehensive hands-on training across all aesthetic modalities Career advancement into Lead Nurse and Regional Clinical Trainer roles Who Thrives Here Current state-issued Registered Nurse license required 1+ year of hospital experience (ER, ICU, Med-Surg preferred) — or 2+ years in aesthetics Strong communication and interpersonal skills Professional, dependable, and patient-centered Weekend and evening availability required Join LaserAway — where science meets beauty. Apply today to start your career with the nation’s leader in aesthetic dermatology. LaserAway is an Equal Opportunity Employer. We’re committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.
The Grove at Valhalla Rehabilitation and Nursing Center

Registered Nurse (RN)

$48 - $50 / hour
Registered Nurse (RN) Registered Nurse (RN) Tired of the same old nursing home routine? We are taking a very fresh approach to skilled nursing. We offer frequent employee recognition meals, opportunities for all expense paid resort vacations, advancement opportunity, and free uniforms. Come in for an interview with our Administrator and DON!! Registered Nurse (RN) Job Duties: Assists in defining, maintaining and interpreting standards of practice. Performs required skills (assessment, intervention) according to guidelines, policies and procedures. Participates in interdisciplinary committees which influence or determine policies affecting nursing practice. Follow facility procedures/protocols for admitting residents transferring to hospitals/clinics/outpatient visits and completion of appropriate documentation based on established guideline. Makes rounds on all resident rooms and ensure that the L.P.N.’s, C.N.A.’s and/or others under his/her supervision receive their resident reports, has their assignments and break times scheduled. Assist the L.P.N. in establishing routines which facilitate a high level of nursing practice. Receives and give reports from and to outgoing and incoming shifts. Count or ensure the counting of controlled drugs with outgoing and incoming shifts. Coordinates/Prepares MDS schedules for quarterly, annual and significant change assessments. Complete MDS Booklet as per schedule (Nursing Sections). Reviews and signs off on all completed MDS and RAP Summary. Develops care plan that demonstrate knowledge of criteria to ascertain resident specific needs based on health care problem(s). Makes needed revisions and updates to the care plans. Ensures that care plan is carried out which demonstrates familiarity with criteria to establish priorities specific to anticipated outcomes. Monitors the provision of care for the residents in his/her assigned unit. Interprets philosophy and objectives of nursing service to residents, families and others. Identifies resident/family learning needs based on the discharge care plan as applicable and carries out appropriate teaching required. Demonstrates ability to coordinate and collaborate with resident/family and other members of the comprehensive health care team. Monitors the administration and accurate recording of medications used. Investigates and follow through on medication errors. Notifies physicians of pertinent observations and reactions, incident and abnormal laboratory and x-ray results as required and documents same promptly. Transcribes physician orders timely and ensure orders are implemented as appropriate. Reports all resident, visitor and work-related accidents/injuries and demonstrates appropriate follow through by investigating, documenting and processing incident reports. Accepts guidance, supervision, and criticism if needed. Practices in compliance with the Nurse Practice Act and regulatory agencies regulations. Assures that a stock level of medications, medical supplies, equipment, etc. are maintained at adequate levels at all times. Assume the authority, responsibility and accountability of directing your nursing shifts. Other responsibilities as deemed necessary and appropriate or as may be directed by the Director of Nursing Services or Administrator. Registered Nurse (RN) Qualifications/Requirements: Graduate of an accredited School of Nursing M.S./B.S. or equivalent experience preferred Licensed to practice in Tennessee Nursing Experience which one has acquired clinical competence and strong leadership skills. Demonstrates an understanding of and appreciation of the aging process. Ability to be self-directive in delegated areas of responsibility. Shift Needs: Full-Time and Part-Time ( Days and Nights) Salary: $48 to $50 an hour Registered Nurse (RN) Benefits: Competitive Wages. Medical, Dental and Vision Available Highly competitive salary Insurance Fringe Benefits Employee Perks KinderCare Discount Plum Benefits (Discounted tickets to destinations and attractions) an Equal Opportunity Employer. INDRN
Gold Crest Care Center

Registered Nurse Supervisor (RN), afternoon shift

Gold Crest Care Center is actively hiring a full-time Registered Nurse (RN) Supervisor for the afternoon (3PM-11PM), for our Skilled Nursing Facility in the Bronx, NY. We are seeking an experienced RN to oversee all aspects the facility, from supervising nursing staff to monitoring patient care. Extensive clinical experience a must, prior administrative experience and training in both nursing and administration. Responsibilities: Ensure that all nursing services personnel are following their respective job descriptions Maintains patient confidence and protects operations by monitoring confidential information processing Provides information to patients and health care team by answering questions and requests Completes patient care requirements by scheduling and assigning nursing and staff; following up on work results Perform walking rounds to ensure nursing staff are providing the highest level of resident care possible Assesses residents upon admission and periodically as conditions change Obtains and implements Physician Orders, checking for accuracy and completeness Communicates between shifts regarding changes in resident/patient conditions Participate in Facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services Plans, implements and evaluates the clinical competencies and on-going educational/orientation needs of the staff Ensure that a sufficient number of nursing staff is available for each shift to ensure that quality care is maintained Qualifications: Must have current NY RN license Must have experience in Long Term Care Must have supervisory experience Must have excellent leadership and communication skills *Competitive salary and benefits* About Us: Gold Crest Care Center is a 175-bed CMS rated 5 stars rehabilitation and skilled nursing facility located in the Pelham Gardens area of the Bronx. Our size enables a warm, nurturing environment, which allows each resident to maintain his or her individuality. Gold Crest Care Centers staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence.
Advanced Care Staffing

RN (Registered Nurse) Fresh Graduates are Welcome

Responsibilities of a RN: · Registered Nurse (RN) is responsible for supervision of care given to residents by Licensed Practical Nurse, CNA, and other members of the team. · Registered Nurse (RN) develops resident's daily assignment sheets and makes changes as indicated based on staffing patterns and resident acuity. · Registered Nurse (RN) evaluates resident's response to medication and treatment. · Registered Nurse (RN) is responsible for ensuring administration of medication, treatments, and evaluating resident’s response to medication and treatment. Qualifications of a RN: ü Associate Degree in Nursing or Bachelor of Science in Nursing ü Licensed in the State of New York as a Registered Nurse (RN) ü CPR/BLS certification
Sans Souci Rehabilitation & Nursing Center

MDS Coordinator RN

MDS Coordinator RN The Sans Souci Rehabilitation & Nursing Center is looking for a talented and hard-working MDS Coordinator to join our ever-growing team. We are seeking qualified candidates who have experience as an RN and are committed to help our patients and facilities receive the support they need. Responsible for completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility staff. Essential Job Functions Oversees accurate and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans, in accordance with current federal and state regulations and guidelines that govern the process Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to develop an appropriate care pathway and timely communication of needed information to the resident, family, other health care professionals and third party payers Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems that allow capture of resources provided on the MDS, clinical trends that impacts resident care, and any additional information that has an affect on the clinical and operational outcomes of the Facility/Community Utilizes critical thinking skills and collaborates with therapy staff to select the correct reason for assessment and Assessment Reference Date (ARD). Captures the RUG score which reflects the care and services provided Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid Ensures timely electronic submission of all Minimum Data Sets to the state data base. Reviews state validation reports and ensures that appropriate follow-up action is taken Facilitates the Care Management Process engaging the resident, IDT and family in timely identification and resolution of barriers to discharge resulting in optimal resident outcomes and safe transition to the next care setting Directly educates or provides company resources to the IDT members to ensure they are knowledgeable of the RAI process. Provides an overview of the MDS Coordinator and Assessor role to new employees that are involved with the RAI process. Teach and train new or updated RAI or company processes to interdisciplinary team (IDT) members as needed Analyzes QI/QM data in conjunction with the Director of Nursing Services to identify trends on a monthly basis Responsible for timely and accurate completion of Utilization Review and Triple Check Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator Qualifications : Registered Nurse with current, active license in state of practice. Minimum two (2) years of clinical experience in a health care setting Minimum of one (1) year of experience in a long term care setting Prior experience as an MDS coordination accepted Training program available for RN candidates with demonstrated assessment skills Salary: Up to $130,000 a year Based on experience An Equal Opportunity Employer INDRN
Mount Sinai Health System

Staff Nurse - NICU - Mount Sinai Hospital - Full Time Nights

$64.85 / year
Description The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others. Responsibilities Patient Care 1. Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards. 2. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management. 3. Integrates relevant assessment and intervention skills in the delivery of nursing care. 4. Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. 5. Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate. 6. Educates patients and caregivers while anticipating needs and readiness to learn, about their plan of care, transition of care, promotion of health, and prevention of disease. 7. Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team. 8. Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively. Patient Experience 1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain and Plan of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patients values, preferences, expressed needs and knowledge in all aspects of care. 3. Establishes and maintains a therapeutic relationship with the patient and family. 4. Uses evidence-based practices to increase understanding of patient's perceptions of care. 5. Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed. 6. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions. 7. Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care. 8. Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps. Quality and Safety 1. Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. 2. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. 3. Implements process improvement strategies based on institutional, evidence-based ensure and procedures. 4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies. 6. Contributes to quality and safety practices and required compliance measures. 7. Implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients. 8. Escalates potential safety hazards or gaps from best practice following institutional chain of command protocol. 9. Utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives. Operations 1. Performs charge nurse duties as assigned. 2. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator to ensure supplies are appropriately utilized and inventory is sufficient for patient care. 3. Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Administrator. 4. Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources. 5. Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care. 6. Facilitates patient throughput on a shift basis. Professional Development 1. Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. 2. Advances clinical competence in nursing practice to progress from novice to expert. 3. Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy. 4. Incorporates ethical principles into decision making for patient and family. 5. Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6. Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs. 7. Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives. 8. Serves as a professional role model and preceptor for new staff and students. 9. Advances as a clinical leader through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area. 10. Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care. 11. Contributes to the profession of nursing through participation in professional organizations. Qualifications Graduation from an accredited Nursing program. Bachelor's Degree in Nursing. (BSN) Associate's Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year. Any Associate's Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO. Relevant clinical competence in area of nursing practice assigned; new graduates must possess current knowledge of the nursing process and its application Licensed as a registered nurse with current registration in New York State BLS from the American Heart Association NRP Certification 1 year of inpatient experience required Collective bargaining unit: NYSNA-MSH Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $64.8517 - $64.8517 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
American Medical Associates

Assistant Director of Nursing/Nurse Educator

Assistant Director of Nursing/Nurse Educator Located in Brooklyn, NY APPLY TODAY!! Salary: $140K range (based on experience) Qualifications of the Assistant Director of Nursing/Nurse Educator: Must have New York RN license Must have prior Assistant Director of Nursing experience in long term care Must have long term care experience Must have nurse education/in-service experience Proven ability to create and deliver engaging education, with strong coaching and leadership skills Excellent verbal and written communication; adept at building rapport across all levels Responsibilities of the Assistant Director of Nursing/Nurse Educator: Provides educational leadership to patients and care providers to enhance specialized patient care within established healthcare setting. Assists patients and caregivers with educational needs, problem resolution, and health management across the continuum of care. Collaborates with medical providers, patient care staff, and unit management in the planning, implementation, and delivery of educational curricula. Performs resident assessments for appropriateness of resident’s care with regard to infection control and adherence to isolation policies and procedures. Performs clinical rounds for surveillance to verify the status of residents, treatment, and necessary follow-up for care needs and staff development. Lead, direct and monitor the delivery of health care and related health and medical services. Provide direct supervision to nurses. Plan, develop and implement procedures and policies that enhance the quality of life for people receiving services. Provide leadership to assure compliance with local, state and federal regulations and nursing practice standards. Develop and implement nursing department budgets in coordination with our management team. Provide effective nurse management that assures utilization of personnel to best meet the needs of the people receiving support and services. Develop and implement health care related training that assures the best possible delivery of health related support and services. Ensure that patient care plans contain accurate documentation and are amended as needed. #7061
Renalliance Group

Dialysis Nurse Manager

A state of the art chronic dialysis center is seeking a highly motivated Clinical Nurse Manager. This new unit features the latest dialysis machines. This is an excellent opportunity for an experienced Dialysis Nurse who is looking for the right move and growth in a new unit. Applicant must possess a current New York State RN license with 2 years of clinical experience caring for patients on maintenance dialysis along with 2 years of leadership experience. Responsibilities include clinical oversight, infection control management, quality assurance, personnel leadership, supervision and training. Must have strong organizational and communication skills. We offer a very competitive salary with full benefits. Be part of this exciting opportunity. Join our capable, professional and supportive team!
Valley Health System

Clinical Trials Registered Nurse, Cardiology, Research Clinical Trials, Full Time, Day

$47.80 - $59.75 / hour
POSITION SUMMARY: To coordinate and implement clinical research protocols under the direction of the Director of Oncology Clinical Trials and Research Compliance, provide care to all or some of the patient's enrolled in each protocol, act as the patient advocate by assuring the safety, consistency, and accuracy of the treatment regimen as dictated by the protocol, and coordinate all nursing activities specifically related to the implementation of the treatment regimen. SCHEDULE: This position is onsite and part of the Valley Clinical Trials Research Program, focusing on Cardiology. It is a full-time, day shift role, Monday through Friday, with hours from 8:00 AM to 4:30 PM or 8:30 AM to 5:00 PM, totaling 40 hours per week or 80 hours bi-weekly. In this role, your day typically includes: - Screening and enrolling patients - Obtaining informed consent - Providing ongoing education and support to participants - Coordinating study visits and performing protocol-specific procedures - Ensuring accurate documentation of all research activities You will collaborate closely with investigators, coordinators, and multidisciplinary teams to maintain protocol adherence, patient safety, and data integrity. EDUCATION: Bachelor`s degree in Nursing required. Current/valid State of New Jersey license (or legal permission to work from the New Jersey Board of Nursing. EXPERIENCE: Computer and keyboard skills. Medical terminology required. SPECIAL SKILLS: Physical and cognitive requirements: Position's physical requirements necessitate a full range of body motion including but not limited to, physically assisting patients, requiring stretching, bending, lifting, sitting, kneeling, stooping, standing, walking, pushing and pulling. Position is classified according to the USDOL as Very Heavy Work which is defined as exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. The National Institute of Safety and Health (NIOSH0 guidelines, which recommends that the average worker not lift more than 51 pounds without assistance, will be followed. Manual and finger dexterity and hand-eye coordination are also required as is constant talking and listening in English. Must demonstrate effective oral and written communication skills, including speech clarity, understanding the information relayed, deductive and inductive reasoning skills (the ability to apply general rules to specific problems to produce answers that make sense and the ability to combine pieces of information to/from general rules or conclusion respectively). Considerable walking, standing, sitting, reaching, filing, typing and photocopying required. Ability to perform work accurately and pay attention to details, often changing from one task to another without loss of efficiency or composure. Ability to function competently in stressful situations and changing work environment related to changing needs of patients with acute, chronic and complex and/or terminal disease processes. Ability to work cooperatively within health system, multidisciplinary team members (i.e. MD's, Rehab, Respiratory, DI, Laboratory, etc). Ability to utilize effective time management skills to set priorities to perform responsibilities, problem solve and deliver care. IV certification. Job Location The Valley Hospital-Paramus Shift Day (United States of America) Benefits Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees) Group Term Life Insurance and AD&D(Full Time Employees) Flexible Spending Accounts and Commuter Benefit Plans Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.) 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness Retirement Plan Tuition Assistance Employee Assistance Program (EAP) Valley Health LifeStyles Fitness Center Membership Discount Day Care Discounts for Various Daycare Facilities Salary Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits. Pay Range: $47.80 - $59.75 (per hour) EEO Statement Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.
Northwell Health

Registered Nurse (RN)- Operating Room

$60 - $79 / hour
183781 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome Identifies care activities and establishes the priorities necessary to achieve expected outcome; Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members.Implements the plan of care Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubritus Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure;1. Assesses the patient’s physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome Identifies care activities and establishes the priorities necessary to achieve expected outcome; Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubritus Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely Correctly identifies medication: action; dosage; side effects and implications for the patient; Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-hospital care; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties, as required. Physical Demands Constant – standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning. Frequent – Lifts objects from 10 lbs to 150 lbs. Pushes objects up to 200 lbs. Occasional – Sitting. Lifts with assistance objects greater than 150 lbs. and carries objects weighing up to 50 lbs. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS, preferred. Additional Site-specific Qualification May Apply. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
UMass Memorial Health

Registered Nurse, South 3, Per diem

$52.50 - $57.50 / hour
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $52.50 - $57.50 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Weekends (Saturday and Sunday), Weekends - One Full Weekend a Month Scheduled Hours: 0645a-315p Shift: 4 - Mixed Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 10010 - 0216 South 3 Union: MNA-Memorial/Hahnemann This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS through either American Heart Association (AHA) or American Red Cross (ARC) is a requirement for every RN within 30 days of hire. 3. ACLS through American Heart Association (AHA) required in select areas (Gannett, MP1, ICU, ED, Cath Lab, Endo, IR, PACU, Float Pool) within 6 months or first scheduled course offering whichever is sooner. 4. PALS through American Heart Association (AHA) required in select areas (PACU, ED) within 6 months or first scheduled course offering whichever is sooner. 5. NRP Advanced Provider through American Academy of Pediatrics (AAP) required in select areas (Maternity) within 6 months or first scheduled course offering whichever is sooner. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.