Nursing Jobs in Barre, MA

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 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 - Every Third Holiday, Weekends - Every Third Weekend Scheduled Hours: 11a-11:30p Shift: 2 - Evening Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 24050 - 2340 Emergency Room Union: MNA-HealthAlliance Leominster (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. NEW, increased hourly rates! $9000.00 sign on bonus! A member of the talent acquisition team will provides details on eligibility during the interview process. HealthAlliance-Clinton Hospital is part of the UMass Memorial Health Care system. Serving northern central Massachusetts, we are committed to improving the health of people through excellence in care and comprehensive health services. By exploring careers with us, you are committed to giving your best to our patients, our community and everyone working on our HealthAlliance-Clinton Hospital Care Team. Whatever your career choice, know that at HealthAlliance-Clinton Hospital you can make a difference. GENERAL SUMMARY: The Registered Nurse is responsible for the planning, delivery and management of direct patient care using the nursing process and adhering to the standards of nursing practice within a specific unit or clinical area. PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS: Nursing Process: Utilizes the nursing process for the delivery and management of patient’s care. Maintains assignment of patients and caseload according to unit guidelines and established standards of practice. Uses positive customer service skills when communicating with patient and patient’s family. Utilizes the nursing process for the delivery and management of the patient’s care. Utilizes clinical reasoning and critical thinking. Involves patient, family/significant others and other disciplines in decision making related to the patient’s plan of care. Serves as a patient and family advocate. Implements interventions consistent with hospital standards of practice and prescribed medical plan of care and evidence based practice . Documents the patient assessment, plan of care, and response to intervention. Meets all unit documentation standards. Communicates and coordinates the patient’s plan of care to ensure continuity of care. Maintains competency in management of clinical emergencies. Provides complete communications in SBAR format (Situation, background, assessment, recommendations) to relieving staff members and demonstrates advanced planning for the patient. Navigates through the critical elements of the patient medical record software and HealthAlliance-Clinton Hospital Intranet. Clinical Practice: Demonstrates/applies the skill and judgment necessary to implement the medical/nursing plan of care, nursing interventions and procedures necessary for the care of the patient. Bases clinical practice on evidence, unit guidelines, and professional standards to improve the quality of care and to guide clinical judgments. Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient’s response. Maintains competency with technology and equipment. Utilizes equipment in a safe manner. Uses appropriate infection control and safety practices in all duties. Acts as a charge nurse as requested by the nursing management team. Collaboration: Delegates responsibilities to others according to Massachusetts general laws and practice guidelines with an understanding of their roles, knowledge and capabilities. Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care. Works weekends, holidays and off-shifts as required by unit staffing needs. Climate: Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development. Holds self accountable for professional practice. Presents self in a calm and professional manner and effectively verbalizes relevant problems during daily interactions, and/or staff meetings. Interacts and copes effectively with diverse populations in stressful situations resulting from trauma and illness. Participates in performance improvement activities utilizing principles to support and improve patient care. Demonstrates knowledge of unit goals and is active in committees and projects to achieve these goals. Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend. Keeps current with literature regarding changing practices, interventions and best practices in patient care. Assumes responsibility for seeking out educational and professional opportunities for personal learning needs and growth. Assumes responsibility for meeting mandatory education requirements and unit specific education and competencies. Acts as a preceptor as requested. Job duties for all positions: The individual must support the mission, vision, and goals of HealthAlliance-Clinton Hospital and serves as a role model for the CARES - It Happens Here customer service initiative. Demonstrates excellent work attendance and attends and actively participates in a variety of meetings and training sessions as required. Demonstrates a friendly, responsive, service-minded attitude to all customers. Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback. Adheres to the HealthAlliance-Clinton Hospital Code of Conduct and Behavior Standards. Complies with established policies and procedures and all health and safety requirements. Maintains, and fosters, a clean, safe work environment. Actively contributes to the development and application of process improvements. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment. Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work and lifestyles. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Performs a variety of related duties as assigned. JOB REQUIREMENTS : JOB KNOWLEDGE AND SKILLS: Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging process, human development stages and cultural patterns in each step of the care process. Ability to provide care for a designated group of patients according to the unit guidelines and hospital policies, procedures and protocols. Ability to lead, guide and motivate staff. Ability to read, write and speak clearly in English. EDUCATION: Must be a graduate of a recognized school of Nursing A Bachelor’s degree (BSN) in Nursing is preferred. EXPERIENCE: 2-3 years of Nursing experience preferred. An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements . LICENSES, ETC.: Must have a current Massachusetts Registered Nurse License. Certification in a nursing specialty desired Every third weekend, every third holiday 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. 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 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 - Every Third Holiday, Weekends - Every Third Weekend Scheduled Hours: 11:00a-11:30p Shift: 2 - Evening Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 24050 - 2340 Emergency Room Union: MNA-HealthAlliance Leominster (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. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. 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. $110,000 - $115,000 / year
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: ID# JR-133406 Registered Nurse Clinical Team Manager- Homecare Worcester Office- Full Time- Days- with Lots of Benefits! Join a caring and supportive team! Help keep clients home where they want to be. At Elara Caring, we believe great care starts with great people. Our teams show up every day for one another and for the patients we serve — working together to provide compassionate, high-quality behavioral health care in the place patients call home. As a Behavioral Health Clinical Team Manager, you’ll help shape a culture where clinicians feel supported, connected, and confident in their work. You’ll lead with empathy, encourage open communication, and create an environment where collaboration isn’t just encouraged — it’s how we operate. Your role is about more than managing workflows; it’s about building a team that feels valued, heard, and proud of the care they deliver . If you’re a leader who believes strong culture drives strong outcomes, this could be the role for you. -------------------------------------------------------------------------------------------------- Why You’ll Love Working at Elara Caring A supportive, team-first culture where leaders are accessible and collaboration matters Autonomy paired with trust — you’re empowered to lead, not micromanaged Meaningful 1:1 patient care that allows clinicians to truly connect Flexible schedules that support work-life balance Tuition reimbursement and ongoing learning opportunities 401(k) with employer match Paid time off, holidays, and family & pet bereavement Pet insurance -------------------------------------------------------------------------------------------------- How You’ll Make an Impact Create a positive, inclusive team environment where clinicians feel supported and motivated. Lead and collaborate with an interdisciplinary care team to deliver coordinated behavioral health services in the home. Serve as a trusted partner to clinicians, physicians, patients, and families — ensuring clear communication and shared goals. Coach and support team members through regular feedback, problem-solving, and guidance. Promote teamwork and accountability while ensuring high clinical standards and timely patient care. Oversee plans of care with a focus on collaboration, continuity, and patient-centered outcomes. -------------------------------------------------------------------------------------------------- What We’re Looking For Associate’s Degree in Nursing (or related field) required 2+ years of home health or behavioral health experience as a Registered Nurse At least 1 year of leadership or team support experience Current state Registered Nurse license Comfort using Workday, HomeCare HomeBase, and MS Office tools The base salary for this position is $110,000 to $115,000 annually based on the company’s good faith estimate at the time of posting. Actual pay will be determined based on factors such as education, experience, skills, and internal equity. This role may also be eligible for additional compensation, which could include performance-based bonuses, commissions, on-call pay, or other incentive earnings. These components are not guaranteed and depend on individual and/or team performance. Full compensation details, including total rewards and applicable benefits, will be discussed during the interview process Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed. 
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: 36-hour, evening/night shifts, 7:00 pm - 7:30 am, 11:00 pm - 7:30 am, every other weekend and holiday $37.26 - $76.63 Under the supervision of the Nurse Manager, or designee, the Registered Nurse functions as a professional participant in the health care team who provides direct and indirect care to patients, families, and significant others utilizing the nursing process in accordance with the philosophy, goals, and objectives of Nursing Services. Responsibilities 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 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. Performs accurate and timely identification of cardiac arrhythmias. Performs accurate and timely interpretation of EKG configuration changes (i.e. PR interval, ST segment). Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates knowledge of mechanical ventilation (e.g. modes, settings, and adjuncts associated with mechanical ventilation. Demonstrates skills associated with initiation, maintenance, and care of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Demonstrates understanding hemodynamic monitoring procedures, sets up equipment, assists with arterial artery and central vein cannulation. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Provides ongoing assessment and monitoring of the patient in the immediate post-operative phase according to established standards and protocols. Demonstrates appropriate interventions related to potential problems/complications during the recovery phase of general, regional, spinal, or conscious sedation. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Participates actively in daily multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. 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 accredited school of nursing• MOAB class required within 60 days of hire Minimum Work Experience• 1 yr med-surge experience preferred• Previous telemetry experience preferred• ICU experience preferred Minimum Licenses and Certifications Current MA Registered Nurses license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire CCRN preferred 
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 $30,000 Sign On Bonus! Hours: 32-Hours, Nights, 11:00pm - 7:00am, Every other weekend, Every other holiday $37.26 - $76.63 Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities 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 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. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. 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), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. 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 AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred 
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 $6,250 Sign On Bonus! Hours: 24-Hours, Evenings, Every other weekend and holiday $29.27 - $37.54 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. 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 with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, 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, 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 in conjunction with RN and team to address Safely administers medications 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 Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collects patient information from all available resources to assist in formulation of the comprehensive database, ongoing treatment plan, and ensures that all care delivered is appropriate to identified patient needs, standards of care and standards of practice Assures that all care is coordinated with the patient care provider (PCP), outpatient providers, and other services Responds to all case management within Heywood Hospital for the provision of differential diagnostics, treatment planning and disposition to appropriate level of care Identifies insurance and obtains approval and/or a referral for services provided Provides individual and group therapies according to Mental Health Unit standards to meet identified patient needs Takes instruction from and reports updates to registered nurse and or overseeing provider 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 Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider 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 Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. Funct ional Demands Physical RequirementsExerts 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), and handles (seizing, holding, grasping, turning, or working with hands). Occasional stooping (bending the body downward and forward by bending the spine at the waist), crouching (bending the body downward and forward by bending legs and spine). Qualifications Job Requirements Minimum Education Completed state-approved LPN education program Minimum Work Experience Six months skilled nursing care with dementia and behavioral health experience preferred Minimum Licenses and Certifications Current LPN license to practice in MA American Heart Association CPR certified 
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 $25,000 Sign On Bonus! Hours: 32-Hours, Evenings, 3:00pm - 11:00pm, Every other weekend, Every other holiday $37.26 - $76.63 Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities 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 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. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. 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), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. 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 AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred $119,912 - $152,131.20 / year
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Hiring Range: $119,912.00 - $152,131.20 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . 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. UMass Memorial Health is seeking a Nurse Practitioner or Physician Assistant to join our Presurgical Evaluation team. We welcome and support caregivers to join us in our relentless pursuit of healing. Position Responsibilities: Conduct comprehensive preoperative evaluations for patients scheduled for surgical and procedural care at a large academic medical center. Ensure patients are medically optimized for surgery through risk assessment, diagnostic review, and coordination of care with multidisciplinary teams. Perform detailed preoperative history and physical examinations for surgical candidates. Assess medical comorbidities and perioperative risk to determine readiness for anesthesia and surgery. Formulate patient-centered care plans to optimize patients prior to procedures. Order, review, and interpret preoperative diagnostic tests, labs, and imaging as appropriate. Utilize Epic electronic health record for documentation, order entry, and care coordination. Collaborate closely with anesthesiologists to determine perioperative risk and anesthesia considerations. Communicate with surgeons and procedural teams regarding patient readiness and required optimization. Provide medication management and perioperative medication instructions. Identify patients requiring specialty evaluation or further medical optimization prior to surgery. Educate patients and families regarding preparation, medication adjustments, and expectations for the perioperative period. Coordinate with surgeons, proceduralists, ancillary medical staff, and scheduling teams to ensure timely completion of preoperative requirements. Participate in quality improvement initiatives aimed at improving surgical readiness, reducing day-of-surgery delays and cancellations, and enhancing patient experience. Maintain compliance with institutional protocols, clinical guidelines, and regulatory requirements. Skills and Competencies: Strong clinical assessment and diagnostic skills. Ability to evaluate complex medical conditions in the perioperative setting. Excellent communication and collaboration with multidisciplinary teams. Proficiency in Epic EHR and clinical documentation. Patient-centered approach with strong education and counseling skills. Ability to manage multiple cases efficiently in a high-volume clinical environment. Work Environment: Fast-paced presurgical evaluation clinic within a large medical center. Regular collaboration with anesthesiology, surgery, nursing, and administrative teams. Focus on patient safety, surgical readiness, and streamlined perioperative care. This is a 30-hour position, 7a-5p Monday-Friday Position Qualifications: Master or Doctoral degree from NP/PA accredited program; board certification is required Massachusetts State License, State Controlled Substances Registration and Federal DEA Controlled Substance required Acute Care/Critical Care clinical experience a plus, but not required 3-5 years of experience preferred All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Behavioral Health Clinical Team Manager (RN) Full Time/Worcester Office At Elara Caring, we believe great care starts with great people. Our teams show up every day for one another and for the patients we serve — working together to provide compassionate, high-quality behavioral health care in the place patients call home. As a Behavioral Health Clinical Team Manager , you’ll help shape a culture where clinicians feel supported, connected, and confident in their work. You’ll lead with empathy, encourage open communication, and create an environment where collaboration isn’t just encouraged — it’s how we operate. Your role is about more than managing workflows; it’s about building a team that feels valued, heard, and proud of the care they deliver . If you’re a leader who believes strong culture drives strong outcomes, this could be the role for you. -------------------------------------------------------------------------------------------------- Why You’ll Love Working at Elara Caring A supportive, team-first culture where leaders are accessible and collaboration matters Autonomy paired with trust — you’re empowered to lead, not micromanaged Meaningful 1:1 patient care that allows clinicians to truly connect Flexible schedules that support work-life balance Competitive compensation and comprehensive benefits Tuition reimbursement and ongoing learning opportunities 401(k) with employer match Paid time off, holidays, and family & pet bereavement Pet insurance -------------------------------------------------------------------------------------------------- How You’ll Make an Impact Create a positive, inclusive team environment where clinicians feel supported and motivated. Lead and collaborate with an interdisciplinary care team to deliver coordinated behavioral health services in the home. Serve as a trusted partner to clinicians, physicians, patients, and families — ensuring clear communication and shared goals. Coach and support team members through regular feedback, problem-solving, and guidance. Promote teamwork and accountability while ensuring high clinical standards and timely patient care. Oversee plans of care with a focus on collaboration, continuity, and patient-centered outcomes. -------------------------------------------------------------------------------------------------- What We’re Looking For Associate’s Degree in Nursing (or related field) required 2+ years of home health or behavioral health experience as a Registered Nurse At least 1 year of leadership or team support experience Current state Registered Nurse license Comfort using Workday, HomeCare HomeBase, and MS Office tools Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed. 
Join the Associated Home Care Team! Location: Multiple locations across Massachusetts Company: Associated Home Care Job Type: Full-Time, Part-Time, or Per Diem About Us At Associated Home Care , our caregivers are the heart of what we do. We provide compassionate, personalized care that helps seniors live safely and comfortably in their own homes — with dignity, independence, and joy. We’re an independent, non-franchise home care company , and our team truly feels like family. If you have a passion for helping others and want to make a real difference in your community, we want to hear from you! We’re Hiring: Personal Care Assistants (PCAs) Home Health Aides (HHAs) Homemakers (HMKs) Why You’ll Love Working With Us 💰 Competitive Pay with Direct Deposit 🏥 Benefits: Medical, Dental, and 401(k) 📅 Flexible Scheduling – pick shifts that fit your lifestyle (weekdays or weekends) 💼 Career Advancement Opportunities 🎓 Ongoing Training & Mentor Program 💸 Referral Bonus – earn extra $$ for great referrals 🌴 Paid Sick Time & Holiday Pay ❤️ A supportive, family-oriented work culture that values caregivers Your Responsibilities Assist clients with light housekeeping, errands, meal prep, grocery shopping, and transportation . Provide personal care including bathing, dressing, mobility support, and incontinence care. Offer companionship and conversation to promote emotional well-being. Provide medication reminders as needed. Document daily activities, client well-being, and any changes in condition. What We’re Looking For High School Diploma or GED (required). Valid driver’s license, car insurance, and reliable transportation (required). HHA Certificate or CNA License preferred , but not required — we provide training! Open availability strongly preferred. Must pass a criminal background check . Previous experience as a CNA, PCA, Homemaker, or Companion is a plus. Compassionate, patient, and dependable personality. Who Thrives Here Associated Caregivers have that special something — empathy, reliability, and heart. They make clients feel seen, heard, and cared for — whether by preparing a favorite meal, helping with mobility, or sharing a smile. If you believe in helping older adults live their best lives at home, you’ll fit right in with our team. Ready to Make a Difference? Apply today and become part of a company where caregivers are family . Your compassion and commitment can truly change someone’s life — starting today. 👉 Apply Now! HouseWorks, LLC and its Family of Companies is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability or genetic information. 
Benefits: 401(k) 401(k) matching Competitive salary Opportunity for advancement Why Join American Family Care and a PRN Radiologic Technologist? As a Radiologic Technologist with AFC, you’ll balance high-quality imaging with clinical and front-desk support. This role is ideal for someone who thrives in a fast-paced urgent care setting and values both patient care and operational excellence. This flexible option allows you to maintain your skills while balancing other commitments. PRN RTs bring their expertise when needed most. What You’ll Do Work as an X-Ray Technologist while supporting urgent care operations. Perform diagnostic radiology (X-ray) exams safely, following ALARA. Collaborate with providers to ensure timely care. Flex into MA clinical duties (triage, labs, venipuncture, wound care) when not performing imaging/radiology. Support MR tasks (insurance verification, registration, payment collection). Maintain equipment QC and compliance logs. What We’re Looking For ARRT-certified (R.T. (R)) in good standing; Radiologic Technologist (RT/Rad Tech/X-Ray Technologist) state license where required. Current BLS certification. 1+ year urgent care/ER imaging experience preferred. Strong insurance verification and EMR documentation skills. Flexible team player willing to cover MA/MR duties. Experience in radiology, CT, or MRI preferred. Why You’ll Love Working Here Opportunities for CEUs and ongoing training. Supportive, collaborative team environment. Work Environment Fast-paced urgent care; standing/lifting up to 50 lbs. Exposure to radiation and biohazards (PPE required). Able to commit to at least 4 shifts per month. American Family Care 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. AFC is committed to pay equity and transparency. The expected pay range for this role is $34.00 – $42.00 per hour. Final compensation offers will be determined based on a combination of factors, including experience, certifications, education, and geographic location. In addition to base pay, AFC offers a competitive benefits package and advancement opportunities (varies by full-time/PRN/part-time status). 
MENTOR Adult Day Health, a member of the Sevita family, provides day programs for elders with complex medical or rehabilitative needs. This allows seniors to obtain quality healthcare while remaining active and involved in the community and continuing to live in their own homes. Our programs are staffed with qualified, experienced licensed nurses and caregivers who are trained to provide individual assistance to each person we serve. Licensed Practical Nurse / Licensed Vocational Nurse (LPN/LVN) 📍 Float for Worcester/Marlborough region 💲 $36/hour + mileage 🗓️ Monday – Friday, Day Shift | No nights or weekend Looking for a nursing role with work-life balance? Join our team as an LPN/LVN and make a real impact every day! You’ll provide care, training, and support to individuals with brain injuries, developmental disabilities, or behavioral health needs. What You’ll Do Monitor health conditions and administer medications Provide treatments and personal care services Complete assessments and update care plans Train staff on safety and infection control Communicate with families, providers, and community partners What We’re Looking For Current LPN/LVN license in MA At least 1 year of nursing experience preferred Valid driver’s license and auto insurance Strong communication and teamwork skills Why You’ll Love Working With Us $36/hour starting pay Monday–Friday, no nights or weekends Career growth opportunities nationwide ✨ Apply today and build a rewarding nursing career with us! Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law 
Overview Hours: 24-Hours, Days, 6:45am - 3:15pm, 3 shifts per week, Every other weekend (Saturday and Sunday), 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 patients 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. Cleans the food refrigerators on a weekly basis. Maintains unit food inventory on a daily basis. Prepares room for the next patient by cleaning and making bed. 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 graduate or equivalent preferred. Current Nursing Assistant Certification required or 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 OR active Medical Assistant Certification OR successful completion of a Nurse Aide program. OR previous Massachusetts CNA licensure for Nurse Aide Minimum Work Experience 1 year Long Term Care or Acute Care experience preferred Required Licenses Current AHA BLS upon hire or obtained within 60 days. 
Overview Hours: 24-Hours, Evenings, Every other weekend and 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). Ensures that GPU patients are appropriately dressed in street clothes and are well groomed. Transports patients to other departments for scheduled tests. Launders patient clothing and keeps it in good condition for patient use while hospitalized. Performs patient safety checks on the unit. Participates in the redirection and/or de-escalation of the disruptive or potentially violent patient. Performs close supervision (1:1) of patients as assigned and monitors patients’ needs during this time. Demonstrates an understanding of the needs of the geriatric population with psychiatric illness. Monitors patient activity for overall safety in the Activities Room of GPU. Participates in scheduled patient groups and activities as assigned. Assists patients with ambulation as needed to maintain or improve their functional ability. 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 preferred Required Licenses 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 Successful completion of a Nurse Aide program OR previous Massachusetts CNA licensure for Nurse Aide Minimum Work Experience 1 Yr experience working in a long term care facility 
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $23.28 - $41.90 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: Monday through Friday Scheduled Hours: 8am-4pm (shifts may vary) Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 25080 - 4220 Interventional Psychiatry 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. The staff Licensed Practical Nurse (LPN), under the supervision of the Nurse Director or designee, is responsible for the nursing care of assigned patients, and to prescribe, delegate and coordinate the patient care administered by staff. Included in such responsibility is the goal of assisting patients to move as rapidly, uneventfully and safely through their hospitalization period. I. Major Responsibilities: 1. Uses Nursing process to assess and plan care. 2. Effectively performs Nursing tasks utilizing policy and procedure. 3. Functions effectively in all urgent and emergent situations. 4. Delegates effectively. 5. Coordinates exchange of information between staff, physicians and administration. 6. Manages the dynamics of changing flow and acuity of the unit. II. Position Qualifications: License/Certification/Education: Required: 1. Graduation and training from an accredited school of nursing with current license by the Massachusetts B.O.R.N. American Heart Association or equivalent B.L.S. certification for health care provider required upon hire or during orientation. Experience/Skills: Preferred: 1. A minimum of one year of general medical-surgical experience is preferred. UMass-Harrington Hospital has a broad scope of behavioral health services, both inpatient and outpatient, including adult and pediatric mental health, addiction, partial hospital programs, and crisis services. The Outpatient Nursing division is involved in all aspects of treatment as part of a multidisciplinary team approach. Position Summary The Interventional Psychiatry LPN provides direct clinical support for advanced psychiatric treatments, including Transcranial Magnetic Stimulation (TMS), esketamine therapy, and long-acting injectable (LAI) medications. This role involves treatment administration, patient monitoring, education, documentation, and close collaboration with psychiatric providers to ensure safe, effective, and compassionate care. Key Responsibilities Clinical Treatment Administration Administer Transcranial Magnetic Stimulation (TMS) treatments according to established protocols and provider orders Prepare, administer, and monitor patients receiving esketamine therapy in compliance with REMS requirements Administer long-acting injectable psychiatric medications per provider orders and best practice standards Ensure accurate treatment setup, dosing verification, and equipment operation Patient Monitoring & Safety Monitor patients before, during, and after treatments for side effects, adverse reactions, and changes in mental or physical status Obtain and document vital signs and required assessments per protocol Respond appropriately to emergent situations and escalate concerns to providers as needed Maintain a calm, supportive environment for patients undergoing interventional treatments Patient Education & Support Educate patients on treatment procedures, expectations, side effects, and post-treatment instructions Provide reassurance and therapeutic communication to reduce anxiety and promote adherence Serve as a point of contact for patient questions related to treatments Documentation & Compliance Accurately document treatments, assessments, patient responses, and communications in the electronic health record Maintain compliance with clinic policies, state nursing regulations, and federal requirements (including REMS for esketamine) Assist with treatment logs, audits, and quality assurance activities Collaboration & Clinic Support Work closely with psychiatrists, nurse practitioners, and clinical staff to coordinate care Assist with scheduling, treatment flow, and maintaining efficient clinic operations Participate in staff meetings, training, and continuing education related to interventional psychiatry Required Qualifications Active Massachusetts Licensed Practical Nurse (LPN) license in good standing Current BLS certification Strong clinical assessment and patient monitoring skills Excellent communication, organizational, and documentation abilities Ability to work independently while collaborating within a multidisciplinary team Preferred Qualifications Experience in psychiatry, behavioral health, or interventional psychiatry Prior experience with TMS, esketamine, or injectable medications (training may be provided) Familiarity with electronic health records (EHR) Comfort working in a fast-evolving, specialty mental health setting Physical & Work Requirements Ability to sit or stand for extended periods Manual dexterity to operate medical equipment Ability to lift or assist patients as needed Full-time, clinic-based position with regular weekday hours (schedule may vary) 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. 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 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 - Every Other Holiday, Weekends - Every Other Weekend Scheduled Hours: 3p-11:30p Shift: 2 - Evening Shift, 8 Hours (United States of America) Hours: 24 Cost Center: 24050 - 0150 NSG Float Pool Union: MNA-HealthAlliance Leominster (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. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a patient care environment. Addendum for Milford Regional: License/Certification/Education: Required: 1. Current Massachusetts Nursing licensure and registration. 2. BLS through either American Heart Association (AHA) or American Red Cross (ARC) is a requirement for every RN within 30 days of hire. 3. ACLS through American Heart Association (AHA) required in select areas (Gannett, MP1, ICU, ED, Cath Lab, Endo, IR, PACU, Float Pool) within 6 months or first scheduled course offering whichever is sooner. 4. PALS through American Heart Association (AHA) required in select areas (PACU, ED) within 6 months or first scheduled course offering whichever is sooner. 5. NRP Advanced Provider through American Academy of Pediatrics (AAP) required in select areas (Maternity) within 6 months or first scheduled course offering whichever is sooner. Preferred: 1. Bachelor of Science degree in Nursing highly preferred. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $39.54 - $74.06 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 - Every Third Holiday, Weekends - Every Third Weekend Scheduled Hours: 7a-7:30p Shift: 1 - Day Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 24050 - 1410 Flex Unit Union: MNA-HealthAlliance Leominster (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. 
Connect with your calling ! Join, stay, and grow with Benchmark. We are looking for a compassionate CNA to join our team! As a Certified Nursing Assistant, your main role will be to deliver care to our residents within a warm, comfortable, and home-like environment. Available Shifts: 7am-3pm: Sundays, Mondays, Tuesdays, Thursday, Fridays and Saturday 3pm-11pm: Every day 11pm -7am: Every Sunday and Monday CNA Duties & Responsibilities: Assisting residents with activities of daily living, such as bathing, dressing, grooming, and toileting Documenting care provided and reporting any changes in resident health or behavior to appropriate staff. Engaging residents in meaningful activities and providing emotional support. Utilizing customer service skills to ensure that residents receive exceptional and meaningful care. Other duties as needed. Requirements: Valid CNA/HHA/LNA license required Prior experience in a skilled nursing or assisted living community is preferred but not required Previous experience working with people with dementia is desired 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 Benchmark Senior Living is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We embrace and encourage our associates’ differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our associates unique. 
Do you enjoy working with children in need and making a difference in their lives? Are you looking for a fulfilling part-time job? If you answered YES to either of these questions, then consider joining our Devereux Advanced Behavioral Health team! The pay for LPNs starts at $30/hour and RNs at $40, with additional compensation added for higher education and/or years of relevant experience. Flexbile shifts available: evenings and weekends. This position is located in Rutland, MA. $1,500 Sign-on Bonus Devereux Advanced Behavioral Health - Massachusetts serves students with various complex psychological, emotional, and behavioral disorders, including but not limited to Autism Spectrum Disorder. As a nurse at Devereux, you will use your expertise in the field to make a positive impact on our clients and families by playing an integral role in admission assessments; assessing individuals; collecting and documenting individual's current health status and medical history; administering medications; and assisting with initial treatment plans and treatment planning process. Strong communication skills are required as communicating information related to the individual's medical care and behavior with the treatment team including the psychiatrist is key. You will be responsible for oversight of assigned case load of individuals residing in our group homes, and work collaboratively with team members, external agencies, and/or guardians. Being a Nurse at Devereux has its advantages! You Will Work With Other Dedicated Professionals Who Share Your Passion For Helping Individuals In Need. We Offer You The Privilege Of Being Able To Work Closely With Some Of The Most Vulnerable People In Our Community, Help Build Their Strengths, And Truly Make a Contribution To Improving Their Lives, As Well As Flexible schedule to accomodate full or part-time status. License renewal CEUs as part of our nurse continuing education program On-going training opportunities - internal training in the behavioral healthcare field and job-related trainings and conferences. Performance evaluations with ongoing coaching conversations. A stable, national non-profit employer with a strong support system that is forward-thinking in clinical practice and research. Learn more about Devereux Massachusetts: Depending On Hours Worked, Part-time Benefits May Include Accrued sick time 403b retirement account with guaranteed 3% employer contribution and potential for additional 2% match Blue Cross Health Insurance plans Short & Long Term Disability, Dental, Vision, Accident, Identity Theft, Pet, and more insurance options Free Employee Assistance Program for help with mental health, work-life balance, general-wellbeing, and more Discounts on Hotels, Rental Cars, Theme Parks, Electronics, and more Devereux's custom ASCEND career-accelerator program! You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND, the first career-accelerator program exclusively designed to give behavioral healthcare workers the career guidance, one-on-one coaching, skills, and financial assistance you need to reach your full potential. This program includes 100% of tuition covered, up to $7,500 annually for undergraduate and $12,500 annually for graduate, and student loan repayment through SAVI up to $2,600/year, among other benefits! Learn More About ASCEND Keywords: Nurse, LPN, Psych Nurse, Psychiatric Nurse, Psych, Mental Health, Nursing, Staff Nurse, IDD, residential, school, group home #sponsored Qualifications Qualifications: If LPN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must be a licensed practical nurse in the State of Massachusetts. Previous experience with children and adolescents preferred. If RN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must hold a current RN license by the Massachusetts State Board of Nursing. Minimum of 2 years experience in a related field of nursing. Schedule & Pay Must be able to attend a 2-week paid orientation, Monday to Friday, 8AM to 4PM, in Rutland, MA. Proceeding Orientation: Looking for shift coverage during vacations For LPNs: Starting at $30/hour with additional compensation added for higher education and/or years of relevant experience up to $33.60/hour For RNs: Starting at $40/hour with additional compensation added for higher education and/or years of relevant experience up to $43.80/hour Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk of abuse to occur in our organization. Devereux fosters a culture of reporting abuse, and will cooperate with the authorities to the fullest extent possible. #sponsored Company Overview Company Overview Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year. Our Mission: Devereux changes lives – by unlocking and nurturing human potential for people living with emotional, behavioral or cognitive differences. With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving individuals in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. Our Culture, Our Expectations At Devereux, Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven, people-first mindset is at the heart of the compassionate and high-quality programming we provide – every day – for the individuals and families we serve, and other key stakeholders. Devereux offers challenging and exciting work, and our team environment creates an empowering, positive and rewarding atmosphere. To be successful at Devereux, you will: put the needs of others first, feel called to serve and called to lead. As a member of our team, you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services, and within all policies and employee practices. We believe a workplace rooted in inclusivity – offering a sense of belonging to all those who walk through our doors – is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces, we will engage in work that gives each of us a chance to change the world – one person, one family, one community at a time. What Devereux Offers You In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of employment. In addition, we offer; Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. Student loan debt assistance, tuition reimbursement and continuing education assistance. Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. Employee assistance / work-life balance program. Visit www.mydevereuxbenefits.org to see why Devereux is a great place to work! Devereux is a drug-free workplace, drug screening required. EOE 
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $41.00 - $53.00 - $65.00 **Sign on bonus Eligible ** New Grad Nurses are encouraged to apply! Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Wing Hospita l is looking for inpatient Registered Nurses to join the Medicine Unit in Palmer, MA. SCHEDULE: 24 hours, 7p-7a, Night Shifts Every over weekend and rotating holidays. Location: Baystate Wing Hospital On Site Parking! Department Overview: Care for adult medical-surgical patients admitted for a wide range of acute and chronic conditions. Support patient care when core Med-Surg units are at capacity, ensuring continuity of treatment and monitoring. Perform comprehensive assessments, administer medications, and provide post-operative and general medical care in alignment with established protocols THE ADVANTAGES OF WORKING WITH BAYSTATE! Excellent Compensation High-quality, low-cost medical, dental and vision insurance Pet, home, auto and personal insurance Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Certification and continuing education reimbursement Nursing forgivable loan program First time homebuyer program Free money coach advice from a certified professional Reimbursement for a variety of wellbeing activities, included but limited to: gym membership and equipment, personal trainer, massage and so much more! QUALIFICATIONS: Successfully passed Board of Registration in Nursing Examination and is licensed in the Commonwealth of Massachusetts Current American Heart Association Health Care Provider CPR certification required. Education: Diploma in Nursing We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! Education: Associates Degree in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status. 
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Registered Nurse Home Health . Being a part of something this great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Registered Nurse Home Health with commitment and compassion. Are you one of them? If so, apply today! This is a full-time position with a client caseload in Worcester MA and surrounding areas. Why Join the Elara Caring mission? Work autonomy and flexible schedules. 1:1 patient care. Supportive and collaborative environment. Competitive compensation package. Tuition reimbursement for full-time staff and continuing education opportunities for all employees. Comprehensive insurance plans for medical, dental, and vision benefits. 401(K) with employer match. Paid time off, paid holidays, family & pet bereavement, pet insurance. As a Registered Nurse Home Health, you’ll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Home Health team. Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule. Assesses assigned case load of home health care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. Assumes primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the plan of treatment. Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that may influence patient/family/caregiver health status and incorporate that data into the plan of care. Makes the initial evaluation and re-evaluates the patient’s nursing needs during each visit. Makes follow up visits according to patient, family, and facility needs. Communicates significant findings, problems, and changes in health condition, environment, or unsafe facility conditions to the Clinical Supervisor, physician, facility, and/or other personnel involved with patient care. Revises the plan of care in response to identified patient care issues and notifies the Clinical Supervisor, physician, facility, and other team members. What is Required? Current, unrestricted state RN license. 1+ year experience in a clinical care setting as a nurse. Associates Degree or Bachelor’s Degree in Nursing is preferred. Previous Home Health or Hospice Experience is preferred. Previous experience with HomeCare HomeBase is preferred. Able and willing to travel within the branch/office coverage area. Must be able and willing to travel 50%. Ability to sit, stand, bend, lift and move intermittently and be able to lift 50-100 lbs. Valid driver’s license and insurance and reliable transportation to perform job tasks. You will report to the Clinical Manager or Clinical Supervisor This is not a comprehensive list of all job responsibilities and requirements; a full job description will be provided upon request. #LI-TR1 The base salary for this position is $92,000 to $97,000 annually based on the company’s good faith estimate at the time of posting. Actual pay will be determined based on factors such as education, experience, skills, and internal equity. Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits. EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed. 
NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. LPN - NORTHBOROUGH or Franklin area - No weekends! No ON-Call! 34-38 hr This is a fantastic role to continue your nursing career path and work within a setting that offers variety and rewarding challenges. You will have large impact by providing nursing services, training, and supports to address the medical or psychiatric needs of individuals with a brain injury, intellectual and developmental disability, a substance use disorder, and/or has an emotional or behavioral disability. Monitor the health conditions of individuals served and ensure quality services are provided. Administer medications and provide documentation as well as oversee and monitor staff members who administer medications. Provide prescribed medical treatment by physician’s orders and personal care services. Conduct assessments, implement health care services to be included in each Individual Service Plan (ISP), and respond to changes of condition. Provide training to staff members including universal precautions, infection control, and medication administration. Serve as liaison and advocate with other medical and professional service providers. Provide training for individuals served with topics including self-medication, prescribed treatments, sex education/STD prevention and smoking cessation. Qualifications: Associate’s Degree in Nursing or related field, or a graduate of an accredited LPN program. One year of experience working with population served in a nursing capacity. Current state LPN or LVN License. Current driver's license, car registration, and auto insurance. Additional certifications as required by state licensing regulations such as CPR/FA and HIV/AIDS certification, BBP, and ACT training. Ability to effectively communicate with staff, individuals served, and families. You will make a difference every day and help to provide quality of life enhancing services to the individuals we serve. Why Join Us? Full, Part-time, and As Needed schedules available. Full compensation/benefits package for employees working 30+ hours/week. 401(k) with company match. Paid time off and holiday pay. Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers. Enjoy job security with nationwide career development and advancement opportunities. We have a rewarding work environment for you – come join our team – Apply Today! Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law. 
Do you enjoy working with children in need and making a difference in their lives? Are you looking for a fulfilling part-time job? If you answered YES to either of these questions, then consider joining our Devereux Advanced Behavioral Health team! The pay for RNs starts at $40, with additional compensation added for higher education and/or years of relevant experience. The schedule for this position is full time day shift with flexibility This position is located in Rutland, MA. $3000 Sign-on for full time or $1,500 Sign-on Bonus for part time Devereux Massachusetts serves students with various complex psychological, emotional, and behavioral disorders, including but not limited to Autism Spectrum Disorder. As a nurse at Devereux, you will use your expertise in the field to make a positive impact on our clients and families by playing an integral role in admission assessments; assessing individuals; collecting and documenting individual's current health status and medical history; administering medications; and assisting with initial treatment plans and treatment planning process. Strong communication skills are required as communicating information related to the individual's medical care and behavior with the treatment team including the psychiatrist is key. You will be responsible for oversight of assigned case load of individuals residing in our group homes, and work collaboratively with team members, external agencies, and/or guardians. Being a Nurse at Devereux has its advantages! You Will Work With Other Dedicated Professionals Who Share Your Passion For Helping Individuals In Need. We Offer You The Privilege Of Being Able To Work Closely With Some Of The Most Vulnerable People In Our Community, Help Build Their Strengths, And Truly Make a Contribution To Improving Their Lives, As Well As Flexible schedule to accomodate full or part-time status. License renewal CEUs as part of our nurse continuing education program On-going training opportunities - internal training in the behavioral healthcare field and job-related trainings and conferences. Performance evaluations with ongoing coaching conversations. A stable, national non-profit employer with a strong support system that is forward-thinking in clinical practice and research. Learn More About Devereux Massachusetts Depending on hours worked, part-time benefits may include: Accrued sick time 403b retirement account with guaranteed 3% employer contribution and potential for additional 2% match Blue Cross Health Insurance plans Short & Long Term Disability, Dental, Vision, Accident, Identity Theft, Pet, and more insurance options Free Employee Assistance Program for help with mental health, work-life balance, general-wellbeing, and more Discounts on Hotels, Rental Cars, Theme Parks, Electronics, and more Devereux's custom ASCEND career-accelerator program! You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND, the first career-accelerator program exclusively designed to give behavioral healthcare workers the career guidance, one-on-one coaching, skills, and financial assistance you need to reach your full potential. This program includes 100% of tuition covered, up to $7,500 annually for undergraduate and $12,500 annually for graduate, and student loan repayment through SAVI up to $2,600/year, among other benefits! Learn More About ASCEND Keywords: Nurse, LPN, Psych Nurse, Psychiatric Nurse, Psych, Mental Health, Nursing, Staff Nurse, IDD, residential, school, group home #sponsored Qualifications Qualifications: If LPN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must be a licensed practical nurse in the State of Massachusetts. Previous experience with children and adolescents preferred. If RN Must be 21 years of age or older. A valid driver's license is required. Graduated from an accredited school of nursing. Must hold a current RN license by the Massachusetts State Board of Nursing. Minimum of 2 years experience in a related field of nursing. Schedule & Pay Must be able to attend a 2-week paid orientation, Monday to Friday, 8AM to 4PM, in Rutland, MA. For RNs: Starting at $40/hour with additional compensation added for higher education and/or years of relevant experience up to $42.80/hour Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk of abuse to occur in our organization. Devereux fosters a culture of reporting abuse, and will cooperate with the authorities to the fullest extent possible. #sponsored Company Overview Company Overview Devereux is one of the nation’s largest nonprofit organizations, providing services, insight and leadership in the evolving field of behavioral healthcare. Founded in 1912, Devereux operates a comprehensive national network of clinical, therapeutic, educational and employment programs that positively impact the lives of 10,000+ children, adults – and their families – every year. Our Mission: Devereux changes lives – by unlocking and nurturing human potential for people living with emotional, behavioral or cognitive differences. With nearly 6,500 employees working in programs across the country, Devereux is a trusted partner for families, schools and communities, serving individuals in the areas of autism, intellectual and developmental disabilities, specialty mental health, education and foster care. Our Culture, Our Expectations At Devereux, Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven, people-first mindset is at the heart of the compassionate and high-quality programming we provide – every day – for the individuals and families we serve, and other key stakeholders. Devereux offers challenging and exciting work, and our team environment creates an empowering, positive and rewarding atmosphere. To be successful at Devereux, you will: put the needs of others first, feel called to serve and called to lead. As a member of our team, you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services, and within all policies and employee practices. We believe a workplace rooted in inclusivity – offering a sense of belonging to all those who walk through our doors – is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces, we will engage in work that gives each of us a chance to change the world – one person, one family, one community at a time. What Devereux Offers You In addition to a competitive salary, Devereux provides a comprehensive health and welfare program to eligible full-time employees, family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of employment. In addition, we offer; Medical (including telemedicine via phone, web, app), dental, prescription drug, preventative care, and mental health services. Student loan debt assistance, tuition reimbursement and continuing education assistance. Generous time-off (start accruing 1st day), 403(b) retirement plan with matching benefit, and voluntary/employee paid supplemental life and accident coverage. Employee assistance / work-life balance program. Visit www.mydevereuxbenefits.org to see why Devereux is a great place to work! Devereux is a drug-free workplace, drug screening required. EOE 
Job Requirements The Home Training PD Registered Nurse evaluates and trains the dialysis facility’s home peritoneal dialysis patients, care partners and families for the home dialysis program. This position exercises knowledge of patient rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all patients in a safe, secure environment. Position must demonstrate familiarity with peritoneal dialysis equipment, procedures and the knowledge, skills, and judgement necessary to assume the responsibility of caring for the dialysis patient. Work Experience Registered Professional Nurse with current state licensure. Twelve (12) months of experience in nursing. Meets all applicable state/licensing requirements. Additional three (3) months of experience in the specific modality unless otherwise specified in specific state regulations. Documented training and experience in peritoneal dialysis and/or home hemodialysis and maintenance of the dialysis access. Basic training certificates if less than one (1) year in this modality. Previous supervisory and teaching experience preferred. Basic Life Support (BLS) certification. Current CPR Certification Demonstrated ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively with clients and fellow employees. Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation – Earn trust by keeping promises and embracing new solutions. Compassion – Treat patients, families, and colleagues with respect and empathy. Accountability – Take ownership and recognize the contributions of others. Results-Driven – Strive for excellence and exceed expectations. Everyone Counts – Foster diversity, equity, teamwork, and collaboration. Why Join IRC? Career Growth – Be part of a values-driven team making a meaningful impact. Competitive Compensation – Salaries continually benchmarked against market and trends. Enhanced PTO – Your most recent dialysis experience counts toward PTO accrual. Team Culture – Thrive in a supportive environment that values innovation, accountability, and compassion. Salary Range: $ 36.20 - $45.19 / hour depending on experience and qualifications #LI-LD1 Innovative Renal Care is an equal opportunity and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. *IRC will only contact you from careers@innovativerenal.com or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email. 
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Scheduled Hours: Shift: Hours: 40 Cost Center: 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. Performs selected and delegated nursing tasks in the care of patients. Completes patient physical assessment. Performs and/or delegates patient treatments as ordered by Provider and participates in education plan for patient/family. Exemption Status: Non-Exempt Hiring Range: $18.30 - $44.15 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: Sunday through Saturday Scheduled Hours: 40hrs Shift: 1 - Day Shift, 12 Hours (United States of America) Hours: 40 Cost Center: 34000 - 7001 Hopkinton Urgent Care 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. Under the direction of the appropriate licensed clinician, the Medical Assistant II (MA II) provides clinical care and performs clerical duties to support office/clinic functions. Will receive workplace education and training to assist providers and the healthcare team in the care of patients. Hiring due to expansion of our urgent care center! I. Major Responsibilities: Escorts patients to examination rooms, take and record vital signs such as blood pressures, temperatures, height, weight, etc. Collects and documents patient health status, history, and documents and monitors patient progress following standard procedures. Performs EKG’s, phlebotomy, Point of Care (POC) tests according to clinic/office standards. May prepare, document, and administer non-intravenous injections as directed or required by office/clinic, within scope of practice. Assists in performing routine physical examination or clinical procedures. Reviews laboratory results and ensures abnormal results are immediately brought to the attention of the physicians and others, as appropriate. Provides clear, timely communication to the appropriate licensed clinician regarding observations and changes reported in patient per office/clinic guidelines. Sets up/prepares rooms based on patient care requirements. Assists in the setup, maintenance, disassembly, and cleaning of patient equipment. Ensures instruments and scopes are cleaned, sterilized, and repackaged per office/clinic protocol. Operates the sterilization/cleaning systems, as necessary. Assists in moving, lifting, positioning, and transporting patients as directed following policy standards. Utilize proper safety techniques and body mechanic in all work-related activities. Follows procedures for arriving patients and scheduling appointments. Assists with patient admissions, transfers, and discharge procedures. Maintains assigned office and/or clinical supplies. Assure accurate inventory of supplies based on approved levels. Rotate stock as required. Initiate requisitions for re-supply or special items. Maintains logs, organizes patient care chart, and/or maintains medical records. May enter data or retrieve medical information from the electronic medical record. Processes prescription and refills as directed per procedure. Performs a variety of clerical duties per office/clinic protocol such as typing, filing, scheduling appointments, generating letters and form preparation, receiving/returning/directing phone calls per office/clinic protocol, and documenting in patient record as required or directed. Collaborates with insurers to verify coverage, eligibility and coverage, prior authorizations for procedures, medications, and tests as needed. Follow guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits. Collects co-payments from patients for visits and maintain records. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: High School Diploma or equivalent. Current Basic Life Support (BLS) or Heart Saver (HS) certification from the American Heart Association. If not available upon hire, a BLS/HS must be obtained within 3 months from date of hire. If certification is not obtained within 3 months of hire, the employee may be terminated or employee may apply for another position for which they meet the minimum qualifications. Medical Assistant credential, approved by the Massachusetts Department of Health (ARMA, NHA, etc.). 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. 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. 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.