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RN, Case Manager (Exempt)

Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions. Coordinates the provision of clinical care to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from health care services. Complete psychosocial assessment on all new admissions based on hospital policy and procedures within three business days. Develop and is involved in the implementation of programs to assist patients and their families with the social and psychological factors of illness. Develop with physicians, nursing personnel, and other members of the management team in the planning of patient care services and the patient care plan. Engage in individual or group intervention sessions pertaining to care and adjustment. Arrange for discharge and post-hospital care of patents through institutions and agencies within the community. Provide advice and guidance in handling special cases or patient needs. Coordinate the provision of information and guidance to patients, their families, and other hospital departments regarding all aspects of patients’ post-discharge treatment and recovery programs. Coordinate the referral of patients and families to appropriate community, social service, home health services, extended care, and rehabilitation facilities and organizations. Coordinate Case Management communications to ensure the staff’s awareness of available services and resources; serves as the primary liaison with external social service organizations. Participate in the coordination of interdepartmental program planning and implementation efforts, and support related projects and activities. Participate in the Case Management educational programs for physicians and other departments to enhance their understanding of medical necessity aspects of health care delivery. Represent the department on various hospital committees. Develop and implement Pastoral Care Program in conjunction with Pastoral Care from Host hospital. Develop and maintain harmonious working relationships with other departments; address interdepartmental social service issues.
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Registered Nurse - Emer Dept Nights *** $10K SIGN-ON BONUS ***

*** $10K SIGN-ON BONUS, 2 Yr Commitment *** Full-Time Nights, 7p-7a JOB SUMMARY Seeking an experienced Emergency nurse to join the NTMC team and become a part of a dedicated team in North Texas rural medicine. Selected candidate will make a 2 year commitment and receive a bonus of $10,000, paid at: $2,500 at 90 days, $2,500 at 180 days and $5,000 at 2 years. Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers and fecal occult blood) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age appropriate care to the patients served. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives; and interdepartmental objectives. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Demonstrates the ability to assist physicians with procedures. Orients new employees to the Emergency Department Participates in problem solving with other healthcare team members related to management of clinical care area. Participates in performance improvement activities. Works at maintaining a good rapport and a cooperative working relationship with physicians, ancillary staff and unit staff. Completes in-services and returns in a timely fashion Attends annual review and department in-services, as scheduled Attends at least 80% of staff meetings annually, reads and returns missed monthly staff meeting minutes Represent the organization in a positive and professional manner Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of NTMC, as well as the focus statement of the department. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS Current Registered Nurse in the State of Texas Current BLS Certification ACLS Certification within 90 days PALS certification within 90 days TNCC certification within first 6 months of hire NIHSS certification within one-year hire CEN certification preferred Preferred two (2) years critical care or emergency nurse experience Specialty certification preferred LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.
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Director RN, Emergency Department

$100,000 - $115,000 / year
The Director of the Emergency Department, reporting to the CNO, organizes, plans, and administers the day-to-day operations of the Emergency Room at Valencia County Hospital. This role is responsible for ensuring the delivery of high-quality, cost-effective, and timely emergency clinical services within established productivity and budget standards. The Director manages departmental personnel, capital and operating budgets, regulatory compliance, and serves as a visionary leader to develop and grow the service line. This position acts as a vital liaison between the Emergency Department, administration, physicians, EMS agencies, patients, families, and the local community. Major Responsibilities Clinical & Departmental Operations Ensure delivery of safe, evidence-based emergency nursing care. Monitor patient flow to reduce wait times and improve throughput. Oversee triage processes and Emergency Severity Index (ESI) compliance. Coordinate care with inpatient units, ICU, surgery, laboratory, radiology, respiratory therapy, and ancillary departments. Develop staffing plans based on patient census and acuity. Ensure emergency preparedness and disaster response readiness. Monitor emergency department capacity and diversion status. Plan, organize, and administer work in the Emergency Department by establishing services, policies, and procedures in accordance with hospital goals. Ensure continuous, accurate, timely, and cost-effective emergency services are provided to all patients. Interpret organizational and departmental policies for staff, analyze and resolve conflicts, and maintain a cohesive work environment. Assure that the work environment is safe and that staff have the necessary, functional equipment and supplies to achieve high-quality clinical outcomes. Conduct routine clinical rounding on newly admitted or presenting patients in the Emergency Department to directly address patient and family concerns. Financial Management & Budgeting Develop, implement, and monitor the Emergency Department's annual operating, personnel, and capital budgets. Perform ongoing analyses to evaluate and recommend equipment and supplies for purchase, lease, or rental within budget and group purchasing contracts. Control overtime and agency staffing costs. Collaborate closely with the Chief Nursing Officer (CNO) and Chief Financial Officer (CFO) to review major expenditures and complete appropriate capital justification forms. Manage department staffing grids to optimize productivity standards while maintaining patient safety and high-quality care. Monitor revenue cycle opportunities affecting emergency services. Leadership & Staff Management Direct and oversee all Emergency Department operations. Develop departmental strategic goals aligned with the hospital's mission. Foster a culture of safety, accountability, teamwork, and excellence. Lead department managers, charge nurses, educators, and clinical staff. Participate in hospital leadership committees. Collaborate with the Chief Nursing Officer and medical leadership on organizational initiatives. Lead departmental meetings and communicate organizational priorities. Complete annual performance evaluations and conduct individual review sessions semi-annually to foster professional growth and improve work performance. Quality & Performance Improvement Lead quality improvement initiatives. Monitor department performance indicators including: Door-to-provider time Left Without Being Seen (LWBS) Length of stay Patient satisfaction Sepsis compliance Stroke metrics STEMI metrics Trauma response times Medication safety Infection prevention Analyze quality data and implement corrective action plans. Participate in Root Cause Analyses (RCA). Lead Performance Improvement (PI) projects. Identify opportunities for workflow efficiencies, departmental cost savings, and enhanced patient safety. Review chart audit results regularly to identify compliance gaps and training opportunities. Educate staff on National Patient Safety Goals (NPSGs) and Core Measure metrics, ensuring full compliance in daily practice. Actively engage staff in the decision-making process to drive employee satisfaction and engagement. Key Performance Indicators (KPIs) Patient Satisfaction: Achieves and maintains department patient satisfaction targets. Throughput Metrics: Minimizes Front-End times (Door-to-Provider) and optimizes Total Length of Stay (LOS) for discharged and admitted patients. Left Without Being Seen (LWBS): Maintains LWBS rates below the national/organizational benchmark. Patient satisfaction (HCAHPS/Press Ganey or equivalent) Nurse turnover and vacancy rates Overtime and labor productivity Staff engagement scores Falls and medication errors Hospital-acquired infection rates Sepsis bundle compliance Stroke and STEMI response times Trauma quality indicators Budget Compliance: Manages department operational, labor, and capital expenses within approved limits. Staff Retention: Meets or exceeds annual nursing and support staff retention targets. Regulatory & Quality Standards: Achieves 100% compliance with Core Measures, chart audit requirements, and CIHQ/CMS surveys. Salary range: $100,000 - 115,000.00 Valencia County Hospital is a new 15-bed acute care facility currently under construction in Los Lunas, NM. Owned by Valencia County and operated through a joint venture between Community Hospital Corporation (CHC) and Lovelace Health System, this startup represents a vital investment in rural healthcare and a unique opportunity to build clinical excellence from the ground up.
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Registered Nurse (RN)

$30 - $44 / hour
The Registered Nurse is responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric. He/she is also responsible for the overall direction and supervision of all patient care during his/her shift. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Satisfies the established standards of the nursing practice. Supervises and delegates patient care tasks to LPN, CNA and other patient care team members. Promotes teamwork with physicians and personnel of other departments. As appropriate, takes into consideration the patients’ age in the performance of any task. Job Types: Full-time, Part-time Pay: $30.00 - $44.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance Medical Specialty: Critical & Intensive Care Medical-Surgical Physical Setting: Hospital Experience: Nursing: 1 year (Preferred) License/Certification: BLS Certification (Preferred) RN License (Preferred) Work Location: In person We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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Registered Nurse -- Emergency Department Nights (Full-Time)

Full-Time Nights, 7p-7a JOB SUMMARY Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers and fecal occult blood) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age appropriate care to the patients served. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives; and interdepartmental objectives. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Demonstrates the ability to assist physicians with procedures. Orients new employees to the Emergency Department Participates in problem solving with other healthcare team members related to management of clinical care area. Participates in performance improvement activities. Works at maintaining a good rapport and a cooperative working relationship with physicians, ancillary staff and unit staff. Completes in-services and returns in a timely fashion Attends annual review and department in-services, as scheduled Attends at least 80% of staff meetings annually, reads and returns missed monthly staff meeting minutes Represent the organization in a positive and professional manner Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of NTMC, as well as the focus statement of the department. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS Current Registered Nurse in the State of Texas Current BLS Certification ACLS Certification within 90 days PALS certification within 90 days TNCC certification within first 6 months of hire NIHSS certification within one-year hire CEN certification preferred Preferred two (2) years critical care or emergency nurse experience Specialty certification preferred LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.
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Registered Nurse - Days

The Registered Nurse is responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric. He/she is also responsible for the overall direction and supervision of all patient care during his/her shift. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Satisfies the established standards of nursing practice. Supervises and delegates patient care tasks to LPN, CNA and other patient care team members. Promotes teamwork with physicians and personnel of other departments. As appropriate, takes into consideration the patients’ age in the performance of any task. What You’ll Do: Provide direct nursing care to critically ill or medically complex patients Collaborate with physicians and an interdisciplinary team to coordinate individualized care plans Monitor patient progress, administer medications and treatments, and document clinical findings Educate patients and families, and serve as an advocate for long-term health and recovery Maintain compliance with all policies, standards, and regulatory guidelines What We’re Looking For: Active RN license in TX or compact state 1+ year of acute care, ICU, or LTAC experience preferred BLS required; ACLS required within 90 days of hire Strong clinical judgment and a commitment to excellence in patient care Compassionate, team-oriented mindset
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Registered Nurse - Charge RN Days

Responsible for the overall direction and supervision of all nursing department personnel during his/her shift. Ensures patient assignments are correct, assists with treatments or administration of medications as necessary, informs physicians of changes in patient's condition, reviews care of all patients, and acts as overall leader and resource person for the staff. What You’ll Do: Adheres to all components of the Hospital Compliance Plan in performing job duties and reports any violations or suspected violations of the Plan to the Compliance Officer. ● Demonstrates professional conduct and complies with hospital and departmental policies and procedures. ● Adheres to hospital attendance policy as outlined in the Employee Handbook. ● Comply with measures for preventing exposure to bloodborne pathogens. ● Participates in the Hazardous Material Program; hazards include exposure to blood and body fluids, possible communicable diseases, sharp objects and instruments, assorted chemicals and gasses as listed in the Hazardous Materials Program Manual. ● Comply with established Safety and Patient Safety Program practices. ● Performs other incidental and related duties, as required and/or assigned. ● Develops an understanding of responsibilities for recognizing patient abuse and follows policy for making appropriate referrals/interventions. ● Develops an understanding of responsibilities for participation in Performance Improvement activities and participates in such activities. ● Limits access to protected health information (PHI) to the information reasonably necessary to do the job, and shares such information only on a need-to-know basis for work purposes. (Access to verbal, written and electronic PHI for this job has been determined based on job level and job responsibility within the organization. Computerized access to PHI for this job has been determined as described above and is controlled via user ID and password.) To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. What We’re Looking For: Current RN license to practice in state of employment. Computer Skills: Knowledge of basic computer skills and word processing. Certificates and Licenses: Current RN license to practice by the state of employment . Must have BLS upon hire date and obtain ACLS certification within 90 days of employment. Must maintain licenses and certification for the duration of employment. Supervisory Responsibilities: Nursing staff (LPN and CNA or PCT, Unit Assistant, Telemetry Tech) Work Environment: The work environment is representative of that which an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. Physical Demands: The physical demands of this job are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodation may be provided for a qualified individual with a disability who can perform the essential functions of this position with or without reasonable accommodation. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus while performing the duties of this job. The employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; talk; and hear.
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Registered Nurse (PRN)

The Registered Nurse is responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric. He/she is also responsible for the overall direction and supervision of all patient care during his/her shift. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Satisfies the established standards of the nursing practice. Supervises and delegates patient care tasks to LVN, CNA/PCA and other patient care team members. Promotes teamwork with physicians and personnel of other departments. Qualifications:Current RN license to practice in TexasAmerican Heart Association (AHA) CPR and ACLS is required Experience working in an acute care environment required, critical care experience preferred.
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Registered Nurse Labor & Delivery NIGHTS - 3 yrs Experience *** $8K SIGN-ON BONUS ***

Full-Time Nights (7p-7a) JOB SUMMARY Provides direct patient care in the Labor and Delivery setting. Provides assessment and planning for individualized patient care. Communicates with physicians about changes in a patient's clinical condition including: fetal monitoring and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. Performs general nursing duties in all Maternal Child Health departments with adequate supervision. SUMMARY OF ESSENTIAL JOB FUNCTIONS Able to assess neonate at delivery and perform neonatal resuscitation according to AHA/AAP guidelines. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the 6 medication rights and reduces the potential for medication errors. Ability to formulate an individualized plan of care, revise plan as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Demonstrates knowledge of fetal monitoring. Identifies FHR patterns and treats appropriately. Ability to perform a head-to-toe assessment on infants and adult females and reassessments as per policy. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Communicates appropriately and clearly to charge nurses, coworkers and physicians. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Demonstrates an ability to assist physicians with procedures in Labor and Delivery, Postpartum and Newborn Nursery. Documentation meets current standards and policies. Identifies and addresses psychosocial needs of patients and family. BASIC SKILLS Basic computer skills EDUCATION AND WORK EXPERIENCE REQUIRED Current RN license in the State of Texas Current BLS Certification Neonatal Resuscitation Certification within 90 days of hire ACLS certification within 90 days of hire AWHONN fetal monitoring course certification within six months of hire (renewed every three years) May use C-EFM in place of AWHONN certification S.T.A.B.L.E. Certification within one year of hire (renewed every three years) LANGUAGE SKILLS Ability to communicate effectively in English both verbally and in writing Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift and move equipment up to 50 lbs. May be required to assist with patients or equipment up to 500 lbs. Must be able to stand and walk 75% of shift on hard surfaces. Must be able to sit, bend, stoop and reach above one’s head
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Registered Nurse - Night Shift Full-time

The Registered Nurse is responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric. He/she is also responsible for the overall direction and supervision of all patient care during his/her shift. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Satisfies the established standards of the nursing practice. Supervises and delegates patient care tasks to LVN, CNA/PCA and other patient care team members. Promotes teamwork with physicians and personnel of other departments. Qualifications:Current RN license to practice in Texas, CPR and ACLS is required. Experience working in an acute care environment required, critical care experience preferred.
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Registered Nurse - Day Shift Full-time

The Registered Nurse is responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric. He/she is also responsible for the overall direction and supervision of all patient care during his/her shift. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Satisfies the established standards of the nursing practice. Supervises and delegates patient care tasks to LVN, CNA/PCA and other patient care team members. Promotes teamwork with physicians and personnel of other departments. Qualifications:Current RN license to practice in Texas, CPR and ACLS is required. Experience working in an acute care environment required, critical care experience preferred.
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Cardiac Rehab Clinician - (RN-BSN, RRT, PT or Exercise Physiologist)

Job Title Cardiac Rehab Specialist Department Cardiac Rehab Supervisor Director of Therapy Services FLSA Status Non-Exempt JOB SUMMARY The Cardiac Rehab Clinician delivers direct, evidence-based patient care specializing in preventative, restorative, and cardiac rehabilitation healthcare. This role is responsible for assessing patient needs, performing fitness tests, and developing customized exercise programs to improve mobility and aid recovery from injury, illness, or cardiovascular events. Key duties include providing patient education on disease entities, risk factors, and behavior modification while continuously monitoring patients during exercise sessions. The Cardiac Rehab Clinician tracks patient progress through detailed reports and maintains critical communication with the Cardiac Rehabilitation Medical Director and primary physicians regarding clinical changes. Additionally, the role requires the ability to respond quickly and accurately to sudden changes in a patient’s condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Clinical Assessment & Testing Performs comprehensive head-to-toe assessments on all inpatients and outpatients, including routine reassessments per facility policy. Evaluates and assesses unique patient needs, physical conditions, and specific health requirements. Administers and grades clinical fitness and cardiac stress tests, including treadmill, chemical, nuclear, and echocardiogram modalities. Provides age-appropriate care tailored to the specific needs of adolescent, adult, and geriatric patient populations. Care Plan Development & Intervention Designs and implements individualized treatment and exercise plans that incorporate specific exercise and education goals. Routinely revises and updates care plans based on the patient's ongoing clinical response and evaluation at each visit. Consults with patients to determine the best plan of action to improve their overall health outcomes. Cardiac Monitoring & Emergency Response Monitors patient exercise sessions and tracks vital metrics, including heart rate, during training. Demonstrates expert knowledge of cardiac monitoring to identify dysrhythmias. Intervenes and treats dysrhythmias appropriately in accordance with established ACLS protocols. Patient Education & Counseling Formulates and delivers targeted teaching plans based on identified learning needs, evaluating the effectiveness of the learning. Educates and counsels patients and families on cardiovascular risk factors and healthy lifestyle modifications through individual and group sessions. Utilizes extensive expertise in cardiac diseases, interventions, and surgical procedures (including MI, CABG, coronary stents, and angioplasty) to inform patient education. Documentation & Records Management Maintains accurate clinical records of all exercises performed and testing data collected. Tracks and documents patient progress to ensure continuity of care and measurable health improvements. BASIC SKILLS Basic computer skills. Attention to detail. Excellent interpersonal skills. EDUCATION AND WORK EXPERIENCE REQUIRED Associates degree or Bachelor's degree in Respiratory Therapy AND active RRT license in the State of Texas, OR Bachelor’s degree in Nursing AND active RN license in the State Texas, OR Doctorate in Physical Therapy AND active PT license in the State of Texas OR Masters degree in Exercise Physiology OR Bachelor's with a Clinical Exercise Physiologist Certification Current BLS Certification Current ACLS Certification Two or more years of recent experience in cardiac rehab or critical care LANGUAGE SKILLS Able to communicate effectively in English, both verbally and in writing. Additional languages a plus. PHYSICAL REQUIREMENTS Ability to lift 10 lbs. alone and 150 lbs. with assistance Must be able to stand and walk 75% of shift on hard surfaces Must be able to bend, stoop and reach above one’s head.
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Director RN, Emergency Department

JOB SUMMARY Responsible for the provision of high quality, cost effective patient care in the Emergency Department. Coordinates the provision of age specific patient care that is consistent with the policies, procedures and standards of professional nursing practice and consistent with the policies and procedures in place at NTMC. Consults with staff, ED physicians, and the CNO on nursing problems and interpretation of hospital policies to ensure that patient needs are met. Participates in performance improvement activities within the department. SUMMARY OF ESSENTIAL JOB FUNCTIONS Responsible for the cost-effective management of human resources in the department. Staffs according to patient volume and acuity; monitors overtime and agency utilization and assists with scheduling staff to fill open shifts as necessary Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Ensures that staff support a culture of quality and safety. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point of care testing) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Ability to interpret the results of waived tests; Ensures that appropriate action is taken on waived test results. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Promotes staff involvement in training, recruitment and retention May assist with the orientation of new employees on shift and with competency evaluation and in meeting training needs. May administer disciplinary action in compliance with NTMC’s progressive discipline policy Consults other departments as appropriate to provide and collaborate in patient care and performance improvement activities. Develops and maintains monthly staffing schedule for Emergency Service Department. Provides education to staff on performance improvement. Ability to plan and organize orientation and in-service training for unit staff members. Participates in guidance and educational programs. Facilitates patient flow by coordinating admissions and bed allocation to ensure efficient hospital operation Investigates incidents that are reported on shift and resolves to the extent possible Ensures that departments supervised are clean and provide a safe environment in which employees and patients are protected from physical, chemical and biomed hazards Responsible for ensuring that supplies and other inventory needed to provide patient care is available, appropriate to the task, within acceptable dating and unexpired BASIC SKILLS Basic computer knowledge EDUCATION AND EXPERIENCE Graduate from an accredited school of nursing, baccalaureate degree or current enrollment in a program. Current state Registered Nurse Licensure in the State of Texas Current BLS Current ACLS Current PALS Current TNCC Certification NIHSS certification within one year CEN or CERN preferred Three (3) or more years of previous experience in all aspects of critical care nursing and a minimum of two (2) years supervisory experience. preferred LANGUAGE SKILLS Able to communicate effectively in English, both verbally and in writing. Additional languages preferred. PHYSICAL REQUIREMENTS Ability to lift 50 lbs. alone and 150 lbs. with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.
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Certified Medical Assistant -- RHC Women's Health (Part-Time)

Schedule: Part-Time Monday thru Friday Department: RHC Women's Health JOB SUMMARY Under the direction of the health care provider, this position is a Certified Medical Assistant and is responsible for the delivery of patient care that promotes safety. SUMMARY OF ESSENTIAL JOB FUNCTIONS Performs general patient care by following established standards and procedures. Greets and prepares patients for the health care provider. Obtains and records vital signs including, but to limited to: blood pressure, temperature, pulse, respiration, height, weight, drug allergies, current medications and presenting problem. Administers ordered medications and/or vaccines via oral, injection, topical, rectal, ophthalmic and/or inhalant administration. May be required to draw and collect blood samples from patients and prepare specimens for laboratory analysis as well as perform routine tests such as EKG’s. Schedules patients for diagnostic testing and follows up to ensure completion of testing. Documents patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Communicates with patient regarding test results and plan of care by phone or mail as directed by physician. Prepares, cleans and sterilizes instruments and maintains equipment, disposing of contaminated items according to protocol. Keeps patient exam rooms stocked, clean and orderly. Escalates non-routine issues, questions and/or concerns to the Practice Manager or healthcare provider(s). Ensures safety checklists/quality controls are completed as required. Provides for patient safety and protection of patient privacy rights Performs other duties as assigned by Practice Manager, Clinic Coordinator, Clinic Director or healthcare provider(s). BASIC SKILLS Basic computer skills EDUCATION AND WORK EXPERIENCE REQUIRED High school diploma or GED Current Medical Assistant Certification with a national registry Basic Life Support or able to obtain within 60 days of hire 1 year of medical assisting/clinical experience is preferred. LANGUAGE SKILLS Able to communicate effectively in English, both verbally and in writing. Additional languages preferred. PHYSICAL REQUIREMENTS Able to lift 30 pounds on a regular basis to 42” Able to life 10-20 lbs. daily, Able to lift 50-80 lbs. occasionally Standing and walking for extended periods OSHA TASK CATEGORY TWO There is an occasional risk of exposure to mucous membranes or skin contact with blood, body fluids or tissues, or a potential for spills or being splashed during the performance of the job. Universal precautions must be observed and protective devices worn by the employee when performing a task that is likely to cause exposure.
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Registered Nurse (RN) -- PRN ED Nights

PRN Nights, 7p-7a JOB SUMMARY Seeking an experienced Emergency nurse to join the NTMC team and become a part of a dedicated team in North Texas rural medicine. Provides professional nursing care within the Emergency Department; coordinates care planning with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers and fecal occult blood) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age appropriate care to the patients served. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Cooperates with other personnel to achieve departmental objectives; and interdepartmental objectives. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Demonstrates the ability to assist physicians with procedures. Orients new employees to the Emergency Department Participates in problem solving with other healthcare team members related to management of clinical care area. Participates in performance improvement activities. Works at maintaining a good rapport and a cooperative working relationship with physicians, ancillary staff and unit staff. Completes in-services and returns in a timely fashion Attends annual review and department in-services, as scheduled Attends at least 80% of staff meetings annually, reads and returns missed monthly staff meeting minutes Represent the organization in a positive and professional manner Actively participates in performance improvement and continuous quality improvement (CQI) activities. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of NTMC, as well as the focus statement of the department. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS Current Registered Nurse in the State of Texas Current BLS Certification ACLS Certification within 90 days PALS certification within 90 days TNCC certification within first 6 months of hire NIHSS certification within one-year hire CEN certification preferred Preferred two (2) years critical care or emergency nurse experience Specialty certification preferred LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level. Must be able to sit, stoop, bend and reach above head.
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Charge Nurse/RN – Medical/Surgical -- Nights

Schedule: Full-Time Nights, 7p-7a Department: Medical Surgical Unit Description: Provides direct and indirect patient care in the medical-surgical setting. The charge nurse is responsible for the quality of care during the shift. A charge nurse helps to facilitate multi-disciplinary communication including social services, physicians, and other departments to optimize patient outcomes. Provides patient care when census dictates it. Makes Assignments and assigns admissions Serves as a role model for staff through professional and effective communication. Practices within the standards and standards and scope of the American Nurses Association including but not limited to collaboration, leadership, communication, and quality of practice. Provides direct and indirect patient care in the medical-surgical setting. The charge nurse is responsible for the quality of care during the shift. A charge nurse helps to facilitate multi-disciplinary communication including social services, physicians, and other departments to optimize patient outcomes. Provides patient care when census dictates it. Makes Assignments and assigns admissions Serves as a role model for staff through professional and effective communication. Practices within the standards and standards and scope of the American Nurses Association including but not limited to collaboration, leadership, communication, and quality of practice. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, adolescent, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plain daily for effectiveness. Ability to perform waived testing (point-of-care testing, glucometers) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived test results. Performs patient care responsibilities considering needs specific to the standard of care of patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Demonstrates knowledge of the principles of growth and development over the life span and the skill necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Supports a culture of quality and safety. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Director/Supervisor, co-workers and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Services regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Performs other related duties as assigned or requested. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS High School diploma or equivalent (GED) Current RN license in the State of Texas Current BLS Certification ACLS Certification within first 90 days NIHSS certification within first 90 days PALS certification preferred LANGUAGE SKILLS Ability to communicate effectively in English both verbally and in writing Additional languages a plus PHYSICAL REQUIREMENTS Must be able to lift 50lbs. alone and 150 lbs. with assistance Must be able to stand and walk 75% of shift on hard surfaces. Must be able to sit, bend, stoop and reach above one’s head Environment is a temperature controlled indoor environment Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. NTMC is a tobacco and drug free workplace. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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ICU Registered Nurse, Full-time, Part-time or PRN - Day and Night Shift Availability

Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions. Assesses patient’s condition, learning needs and family dynamics based on systematic data collection utilizing assessment skills and tools appropriate to the respective practice area. Develops a comprehensive plan of care and discharge plan based on the nursing assessment and integration of the medical plan utilizing the patient's family and other health care team members. Makes patient rounds to assess physical and emotional status and to initiate any nursing interventions. Assists with activities of daily living, vital signs, toileting and responds to call lights. Documents delivery of health care and nursing process in accordance with specific unit standards and hospital nursing policy. Implements patient care and prioritizes tasks/responsibilities within allotted time, and collaborates with health team members, as necessary. Responds to patient and family concerns; ensures that each concern is documented and a resolution is initiated. Obtains report from Nurse being relieved from duty and provides report to Nurse coming on duty; keeps the clinical team and others, as appropriate, informed about the status of patients and related matters; performs or supervises complete, timely and accurate documentation of patient care. Coordinates and delegates the delivery of care provided by selected members of the health care team. Evaluates outcomes of patient care planning and teaching and collaborates with other health care team members to revise the plan according to the changing needs of the patient.
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RN, Clinical and Nursing Administration - Valencia County Hospital

We are currently accepting applications for future nursing opportunities. While our hiring timeline is still being finalized, we encourage interested candidates to apply now. We will review all submitted applications first once our hiring plan is complete and will reach out to qualified candidates accordingly. A New Hospital Coming Soon Built to serve the entire county, Valencia County Hospital will bring full-service acute care back to the community. Now emergency services, inpatient care, surgery and advanced imaging are available close to home. As a Lovelace Health System affiliate, Valencia County Hospital is connected to specialty networks and clinical pathways, that support local care with regional expertise when needed. Here for emergencies. Here for your family. Here for Valencia County
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Registered Nurse (PRN) -- ICU NIghts

JOB SUMMARY Provides professional nursing care within the Intensive Care Unit; coordinates care planning with other disciplines. Provides care the meets the psychosocial, physical and general aspects of care. Determines the priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system. Communicates with physicians regarding changes in patient’s status, symptomatology and results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment. SUMMARY OF ESSENTIAL JOB FUNCTIONS Provides direct care to the ICU patients. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, adolescent and geriatric patients and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to monitor hemodynamic status of patient and correctly interpret results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Ability to perform waived testing (point-of-care testing, glucometers) per Clinical Laboratory’s and the patient care unit’s policies and procedures. Ability to interpret the results of waived tests (point-care-care testing, glucometers); takes appropriate action on waived test results. Maintains current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching appropriate care. Demonstrates the ability to assist physicians with procedures and performs services requiring technical and manual skills. Interacts professionally with patient and family and involves patient and family in the formation of the plan of care. Ensures an adequate stock of supplies and proper functioning of equipment. Responds promptly to changes in the workload, adjusting assignments as necessary. Performs other related duties as assigned or requested. Provides resource information to other staff. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Supports a culture of quality and safety. Orients new employees to the Intensive Care Unit. Performs other related duties as assigned or requested. BASIC SKILLS Basic computer skills EDUCATION AND WORK EXPERIENCE REQUIRED High School diploma or equivalent (GED) Current RN license in the state of Texas Current BLS Certification ACLS certification within 90 days NIHSS certification within 90 days PALS certification preferred CCRN preferred Preferred two (2) years of critical care or emergency nursing LANGUAGE SKILLS Ability to communicate effectively in English both verbally and in writing Additional languages a plus PHYSICAL REQUIREMENTS Ability to life and move equipment up to 50lbs. May be required to assist with patients or equipment up to 500 lbs. Ability to walk or stand for up to 75% of the time. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level.
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Registered Nurse - Nights

Responsibilities: Provide compassionate and high-quality nursing care to patients in the MedSurg, IMC and ICU units. Collaborate with a multidisciplinary team to develop and implement patient care plans. Monitor patient progress and make necessary adjustments to treatment plans. Educate patients and their families on health management and recovery strategies. Maintain accurate and timely documentation of patient care activities. Qualifications: Active Texas RN license Minimum of 1 year of MedSurg nursing experience BLS and ACLS certifications Strong communication and interpersonal skills Ability to work effectively in a fast-paced and collaborative environment. Why Join Us: Competitive salary and benefits package Opportunities for professional growth and development Supportive and inclusive work culture Chance to make a difference in the lives of our patients and the community. If you are a dedicated RN looking to join a team that values compassion and excellence, we would love to hear from you! Apply now to be considered for this rewarding opportunity.
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Registered Nurse - RN PRN

The Registered Nurse is responsible for the direct and indirect nursing care of all patients ranging in age from 18 years to geriatric. He/she is also responsible for the overall direction and supervision of all patient care during his/her shift. Demonstrates the knowledge and skill to carry out the nursing process when providing care to patients. Satisfies the established standards of nursing practice. Supervises and delegates patient care tasks to LPN, CNA and other patient care team members. Promotes teamwork with physicians and personnel of other departments. As appropriate, takes into consideration the patients’ age in the performance of any task. What You’ll Do: Provide direct nursing care to critically ill or medically complex patients Collaborate with physicians and an interdisciplinary team to coordinate individualized care plans Monitor patient progress, administer medications and treatments, and document clinical findings Educate patients and families, and serve as an advocate for long-term health and recovery Maintain compliance with all policies, standards, and regulatory guidelines What We’re Looking For: Active RN license in TX or compact state 1+ year of acute care, ICU, or LTAC experience preferred BLS required; ACLS required within 90 days of hire Strong clinical judgment and a commitment to excellence in patient care Compassionate, team-oriented mindset
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Licensed Vocational Nurse - MedSurg - Full-Time Nights (7p-7a)

Full-Time Nights (7p-7a) JOB SUMMARY Provides direct and indirect patient care in the medical-surgical setting. Communicates with physicians, supervisor, and co-workers as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. SUMMARY OF ESSENTIAL JOB FUNCTIONS Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: adults and general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plain daily for effectiveness. Ability to perform waived testing (point-of-care testing, glucometers) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived test results. Performs patient care responsibilities considering needs specific to the standard of care of patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the six (6) medication rights and reduces the potential for medication errors. Reinforces a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Demonstrates knowledge of the principles of growth and development over the life span and the skill necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Supports a culture of quality and safety. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Communicates appropriately and clearly to Nurse Director/Supervisor, co-workers and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Case Management regarding both in hospital and post discharge needs. Documentation meets current standards and policies. Manages and operates equipment safely and correctly. Coordinates and supervises patient care as necessary. Performs other related duties as assigned or requested. BASIC SKILLS Basic computer skills REGULATORY REQUIREMENTS High School diploma or equivalent (GED) Current LVN license in the State of Texas Current BLS Certification IV competency certified ACLS Certification within 90 days LANGUAGE SKILLS Strong written and verbal communication skills Additional languages a plus PHYSICAL REQUIREMENTS Ability to lift 50 lbs alone and 150 lbs with assistance May be required to assist with patients or equipment up to 500 lbs. Ability to push, pull, lift, bend, kneel twist and reach above shoulder level.