Nursing Jobs in Ayer, MA

Benchmark Senior Living Leominster, MA

Per Diem LPN/RN - Up to $44.50/HR

$35 - $44.50 / hour

Join, stay, and grow with Benchmark. Connect with your calling. Leominster Crossings is looking for Per Diem Nurses (RNs/LPNs) to join our team! LPN: $35-39/HR RN: $40.50-44.50/HR As a Licensed Practical Nurse, your main role will be to deliver nursing care to our residents within a warm, comfortable, and home-like environment. You will be part of a team of dedicated, like-minded individuals whose support and camaraderie build community, and where long-lasting relationships with both associates and residents await. If you possess a dedication to assisting others, take immense pride in your work, and are looking for a remarkable company that aligns with those values, then this opportunity is made for you! Responsibilities Accurately assesses, communicates, and documents residents’ status. Observes and reports any significant changes in resident behavior and health to the Resident Care Director, physician, family, RCAs, and Executive Director per state regulations. Directs and supervises the daily work assignments of the Resident Care Assistants. Closely mentors, guides, and directs the Lead Resident Care Assistants in all aspects of their job. Coordinates care needs with community providers via an effective case management process. Effectively balances service demands with supporting resident independence. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation (financial and other) and reports to appropriate sources per state regulations. Responds to emergencies and personal emergency response system and knows when to call for backup. Requirements Current state license as an LPN and CPR certification Graduate of an approved LPN program (per state requirements) Minimum of 1 to 2 years of experience working as a nurse preferred Previous experience working with the elderly in a paid or volunteer position is highly desirable As a community associate at Benchmark, you will have access to a variety of benefits including, but not limited to, the following: 8 holidays & 3 floating holidays Discounted Meal Program Paid Training & Company-provided Uniforms Associate Referral Bonus Program Physical & Mental Health Wellness Programs 401k Retirement Plan with Company Match* Medical, Vision & Dental Benefits* Tuition Reimbursement Program* Vacation and Health & Wellness Paid Time Off* *Eligibility may vary by employment status

RN, Geriatric Medical Psychiatry Telemetry Float, Per Diem

UMass Memorial Health Clinton, MA

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $60.87 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Weekends - Every Fourth Weekend Scheduled Hours: mixed 8 hour shifts Shift: 4 - Mixed Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 24070 - 0610 Psych Ip Geriatric Union: MNA-HealthAlliance Clinton (Massachusetts Nurses Association) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Registered Nurse, Watkins 1, 24-Hours, Nights, 11:00pm - 7:30am, 3 shifts per week, Every other weekend and holiday, Shifts Sunday - Saturday, Weekend is Friday and Saturday nights, $15,000 Sign-On Bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Nights, 11:00pm - 7:30am, 3 shifts per week, Every other weekend and holiday, Shifts Sunday - Saturday, Weekend is Friday and Saturday nights $37.26 - $76.63 Job Summary: The telemetry RN will provide competent and caring nursing skills while upholding the mission, vision, and values of Heywood Hospital. Able to interpret cardiac rhythm strips and to act/react to those findings including knowledge of IV drip titration as appropriate to W1/telemetry patient needs. This position includes assessment, interpretation of physiologic elements, development of nursing plan of care, patient education, communication with physicians, etc. Responsibilities ESSENTIAL FUNCTIONS Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on physician orders. Institutes appropriate measures in life threatening situations. Evaluates and takes appropriate action for patients with chest pain or other cardiac related symptoms. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. FUNCTIONAL DEMANDS Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications JOB REQUIREMENTS Minimum Education• Graduate of an accredited school of nursing Minimum Work Experience• 1 year med-surge experience preferred• Previous telemetry experience preferred Minimum Licenses and Certifications Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire

Other

Park Avenue Health Center (2) Arlington, MA

Registered Nurse

Advocates Framingham, MA

$42 / hour

Overview Hourly rate $42.00/hour The Registered Nurse (RN) participates in the coordination of medical, behavioral health/addiction treatment services and other supports in accordance with the person-centered treatment plan to manage or co-manage complex behavioral health cases. As a member of the multidisciplinary team, the RN provides consultation, education, and support to team members and provider network regarding co-occurring medical issues related to behavioral health/substance abuse treatment and management. Minimum Education Required Bachelor's Degree Additional Shift Details 1 hour a week for consulting Responsibilities Support consortium entity teams by providing supervision, conducting audits, and actively participating as a member of their team to ensure high-quality care coordination and compliance with best practices. Provide medical consultation to team members in the assigned consortium entity Liaison to and consult with the BHPMW BHCP Medical Director. Conduct medication reconciliation functions required in the BHCP Model Contract. Participate in BHCP team meetings to ensure effective communication among all disciplines. Participate in all required orientation and training and assist with training other staff on the Care Partner (CP) Team. Develop knowledge about all focus populations and assist CP Team members in doing so. Complete all required documentation in a timely manner. Demonstrate a proactive commitment to maintaining effective communication with staff, Enrollees, Care Team members and other collaterals, and other internal and external stakeholders and customers. Promote strong working relationships and excellent customer service. Complete required trainings and other professional development activities. Strictly adhere to HIPPA and confidentiality policies at all time, including when responding to inquiries for Enrollee information Attend and actively participate in supervision and staff meetings. Maintain current certifications and licenses Ensure that all clients are treated with dignity and respect Perform all duties in accordance with the agency’s policies and procedures. Strictly follow all agency Performance Standards. Qualifications Bachelor's Degree Registered Nurse licensed in the Commonwealth of Massachusetts with minimum of 4 years of experience working with adults in a community-based mental health, substance use and/or physical health setting Demonstrated knowledge base and judgment necessary for independent clinical decision making. Excellent verbal and written communications skills. Strong interpersonal and customer relations skills required. Excellent organizational, time management and problem solving skills. Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies. Knowledge regarding psychiatric rehab and understanding of recovery model. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Must be able to perform each essential duty satisfactorily. Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport members. Must have ability to read English and communicate effectively in the primary language of the program to which he/she is assigned.

Charge Nurse

Park Avenue Healthcare is looking for a Charge Nurse (7am-3pm) has 8-hour accountability. He/she is responsible for the overall operations, integration, coordination, and direction of nursing and patient care for the assigned unit. Additionally, he/she is responsible for ensuring that care delivery is consistent with the mission, vision, values, and policies of Best Care Services and in accordance with accepted standards of practice, state, and federal regulation and licensing requirements. This includes mentoring and education nurses, working with physicians and other medical professionals, and serving as a resource to all staff within the unit regarding the quality of services provided. RESPONSIBILITIES/ACCOUNTABILITIES: Collaborates with other departments to provide timely effective care consistent with individuals’ needs, choices, and preferences. Participates in meetings to address patient care, survey, and/or standards of care issues and utilization management customer at risk, care planning, quality improvement, etc. Participates with the interdisciplinary team in developing, implementing, and evaluating ways to achieve patient goals and minimize rehospitalizations. Ensures Point Click Care (PCC) is utilized according to the business processes. Participates in shift-to-shift communication between incoming and outgoing nursing staff and CNAs. Ensures discharge planning process I in place and provides consultation as needed. Ensures complete and prompt reporting of incidents, accidents, and adverse events to Center Executive Director and Director of Nursing. Ensures that patient’s accident/incident, adverse event, and grievances/concerns are fully documented, investigated, reported, and addressed in accordance with Revolution policies and procedures and the Federal/State rules and regulations. Quality Improvement: Participates in the development, implementation, and evaluation of quality improvement activities for the center and/or unit as requested. Prepares written reports, reviews records, and participates in needed data collections as indicated. Reviews clinical records of patients with unplanned rehospitalizations to identify areas in need of improvement. COMPLIANCE: Complies with and promotes adherence to applicable legal requirements, standards, policies and procedures including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Provides leadership and support for the compliance and ethics program within management area.. Performs other duties as requested. Salaried: $95,000.00 - $125,000.00 Routing On Call Schedule, a friendly work environment, Blue Cross/Blue Shield Insurance offered, Dental, Vision, Sign on Bonus, 401K

Registered Nurse, Nursing Floats, 24 Hours, Days, 7:00 am - 3:30 pm, every third weekend, Every other holiday, $12,500 Sign-on Bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $12,500 Sign On Bonus! Hours: 24 hours, Day, 7:00 am - 3:30 pm, every third weekend, every other holiday Hourly Rate: $37.26-$76.63 per hour. Responsibilities Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers and demonstrates understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of unit specific drips in accordance with provider's orders, protocols, policies and guidelines.. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the attending provider. Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. Utilizes pain management devices and other techniques to ensure proper pain relief. Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. Institutes appropriate measures in life threatening situations. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on provider orders. Evaluates and takes appropriate action for patients with chest pain or other cardiac related symptoms Performs assessment of psychiatric and physical needs on each patient upon admission and uses data collected to create and/or revise nursing plan of care. Performs pre-admission screenings and appropriate insurance procedures. Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors. Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient. De-escalates volatile situations and/or individuals using non-violent techniques. Creates and updates the Master Treatment Plan, coordinating with hospital and community providers and significant others. Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care. Meets with families and significant others and residential providers in planning appropriate disposition and discharge. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing. Minimum Work Experience 1 yr Med/Surg experience preferred Previous telemetry experience preferred Pediatric experience preferred Minimum Licenses and Certifications Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire PALS preferred

Float Office Nurse, Nursing Floats, Heywood Medical Group, 40-Hours, Days, Monday-Friday, Hours vary per office needs

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 40-Hours, Days, Monday-Friday, Hours vary per office needs RN: $31.92 - $42.12 LPN: $26.66 - $35.18 Job Summary: Under the direction of Management, Provider (Physician or APP),and/or nursing lead(if applicable), incumbent is responsible for assisting with patient care and triage. Must participate in customer service and patient satisfaction initiatives. Must learn and perform new standards and processes as they are implemented and complete any assigned training. Must have reliable transportation to travel to assigned location. Other duties and locations as assigned. Responsibilities Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe practice and hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Heywood Healthcare Attendance and Tardiness Policy. Completed all Heywood Healthcare and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Clinical duties include: patient care, telephone triage, patient education, obtaining and recording patient health information including vitals and injections. Communicate normal and abnormal lab results with patients and communicate clinical plan and significance Completes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner Queues orders and prescriptions as directed and according to practice procedure Utilizes MassPat/Prescription Monitoring program as directed and according to practice procedure Competently manages provider controlled substance registry program as directed and according to practice procedure Prepare forms and educational materials as directed by Provider to be communicated to and/or mailed to patients Provide mentoring to other clinical staff (such as Medical Assistants) Rooming patients and begin basic documentation for medical provider: Performs Phlebotomy services and administers vaccines Performs basic office laboratory procedures such as urinalysis, urine culture, hematocrit, sed rate, mono spot, pregnancy tests, throat cultures and related procedures Coordinates patient flow and prepares patient for examination. Takes and records vital signs and EKG’s. Documents intake assessment. Assists physician and others in clinical procedures as required or directed Manage State Vaccine program under the direction of the Nurse Manager. Obtains necessary prior- authorizations for ordered medications, procedures and diagnostic studies as required or directed Maintains records, reports, logs and other statistical information as required or directed. Instruments and equipment are prepared and sterilized according to procedure to support infection control. Processes Medical Records incoming and outgoing according to practice guidelines and regulations Maintains assigned office and/or clinical supplies. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items. Performs a variety of clerical functions to support office such as answering telephone, scheduling in office appointments, taking messages accurately and routing appropriately,and related duties as required or directed Complies with established departmental policies, procedures, and objectives Complies with all health and safety regulations and requirements Attends variety of meetings, conferences, training and seminars as required or directed. Demonstrates use of quality improvement in daily operations Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Provide coverage when needed at other locations within Heywood Medical Group. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications Job Requirements Required Licenses Current Massachusetts RN or LPN License required. Current BLS certification required Required Skills Excellent written and verbal communication skills required. Excellent customer service skills required. Ability to prioritize tasks in a busy environment General comfort level with computers/technology and ability to learn programs as needed. Knowledge of Electronic Medical Records Preferred and word processing skills required Ability to maintain strict compliance with HIPPA regulations is required. Must be able to work flexible shifts, some evenings & weekends may be required. Reliable transportation in order to travel between locations is also required Minimum Work Experience One (1) year experience as an RN or LPN in medical office setting preferred Functional Demands Physical Requirements Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).

NA/CNA, Nursing Floats, 32-Hours, Nights, Every other weekend, Every other holiday

Overview Hours: 32-Hours, Nights, Every other weekend, Every other holiday NURSE AIDE - $18.50 - $24.41 CNA - $20.00 - $26.39 Responsibilities Essential Functions Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures under direction of a licensed nurse. Collects basic health data as directed by a licensed nurse. Assists patients with activities of daily care (e.g. personal hygiene, toileting, nutrition, ambulation, etc). Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.) Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides thorough, timely, and accurate documentation of all pertinent patient according to established standards. Maintains clean and safe work environment (identifies and/or removes safety hazards). Provides timely and thorough information on assigned patients to supervising licensed nurse and other health care team members. Participates in learning for colleagues and self (attends educational programs, in-services, assist with orientation of new staff). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Assists patients with activities of daily living, including bathing, shampooing, shaving, brushing teeth, etc. Obtains heights and weights of assigned patients per care plan. Assists patients with ambulation using appropriate technique (i.e. gait belt). Assists patients with turning in bed and transferring from bed to stretcher or chair using appropriate technique (i.e. transfer mattress). Provides incontinent care to patients. Assists patients with eating and drinking per care plan. Maintains and documents fluid intake, output measurements and vital signs on patients per care plan. Assists with obtaining late trays as needed. Maintains infection control precautions per Infection Control Policy. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently kneels (bending the legs at knee to come to rest on knee or knees), reaches (extending hands and arms in any direction), and feels (perceiving attributes of items as size, shape, temperature, or texture by means of fingertips). Occasionally crouches (bending body downward and forward by bending legs and spine), and stoops (bending the body downward and forward by bending the spine at the waist). Organizational Expectations Behavioral Attributes: The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education High School Diploma or equivalent preferred Minimum Work Experience 1 year work experience preferred Minimum Licenses and Certifications Current Certified Nursing Assistant certification required -OR- A minimum of 75 hours in an accredited nursing program to include completion of first rotation -OR- Active EMT or Paramedic Certification - OR- Active Patient Care Technician/Assistant Certification -OR- Active Home Health Aide Certification AHA CPR certification obtained within 60-days of hire OR previous Massachusetts CNA licensure for Nurse Aide

American Addiction Centers Worcester, MA

Adcare Hospital Registered Nurse (RN) - 7a-7:30p FT

Overview AdCare, a subsidiary of American Addiction Centers, Inc., is a for-profit substance abuse disorder treatment facility located at 107 Lincoln Street, Worcester, MA 01605. For over 45 years, AdCare has been helping individuals and families struggling with alcohol and drug use, one life at a time. The AdCare name represents innovation, quality, and cost efficiency in treating alcohol and drug dependency. We are committed to improving the lives of our patients and their families by providing safe, effective, recovery-based alcohol and drug treatment. Our addiction recovery center(s) provide a comprehensive approach to care. AdCare's integrated system of care offers a range of accessible treatment centers including a 114-bed inpatient hospital and several conveniently located outpatient sites located throughout the Massachusetts and Rhode Island areas. When you join AdCare, you become part of our family. AdCare seeks talented individuals who are passionate, empathetic, engaged in their work and dedicated to serving people. Together, we can enable our patients to live happier and healthier lives. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities Job Summary This position requires a thorough understanding of the facility’s treatment program and philosophy, admission process and criteria, support and administrative services, medical knowledge of substance abuse disorders, co-occurring psychiatric disorders, alcoholism, dual diagnosis. This individual is a member of the treatment team providing professional level of nursing care to patients under minimum supervision and consultation. This is a complex position which directs and guides activities on the unit and assignments of ancillary personnel assigned to unit and shift. Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Complete an accurate assessment of newly admitted patients; conduct fall risk and SBQR assessments and establish precautionary measures. Perform accurate assessments for safe detox using COWS & CIWAS. Calls the appropriate team member (i.e., on call provider) with all non-life threatening medical and medication issues to obtain guidance regarding his/her plan of action for the patient; documents in the EMR. Coordinates with the medical providers and other interdisciplinary team on the plan of care to provide the individual treatment needed. Ensures that care plans are kept current. Responds to medical and psychiatric concomitants in treatment and develops nursing interventions that are appropriate for the situation. Promotes patient's independence by establishing patient care goals, teaching patient to understand condition, medications, and self-care requirements, answers patient questions. Cross trains in medication administration in order to complete safe medication passes following standards of care per the Board of Nursing. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following philosophies and standards of care set by State Board of Nursing, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies, including de-escalation techniques. Protects patients and employees by adhering to: infection-control policies and protocols, medication administration and storage procedures, and controlled substance handling. Maintains continuity among teams by documenting and communicating actions, irregularities, and continuing needs. Maintains patient confidence and protects operations by keeping information confidential. Ensures compliance with Patient Privancy, HIPPA and Joint Commission Standards. Provides oversight to ensure face checks are completed based on hospital policy. Responds appropriately to all Code Calls. Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications. Provides CEU documents for annual review. Follows the incident reporting policy and procedure in reporting any unsafe/unusual safety issues. Functions as a role model for nursing staff. Role models problem solving as the effective means of resolving conflict. Develops and maintains effective working relationships with staff, management, and other members of the health care team. Effectively prioritizes communication issues pertaining to all departments and provides collaborative intervention as necessary. Provides clinical direction to staff and evaluates the level of care provided by the nursing staff on assigned shifts; holds staff accountable for functioning in a reduced risk manner. Functions with an awareness of patient safety issues and applies basic principles of safety as identified within the facility. Mentors and assists with providing essential training to the new staff. Assists in the development of the discharge plan and review and educate patients of discharge plan care. At end of shift communicates to incoming RN pertinent data regarding patient activity or needs. Treats patients, and colleagues with dignity and respect; honors each person’r right to privacy/ maintains very strict patient and colleague confidentiality; respects all individuals’ differences; supports cultural diversity. Consistently arrives to work on time and adheres to attendance policies. Other duties, as needed. Qualifications Education/ Experience: Associates Degree in Nursing (ASN) or Bachelors Degree in Nursing (BSN) Required Knowledge of addiction and drug treatment preferred Ability to read and interpret written information; write clearly and informatively; edits work for spelling and grammar. Ability to speak clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; and participates in meetings Working knowledge of EMR Certifications and Licenses: Current RN License in in State of operations required CPR and First Aid Certified CARN encouraged Supervisory Responsibility: Experienced RNs will function as Charge Nurse. Physical Requirements AAC is committed to principles of equal opportunities for all employees. The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws Prolonged sitting at a desk Must be able to lift 15 pounds at a time American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

Southern NH Health System - Registered Nurse (RN) - Med/Surg Oncology - Per Diem

Southern New Hampshire Health Nashua, NH

Come work at the best place to give and receive care! Job Description: Per Diem, Third Shift REGISTERED NURSE – MED/SURG ONCOLOGY | 3 WEST Who We Are: 3 West is a 22-bed adult med/surg department serving a patient population of general medicine, vascular, GI, bariatric, urology, women’s health, oncology and chemotherapy administration and palliative care. Average Patient: Nurse ratio – 5:1 days, 6:1 nights About the Job: As a member of the Patient Care Services team, the 3 West Registered Nurse provides comprehensive and compassionate nursing care to adolescent and adult patients with a variety of medical and surgical diagnoses with a focus on with a variety of medical/surgical diagnoses with a with a focus on vascular, colo-rectal, gynecological and urological surgeries and oncology therapies. The registered nurse successfully completes a competency based orientation program to become proficient in serving the 3 West patient population. What You’ll Do: Assess and implements priority-based nursing care and establish goals to meet the patient’s needs. Integrate patient values, best practice, and evidence into patient care. Engage patients and/or families in the care delivery. Function competently within own scope of practice. Utilize a communication style/practice to meet the needs of the team and/or the situation. Who You Are: Graduate from an accredited school of nursing (ASN or BSN) Registered Nurse, licensed in the state of NH Ability to achieve the following competencies: Within 30 days: Basic Life Support Within 90 days: Intravenous Therapy, Pre-and post-operative management of the surgical patient, Central Line Management Within 180 days: General care of the oncology patient, Palliative Care Within two (2) years: · Chemotherapy Administration (Oncology Nursing Society program) Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet-designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition & certification reimbursement (up to $4,000/year) Nursing Student Loan Paydown Program (up to $20,000) 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So much more! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. #MRP Work Shift: Third Shift SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Other

Fallon Health Reading, MA

Nurse Case Manager - Senior Care Options - Woburn/Reading

Overview About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care for Fallon members. NCM seeks to establish telephonic and/or face to face relationships with the member/caregiver(s) to better ensure ongoing service provision and care coordination, consistent with the member specific care plan developed by the NCM and Care Team. Responsibilities may include conducting in home face to face visits for member identified as needing face to face visit interaction and assessments with the goal to coordinate and facilitate services to meet member needs according to benefit structures and available community resources. The NCM may conduct assessments and may determine the number of hours’ members require for MassHealth programs such as the personal care attendant program, adult foster care, group adult foster care, and other programs per product benefits and guidelines. The NCM may utilize an ACD line to support department and incoming/outgoing calls with the goal of first call resolution with each interaction. Responsibilities Note: Job Responsibilities may vary depending upon the member’s Fallon Health Product Member Assessment, Education, and Advocacy Telephonically assesses and case manages a member panel May conduct in home face to face visits for onboarding new enrollees and reassessing members, utilizing a variety of interviewing techniques, including motivational interviewing, and employs culturally sensitive strategies to assess a Member’s clinical/functional status to identify ongoing special conditions and develops and implements an individualized,coordinated care plan, in collaboration with the member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost effective quality outcome Performs medication reconciliations Performs Care Transitions Assessments – per Program and product line processes Utilizing clinical judgment and nursing assessment skills, may complete NaviCare Program Assessment Tools and Minimum Data Set Home Care (MDS HC) Form when a member’s medical/functional status changes that warrants a change in rating category to ensure members are in the correct State defined rating category Maintains up to date knowledge of Program and product line benefits, Plan Evidence of Coverage details, and department policies and processes and follows policies and processes as outlined to be able to provide education to members and providers; performing a member advocacy and education role including but not limited to member rights Serves as an advocate for members to ensure they receive Fallon Health benefits as appropriate and if member needs are identified but not covered by Fallon Health, works with community agencies to facilitate access to programs such as community transportation, food programs, and other services available through senior centers and other external partners Follows department and regulatory standards to authorize and coordinate healthcare services ensuring timeliness in compliance with documented care plan goals and objectives Assesses the Member’s knowledge about the management of current disease processes and medication regimen, provides teaching to increase Member/caregiver knowledge, and works with the members to assist with learning how to self- manage his or her health needs, social needs or behavioral health needs Collaborates with appropriate team members to ensure health education/disease management information is provided as identified Collaborates with the interdisciplinary team in identifying and addressing high risk members Educate members on preventative screenings and other health care procedures such as vaccines, screenings according to established protocols and program processes such initiatives involving Key Metrics outreach Ensures members/PRAs participate in the development and approval of their care plans in conjunction with the interdisciplinary primary care team Strictly observes HIPAA regulations and the Fallon Health Policies regarding confidentiality of member information Supports Quality and Ad-Hoc campaigns Care Coordination and Collaboration Provides culturally appropriate care coordination, i.e. works with interpreters, provides communication approved documents in the appropriate language, and demonstrates culturally appropriate behavior when working with member, family, caregivers, and/or authorized representatives With member/authorized representative(s) collaboration develops member centered care plans by identifying member care needs while completing program assessments and working with the Navigator to ensure the member approves their care plan Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager, Aging Service Access Point Geriatric Support Service Coordinator, contracted Primary Care Providers and others involved/authorized in the member’s care Manages ACO members in conjunction with the Navigator, Social Care Managers, ACO Partners, Community Partners, Behavioral Health Partners and others involved/authorized in the member’s care Monitors progression of member goals and care plan goals, provides feedback and works collaboratively with care team members and work effectively in a team model approach to coordinate a continuum of care consistent with the Member’s health care goals and needs Works collaboratively with Fallon Health Pharmacist, referring members in need of medication review based upon Program process Develops and fosters relationships with members, family, caregivers, PRAs, vendors and providers to ensure good collaboration and coordination by streamlining the focus of the Member’s healthcare needs utilizing the most optimal treatment approach, promoting timely provision of care, enhancing quality of life, and promoting cost-effectiveness of care Actively participates in clinical rounds Provider Partnerships and Collaboration May attend in person care plan meetings with providers and office staff and may lead care plan review with providers and care team as applicable. Demonstrates positive customer service actions and takes responsibility to ensure member and provider requests and needs are met Regulatory Requirements – Actions and Oversight Completes Program Assessments, Notes, Screenings, and Care Plans in the Centralized Enrollee Record according to product regulatory requirements and Program policies and processes Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and actions in conjunction with the Navigator and other members of the Clinical Integration and Partner Teams Performs other responsibilities as assigned by the Manager/designee Supports department colleagues, covering and assuming changes in assignment as assigned by Manager/designee Qualifications Education: Graduate from an accredited school of nursing mandatory and a Bachelors (or advanced) degree in nursing or a health care related field preferred. License : Active, unrestricted license as a Registered Nurse in Massachusetts Certification : Certification in Case Management strongly desired Other : Satisfactory Criminal Offender Record Information (CORI) results and reliable transportation Experience: • 1+ years of clinical experience as a Registered Nurse managing chronically ill members or experience in a coordinated care program required• Understanding of Hospitalization experiences and the impacts and needs after facility discharge required• Experience working face to face with members and providers preferred• Experience with telephonic interviewing skills and working with a diverse population, that may also be Non-English speaking, required• Home Health Care experience preferred• Effective case management and care coordination skills and the ability to assess a member’s activities of daily function and independent activities of daily function and the ability to develop and implement a care plan that meets the member’s need working in partnership with a care team preferred• Familiarity with NCQA case management requirements preferred Performance Requirements including but not limited to: • Excellent communication and interpersonal skills with members and providers via telephone and in person• Exceptional customer service skills and willingness to assist ensuring timely resolution• Excellent organizational skills and ability to multi-task• Appreciation and adherence to policy and process requirements• Independent learning skills and success with various learning methodologies including but not limited to: self-study, mentoring, classroom, and group education• Working with an interdisciplinary care team as a partner demonstrating respect and value for all roles and is a positive contributor within job role scope and duties• Willingness to learn insurance regulatory and accreditation requirements• Knowledgeable about software systems including but not limited to Microsoft Office Products – Excel, Outlook, and Word • Familiar with Excel spreadsheets to manage work and exposure and familiarity with pivot tables• Accurate and timely data entry• Effective case management and care coordination skills and the ability to assess a member’s activities of daily function and independent activities of daily function and the ability to develop and implement a care plan that meets the member’s need • Knowledge about community resources, levels of care, criteria for levels of care and the ability to appropriately develop and implement a care plan following regulatory guidelines and level of care criteria • Ability to effectively respond and adapt to changing business needs and be an innovative and creative problem solver Competencies: • Demonstrates commitment to the Fallon Health Mission, Values, and Vision• Specific competencies essential to this position: Problem Solving Asks good questions Critical thinking skills; looks beyond the obvious Adaptability Handles day to day work challenges confidently Willing and able to adjust to multiple demands, shifing priorities, ambiguity, and rapid change Demonstrates flexibility Written Communication Is able to write clearly and succinctly in a variety of communication settings and styles. Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $88,000 - $95,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P01

Registered Nurse / Behavioral Health, Home Health

AccentCare, Inc. Methuen, MA

Overview RN Psych Location: Methuen, MA office location Position: RN Psych Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Nashua, Lowell, Chelmsford and surrounding areas Find Your Passion and Purpose as an RN Psych Salary: $85000 - $100000 / year This position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation. Schedule: Full time Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best RN Psych You Can Be If you meet these qualifications, we want to meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. An RN with a Bachelor's Degree in psychiatric or mental health nursing must have one year of recent nursing experience, recommended to be within the last 3 years, in an acute treatment unit in a psychiatric hospital, psychiatric home care, a psychiatric Partial Hospitalization Program (PHP), or another out-patient psychiatric service. An RN with a Associate's Degree in psychiatric or mental health nursing must have two years of recent nursing experience, recommended to be within the last 3 years, in an acute treatment unit in a psychiatric hospital, psychiatric home care, a psychiatric Partial Hospitalization Program (PHP), or another out-patient psychiatric service. Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

American Addiction Centers Worcester, MA

Adcare Hospital Registered Nurse (RN) 7a-7p FT

Overview Company Summary If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities Job Summary This position requires a thorough understanding of the facility’s treatment program and philosophy, admission process and criteria, support and administrative services, medical knowledge of various aspects of substance abuse and dual diagnosis patient care. The Admissions Nurse (RN) is a member of the treatment team providing professional level of nursing care to patients under minimum supervision and consultation. Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Complete the nursing admissions process, including but not limited to: explaining services and related costs, and conducting telephonic/in person intake screenings to assess the client’s situation. Deliver the highest quality customer service standards of care and productivity for internal and external clients. Review admission referrals and coordinate with navigators to ensure proper placement. Triage all incoming clients for intended level of care. Call the appropriate team member (e.g. Medical Director) to provide all non-life threatening medical and medication concerns to obtain guidance regarding their plan of action for the client. (In the event of a life-threatening emergency, all staff members are authorized to contact emergency services by dialing 911). Identify client care requirements by establishing personal rapport with potential and actual clients and in partnership with other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological and spiritual support to clients and families. Promote client's independence by establishing client care goals, teaching client to understand condition, medications and self-care requirements, and answering questions. Assure quality of care by adhering to therapeutic standards; measuring health outcomes against client care goals and standards; making or recommending necessary adjustments; following philosophies and standards of care set by state board of nursing, state nurse act, and other governing agency regulations. Maintain safe and clean working environment in compliance with procedures, rules, and regulations; calling for assistance from health care support personnel as needed. Protect clients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in client and department records. Maintain interdepartmental continuity of care by documenting and communicating actions, irregularities, and continuing needs. Maintain client confidence and protect operations by keeping information confidential. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications. Maintain a cooperative relationship among health care team by communicating information; responding to requests; building rapport; participating in team problem solving methods. Follow incident reporting policy and procedure, reporting any potential safety issues in a timely fashion. Demonstrate skills of delegation, organization and coordination of assigned services, delegating responsibilities to designated staff as appropriate. Function as a role model for nursing staff. Provides pertinent communication to the Director of Nursing regarding levels of staff performance. Effectively prioritize communication issues pertaining to all departments and provide collaborative intervention as needed. Exercise good judgment and discretion in deviating from policy in circumstances where strict adherence would pose a risk to the patient, visitor, staff or facility. Participates in Performance Improvement data collection, analysis, reporting and staff education. Assist in providing essential training to the new staff. Coordinate with providers and nurses regarding the plan of care to provide the individual treatment needed. Regular and consistent attendance is required. Other duties as assigned within scope of the position. Qualifications Education/Experience: Associate’s degree required, Bachelor’s degree preferred. Knowledge of mental health, addiction, and addiction treatment preferred. Detail oriented and able to work in a fast paced environment. Able to handle confidential information, and manage time wisely. Proficiency with technology, including Microsoft Office Suite, electronic medical records applications, etc. Physical Requirements AAC is committed to principles of equal opportunities for all employees. The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws Prolonged sitting at a desk Must be able to lift and carry 25 pounds at a time Certifications and Licenses: Active RN license in state of operation is required; RN license preferred. Active BLS certification directly from American Heart Association or American Red Cross, or ability to attain certification within 60 days of hire, and maintain active certification at all times. American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

American Addiction Centers Worcester, MA

Adcare Admissions Nurse (RN) 7a-7p FT

Overview Company Summary If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities Job Summary This position requires a thorough understanding of the facility’s treatment program and philosophy, admission process and criteria, support and administrative services, medical knowledge of various aspects of substance abuse and dual diagnosis patient care. The Admissions Nurse (RN) is a member of the treatment team providing professional level of nursing care to patients under minimum supervision and consultation. Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Complete the nursing admissions process, including but not limited to: explaining services and related costs, and conducting telephonic/in person intake screenings to assess the client’s situation. Deliver the highest quality customer service standards of care and productivity for internal and external clients. Review admission referrals and coordinate with navigators to ensure proper placement. Triage all incoming clients for intended level of care. Call the appropriate team member (e.g. Medical Director) to provide all non-life threatening medical and medication concerns to obtain guidance regarding their plan of action for the client. (In the event of a life-threatening emergency, all staff members are authorized to contact emergency services by dialing 911). Identify client care requirements by establishing personal rapport with potential and actual clients and in partnership with other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological and spiritual support to clients and families. Promote client's independence by establishing client care goals, teaching client to understand condition, medications and self-care requirements, and answering questions. Assure quality of care by adhering to therapeutic standards; measuring health outcomes against client care goals and standards; making or recommending necessary adjustments; following philosophies and standards of care set by state board of nursing, state nurse act, and other governing agency regulations. Maintain safe and clean working environment in compliance with procedures, rules, and regulations; calling for assistance from health care support personnel as needed. Protect clients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in client and department records. Maintain interdepartmental continuity of care by documenting and communicating actions, irregularities, and continuing needs. Maintain client confidence and protect operations by keeping information confidential. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications. Maintain a cooperative relationship among health care team by communicating information; responding to requests; building rapport; participating in team problem solving methods. Follow incident reporting policy and procedure, reporting any potential safety issues in a timely fashion. Demonstrate skills of delegation, organization and coordination of assigned services, delegating responsibilities to designated staff as appropriate. Function as a role model for nursing staff. Provides pertinent communication to the Director of Nursing regarding levels of staff performance. Effectively prioritize communication issues pertaining to all departments and provide collaborative intervention as needed. Exercise good judgment and discretion in deviating from policy in circumstances where strict adherence would pose a risk to the patient, visitor, staff or facility. Participates in Performance Improvement data collection, analysis, reporting and staff education. Assist in providing essential training to the new staff. Coordinate with providers and nurses regarding the plan of care to provide the individual treatment needed. Regular and consistent attendance is required. Other duties as assigned within scope of the position. Qualifications Education/Experience: Associate’s degree required, Bachelor’s degree preferred. Knowledge of mental health, addiction, and addiction treatment preferred. Detail oriented and able to work in a fast paced environment. Able to handle confidential information, and manage time wisely. Proficiency with technology, including Microsoft Office Suite, electronic medical records applications, etc. Physical Requirements AAC is committed to principles of equal opportunities for all employees. The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws Prolonged sitting at a desk Must be able to lift and carry 25 pounds at a time Certifications and Licenses: Active RN license in state of operation is required; RN license preferred. Active BLS certification directly from American Heart Association or American Red Cross, or ability to attain certification within 60 days of hire, and maintain active certification at all times. American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

Willow Brook Rehabilitation and Healthcare Center Wilmington, MA

Registered Nurse (RN)

Join our team at Willow Brook Rehabilitation and Healthcare Center as an RN! Proudly supported by Marquis Health Consulting Services Full-time and part-time opportunities available Same Day Pay!! 7 AM- 3 PM, 3 PM- 11 PM $5 PIB $2 Shift Diff for Evening Shift $2.50 for Overnight Shift $12,000 Sign-on Bonus FT Only $43-$49 an hour Responsibilities of RN: The Registered Nurse (RN) will provide resident care in accordance with acceptable standards of nursing practice and the written plan of care as well as physicians plan of treatment The Registered Nurse (RN) follows a plan of care designed by our Nurse Manager Registered Nurse (RN) Perform Medication Administration and Treatments per POC Monitor residents' conditions and report accordingly by the Registered Nurse (RN) Accurate documentation in accordance with the provided orders Qualifications of RN: A current, unencumbered active license to practice as an RN in the state of Massachusetts Valid BLS Certification (CPR) Ability to work with multiple patients at once Benefits for RN: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Shift differentials Company sponsored life insurance Employee assistance program (EAP) resources Join our team at Willow Brook Rehabilitation and Healthcare Center, a 142-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.

Dartmouth Hitchcock Medical Center Nashua, NH

Registered Nurse (RN) - Endoscopy, Part Time

Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Part-time, 24 hours/week. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS

CMA

Dartmouth Hitchcock Medical Center Nashua, NH

Medical Assistant II (MA) - Neurology

Overview $5,000 Sign on Bonus for eligible hires. Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms at an outpatient care site. Responsibilities Greets, checks in patients, and notifies appropriate provider. Prepares patient, room and equipment for procedures and exams. Takes and records vital signs. Informs provider of patient vital signs and concerns. Recognizes and treats emergency patients as a priority, assists with patient examinations and treatments. Handles patient situations over the phone, schedules appointments and procedures with medical professionals. Understands limitations in dealing with patients over the phone, and involves nursing staff and providers. Register new patients and establishes a medical record. Prepares patient billings. Assists patients by filling out insurance and other forms. Supplies authorized information upon request by third party payors. Instructs patients in preparation for specific procedures. Collects and processes routine laboratory specimen. Operates and maintains clinical equipment. Maintains and uses aseptic technique including sterilization, disinfection and disposal of contaminated material. Cleans, wraps and autoclaves instruments. Cares for supplies and equipment. Performs other duties as required or assigned. Qualifications Graduate of an accredited Medical Assistant Program required. Previous experience in office or outpatient ambulatory care setting strongly preferred. Demonstrated strong communication, organizational, and interpersonal skills. Demonstrated ability to work well as a member of a team. Computer skills strongly preferred. Must be willing and able to participate in evening, weekend, and holiday coverage according to needs of the department. Required Licensure/Certifications American Association Medical Assistants (AAMA) certified - CMA designation OR American Medical Technologists (AMT) registered – RMA designation OR Certified Clinical Medical Assistant plus 12 month D-H apprenticeship program – CCMA designation. Current BLS certification required.

Southern NH Medical Center - Registered Nurse (Rn) - Med/Surg Neuro/Orthopedics - Per Diem (replacing 20876)

Southern New Hampshire Health Nashua, NH

Come work at the best place to give and receive care! Job Description: TBD Work Shift: EVE 11-11 SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Director of Nursing (DON)

Marquis Health Consulting Services Woburn, MA

$130,000 - $180,000 / year

Marquis Health Consulting Services is providing services in over one hundred skilled nursing and ALFs throughout the US. We are growing in MA! Looking to hire an experienced DON for the new facilities we will be servicing in MA. Join a company that admires, cares, appreciates, and values its employees! We offer many exciting benefits: Salary $130,000-$180,000 based on experience Health, Vision, and Dental Benefits 401k Matching Employee Engagement/Culture Committee Company Sponsored Life Insurance To join this team, please have the following requirements: COVID Vaccination Required Must possess valid unencumbered, RN State License. A nursing degree from an accredited college or university is preferred. Minimum three (3) years of clinical nursing experience within a hospital, nursing care center, or another related healthcare setting. Must have experience in supervision and principles, the practice of teaching, etc. Experience in rehabilitative and restorative nursing practices is strongly preferred. Strong communication skills with the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Responsibilities : Develop and implement the written staffing plan that reflects the needs of the department. Performs rounds to monitor and evaluate the quality of nursing care Develop and maintain positive relationships with residents, family members, staff, and the medical team Work in partnership with the Administrator to ensure quality, person-centered care Develop, manage, and evaluate department policies and procedures by current rules and regulations Range: $120k-200k / per year INDMHC #LI-JG1

MDS Coordinator

Willow Brook Rehabilitation and Healthcare Center Wilmington, MA

Looking for Transformation? Join our team at Willow Brook Rehabilitation & Healthcare Center as a MDS Coordinator! Full-time opportunities available Competitive Wages $35-60 Hourly Great Benefits Daily Pay and More! Join a dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. Responsibilities of MDS Coordinator: Ensure timely and accurate MDS assessments. Verify compliance with regulatory requirements and deadlines. Supervise MDS data entry and transmission. Resolve issues with data and validation. Prepare and present reports to the Director of Nursing (DON). Provide feedback and address operational concerns. Participate in facility surveys and audits. Assist with audit responses and maintain regulatory compliance. Stay updated on Medicare and Medicaid regulations. Support MDS-related quality improvement initiatives. Qualifications for MDS Coordinator: Graduate of an accredited School of Nursing (RN, BSN, or LPN) Current/active license Minimum 3 years clinical experience in long-term care Prior MDS/RAI experience - required Strong clinical assessment skills Knowledge of Medicare/Medicaid regulations Benefits for MDS Coordinator: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company sponsored life insurance Employee assistance program (EAP) resources Join a company that admires, cares, appreciates and values their employees! Proudly supported by Marquis Health Consulting Services The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply. INDMDS

Nursing Assistant

Area: Newton, Brookline, West Roxbury and surrounding areas Position Overview: The Certified Nursing Assistant (CNA) is a licensed member of the home care team. The CNA is responsible for the basic daily care of the client. CNAs will help maintain care records for the client and communicate with other members of the care team. CNAs report to the Administrator and or Alternate Administrator. Essential Functions: 1) To enable patients to stay in their homes by monitoring and recording the client’s physical and mental condition. 2) To maintain a safe, secure and healthy client environment by following necessary standards and procedures. 3) To provide client support and personal services. 4) To protect the home health care company by adhering to professional standards, home care policies and procedures, federal, state, and local requirements. 5) To follow HIPAA guidelines regarding all client PHI. Responsibility of a CNA: 1) Monitors client condition by observing physical and mental conditions, intake/output, and reports any changes to the Administrator and or Alternate Administrator . 2) Provides personal services such as bathing, dressing and grooming. 3) Teaches clients how to use cane or walker, special utensils to eat, techniques and equipment for personal hygiene. 4) Assist in planning and preparing meals and snacks according to specific dietary requirements as outlined in the client’s care plan. a. If necessary, the CNA will help with client feedings. 5) Observe conditions of the client’s residence. Report on any changes to the following: a. Client’s physical behavior b. Client’s mental behavior c. Potentially unsafe environment changes to the supervising Administrator and or Alternate Administrator . 6) Enhances service reputation by accepting ownership for accomplishing new and different requests. 7) Explains the necessary procedure to the client prior to performing it. 8) Light housekeeping duties as needed. 9) Maintains continuity of client care by documenting and communicating with other caregivers in the client’s care plan (book) and in the system. 10) Participate in in-services and training as required. Skills/Qualifications: Independence, flexibility, good judgment, strong verbal and written communication, physiological knowledge, nutrition, ability to maintain a good client relationship, listening skills, time management, creates a safe environment, health promotion and maintenance, nursing skills, client service oriented, and emotional control. Valid driver’s license and reliable transportation. Characteristics: Dependable, team player, efficient, personable, works well with others (especially elderly), flexible, compassionate. Education/Skills Requirements: 1) Current CNA certification. 2) Must maintain current credentials: First Aid, TB test, and in-services. 3) Background check and complete a drug test and randomly thereafter. 4) Physically able to perform duties of the position. 5) General nutrition knowledge necessary for meal planning. 6) Good oral and written communication skills.

Nursing Assistant

Area: Newton, Brookline, West Roxbury and surrounding areas Position Overview: The Certified Nursing Assistant (CNA) is a licensed member of the home care team. The CNA is responsible for the basic daily care of the client. CNAs will help maintain care records for the client and communicate with other members of the care team. CNAs report to the Administrator and or Alternate Administrator. Essential Functions: 1) To enable patients to stay in their homes by monitoring and recording the client’s physical and mental condition. 2) To maintain a safe, secure and healthy client environment by following necessary standards and procedures. 3) To provide client support and personal services. 4) To protect the home health care company by adhering to professional standards, home care policies and procedures, federal, state, and local requirements. 5) To follow HIPAA guidelines regarding all client PHI. Responsibility of a CNA: 1) Monitors client condition by observing physical and mental conditions, intake/output, and reports any changes to the Administrator and or Alternate Administrator . 2) Provides personal services such as bathing, dressing and grooming. 3) Teaches clients how to use cane or walker, special utensils to eat, techniques and equipment for personal hygiene. 4) Assist in planning and preparing meals and snacks according to specific dietary requirements as outlined in the client’s care plan. a. If necessary, the CNA will help with client feedings. 5) Observe conditions of the client’s residence. Report on any changes to the following: a. Client’s physical behavior b. Client’s mental behavior c. Potentially unsafe environment changes to the supervising Administrator and or Alternate Administrator . 6) Enhances service reputation by accepting ownership for accomplishing new and different requests. 7) Explains the necessary procedure to the client prior to performing it. 8) Light housekeeping duties as needed. 9) Maintains continuity of client care by documenting and communicating with other caregivers in the client’s care plan (book) and in the system. 10) Participate in in-services and training as required. Skills/Qualifications: Independence, flexibility, good judgment, strong verbal and written communication, physiological knowledge, nutrition, ability to maintain a good client relationship, listening skills, time management, creates a safe environment, health promotion and maintenance, nursing skills, client service oriented, and emotional control. Valid driver’s license and reliable transportation. Characteristics: Dependable, team player, efficient, personable, works well with others (especially elderly), flexible, compassionate. Education/Skills Requirements: 1) Current CNA certification. 2) Must maintain current credentials: First Aid, TB test, and in-services. 3) Background check and complete a drug test and randomly thereafter. 4) Physically able to perform duties of the position. 5) General nutrition knowledge necessary for meal planning. 6) Good oral and written communication skills.

Nursing Assistant

Area: Newton, Brookline, West Roxbury and surrounding areas Position Overview: The Certified Nursing Assistant (CNA) is a licensed member of the home care team. The CNA is responsible for the basic daily care of the client. CNAs will help maintain care records for the client and communicate with other members of the care team. CNAs report to the Administrator and or Alternate Administrator. Essential Functions: 1) To enable patients to stay in their homes by monitoring and recording the client’s physical and mental condition. 2) To maintain a safe, secure and healthy client environment by following necessary standards and procedures. 3) To provide client support and personal services. 4) To protect the home health care company by adhering to professional standards, home care policies and procedures, federal, state, and local requirements. 5) To follow HIPAA guidelines regarding all client PHI. Responsibility of a CNA: 1) Monitors client condition by observing physical and mental conditions, intake/output, and reports any changes to the Administrator and or Alternate Administrator . 2) Provides personal services such as bathing, dressing and grooming. 3) Teaches clients how to use cane or walker, special utensils to eat, techniques and equipment for personal hygiene. 4) Assist in planning and preparing meals and snacks according to specific dietary requirements as outlined in the client’s care plan. a. If necessary, the CNA will help with client feedings. 5) Observe conditions of the client’s residence. Report on any changes to the following: a. Client’s physical behavior b. Client’s mental behavior c. Potentially unsafe environment changes to the supervising Administrator and or Alternate Administrator . 6) Enhances service reputation by accepting ownership for accomplishing new and different requests. 7) Explains the necessary procedure to the client prior to performing it. 8) Light housekeeping duties as needed. 9) Maintains continuity of client care by documenting and communicating with other caregivers in the client’s care plan (book) and in the system. 10) Participate in in-services and training as required. Skills/Qualifications: Independence, flexibility, good judgment, strong verbal and written communication, physiological knowledge, nutrition, ability to maintain a good client relationship, listening skills, time management, creates a safe environment, health promotion and maintenance, nursing skills, client service oriented, and emotional control. Valid driver’s license and reliable transportation. Characteristics: Dependable, team player, efficient, personable, works well with others (especially elderly), flexible, compassionate. Education/Skills Requirements: 1) Current CNA certification. 2) Must maintain current credentials: First Aid, TB test, and in-services. 3) Background check and complete a drug test and randomly thereafter. 4) Physically able to perform duties of the position. 5) General nutrition knowledge necessary for meal planning. 6) Good oral and written communication skills.

Nursing Assistant