RN Jobs in Osceola, NC

Registered Nurse - Urogynecology at MedCenter for Women

The Registered Nurse (RN) delivers high-quality patient care and ensures positive patient outcomes through the compassionate and efficient application of nursing knowledge. Working under general supervision, this role promotes professional nursing practice by coordinating patient care through the nursing process and multidisciplinary collaboration. Urogynecology, also referred to as Female Pelvic Medicine and Reconstructive Surgery (FPMRS), is a subspecialty of obstetrics and gynecology focused on the evaluation, diagnosis, and management of pelvic floor dysfunction in women. These disorders result from compromise of the pelvic floor musculature, connective tissue, and neural support, leading to dysfunction of the lower urinary tract, gastrointestinal tract, and pelvic organs. Common conditions include stress and urge urinary incontinence, pelvic organ prolapse, fecal incontinence, voiding dysfunction, and defecatory disorders. Treatment modalities encompass comprehensive conservative management—including behavioral therapy, pelvic floor physical therapy, and pharmacologic interventions—as well as advanced reconstructive and minimally invasive surgical procedures. Essential Job Function Reviews patient needs and conditions to deliver nursing care in assigned unit to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration and treatments to provide comprehensive and effective patient care. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Performs other duties as assigned. Education Required: Associate's Degree in NursingPreferred: Bachelor's Degree in Nursing Experience Required: 1 year as a Registered NursePreferred: 1 year in a clinical specialty as defined by ANCC or national nursing organizations Licensure/Certification/Listing Required:Registered Nurse license in North Carolina or a Compact stateBLS (CPR)-American Red Cross or AHA Healthcare Provider

RN

Other

2 months ago

Patient Placement Registered Nurse (RN)

Cone Health Greensboro, NC

The Patient Placement Registered Nurse (RN) supports the organization's patient placement initiatives. Working under minimal supervision, this role assesses patient needs and determines appropriate placement options to ensure timely and suitable care. Essential Job Function Reviews patient placement activities to ensure efficient and appropriate placement of patients. Develops strategies and recommendations for optimizing patient placement processes to enhance patient care and resource utilization. Prepares reports and documentation related to patient placement to maintain accurate records. Serves as a knowledgeable resource for patient placement policies and procedures to provide guidance and support to staff and stakeholders. Performs other duties as assigned. Education Required: Associate's DegreePreferred: Bachelor's Degree Experience Required: 5 years as a Registered Nurse and 1 year in a clinical specialty as defined by ANCC or national nursing organizations Licensure/Certification/Listing Required:Registered Nurse license in North Carolina or a Compact stateBLS (CPR)-American Red Cross or AHA Healthcare Provider

Urgent Care RN Burlington 8K SOBO

Cone Health Glen Raven, NC

The Registered Nurse (RN) delivers high-quality patient care and ensures positive patient outcomes through the compassionate and efficient application of nursing knowledge. Working under general supervision, this role promotes professional nursing practice by coordinating patient care through the nursing process and multidisciplinary collaboration. Essential Job Function: Reviews patient needs and conditions to deliver nursing care in assigned unit to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration and treatments to provide comprehensive and effective patient care. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Performs other duties as assigned. Education: Required: Associate's degree in nursing. Preferred: Bachelor's degree in nursing. Experience: Required: 1 year as a Registered Nurse. Preferred: 1 year in a clinical specialty as defined by ANCC or national nursing organizations. Licensure/Certification/Listing: Required: Registered Nurse license in North Carolina or a Compact state. BLS (CPR)-American Red Cross or AHA Healthcare Provider.

ARMC ED RN Per Diem

Cone Health Glen Raven, NC

The Registered Nurse (RN) Per Diem provides high-quality patient care and applies nursing knowledge to ensure effective medical care and positive patient outcomes on a per diem basis. While working under close supervision, this role works collaboratively with the healthcare team and seeks guidance from senior medical professionals to address challenging circumstances to ensure optimal patient care on designated daily shifts. Essential Job Function: Assists in conducting patient assessments, examinations, and treatments to contribute to comprehensive and personalized patient care on a day-to-day basis. Supports the analysis of patient data to guide medical decisions, treatment plans, and interventions. Helps implement prescribed medical interventions and treatments to ensure strict adherence to protocols and promote patient safety. Collaborates with the interdisciplinary healthcare team to facilitate communication and coordination of care to improve patient outcomes. Seeks guidance and advice from senior medical professionals on complex patient situations and challenging healthcare circumstances to ensure optimal patient care. Performs other duties as assigned. Education: Required: Associate's degree in nursing. Preferred: Bachelor's degree in nursing. Experience: Required: 1 year as a Registered Nurse with 1 year in a clinical specialty as defined by ANCC or national nursing organizations. Licensure/Certification/Listing: Required: Registered Nurse license in North Carolina or a Compact state; BLS (CPR)-American Red Cross or AHA Healthcare Provider.

RN House Supervisor Nursing Admin

UNC Health Eden, NC

$41.45 - $59.58 / hour

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The House Supervisor provides operational and administrative oversight to all clinical departments during an assigned shift. The House Supervisor is responsible for patient care oversight, emergency direction, and handling of clinical complaints as appropriate. They function as the administrative resource and provide expert clinical support to the nursing team. In addition, the House Supervisor is able to problem solve and evaluate nursing care provided in the clinical setting and assign personnel accordingly based on patient and unit need. The House Supervisor understands the needs of the organization and supports the mission, values, and management of patient care. Responsibilities: 1. Patient Care- Ensures that appropriate care and services are available to the organization, patients, families, and staff.Participates in the delivery of Carolina Care for all patients, families, and staff through rounding on all inpatient units and procedural areas. Provides service recovery to resolve situations and reinforces/educates Carolina Care concepts to staff. 2. Collaboration- Functions as a point of contact, resource and liaison for essential information for managers, directors, the Director on Call and other senior leaders.Serves as a clinical resource to staff on hospital policies and procedures 3. Patient Concerns- Takes action to identify and follow up on safety concerns of patients, families and staff members. 4. Occupational Health- Responsible for fit for duty and needlestick protocol on evening, nights & weekends 5. House Supervision- Assist staffing office to ensure adequate clinical staffing on each shift. Takes actions to assist with identification and resolution of operational and supply chain concerns. Provides supervision and support of nursing staff in the off hours. Responds to all emergency response calls. Activates the emergency operations plan and acts as the incident commander when situation warrants. Effectively intervenes on operations impacting patient flow so functions are accomplished without error, omission, or delay. Other Information Other information: Education Requirements: ● Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing. (For Magnet status entity.) ● Associates's degree in Nursing (ADN) for non-magnet status entity. Licensure/Certification Requirements: ● Licensed to practice as a Registered Nurse in the state of North Carolina. ● Basic Life Support (BLS) for Healthcare Provider certification Professional Experience Requirements: ● Two (2) years of professional nursing experience in a tertiary care setting, and one (1) year of experience in the area assigned, if BSN ● Six (6) years of professional nursing experience in a tertiary care setting, and three (3) years of experience in the area assigned. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: UNC Rockingham Health Care Organization Unit: RHC Nursing Admin Work Type: Per Diem Standard Hours Per Week: 4.00 Salary Range: $41.45 - $59.58 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Variable Location of Job: US:NC:Eden Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

RN

Other

2 months ago

Registered Nurse (RN) - PRN Nightshift

Select Medical Greensboro, NC

$50 / hour

Overview Position: Registered Nurse (RN) Location: Greensboro, NC (5th floor of Moses H. Cone Memorial Hospital) Schedule: PRN Nightshift - 7:00 pm to 7:30 am Compensation: $50.00 per hour (C omp etitive shift differentials for nights and weekends) Select Specialty Hospital Greensboro is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Flexible Scheduling : Minimum per diem requirement of 4 shifts in a 6-week period. Opportunity for Advancement : Demonstrate your skills and dedication which could lead to potential full-time opportunities. Your Impact Matters: Join a team of over 44,000 nationwide committed to providing exceptional care. Responsibilities Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State RN License BLS is required at hire. ACLS is required at hire. Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

RN

Full-time

2 months ago

Registered Nurse (RN) - Full Time Dayshift

Select Medical Greensboro, NC

$39.38 - $53 / hour

Overview Critical Illness Recovery Hospital Location: Greensboro, NC (5th floor of Moses H. Cone Memorial Hospital) Registered Nurse (RN) - Full Time Dayshift Hours: 7:00 am - 7:30 pm $10,000 Sign on Bonus Pay: $39.38 to $53.00 per hour (based on experience) Competitive shift differentials for nights and weekends Select Specialty Hospital Greensboro is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Advance Your Career :100% company-paid scholarship (BSN), tuition reimbursement, and continuing education. Elevate Your Skills : Clinical ladder program and certifications such as PCCN and CCRN. Ease the Burden : Student Debt benefit program. Recharge & Refresh : Generous PTO for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State Registered Nurse (RN) License BLS is required at hire. ACLS is required within 6 months of hire Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

RN

Other

2 months ago

Registered Nurse (RN) - PRN Dayshift

Select Medical Greensboro, NC

$50 / hour

Overview Critical Illness Recovery Hospital Location: Greensboro, NC (5th floor of Moses H. Cone Memorial Hospital) Registered Nurse (RN) - PRN Dayshift Hours: 7:00 am - 7:30 pm Pay: $50.00 per hour Competitive shift differentials for nights and weekends Select Specialty Hospital Greensboro is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Flexible Scheduling : Minimum per diem requirement of 4 shifts in a 6-week period. Opportunity for Advancement : Demonstrate your skills and dedication which could lead to potential full-time opportunities. Your Impact Matters: Join a team of over 44,000 nationwide committed to providing exceptional care. Responsibilities Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State RN License BLS is required at hire. ACLS is required at hire. Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

Ambulatory Assistant Nurse Manager, Surgery Center

Advocate Aurora Health High Point, NC

$41.10 - $61.65 / hour

Department: 70100 Wake Forest Ambulatory Ventures: Premier Surgery Center - Surgery Center Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: 40 hours per week. Pay Range $41.10 - $61.65 EDUCATION/EXPERIENCE: Graduation from an accredited School of Nursing, Bachelor's degree required. Two years of acute care nursing experience within the past 10 years preferred. Previous supervisory or management experience preferred. LICENSURE, CERTIFICATION, and/or REGISTRATION: Current license as a Registered Nurse (RN) in the State of applicable state required. Basic Cardiac Life Support (BCLS) required. Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), or Pediatric Emergency Assessment Recognition and Stabilization (PEARS) may be required within one year in select clinical areas. ESSENTIAL FUNCTIONS: Ensures care delivered is with respect for patient's rights and culturally competent. Facilitates Patient Centered Care, promotes service recovery and the nursing professional model. Maintains privacy, confidentiality and security for patients and staff. Serves as a staff and patient advocate to ensure optimal patient care. Interfaces with patient and families to ensure that care is consistent with expectations. Promotes quality improvement and systems-thinking by openly supporting and consistently communicating the mission of the clinic and organization. Collaborates with management team on the development, implementation and evaluation of policies and procedures designed to improve quality of care and operational efficiency. Promotes a culture of safety by ensuring compliance with established hospital policies, procedures, objectives, quality control, safety, QC/PI, environment and infection control. Coordinates appropriate QC/PI activities with staff. Audits and maintains clinic metrics for unit and organizational goals. Collaborates with Nurse Manager on personnel activities including hiring and performance management. Collaborates with the Nurse Manager to plan, schedule, and organize work for group ensuring proper distribution and delegation of assignments and efficient utilization of personnel, space and facilities. Monitors the appropriate utilization of staff based on credentialing, education and experience with consideration to the patient population. Assesses, coaches, and monitors staff level of practice. Maintains unit inventory and supplies. Collaborates with Nurse Manager on management reports and budgetary recommendations. Performs and maintains competency for point of care testing as assigned, ensuring compliance with WFBH Point of Care policies and with applicable state and federal regulations. SKILLS/QUALIFICATIONS: Excellent and effective oral and written communication skills Ability to organize and supervise clinical nursing care delivery Negotiation and conflict resolution Performance Improvement Practice Innovation Professional Nursing Practice Theory Resilient and flexible in a changing environment Functions effectively under stressful and difficult situations Ability to work effectively with the team Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Clinic Registered Nurse

Cone Health Glen Raven, NC

The Clinic Registered Nurse (RN) provides high-quality patient care in a clinic setting. Working under close supervision, this role collaborates with physicians or APP providers to ensure an efficient and safe clinic environment is promoted through well-defined clinical processes and an adherence to established protocols. The Clinic RN will also perform administrative work as needed, such as reconciling information across various healthcare documents, including patient records, physician notes, diagnostic reports, and treatment plans. Essential Job Function: Reviews clinical procedures, protocols, and practices to ensure compliance with organizational standards and regulatory requirements. Provides direct patient care; conducts comprehensive assessments, administers medications and treatments, and monitors patients' conditions to ensure optimal health outcomes. Coaches and reviews the work of lower-level professionals, providing guidance, feedback, and support to ensure high-quality care delivery and professional development. Collaborates with interdisciplinary teams to coordinate patient care, facilitate communication, and promote continuity of care across different healthcare settings. Performs other duties as assigned. Education: Required: Associate Degree in Nursing. Preferred: Bachelor's Degree in Nursing. Experience: Licensure/Certification/Listing: Required: Registered Nurse license in North Carolina or a Compact state BLS (CPR)-American Red Cross or AHA Healthcare Provider.

RN ED Expeditor

Cone Health Greensboro, NC

The RN Expeditor oversees efficient patient throughput, identifies barriers to timely patient care, and proactively recognizes negative trends to be reviewed. This RN is a critical catalyst to continuously improve the care of our system's?patients so they can receive their treatment quickly to help them on their road to recovery. This role maintains situational awareness through communication and available technology. Essential Job Function Applies knowledge of healthcare systems, resources, and patient needs to guide patients through their medical journey, ensuring access to necessary services and support. Expedites, prioritizes, synchronizes and mediates (in real time) clinical issues, removes barriers to discharge and addresses delays in care; identifies potential issues so staff can prioritize patient-care activities and discharges and mitigate potential bottlenecks before they occur. Confers with multi-disciplinary teams to identify effective strategies/approaches to reduce patient length of stay, handle complex discharges, conditional discharge orders and related issues ensuring patients have a safe discharge. Performs other duties as assigned. Education Required: Bachelor of Nursing (BSN) Experience Required: 5 years Clinical Experience as a Registered Nurse with minimum of 3 years RN experience in the related field of Expediter role (Emergency, PCU/ICU, Procedural Area ) (Procedural i.e., PACU, Short Stay, Endoscopy) Licensure/Certification/Listing Required: Registered Nurse license in North Carolina or a Compact state BLS (CPR)-American Red Cross or AHA Healthcare Provider

RN

Other

3 months ago

RN Kidney Inpatient Unit Days 8K Sign On

Cone Health Greensboro, NC

The Registered Nurse (RN) delivers high-quality patient care and ensures positive patient outcomes through the compassionate and efficient application of nursing knowledge. Working under general supervision, this role promotes professional nursing practice by coordinating patient care through the nursing process and multidisciplinary collaboration. Essential Job Function Reviews patient needs and conditions to deliver nursing care in assigned unit to ensure that every patient receives the direct and proper care needed. Analyzes patient information, including medical history, diagnostic results, and current condition, to develop individualized nursing care plans. Prepares nursing processes, such as medication administration and treatments to provide comprehensive and effective patient care. Reconciles medical records to ensure accuracy and compliance with regulatory standards and organizational policies. Evaluates patient response to interventions and identifies any additional interventions needed to meet defined goals of care. Collaborates with interdisciplinary care team to ensure effective care planning. Performs other duties as assigned. Education Required: Associate's Degree in NursingPreferred: Bachelor's Degree in Nursing Experience Required: 1 year as a Registered NursePreferred: 1 year in a clinical specialty as defined by ANCC or national nursing organizations Licensure/Certification/Listing Required:Registered Nurse license in North Carolina or a Compact stateBLS (CPR)-American Red Cross or AHA Healthcare Provider

Director of Nursing

Piedmont Hills Center for Nursing and Rehabilitation Greensboro, NC

Director of Nursing (DON) Piedmont Hills Center for Nursing and Rehabilitation – Greensboro, NC Cedar Hills Center for Nursing and Rehabilitation is seeking a dedicated and experienced Director of Nursing (DON) to lead our clinical team at our skilled nursing facility located in Clemmons, NC. This is a key leadership role responsible for overseeing the delivery of high-quality nursing care, ensuring compliance with state and federal regulations, and fostering a positive and collaborative environment for both residents and staff. Position Summary: The Director of Nursing will manage all aspects of the nursing department, including clinical operations, staffing, care planning, compliance, and quality improvement. The ideal candidate is a compassionate and strategic leader with strong clinical knowledge and proven success in long-term care or post-acute settings. Key Responsibilities: Supervise, manage, and evaluate all nursing staff (RNs, LPNs, CNAs) Oversee daily clinical operations and ensure delivery of quality patient care Develop, implement, and monitor nursing policies and procedures in compliance with regulatory guidelines Direct nursing care planning, admissions, discharges, and care transitions Collaborate with medical staff, interdisciplinary teams, and other departments to support resident outcomes Ensure accurate documentation, charting, and record-keeping practices Monitor staffing needs, scheduling, and retention strategies Participate in facility quality assurance and performance improvement initiatives Provide training, mentorship, and performance evaluations for nursing personnel Monitor budgets and control nursing department expenditures Serve as a liaison between nursing staff and facility leadership Qualifications: Current RN license in the state of North Carolina (or eligible for reciprocity) Minimum 3–5 years of nursing leadership experience in a skilled nursing or long-term care setting Proven experience as a Director of Nursing, Assistant DON, or Nurse Manager Strong understanding of nursing regulations, clinical standards, and compliance requirements Excellent leadership, communication, and interpersonal skills Ability to build and lead an effective team while maintaining high staff morale Proficient in care planning, clinical systems, and EMR documentation CPR certification required; additional certifications a plus Strong organizational and critical-thinking skills Why Join Us: At Piedmont Hills, we are resident-centered and quality-focused . We pride ourselves on creating a supportive and collaborative environment where our staff can thrive and our residents receive the best possible care. As part of a growing network of skilled nursing facilities, we offer: Competitive salary and benefits Supportive leadership team Opportunities for professional development and advancement A mission-driven workplace where your work truly makes a difference Apply today and lead a nursing team that values excellence, compassion, and community. We look forward to welcoming you to Piedmont Hills Center for Nursing and Rehabilitation.

RN

Full-time

6 months ago

Director of Nursing

Piedmont Hills Center for Nursing and Rehabilitation Greensboro, NC

Director of Nursing (DON) Piedmont Hills Center for Nursing and Rehabilitation – Greensboro, NC Cedar Hills Center for Nursing and Rehabilitation is seeking a dedicated and experienced Director of Nursing (DON) to lead our clinical team at our skilled nursing facility located in Clemmons, NC. This is a key leadership role responsible for overseeing the delivery of high-quality nursing care, ensuring compliance with state and federal regulations, and fostering a positive and collaborative environment for both residents and staff. Position Summary: The Director of Nursing will manage all aspects of the nursing department, including clinical operations, staffing, care planning, compliance, and quality improvement. The ideal candidate is a compassionate and strategic leader with strong clinical knowledge and proven success in long-term care or post-acute settings. Key Responsibilities: Supervise, manage, and evaluate all nursing staff (RNs, LPNs, CNAs) Oversee daily clinical operations and ensure delivery of quality patient care Develop, implement, and monitor nursing policies and procedures in compliance with regulatory guidelines Direct nursing care planning, admissions, discharges, and care transitions Collaborate with medical staff, interdisciplinary teams, and other departments to support resident outcomes Ensure accurate documentation, charting, and record-keeping practices Monitor staffing needs, scheduling, and retention strategies Participate in facility quality assurance and performance improvement initiatives Provide training, mentorship, and performance evaluations for nursing personnel Monitor budgets and control nursing department expenditures Serve as a liaison between nursing staff and facility leadership Qualifications: Current RN license in the state of North Carolina (or eligible for reciprocity) Minimum 3–5 years of nursing leadership experience in a skilled nursing or long-term care setting Proven experience as a Director of Nursing, Assistant DON, or Nurse Manager Strong understanding of nursing regulations, clinical standards, and compliance requirements Excellent leadership, communication, and interpersonal skills Ability to build and lead an effective team while maintaining high staff morale Proficient in care planning, clinical systems, and EMR documentation CPR certification required; additional certifications a plus Strong organizational and critical-thinking skills Why Join Us: At Piedmont Hills, we are resident-centered and quality-focused . We pride ourselves on creating a supportive and collaborative environment where our staff can thrive and our residents receive the best possible care. As part of a growing network of skilled nursing facilities, we offer: Competitive salary and benefits Supportive leadership team Opportunities for professional development and advancement A mission-driven workplace where your work truly makes a difference Apply today and lead a nursing team that values excellence, compassion, and community. We look forward to welcoming you to Piedmont Hills Center for Nursing and Rehabilitation.

Director of Nursing

Piedmont Hills Center for Nursing and Rehabilitation Greensboro, NC

Director of Nursing (DON) Piedmont Hills Center for Nursing and Rehabilitation – Greensboro, NC Cedar Hills Center for Nursing and Rehabilitation is seeking a dedicated and experienced Director of Nursing (DON) to lead our clinical team at our skilled nursing facility located in Clemmons, NC. This is a key leadership role responsible for overseeing the delivery of high-quality nursing care, ensuring compliance with state and federal regulations, and fostering a positive and collaborative environment for both residents and staff. Position Summary: The Director of Nursing will manage all aspects of the nursing department, including clinical operations, staffing, care planning, compliance, and quality improvement. The ideal candidate is a compassionate and strategic leader with strong clinical knowledge and proven success in long-term care or post-acute settings. Key Responsibilities: Supervise, manage, and evaluate all nursing staff (RNs, LPNs, CNAs) Oversee daily clinical operations and ensure delivery of quality patient care Develop, implement, and monitor nursing policies and procedures in compliance with regulatory guidelines Direct nursing care planning, admissions, discharges, and care transitions Collaborate with medical staff, interdisciplinary teams, and other departments to support resident outcomes Ensure accurate documentation, charting, and record-keeping practices Monitor staffing needs, scheduling, and retention strategies Participate in facility quality assurance and performance improvement initiatives Provide training, mentorship, and performance evaluations for nursing personnel Monitor budgets and control nursing department expenditures Serve as a liaison between nursing staff and facility leadership Qualifications: Current RN license in the state of North Carolina (or eligible for reciprocity) Minimum 3–5 years of nursing leadership experience in a skilled nursing or long-term care setting Proven experience as a Director of Nursing, Assistant DON, or Nurse Manager Strong understanding of nursing regulations, clinical standards, and compliance requirements Excellent leadership, communication, and interpersonal skills Ability to build and lead an effective team while maintaining high staff morale Proficient in care planning, clinical systems, and EMR documentation CPR certification required; additional certifications a plus Strong organizational and critical-thinking skills Why Join Us: At Piedmont Hills, we are resident-centered and quality-focused . We pride ourselves on creating a supportive and collaborative environment where our staff can thrive and our residents receive the best possible care. As part of a growing network of skilled nursing facilities, we offer: Competitive salary and benefits Supportive leadership team Opportunities for professional development and advancement A mission-driven workplace where your work truly makes a difference Apply today and lead a nursing team that values excellence, compassion, and community. We look forward to welcoming you to Piedmont Hills Center for Nursing and Rehabilitation.

Director of Nursing

Piedmont Hills Center for Nursing and Rehabilitation Greensboro, NC

Director of Nursing (DON) Piedmont Hills Center for Nursing and Rehabilitation – Greensboro, NC Cedar Hills Center for Nursing and Rehabilitation is seeking a dedicated and experienced Director of Nursing (DON) to lead our clinical team at our skilled nursing facility located in Clemmons, NC. This is a key leadership role responsible for overseeing the delivery of high-quality nursing care, ensuring compliance with state and federal regulations, and fostering a positive and collaborative environment for both residents and staff. Position Summary: The Director of Nursing will manage all aspects of the nursing department, including clinical operations, staffing, care planning, compliance, and quality improvement. The ideal candidate is a compassionate and strategic leader with strong clinical knowledge and proven success in long-term care or post-acute settings. Key Responsibilities: Supervise, manage, and evaluate all nursing staff (RNs, LPNs, CNAs) Oversee daily clinical operations and ensure delivery of quality patient care Develop, implement, and monitor nursing policies and procedures in compliance with regulatory guidelines Direct nursing care planning, admissions, discharges, and care transitions Collaborate with medical staff, interdisciplinary teams, and other departments to support resident outcomes Ensure accurate documentation, charting, and record-keeping practices Monitor staffing needs, scheduling, and retention strategies Participate in facility quality assurance and performance improvement initiatives Provide training, mentorship, and performance evaluations for nursing personnel Monitor budgets and control nursing department expenditures Serve as a liaison between nursing staff and facility leadership Qualifications: Current RN license in the state of North Carolina (or eligible for reciprocity) Minimum 3–5 years of nursing leadership experience in a skilled nursing or long-term care setting Proven experience as a Director of Nursing, Assistant DON, or Nurse Manager Strong understanding of nursing regulations, clinical standards, and compliance requirements Excellent leadership, communication, and interpersonal skills Ability to build and lead an effective team while maintaining high staff morale Proficient in care planning, clinical systems, and EMR documentation CPR certification required; additional certifications a plus Strong organizational and critical-thinking skills Why Join Us: At Piedmont Hills, we are resident-centered and quality-focused . We pride ourselves on creating a supportive and collaborative environment where our staff can thrive and our residents receive the best possible care. As part of a growing network of skilled nursing facilities, we offer: Competitive salary and benefits Supportive leadership team Opportunities for professional development and advancement A mission-driven workplace where your work truly makes a difference Apply today and lead a nursing team that values excellence, compassion, and community. We look forward to welcoming you to Piedmont Hills Center for Nursing and Rehabilitation.

RN

Full-time

7 months ago

Registered Nurse (RN) PRN

Flagstar(Regional) Greensboro, NC

Hiring Registered Nurses (RNs) for Skilled Nursing Facilities in Siler City, Lexington and High Point! 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: $45 Nurses who travel 50 MILES+ to their facility receive an hourly rate of $48 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!) Competitive Weekly Pay with Direct Deposit Dedicated Office staff & 24-hour On-call Service Positive Work Environment Medical, dental, vision, and other insurance options available Lucrative Referral Bonuses RN/ Registered Nurse Requirements: Currently holds an active RN license to work in North Carolina Meets all State and Federal requirements for US employment in a Nursing Facility Strong patient assessment skills Ability to communicate effectively. Demonstrated clinical competency. Reliable Transportation to worksite location Registered Nurses are expected to carry out the following tasks: Accurately record medical histories. Take and record vital signs, collect samples for lab testing. Administer medications and perform approved procedures and care. Monitor patient condition and compose patient charts. Provide emotional and psychological support when needed Communicate with patients’ families to provide advice, comfort, and release instructions Provide supervision and support to other nurse staff when necessary We look forward to hearing from you soon. Apply today!

Director of Nursing

Piedmont Hills Center for Nursing and Rehabilitation Greensboro, NC

Director of Nursing (DON) Piedmont Hills Center for Nursing and Rehabilitation – Greensboro, NC Cedar Hills Center for Nursing and Rehabilitation is seeking a dedicated and experienced Director of Nursing (DON) to lead our clinical team at our skilled nursing facility located in Clemmons, NC. This is a key leadership role responsible for overseeing the delivery of high-quality nursing care, ensuring compliance with state and federal regulations, and fostering a positive and collaborative environment for both residents and staff. Position Summary: The Director of Nursing will manage all aspects of the nursing department, including clinical operations, staffing, care planning, compliance, and quality improvement. The ideal candidate is a compassionate and strategic leader with strong clinical knowledge and proven success in long-term care or post-acute settings. Key Responsibilities: Supervise, manage, and evaluate all nursing staff (RNs, LPNs, CNAs) Oversee daily clinical operations and ensure delivery of quality patient care Develop, implement, and monitor nursing policies and procedures in compliance with regulatory guidelines Direct nursing care planning, admissions, discharges, and care transitions Collaborate with medical staff, interdisciplinary teams, and other departments to support resident outcomes Ensure accurate documentation, charting, and record-keeping practices Monitor staffing needs, scheduling, and retention strategies Participate in facility quality assurance and performance improvement initiatives Provide training, mentorship, and performance evaluations for nursing personnel Monitor budgets and control nursing department expenditures Serve as a liaison between nursing staff and facility leadership Qualifications: Current RN license in the state of North Carolina (or eligible for reciprocity) Minimum 3–5 years of nursing leadership experience in a skilled nursing or long-term care setting Proven experience as a Director of Nursing, Assistant DON, or Nurse Manager Strong understanding of nursing regulations, clinical standards, and compliance requirements Excellent leadership, communication, and interpersonal skills Ability to build and lead an effective team while maintaining high staff morale Proficient in care planning, clinical systems, and EMR documentation CPR certification required; additional certifications a plus Strong organizational and critical-thinking skills Why Join Us: At Piedmont Hills, we are resident-centered and quality-focused . We pride ourselves on creating a supportive and collaborative environment where our staff can thrive and our residents receive the best possible care. As part of a growing network of skilled nursing facilities, we offer: Competitive salary and benefits Supportive leadership team Opportunities for professional development and advancement A mission-driven workplace where your work truly makes a difference Apply today and lead a nursing team that values excellence, compassion, and community. We look forward to welcoming you to Piedmont Hills Center for Nursing and Rehabilitation.

RN / Baylor - Home Health

BrightSpring Health Services Mebane, NC

Our Company Adoration Home Health and Hospice Overview Are you a Registered Nurse looking for a new opportunity? Adoration Home Health is seeking a passionate, dedicated Home Health RN to join our team in Mebane, NC . Our Home Health RNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! Office Location: Mebane Coverage area: Alamance County Schedule: Weekends - Sat/Sun/Mon OR Fri/Sat/Sun (32 hours) Perks: $10,000 Sign On Bonus!! How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Responsibilities As a Home Health Registered Nurse, You will: Assess/monitor physical, emotional, and psychological needs of patients Create home health care plans that align with MD orders and the patient's goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with an interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by the local branch Qualifications Registered Nursing Degree (Associate or Bachelor) from an accredited college of nursing with current unrestricted registration and license in the applicable state is required One year nursing practice in a patient care setting required; and home health, geriatrics or other related settings preferred Valid driver's license, acceptable driving record, and proof of car insurance in accordance with Adoration policy New nursing graduates may be considered in select markets based on program availability Current CPR certification About our Line of Business Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn. Salary Range USD $39.16 - $47.86 / Hour

RN

Full-time

1 year ago

Registered Nurse

DaVita Kidney Care Burlington, NC

Posting Date 07/31/2025873 Heather Road, Burlington, North Carolina, 27215, United States of America $5000 RETENTION BONUS PAID TRAINING-NO PREVIOUS DIAYLSIS REQUIRED AMAZING BENEFITS / 401K BRIDGE TO YOUR DREAMS PROGRAM GROWTH OPPORTUNITIES NO OVERNIGHTS! NO SUNDAYS! DaVita is seeking a Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various clinics during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holiday What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. Oversee a group of patients with the support of PCTs to conduct patient observations, measuring stats and machine set up. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (B.S.N); three-year diploma from accredited diploma program may be substituted for nursing degree You might also have experience in the following that can be helpful but not required Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-JC4 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

RN

Part-time

2 years ago

Par-time MAT Registered Nurse

Wellpath Greensboro, NC

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Registered Nurse is responsible for assisting in the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Under the supervision of the Charge Nurse(s), directs and guides patient teaching and activities that commensurate with his/her education and demonstrated competencies. Key Responsibilities Assist in the assessment and planning of individual treatment programs for patients, consulting with relevant staff members as needed. Implement individualized treatment programs as directed by Health Care Practitioner, administering medications and obtaining diagnostic tests in accordance with orders and protocols. Adhere to established policies, procedures, and protocols, including proper safety techniques, procedures and standard precautions. Respond to patient crises as set forth by site policy and procedure, and assist Health Care Practitioner in medical procedures as necessary. Document nursing encounters using SOAP form of charting, attend mandatory staff meetings and training, and communicate information to relevant staff members as necessary. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Registered Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.

Part-Time Charge Registered Nurse

Wellpath Greensboro, NC

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Charge Registered Nurse is responsible for overseeing the total health care delivery system in their assigned nursing unit, including the collection and evaluation of health status data, nursing diagnosis, goal setting, planning, implementation, and evaluation of patient care. They provide direct supervision of patient teaching and ensure that ancillary personnel only perform services for which they are qualified. The Charge RN is accountable for the overall quality of patient care in their assigned unit. Key Responsibilities Supervising the total health care delivery system in their assigned unit, ensuring compliance with policy and procedure, and coordinating patient care with other departments. Monitoring nursing service, maintain accurate records, and identify potential problems, proposing corrective actions as needed. Assisting with staff orientation, training, and evaluations, and coordinate staffing levels to meet contractual requirements. Ensuring the cleanliness, maintenance, and appearance of the unit and maintain appropriate levels of medical equipment and supplies. Maintaining a professional atmosphere and attend monthly staff meetings as directed by the Director of Nursing or Administrator. Additional Details One shift a week from 7pm to 7:30am Qualifications & Requirements Education Graduate of an accredited School of Nursing. Experience Prefer a minimum of one-year clinical experience. Licenses/Certifications Current licensure as a Registered Nurse within the state of employment. Current CPR Certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.