Nursing Jobs in Windham, CT

RN Full-time
Day Kimball Health

Case Manager Registered Nurse (RN), Per Diem, Days, Case Management Department

Day Kimball Health Putnam, CT
Day Kimball Health is hiring for a Per Diem Registered Nurse, Case Manager to join our Case Management Department in Putnam, CT! Weekly Hours: Per Diem, as needed Shift: Days Weekends: 1 Saturday every 6-8 weeks Registered Nurse, Case Manager Benefits: Sick Time Accrual Pay-for-Performance Opportunities Shift Differentials – Additional pay for evening, night, or weekend shifts (where applicable) 401(k) Retirement Plan – With eligible employer contribution Pet Insurance Registered Nurse, Case Manager Job Summary: As an RN Case Manager, you will be a vital member of a collaborative, interdisciplinary team responsible for identifying and addressing case management needs in partnership with patients, significant others, payors, and the healthcare team. The RN Case Manager assesses patient needs, develops and implements care plans, and evaluates post-discharge requirements to support patients across the continuum of care. This role is responsible for managing resources to ensure the delivery of high-quality, cost-effective care in the most appropriate setting. Responsibilities include negotiating, coordinating, monitoring, and procuring services and resources throughout an episode of care. The RN Case Manager assists with transfers to acute care and rehabilitation facilities, coordinates outpatient services, and conducts utilization reviews to ensure appropriate documentation and level-of-care criteria are met. Overall care planning focuses on optimizing outcomes and maximizing the patient’s quality of life. Registered Nurse, Case Manager Job Responsibilities: Assesses patients’ continuum-of-care needs by conducting comprehensive chart reviews to identify medical and social factors, and by interviewing patients and significant others to determine home care needs and existing services. Plans continuum of care to meet identified needs in collaboration with the healthcare team, with comprehensive knowledge of community resources and services. Implements care plans and coordinates resources to achieve identified goals, including referring patients to appropriate providers, serving as a liaison between patients, the healthcare team, and external partners, and assisting patients in navigating the healthcare system. Monitors and evaluates the effectiveness of the continuum of care plan by collecting data for outcome measurements such as readmission rates. Performs utilization management functions such as reviewing all admissions and continued stay of all patients to assure medical appropriateness of level of care and length of stay. Registered Nurse, Case Manager Education and Experience Requirements: Education: Graduate of an accredited school of nursing required (BSN preferred). Current CT State license required. CCM preferred. Experience: Minimum of three years nursing experience in either a hospital or homecare setting required. Membership and participation in professional organizations preferred. Current AHA Healthcare Provider CPR certification or equivalent within 3 months of hire required. Registered Nurse, Case Manager Knowledge, Skills, and Abilities: Clinically oriented professional utilizes the nursing process and applies the principles of case management well. Demonstrates ability to function under stress. Identify problems and make decisions based on your experience and judgment, as well as on established facts, such as budget locations and legal requirements/ insurance guidelines. Capable of coordinating multiple tasks simultaneously and able to change activities frequently. Remain flexible in work schedule in order to provide the most effective and efficient support for the department and hospital mission. Understand legal and ethical issues pertaining to confidentiality and understands restrictions on the release of confidential information. Why Choose Day Kimball Health? The Care You Need. Close to Home. For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke free environment. Are you ready to apply your expertise at the largest employer in northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Registered Nurse, Case Manager and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference!
NP Director of Nursing Full-time
Day Kimball Health

Director of Neonatal Nurse Practitioner Program (NNP), 36-40 Hours, Neonatal Hospitalist, DKMG

Day Kimball Health Putnam, CT
Day Kimball Health is hiring a Director of Neonatal Nurse Practitioner Program (NNP) for the Medical Group! Location : Putnam, CT Weekly hours: 36-40 Hours Why Choose Day Kimball Health? For over 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Neonatal Nurse Practitioner Job Summary Responsible for ensuring the highest standards of clinical care are provided to all patients through the effective coordination of the Neonatal Department of Advanced Practice Providers/Neonatal Nurse Practitioners (APP/NNP). Ensures and facilitates open communication with all staff, to promote improved performance. Serves as a liaison among the MCH staff, physicians, managers, nurses, patients, and their families to ensure effective communication, care coordination, and collaborative decision-making. Contributes to the growth and development of the program, serving as administrator, clinical specialist, and direct patient care provider. Neonatal Nurse Practitioner Key Responsibilities Assist with recruiting, interviewing, coordinating the hiring and training of NNPs in collaboration with the department chair, administration and operational leadership. Develops and coordinates the schedule for all APPs to ensure adequate clinical coverage within the department. Serve as a liaison between DKH operations and service line NNPs. Manage APP time off requests. Acts as a primary resource for clinic staff by providing guidance and support in the performance of daily activities regarding patient care. May assist in coordinating and tracking professional development for NNPs as assigned by departmental/service line leadership (Work Compass/NRP/Attendance at conferences/lectures). Facilitating leadership to ensure timely completion of employee performance reviews in close collaboration with departmental/divisional leadership. In collaboration with the Compliance Office and Coding Department, establishes and maintains departmental procedures that ensure appropriate and optimal billing education. Attends departmental or divisional meetings. Serves as liaison between the Department Chair and NNP staff. Neonatal Nurse Practitioner Required Skills And Qualifications Education: Master’s degree in Nursing with Advanced Practice Neonatal focus. Current CT RN/APRN licensure. Certification as A Neonatal Nurse Practitioner with both State and Federal Controlled Substance authorization. BLS and NRP certification. ACLS certification optional. Experience: Minimum five (5) years of clinical experience as a Neonatal Nurse Practitioner in a level 3 or 4 Newborn Intensive Care Unit. Experience with and ability to provide direct patient management. Department-specific competencies, including age-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. Benefits Medical, Dental, and Vision Insurance Earned Time Off - including personal time & holidays Sick Time Educational / Loan Reimbursement – up to $5,000 per fiscal year Health Savings Account (HSA) or Flexible Spending Account (FSA) Pharmacy Plan 401(k) Retirement Plan – With eligible employer contribution Life Insurance – Basic and supplemental coverage options Short-Term & Long-Term Disability Insurance Critical Illness & Accident Insurance Pet Insurance Pay-for-Performance Opportunities Career Pathways – internal growth, leadership development, and mentorship Employee Perks – Recognition programs, Employee Wellness Initiatives, Food Truck Fridays, and Employee Appreciation Events, Weekly Pay Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke-free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Neonatal Nurse Practitioner in our Medical Group and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference!
RN ER Part-time
ECHN

Registered Nurse, Emergency Department

ECHN Vernon, CT
Position Summary Utilizing the nursing process provides high quality direct and indirect patient-centered care. Coordinates patient care by working collaboratively with the interdisciplinary team, patients, and families. Communicates, as appropriate, the patient’s clinical condition, responding quickly and accurately to changes in condition or response to treatment. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served. Promotes the profession of nursing and professional practice through collegial support and interactions. Reports to the Clinical Nurse Manager. Education/Certification Must be a graduate of an accredited school of Nursing and have and maintain a current Registered Nurse license in the State of Connecticut. Must have certification in required Basic Cardiac Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support, and De-Escalation techniques upon hire or receive certification within new employee introductory orientation period and maintain clinical competency during employment within this role. Experience One (1) year of emergency department experience preferred. Will consider experienced nurses without ED experience and new graduates with previous EMS / ED tech experience or have a passion for emergency nursing. Competencies Must be able to communicate effectively in English, both verbally and in writing. Possess basic computer skills. Must be capable of taking swift and efficient action when responding to patient emergency codes. ESSENTIAL DUTIES And RESPONSIBILITIES Disclaimer: Job descriptions are not intend e d, nor should they be construed to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking actions), and compassion (being empathetic). Performs population-specific comprehensive assessments and re-assessments of the patient’s condition and care needs including the psychosocial, physical, educational, and cultural aspects. Demonstrates knowledge of the principles of growth and development over the lifespan and the skills necessary to provide age-appropriate care to the patients served. Able to interpret data about the patient status in order to identify each patient’s age specific needs and provide care needed by the patient group. Assesses and reassesses pain. Utilizes appropriate pain management tools and techniques. Educates the patient and family regarding pain management. Documentation reflects assessments, interventions, and evaluation of effectiveness. Develops and revises individualized plans of care as indicated by assessment and patient response to treatment. Evaluates overall plan periodically for effectiveness. Involves the patient and family in the formulation of goals. Follows the seven (7) medication rights and reduces the potential for medication errors. Demonstrates knowledge of medications and their correct administration based on age of the patient and their clinical condition. Performs all aspects of patient care in an environment that optimizes patient safety and promotes positive patient outcomes. Provides an accurate and pertinent report of patient’s condition for safe transfer of care. Documents the nursing process and responses to care in a timely manner utilizing the appropriate tools. Demonstrates an ability to be flexible, organized and function in stressful situations. Utilizes critical thinking skills and sound judgment in priority setting and delegation. Formulates and implements a teaching plan for patients and families based upon identified learning needs. Evaluates effectiveness of learning. Demonstrates autonomous practice, consistent with evidence-based standards. Pursues personal and professional growth and development. Serves as a professional role model and mentor. Uses triage process to ensure timely and appropriate care to patients. Accurately assigns triage categories. Monitors hemodynamic status of patients and correctly interpret the results. Demonstrates knowledge of cardiac monitoring; identifies dysrhythmias and treats appropriately. Performs patient care in an environment that optimizes patient safety and promotes positive patient outcomes. Performing safety checks, utilizing fall prevention program, works to utilize interventions to de-escalate patients and if unsuccessful participates in restraints in accordance with training and educations as directed, following the restraint policy standards when caring for a restrained patient. Demonstrates knowledge of airway management procedures and the ability to utilize appropriate equipment. Demonstrate the ability to assist providers with treatments / special procedures and the ability to use related equipment. Maintains a good rapport/relationship and a cooperative working relationship with outside agencies i.e., Public Safety Officials; police, fire, EMS organizations, referring agencies ECF, Visiting Nurse Association’s, Department of Child, and Family Affairs (DCF). Demonstrates an ability to be flexible, organized and function under stressful situations. Maintains clinical competence and awareness of all ECHN policies, procedures, and guidelines.
RN Manager/Supervisor Part-time
Riverside Health and Rehabilitation Center (NHCA)

Nursing Supervisor (RN) Weekends

Riverside Health and Rehabilitation Center (NHCA) East Hartford, CT
- A Great Place to Work Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - RN Supervisor for 8am-8pm Every Other Weekend Or 8pm-8am Saturdays or Sundays What You'll Do: As a Nursing Supervisor, you will lead an interdisciplinary team to provide exceptional care and ensure the health, comfort, and overall well-being of our residents. Your responsibilities will include oversight of the facility operations, safety, cleanliness and compliance to nursing policies, procedures and regulations. Key Responsibilities: Supervising and guiding nursing staff to ensure high-quality care delivery Overseeing daily operations, including staffing assignments and resource allocation Collaborating with the interdisciplinary team to develop and implement care plans Conducting regular assessments and audits to maintain quality standards Providing mentorship, training, and support to nursing staff Ensuring compliance with all regulatory standards and protocols If you are an experienced nursing professional with a passion for leading others in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as a Nursing Supervisor! #Tier1 - What We Offer As an affiliate of National Health Care, our Riverside team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Nursing Supervisor include: Valid state nursing license Advanced degree or certification preferred Experience in a supervisory or leadership role in a Long-Term Care setting preferred Compassionate and empathetic approach to patient care Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Strong clinical, leadership, organizational, and decision-making skills Excellent communication and interpersonal abilities Ability to work effectively in a dynamic and fast-paced environment - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
LPN Full-time
Riverside Health and Rehabilitation Center (NHCA)

LPN - Licensed Practical Nurse

Riverside Health and Rehabilitation Center (NHCA) East Hartford, CT
- A Great Place to Work Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - LPN for Full Time 3-11 Shift or Full Time 11p-7am What You'll Do: As a Licensed Practical Nurse, you will play a pivotal role in ensuring the well-being and comfort of our residents. You will provide direct nursing care, administer medications, collaborate with healthcare professionals, and oversee the implementation of care plans. Key Responsibilities: Administering medications and treatments as prescribed by healthcare providers Monitoring and recording patient vital signs and medical information Collaborating with the interdisciplinary team to develop and implement care plans Providing wound care and other nursing interventions as needed Supervising and supporting Certified Nurse Assistants (CNAs) in delivering care Ensuring compliance with all regulatory standards and protocols If you are a compassionate and skilled healthcare professional looking to make a significant impact on the lives of others in an environment where compassion, care and expertise come together, we invite you to join our team as a Licensed Practical Nurse (LPN)! #Tier1 - What We Offer As an affiliate of National Health Care, our Riverside team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of an Licensed Practical Nurse (LPN) include: Valid state license (LPN) Compassionate and empathetic approach to patient care Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Strong clinical skills including the administration of medications Excellent communication and interpersonal abilities Ability to work collaboratively in a multidisciplinary team environment - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
RN Manager/Supervisor Full-time
Riverside Health and Rehabilitation Center (NHCA)

Unit Manager (RN)

Riverside Health and Rehabilitation Center (NHCA) East Hartford, CT
- A Great Place to Work Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - RN Unit Manager What You'll Do: As an RN Unit Manager, you will oversee and coordinate the nursing staff within a dedicated unit. Your role is instrumental in ensuring the delivery of quality care, fostering a positive work environment, ensuring the health, comfort, and overall well-being of our residents. Key Responsibilities: Lead and manage a team of nurses and support staff within the unit Develop and implement care plans, ensuring individualized resident care Supervise daily operations, including staffing, scheduling, and resource allocation Conduct regular assessments to maintain quality standards and compliance Provide guidance, mentorship, and training to nursing staff Collaborate with interdisciplinary teams to optimize resident well-being If you are an experienced nursing professional with a passion for leading others in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as a Unit Manager! - What We Offer As an affiliate of National Health Care, our Riverside team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Unit Manager include: Valid state RN nursing license Advanced degree or certification preferred Experience in a supervisory or leadership role in a Long-Term Care setting preferred Compassionate and empathetic approach to patient care Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Strong clinical, leadership, organizational, and decision-making skills Excellent communication and interpersonal abilities Ability to work effectively in a dynamic and fast-paced environment - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
CNA Other
Riverside Health and Rehabilitation Center (NHCA)

CNA - Certified Nursing Assistant Vent Unit

Riverside Health and Rehabilitation Center (NHCA) East Hartford, CT
- A Great Place to Work Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - Cna for our Vent Unit 7am-7pm or 7pm-7am What You'll Do: As a Certified Nursing Assistant (CNA), you will play a crucial role in delivering compassionate and personalized care to our residents. You will assist residents with activities of daily living, monitor their health, provide emotional support, and collaborate with other healthcare professionals to ensure the highest quality of care. Key Responsibilities: Assisting residents with activities of daily living, including bathing, dressing, and grooming Monitoring and recording vital signs Providing emotional support and companionship to residents Assisting with mobility and transfers Collaborating with the nursing team to develop care plans Maintaining a clean and safe environment for residents If you are passionate about making a real difference in people's lives in an environment where compassion, care and expertise come together, we invite you to join our team as a Certified Nursing Assistant (CNA)! - What We Offer As an affiliate of National Health Care, our Riverside team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Certified Nursing Assistant (CNA) include: Valid state certification as a Nursing Assistant (CNA) Compassionate and empathetic nature Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Excellent communication and interpersonal skills Ability to work effectively in a team environment Dedication to upholding high standards of care - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
LPN Part-time
Riverside Health and Rehabilitation Center (NHCA)

LPN - Licensed Practical Nurse

Riverside Health and Rehabilitation Center (NHCA) East Hartford, CT
- A Great Place to Work Riverside is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - 7-3 Shift LPN for Part Time or Per Diem What You'll Do: As a Licensed Practical Nurse, you will play a pivotal role in ensuring the well-being and comfort of our residents. You will provide direct nursing care, administer medications, collaborate with healthcare professionals, and oversee the implementation of care plans. Key Responsibilities: Administering medications and treatments as prescribed by healthcare providers Monitoring and recording patient vital signs and medical information Collaborating with the interdisciplinary team to develop and implement care plans Providing wound care and other nursing interventions as needed Supervising and supporting Certified Nurse Assistants (CNAs) in delivering care Ensuring compliance with all regulatory standards and protocols If you are a compassionate and skilled healthcare professional looking to make a significant impact on the lives of others in an environment where compassion, care and expertise come together, we invite you to join our team as a Licensed Practical Nurse (LPN)! - What We Offer As an affiliate of National Health Care, our Riverside team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of an Licensed Practical Nurse (LPN) include: Valid state license (LPN) Compassionate and empathetic approach to patient care Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Strong clinical skills including the administration of medications Excellent communication and interpersonal abilities Ability to work collaboratively in a multidisciplinary team environment - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
NP Director of Nursing Full-time
Day Kimball Health

Director of Neonatal Nurse Practitioner Program (NNP), Part Time Days, 36-Hours, Neonatal Hospitalist, DKMG

Day Kimball Health Putnam, CT
Day Kimball Health is hiring a Director of Neonatal Nurse Practitioner Program (NNP) for the Medical Group! Location : Putnam, CT Shift : Day Shift, 36 Hours Why Choose Day Kimball Health? For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Neonatal Nurse Practitioner Job Summary Responsible for ensuring the highest standards of clinical care are provided to all patients through the effective coordination of the Neonatal Department of Advanced Practice Providers/Neonatal Nurse Practitioners (APP/NNP). Ensures and facilitates open communication with all staff, to promote improved performance. Serves as a liaison among the MCH staff, physicians, managers, nurses, patients, and their families to ensure effective communication, care coordination, and collaborative decision-making. Contributes to the growth and development of the program, serving as administrator, clinical specialist, and direct patient care provider. Neonatal Nurse Practitioner Key Responsibilities Assist with recruiting, interviewing, coordinating the hiring and training of NNPs in collaboration with the department chair, administration and operational leadership. Develops and coordinates the schedule for all APPs to ensure adequate clinical coverage within the department. Serve as a liaison between DKH operations and service line NNPs. Manage APP time off requests. Acts as a primary resource for clinic staff by providing guidance and support in the performance of daily activities regarding patient care. May assist in coordinating and tracking professional development for NNPs as assigned by departmental/service line leadership (Work Compass/NRP/Attendance at conferences/lectures). Facilitating leadership to ensure timely completion of employee performance reviews in close collaboration with departmental/divisional leadership. In collaboration with the Compliance Office and Coding Department, establishes and maintains departmental procedures that ensure appropriate and optimal billing education. Attends departmental or divisional meetings. Serves as liaison between the Department Chair and NNP staff. Neonatal Nurse Practitioner Required Skills And Qualifications Education: Master’s degree in Nursing with Advanced Practice Neonatal focus. Current CT RN/APRN licensure. Certification as A Neonatal Nurse Practitioner with both State and Federal Controlled Substance authorization. BLS and NRP certification. ACLS certification optional. Experience: Minimum five (5) years of clinical experience as a Neonatal Nurse Practitioner in a level 3 or 4 Newborn Intensive Care Unit. Experience with and ability to provide direct patient management. Department-specific competencies, including age-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. Benefits Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability Health Savings Account or Flexible Spending Account Accident & Critical Illness Coverage 401K Plan with Eligible Employer Contribution Vacation Time Sick Days Paid Holidays Education Reimbursement Pet Insurance Additional Benefits Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke-free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Neonatal Nurse Practitioner in our Medical Group and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference!
NP Pediatric Full-time
Day Kimball Health

Lead Neonatal Nurse Practitioner, Part Time Days, 36 Hours, Pediatric Hospitalist

Day Kimball Health Putnam, CT
Day Kimball Health is hiring a Lead Neonatal Nurse Practitioner for the Medical Group! Location : Putnam, CT Shift : Day Shift, 36 Hours Why Choose Day Kimball Health? For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non-profit, integrated healthcare provider, we are committed to delivering high-quality services while maintaining a strong connection with our patients and their families. At Day Kimball, we are passionate about both our patients and our employees. We are growing our talented team every day and offer a supportive, collaborative environment where you can thrive and make a difference. Join us in our mission to elevate community-driven healthcare and be a part of an organization that values both personal and professional growth. Neonatal Nurse Practitioner Job Summary Responsible for ensuring the highest standards of clinical care are provided to all patients through the effective coordination of the Neonatal Department of Advanced Practice Providers/Neonatal Nurse Practitioners (APP/NNP). Ensures and facilitates open communication with all staff, to promote improved performance. Serves as a liaison among the MCH staff, physicians, managers, nurses, patients, and their families to ensure effective communication, care coordination, and collaborative decision-making. Contributes to the growth and development of the program, serving as administrator, clinical specialist, and direct patient care provider. Neonatal Nurse Practitioner Key Responsibilities Assist with recruiting, interviewing, coordinating the hiring and training of NNPs in collaboration with the department chair, administration and operational leadership. Develops and coordinates the schedule for all APPs to ensure adequate clinical coverage within the department. Serve as a liaison between DKH operations and service line NNPs. Manage APP time off requests. Acts as a primary resource for clinic staff by providing guidance and support in the performance of daily activities regarding patient care. May assist in coordinating and tracking professional development for NNPs as assigned by departmental/service line leadership (Work Compass/NRP/Attendance at conferences/lectures). Facilitating leadership to ensure timely completion of employee performance reviews in close collaboration with departmental/divisional leadership. In collaboration with the Compliance Office and Coding Department, establishes and maintains departmental procedures that ensure appropriate and optimal billing education. Attends departmental or divisional meetings. Serves as liaison between the Department Chair and NNP staff. Neonatal Nurse Practitioner Required Skills And Qualifications Education: Master’s degree in Nursing with Advanced Practice Neonatal focus. Current CT RN/APRN licensure. Certification as A Neonatal Nurse Practitioner with both State and Federal Controlled Substance authorization. BLS and NRP certification. ACLS certification optional. Experience: Minimum five (5) years of clinical experience as a Neonatal Nurse Practitioner in a level 3 or 4 Newborn Intensive Care Unit. Experience with and ability to provide direct patient management. Department-specific competencies, including age-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. Benefits Medical/Dental/Vision Pharmacy Plan Basic & Supplemental Life Insurance Short- & Long-Term Disability Health Savings Account or Flexible Spending Account Accident & Critical Illness Coverage 401K Plan with Eligible Employer Contribution Vacation Time Sick Days Paid Holidays Education Reimbursement Pet Insurance Additional Benefits Day Kimball Health is an Affirmative Action and Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants, regardless of race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected by local, state, or federal laws. Day Kimball Health is a smoke-free environment. Are you ready to apply your expertise at the largest employer in Northeastern Connecticut, known for its commitment to excellence in individualized care? Join our team as a Neonatal Nurse Practitioner in our Medical Group and experience a culture of teamwork, professionalism, mutual respect, and, most importantly, a career that makes a difference!
RN Full-time
Day Kimball Health

RN Clinical Documentation Specialist - Ensemble Health Partners

Day Kimball Health Putnam, CT
Thank you for considering a career at Ensemble Health Partners! Must be able to work full time on-site at DKH - Day Kimball Health in Putnam, CT*** Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position starts at: $80,000. Final compensation will be determined based on experience. The Opportunity: The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians, nursing staff, other patient care givers and HIM coding professionals is done to ensure the documentation is complete and accurate. Job Responsibilities: Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system Assigns Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house. Assigns working ICD-10-CM and PCS codes and DRG (Diagnosis Related Group) using encoder in CDE software. Clarifies with physicians regarding missing, unclear, unsupported or conflicting health record documentation by requesting and obtaining additional documentation from physicians when needed. Face to face physician interaction and written clarifications are used. Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Partners with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine the working and final DRG assignment. Reviews DRG denial letters and writes denial appeal letters. Collaborates with care coordination, nursing staff and other ancillary staff regarding interaction with physicians on documentation and to resolve physician clarifications prior to patient discharge. Maintains and upholds all clinical documentation regulatory guidelines Formulates and submits timely, well prepared appeals for reconsideration by third party administrators (payors). Including supporting documented clinical evidence, Coding/CDE Guidelines and other regulatory standards/guidelines as appropriate. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials. Experience We Love: Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, or Emergency Department experience Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations Ability to organize and present information clearly and concisely; excellent computer and keyboarding skills; high degree of prioritization skills Minimum Education Current RN Licensure Certifications: CRCR Required within 9 months of hire Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. For immediate consideration, please apply using this link: https://ensemblehp.wd5.myworkdayjobs.com/EnsembleHealthPartnersCareers/job/Putnam-CT/RN-Clinical-Documenta
RN Full-time
Trinity Health at Home

Registered Nurse

Trinity Health at Home Hartford, CT
Employment Type: Full time Shift: Description: $10,000 sign on bonus and benefits day one of employment! Hiring a full time Home Care RN for Hartford territory, this position is providing care in patients private homes. Coverage Region: Hartford Schedule: Full - Time, Monday - Friday 8am -5pm, with a weekend rotation every 4 weeks and two rotating holidays a year. No call requirements! Home Care RN Position Purpose: Provides primary nursing care to home based care patients as ordered by the physician, and in accordance to the organization’s policies and procedures. The RN is responsible for the initial assessment and care plan development in collaboration with the Population Health Case Manager. Provides functional support/supervision to Home Healthcare Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction. What You Will Do: Accurately assesses patient condition and risk at admission, at required time points, and as needed, utilizing appropriate standardized documentation. Assesses the patient's condition and needs and determines the appropriate level of care. In collaboration with the physician, Population Health Case Manager, and patient, develops appropriate assessment-based plan of care including: attainable patient goals and services needed to improve and/or stabilize patient’s medical condition, functional abilities and promote independence. Maintains a current working knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Code of Ethics, as well as agency policies and procedures and follows Code of Conduct. Reports changes in patient condition in a timely manner to the physician and/or Population Health Case Manager. Obtains orders for changes in the plan of care to respond to the patient's condition. Follows orders for treatment and provides services as indicated on the plan of care. Utilizes and implements appropriate educational tools and pathways per guidelines and/or policy and procedure Minimum Qualifications: Graduate of an approved nursing education program, BSN preferred. Licensure as a Registered Nurse in the State of Connecticut. One (1) year experience as a professional acute care nurse Home care experience preferred but not required Must have current Driver’s license and reliable transportation Position Highlights and Benefits: Medical, dental and vision insurance - day one benefits Short and long-term disability 403b with matching contribution Mileage reimbursement Generous paid time off PLUS 7 paid holidays Comprehensive orientation Tuition reimbursement up to $5,250 a year Ministry/Facility Information: Trinity Health Of New England At Home provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare! Apply now! Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
RN Labor and Delivery Part-time
Hartford Hospital

Registered Nurse Acute (RN) - Labor And Delivery

Hartford Hospital Hartford, CT
Location Detail: 80 Seymour Street (10008) Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Hartford Hospital is one of the largest and most respected teaching hospitals New England. We are a Level 1 Trauma Center that provides cutting edge treatment to its patients. This is made possible by being home to the largest robotic surgery center in the Northeast and the Center for Education, Simulation and Innovation (CESI), one of the most-advanced medical simulation training centers in the world. When hospitals cannot provide the advanced care, expertise and new treatment options their patients require, they turn to us. The Labor & Delivery unit includes 16 labor/delivery/recovery beds, 5 obstetric triage beds and a surgical suite comprised of 3 ORs dedicated to cesarean delivery. Job Summary: Provides holistic, quality and cost-effective nursing care for patients/families and/or others for a patient population within a unit, service or other primary area of practice with an awareness of the episode of care. Applies the nursing process within the context of the organization's Framework for Professional Practice. Functions as clinically competent. Delegates and supervises work appropriately. Reports to Unit Manager. Qualifications • Current Connecticut RN License • Minimum 1-3 years experience as RN, OB experience preferred • Previous Labor & Delivery experienced preferred • Graduate of an accredited nursing school ASN Required, BSN preferred. • BLS from the American Heart Association • BLS from the American Red Cross (Institute of Living only) We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
RN Manager/Supervisor Full-time
Apple Rehab Uncasville

RN Supervisor (Free Float Position)

Apple Rehab Uncasville Montville, CT
$54 - $56 / hour
Join Our Caring Team at Orchard Grove! Are you passionate about providing exceptional care in a warm, family-oriented environment? Look no further! Nestled within a tranquil countryside community, Orchard Grove stands as a beacon of compassionate care—a 130-bed facility specializing in Short-Term Rehabilitation (STR), Long-Term Care, and an exclusive secured memory unit. About Us: As a family-owned and operated company, Apple Rehab prioritizes treating residents and staff like family. With our senior management based in our local Avon, CT office, we ensure superior care from a company deeply rooted in your community. Our leadership is not distant but right in your backyard, offering a supportive and collaborative environment. Job Opportunity: RN Registered Nurse Supervisor (Free Float Position!) Pay Rate: New Rates starting $54 up to $56 Available Shifts:. Part-Time (24 hrs) 11pm-7am Perdiems welcome to apply! Responsibilities Include: Planning, overseeing, and executing nursing services for residents while ensuring compliance with local, state, and federal regulations. Supervising day-to-day nursing activities to guarantee residents receive top-quality care consistently. Collaborating with the Nursing Director to strategize nursing service operations and emergency support provisions for shifts. Coordinating nursing activities in alignment with medical requirements, physician directives, and general care plans. Managing and directing charge nurses to ensure residents receive proper care. Adjusting care plans in collaboration with medical staff to address emergency medical needs. In absence of superiors, RN Supervisor assumes total responsibility for operating decisions required by the circumstances of the moment. Ensuring adequate relief staff availability before leaving the facility and notifying residents' personal physicians in case of significant changes in their condition or immediate medical care needs. Qualifications: The RN Registered Nurse Supervisor must hold a current state RN license and be a Registered Nurse in good standing. Must have previous experience in a supervisory capacity. Attention to detail, good follow through skills and ability to prioritize multiple tasks. The RN Registered Nurse Supervisor demonstrates cooperation in assisting others and ability to work as a team. Long term care experience preferred. Must be knowledgeable of general rehabilitative and restorative nursing and medical practices, procedures, laws, regulations and guidelines governing long term care. Additional Expectations: All RN Supervisor positions require weekend on-call availability to support both staff and residents. Compensation details available upon inquiry. Per diem staff are expected to fulfill (2) weekend shifts monthly to meet requirements. Employee Benefits for 30+ Hours may include: Scholarships and career development opportunities Generous 4 weeks of paid time off 7 paid holidays Health insurance benefits Short & long-term disability coverage Access to Call-a-Doc/24-7 MD telephone service Employee Assistance Program Life insurance coverage 401K retirement program Longevity credit for dedicated service Join Our Compassionate Team! Embark on a fulfilling career where compassionate care meets professional growth. Apply now to become a valued member of Apple Rehab Orchard Grove! Note: Benefits and requirements may vary based on employment status and hours worked. Inquire within for specific details. (Apple Rehab is an equal opportunity employer committed to diversity and inclusion in the workplace.) IND123
LPN Full-time
Autumn Lake Healthcare at Cromwell

Licensed Practical Nurse (LPN)

Autumn Lake Healthcare at Cromwell Cromwell, CT
$1,000 Sign On Bonus! Join our wonderful team as a Licensed Practical Nurse (LPN) today! Autumn Lake Healthcare at Cromwell is an exceptional team-oriented company hiring for Licensed Practical Nurse (LPN)! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Licensed Practical Nurse (LPN): $1,500 Sign On Bonus! Referral Bonuses! Shift Differentials! Competitive Rates! Wonderful Environment! Great Benefit package! Now Offering Same Day Pay! NOW HIRING : 3PM-11PM, and 11PM-7AM Licensed Practical Nurse (LPN) Qualifications & Experience Requirements for Licensed Practical Nurse (LPN): Previous Experience as a Licensed Practical Nurse (LPN) preferred Licensed Practical Nurse (LPN) License HP
RN MDS Full-time
Wadsworth Glen Health Care and Rehabilitation Center

MDS Director

Wadsworth Glen Health Care and Rehabilitation Center Middletown, CT
We are hiring an MDS Director to join our dynamic care team at Wadsworth Glen Health Care and Rehabilitation Center in Middletown! Wadsworth Glen is a 102-bed skilled nursing facility. This is a salaried role with weekly pay. 8a-4p shift. Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we also aspire to be the employer of choice. We strive to create a workplace where your skills and talents are nurtured to allow you to grow within the company. As the MDS Director, you plan, organize, and direct the MDS process involving overseeing resident care plans through clinical assessment, review of resident's medical history, personal interviews, and completion of MDS reports. Experience & Education: Must possess, as a minimum, a Nursing Degree from an accredited school of nursing, college or university, RN preferred. Must possess a current, unencumbered license to practice as an RN in this state. Duties & Responsibilities: Coordination of MDS process Oversees ADL training for facility and staff. Issues and delivers denial notices timely and appropriately. Complete and transmit all CMS approved item sets (MDS) Must be knowledgeable of and follow current CMS regulatory guidelines as described in RAI Manual. Complies with facility privacy policies and procedures and protects residents’ individual health information. Maintains Medicare meeting minutes per Medicare program agreement. Issues and delivers Medicare denial letters per CMS regulations. Assures appropriate management of residents’ Medicare/Insurance benefits. Maintains adequate systems to ensure appropriate documents are sufficient to support billed services. Other duties assigned by manager. Specific Requirements: Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such an action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must be able to coordinate MDS systems, resident assessment, and care plans for each resident timely. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to communicate effectively to appropriate personnel regarding emergency situations. Must possess accurate and comprehensive assessment skills to ensure standards of nursing practice. About Athena Health Care Systems: Since its establishment in 1984, Athena Health Care Systems has pioneered the delivery of exceptional healthcare services. Operating nursing homes and hospice agencies across Connecticut, Massachusetts, and Rhode Island, Athena stands out as a healthcare leader in Southern New England. Athena’s Benefits: Competitive and Weekly Pay Holiday Pay for Hourly and Salaried Employees Overtime Pay for Hourly Employees Career Advancement Opportunities Exclusive Employer Discount Program Available for Eligible Team Members: Employer-Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law.
CNA Full-time
Westside Care Center

Certified Nursing Assistant (CNA)

Westside Care Center Manchester, CT
Certified Nursing Assistant (CNA) We are hiring Certified Nursing Assistants (CNAs) to provide direct care to residents in our skilled nursing facility. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. We offer a fast and simple application process that will allow you to begin working in a short period of time. We have phone interviews available for your convenience. Benefits FREE health insurance Generous paid time off package Shift differentials No cost union pension plan Paid lunch Verizon discount 401(k) retirement program Paid holidays, including Juneteenth No-cost Training and Education funding for career expansion Extensive on-site training and development Career growth opportunities Weekly pay with the option of direct deposit Employee referral program Uniform allowance Other benefits through the 1199 Healthcare Workers Union Full-time, part-time, and per diem positions available, all shifts Qualifications State of Connecticut CNA Certification Proficiency in English, required Previous CNA experience is preferred, but not required COVID-19 Primary series vaccination required. Booster shots are not required. Religious and Medical Exemptions are available Hourly Pay Rate: $20 with scheduled raises Weekend and Holiday Pick-Up Shift bonuses Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. IND123
CNA Full-time
Water's Edge Center for Health & Rehabilitation

CNA - Certified Nursing Assistant

Water's Edge Center for Health & Rehabilitation Middletown, CT
- A Great Place to Work Water's Edge is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team! - Cna For Full time 7-3 shift or 3-11 Shift Sign on Bonus $2500 What You'll Do: As a Certified Nursing Assistant (CNA), you will play a crucial role in delivering compassionate and personalized care to our residents. You will assist residents with activities of daily living, monitor their health, provide emotional support, and collaborate with other healthcare professionals to ensure the highest quality of care. Key Responsibilities: Assisting residents with activities of daily living, including bathing, dressing, and grooming Monitoring and recording vital signs Providing emotional support and companionship to residents Assisting with mobility and transfers Collaborating with the nursing team to develop care plans Maintaining a clean and safe environment for residents If you are passionate about making a real difference in people's lives in an environment where compassion, care and expertise come together, we invite you to join our team as a Certified Nursing Assistant (CNA)! #Tier1 - What We Offer As an affiliate of National Health Care, our Water's Edge team enjoys: Competitive compensation and benefits package including a 10% defined contribution retirement plan Comprehensive training and mentorship Opportunities for professional growth and development Supportive and collaborative work environment The chance to make a meaningful difference in the lives of our residents - What You'll Bring: Qualifications of a Certified Nursing Assistant (CNA) include: Valid state certification as a Nursing Assistant (CNA) Compassionate and empathetic nature Interest in the nursing needs of the aged and the chronically ill with the ability to work with both Excellent communication and interpersonal skills Ability to work effectively in a team environment Dedication to upholding high standards of care - We Hire for Heart! National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
LPN MDS Full-time
Complete Care at Fox Hill

MDS Coordinator RN LPN

Complete Care at Fox Hill VERNON ROCKVL, CT
MDS Coordinator Full Time Day Shift Must Have Active RN Registered Nurse Or LPN Licensed Practical Nurse License MDS Experience within a long-term care facility required Complete Care at Fox Hill is a pillar in the community of Vernon, CT. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary compassion. Why work for us? You will have the opportunity to build a career with an established, highly successful organization in a caring and compassionate environment. We are committed to your growth and success. Come join employees who have become family! Work today, get paid today! Now Hiring: MDS Coordinator RN LPN Clinical Reimbursement Coordinator Responsibilities: Monitor and guide the completion of resident assessments in a timely manner. Involvement and supervision of inputting MDS assessments. Transmit MDS assessments to the state and obtain receipt of validation. Schedule and facilitate care plan conferences on a quarterly and annual basis. Other duties as assigned by Director of Nursing and Administrator. Qualifications: Strong working knowledge of Case-Mix, Federal Medicare PPS process, and medical reimbursement required. Previous long-term care experience is required. License: Must have an active RN Registered Nurse/LPN Licensed Practical Nurse for the state of CT RAC-CT Certification a positive; but not required Complete Care at Fox Hill is an equal opportunity employer. Now Hiring: MDS Coordinator RN Registered Nurse LPN Licensed Practical Nurse Clinical Reimbursement Coordinator #LI-GM1 #CC2024 11626 MDS Coordinator RN LPN Clinical Reimbursement Coordinator
RN Manager/Supervisor Per Diem
Apple Rehab Rocky Hill

Registered Nurse Supervisor (RN)

Apple Rehab Rocky Hill Rocky Hill, CT
$53 / hour
Join Our Caring Team at Apple Rehab Rocky Hill! Are you passionate about providing exceptional care in a warm, family-oriented environment? Look no further! Apple Rehab Rocky Hill, a 100-bed skilled nursing center nestled near the Silas Deane Highway in Rocky Hill, CT, invites you to join our close-knit team. Why Choose Apple Rehab Rocky Hill? Our facility boasts spacious private and semi-private rooms designed to create a comfortable and homely atmosphere for our residents. With a team known for its longevity and commitment, we foster a family-like environment, organizing picnics and various engaging activities both indoors and in our scenic courtyard. About Us: As a family-owned and operated company, Apple Rehab prioritizes treating residents and staff like family. With our senior management based in our local Avon, CT office, we ensure superior care from a company deeply rooted in your community. Our leadership is not distant but right in your backyard, offering a supportive and collaborative environment. Job Opportunity: RN Registered Nurse Supervisor Pay Rate: up to $53/hour Available Shifts: Per Diem Responsibilities Include: Planning, overseeing, and executing nursing services for residents while ensuring compliance with local, state, and federal regulations. Supervising day-to-day nursing activities to guarantee residents receive top-quality care consistently. Collaborating with the Nursing Director to strategize nursing service operations and emergency support provisions for shifts. Coordinating nursing activities in alignment with medical requirements, physician directives, and general care plans. Managing and directing charge nurses to ensure residents receive proper care. Adjusting care plans in collaboration with medical staff to address emergency medical needs. In absence of superiors, RN Supervisor assumes total responsibility for operating decisions required by the circumstances of the moment. Ensuring adequate relief staff availability before leaving the facility and notifying residents' personal physicians in case of significant changes in their condition or immediate medical care needs. Qualifications: The RN Registered Nurse Supervisor must hold a current state RN license and be a Registered Nurse in good standing. Must have previous experience in a supervisory capacity. Attention to detail, good follow through skills and ability to prioritize multiple tasks. The RN Registered Nurse Supervisor demonstrates cooperation in assisting others and ability to work as a team. Long term care experience preferred. Must be knowledgeable of general rehabilitative and restorative nursing and medical practices, procedures, laws, regulations and guidelines governing long term care. Additional Expectations: All RN Supervisor positions require weekend on-call availability to support both staff and residents. Compensation details available upon inquiry. Per diem staff are expected to fulfill (2) weekend shifts monthly to meet requirements. Employee Benefits for 30+ Hours may include: Scholarships and career development opportunities Generous 4 weeks of paid time off 7 paid holidays Health insurance benefits Short & long-term disability coverage Access to Call-a-Doc/24-7 MD telephone service Employee Assistance Program Life insurance coverage 401K retirement program Longevity credit for dedicated service Join Our Compassionate Team! Embark on a fulfilling career where compassionate care meets professional growth. Apply now to become a valued member of Apple Rehab Rocky Hill! Note: Benefits and requirements may vary based on employment status and hours worked. Inquire within for specific details. (Apple Rehab is an equal opportunity employer committed to diversity and inclusion in the workplace.) IND123
NP Full-time
Planned Parenthood of Southern New England

Director of Clinical Services (Licensed: APRN, PA, CNM)

Planned Parenthood of Southern New England Hartford, CT
$89,833 - $169,721 / year
Planned Parenthood of Southern New England Care. No Matter What. We are Planned Parenthood of Southern New England, one of the region’s largest and most trusted providers of reproductive health care. We are recognized for the wide array of services we provide, the outstanding sexual health education we deliver, and our strong commitment to social justice. Working for Planned Parenthood is more than a job; it’s being a part of a powerful movement. Together, we’ll take pride in shaping the future of sexual health and reproductive rights for all people. The Director of Clinical Services will be an inspiring leader and knowledgeable clinician with a deep commitment to sexual and reproductive freedom and social justice. The Director of Clinical Services will partner with a dynamic Clinical Support Team (CST) that provides frontline healthcare at our health centers across CT and RI, providing over 100,000 visits to patients annually. In collaboration with the Chief Medical Officer (CMO), the Director of Clinical Services works closely with CST members and other Planned Parenthood of Southern New England (PPSNE) departments to ensure that our health centers provide person-centered, high-quality care that complies with Planned Parenthood Federation of America (PPFA), federal, state, and local requirements. The Director of Medical Services plans, writes policies for, and coordinates and evaluates health care services at PPSNE. This position supervises the Lead Clinicians, the Orchard Lab Manager, and the Clinical and Research Coordinator. The Director of Clinical Services reports directly to the Chief Medical Officer and is a vital member of the Clinical Support Team. \n Essential Functions In partnership with the CMO and the Medical Director, the Director of Clinical Services directs, coordinates, and evaluates clinical services provided to patients, in consultation with the Clinical Support Team, and other appropriate personnel. They ensure the delivery of an efficient, culturally responsive, and timely health care service that lives up to our commitment to provide the highest quality, accessible, patient-centered care that is outcomes- and impact-oriented with a focus on addressing health disparities particularly for Black communities. They focus on new project implementation and urgent issues that arise, and work closely with center managers and their direct reports on staff recruitment and hiring. Partners with regional directors and center managers to identify clinician staffing needs. Directs the hiring process for clinicians and supports in hiring other licensed clinical staff as needed. Sources candidates and conducts initial interviews and collaborates with regional directors and center managers to complete the hire. Facilitates training and development of clinicians including clinician conferences. Participates in clinician performance reviews and employee relations matters. Manages PPSNE’s National Health Service Corps participation to ensure this employment benefit is available to PPSNE’s clinicians. Adapts PPFA protocols for PPSNE in consultation with the Chief Medical Officer and Medical Director and ensures state standards and regulations are evident in PPSNE protocols. Partners with CST members to direct and provide oversight of new clinical service offerings. Chairs the Policies and Procedures Committee. Along with the Lead Clinicians, trains and supports clinicians in adapting to and adhering to changes in protocols. Maintains relationships with CT Department of Public Health and RI Department of Health in ensuring center licensing state regulations are met and updated as needed. Collaborates to create, implement, and follow up on the clinical policies and procedures, ensuring they are followed by health center staff and administrative supports. Collaborates to maintain the Policy Manual and affiliate Medical Standards and Guidelines. Partners with the Director of Clinical Quality Improvement to ensure timely, effective implementation of the CQI Program. Partners with the finance department to ensure correct fees for tests and services, implement new tests, medications, and equipment. Partners with clinical staff and center managers to support the patient experience and understands the connection between staff engagement and patient satisfaction. Partners with the Quality Assurance Manager and the QI & Lab Nurse Manager to ensure that health centers comply with local, state, federal, and PPFA regulations/requirements. Supervises and mentors the Lead Clinicians in their role of supporting clinicians in their region with onboarding, clinical support, training, and EHR support. Supervises the Orchard Lab Manager to ensure the Orchard Lab provides accurate, timely, and up-to-date laboratory testing services for PPSNE. Also supervises the Orchard Lab (CLIA PPSNE Lab) to ensure PPSNE meets all CT and RI laboratory regulations. Manages the Clinical and Research Coordinator, ensuring smooth and timely administrative support for the CST team. Partners with BetterHealth, Clinical Health Network (CHN), and other appropriate external team members to optimize the EHR to meet PPFA and other requirements and allow for accurate, timely charting and coding. Acts as liaison with some state and local agencies, reference laboratories, and some vendors. Works with CST members and outside partners to implement new and changing regulatory requirements. Manages regulatory problems as they arise. As part of clinical leadership, provides clinical consultation and support (by phone, Teams, or other methods) to clinical team members for the management of urgent and ongoing clinical issues. Continues active clinical practice as a licensed clinician, delivering patient care in centers 1 day per week, on average. Works and collaborates with all the members of the Clinical Services Team (CST) to support the services provided at PPSNE. Completes all responsibilities according to established protocols, policies and standard practices in the areas of customer service, quality assurance and regulatory compliance programs such as HIPAA (Health Information Portability & Accountability Act), OSHA (Occupational Safety & Health Act), and CLIA (Clinical Laboratory Improvement Administration) Demonstrates flexibility and teamwork; understands the interaction between this position and others with whom the position works directly and indirectly. Oversees student clinical preceptor arrangements with colleges/universities, health centers and volunteer services. Partners with the Student and Volunteer Coordinator to ensure all PPFA and legal requirements are met. Performs special projects including but not limited to medical aspects of emergency preparedness and response. Performs special projects and other duties as assigned. Key Requirements Passionate commitment to PPSNE’s mission and values, especially those related to health equity Alignment with and dedication to PPSNE’s strategic plans. Strong commitment to PPSNE’s In This Together values, and all of the health services offered at PPSNE. Ability to foster work across difference in your teams Excellent relationship building and communication skills, including a high level of self-awareness, empathy, and humility in interpersonal interactions. Prior success in fostering cross-departmental partnerships and collaborations to advance success of organizational priorities. Well versed in change management theory and implementation of new programs and processes for health systems. Sound judgement and grace under pressure with a track record of anticipating problems and negotiating solutions. A systems thinker with a focus on outcomes, impact, and finances. Must be able to work in a moderately stressful, fast paced, high volume environment that requires direct contact with a diverse patient and employee base. Demonstrated project development and management skills, including excellent follow through for multiple projects at multiple locations, with the ability to work independently as needed. Demonstrated ability to be responsive to changing priorities and simultaneously handle multiple complex initiatives. Superb attention to detail; ability to lead and follow processes and procedures from beginning to end. Ability to utilize data to inform the decision-making process with a race and equity lens for disparities. Ability to routinely travel to health centers and other locations. Proficient with Microsoft Office, EHR and skilled with use and application of information technology. Graduation from a recognized Nurse Practitioner, Physician Assistant or Nurse Midwife training program or Medical School with a concentration in adult, family practice, or women’s health. Appropriate professional certification (ANCC, NCC, ACNM, NCCPA or MD) Current state licensure in CT and RI as a Nurse Practitioner, Physician's Assistant or Medical Doctor required. CPR certification. Minimum of 5 years of reproductive health experience in direct patient care. Minimum of 3 years of management experience preferred. Clinical teaching experience preferred. Personal Attributes Collaborative leader Problem-solver Life-long learner Committed to dignity belonging and equity Culturally responsive The Payoff Reduce health disparities in our communities. Work collaboratively with a passionate group of staff members and volunteers. Take a stand on internal key issues that matter to you. Work in a fast-paced, high-energy, dynamic environment with a team who is passionate about the mission of PPSNE. \n $139,777 - $169,721 a year Salary Range; Min $89,833 Mid $139,777 Max $169,721 and is based on full years of experience. *Due to our commitment to pay equity, PPSNE does not negotiate salaries \n PPSNE is committed to equal opportunity in all areas of its operations, including patient care and employment. Employment decisions are based on merit, qualifications, and business needs. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, national origin, age, disability, marital status, genetics, veteran status, or any other protected category. Discrimination and retaliation are strictly prohibited. PPSNE offers a comprehensive benefit package which includes; Health, dental and vision insurance, paid parental leave, retirement savings, tuition reimbursement, generous paid time off, a flexible spending account, wellness program and more.
Home Health Aide Home Health Full-time
Right at Home Tolland

Home Health Aide (HHA)

Right at Home Tolland Tolland, CT
$17 - $19 / hour
Pay and Benefits: We believe that our Home Health Aides (HHA) and/or Personal Care Assistants (PCA) are the heart of our business. Without you, we couldn’t build meaningful relationships with our clients, put a smile on their face or be the highlight of their day. It is hard to put a price on helping others but we know how important you are and value the impact you would make day in and day out for our clients. In taking this position, you would receive: Competitive pay ($17-$19 per hour) Pay may vary by location, level of training and type of shift Flexible schedules (Shifts can be arranged to fit your schedule) Roth IRA retirement plan Weekly pay Mobile clock in/out Work close to home Ongoing training and development Your local office may offer you a variety of initial and ongoing career training opportunities to help you grow your skills. This could include but not limited to: A "library" of senior care reference materials and resources in the office and online On-the-job training for unique client situations Make a difference, develop meaningful relationships and meet new people Give back to those who need you most (our clients need you now more than ever before!) Paid travel time in between clients and paid mileage Extremely positive work environment Employee discount programs Access to leadership Recognition, celebrations and great team interactions! In this role, we stand prepared to equip you with the right personal protective equipment (PPE) and are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. What You’ll Do and Who You Are: The good news is that your training will teach you everything you need to know to succeed on the job. But there are a few character traits you should have from the get-go. We have a great work culture at Right at Home and look for people with a similar mindset: You’re the honest, likable, energetic and approachable type, and are able to get along and verbally communicate easily with people at all levels. You listen well, have great decision making skills and are passionate about your customer focus. You’re never short of a smile and take real pride in your work by being resourceful, accountable, and adaptable and you cope well under pressure, take initiative and thrive on a challenge. Integrity is one of your core values as you do not ethically cut corners. You make a great first impression as you are professional and kind in your demeanor and approach. You don’t mind getting a little dirty … this could include (but is not limited to) assisting the patient with activities of daily living such as providing assistance with personal hygiene (toileting, bathing, care of mouth, skin and hair), ambulation, eating, dressing, shaving, light housekeeping, and other household chores. You don’t have to be a gourmet chef but you can prepare a good meal and work your way around a kitchen. You are able to perform other assigned activities which includes but is not limited to: Assisting with the change of ostomy appliances Assisting with the use of devices for aid in daily living (cane, walker, wheelchair or lift device) Assisting with prescribed range of motion exercises Assisting with self-administered simple urine tests for sugar acetone or albumin (may not interpret results) Measuring and preparing special diets Measuring intake and output Application of an external (condom-type) catheter Must Haves: Six months experience as a Home Health Aide (HHA) and/or Personal Care Assistant (PCA) in health care (in homes or facilities) and successful completion of a State approved Nurse Aide or Home Health Aide (HHA) and/or Personal Care Assistant (PCA) course The Home Health Aide shall have successfully completed a Competency Evaluation that meets the State licensing law for home health agencies Must have a sympathetic attitude toward the care of the sick, and ability to deal effectively with the demands of the job Current CPR Certificate is recommended Meets the requirements for employees providing direct patient care Read, write, speak and understand English as needed for the job Have a valid driver’s license and use of an insured automobile for work or access to adequate transportation Why Right at Home? We truly believe that where you work matters, and as a company that believes in improving the lives of those we serve, we think we know a thing or two about what makes our employees happy. If you need assistance with this application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting us. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, LLC. Right at Home, LLC is not the employer or joint employer of the employees of any of its franchised offices. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net.
CNA Full-time
60 West

Certified Nursing Assistant (CNA)

60 West Rocky Hill, CT
$20 / hour
Certified Nursing Assistant (CNA) We are hiring Certified Nursing Assistants (CNAs) to provide direct care to residents in our skilled nursing facility. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. We offer a fast and simple application process that will allow you to begin working in a short period of time. We have phone interviews available for your convenience. Benefits FREE health insurance Generous paid time off package Shift differentials No cost union pension plan Paid lunch Verizon discount 401(k) retirement program Paid holidays, including Juneteenth No-cost Training and Education funding for career expansion Extensive on-site training and development Career growth opportunities Weekly pay with the option of direct deposit Employee referral program Uniform allowance Other benefits through the 1199 Healthcare Workers Union Full-time, part-time, and per diem positions available, all shifts Qualifications State of Connecticut CNA Certification Proficiency in English, required Previous CNA experience is preferred, but not required COVID-19 Primary series vaccination required. Booster shots are not required. Religious and Medical Exemptions are available Hourly Pay Rate: $20 with scheduled raises Weekend and Holiday Pick-Up Shift bonuses Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. INDLP
LPN Full-time
60 West

Licensed Practical Nurse (LPN) FREE HEALTH INSURANCE

60 West Rocky Hill, CT
Find a home with iCare, not an agency Licensed Practical Nurse (LPN) We are hiring Licensed Practical Nurses (LPNs) to provide direct care to residents in our skilled nursing facility. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. We offer a fast and simple application process that will allow you to begin working in a short period of time. Benefits No-cost health insurance Generous paid time off package Shift Differentials No-cost union pension plan Paid holidays, including Juneteenth No-cost training and education funding for career expansion 401(k) Retirement Program Career growth opportunities Extensive on-site training and development Weekly pay with the option of direct deposit Employee referral program Uniform allowance Other benefits through the 1199 Healthcare Employees Union Full-time, part-time, and per diem positions available, all shifts Qualifications State of Connecticut nursing license, required Proficiency in English, required Previous LPN experience is preferred, but not required COVID-19 Primary Series vaccination required. Booster shots are not required. Religious and Medical Exemptions are available Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. IND123
RN Manager/Supervisor Full-time
Westside Care Center

Registered Nurse (RN) Supervisor

Westside Care Center Manchester, CT
Westside Care Center is currently looking for a Monday-Friday 11 pm-7 am RN Supervisor. $5,000 sign-on bonus available Registered Nurse (RN) Supervisor We are hiring Registered Nurse (RN) Supervisors to oversee, coordinate, assign, direct, and prioritize the work of nursing staff members in order to ensure the efficient operation of the nursing unit. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. Benefits Bonus pay Low-cost health insurance Additional insurances offered: Dental, vision, life, short-term disability, and worksite Generous paid time off package 401(k) Retirement Program with employer match Short-term disability Extensive on-site training and development Career growth opportunities Weekly pay with the option of direct deposit Employee Referral Program Relocation Assistance Qualifications Valid RN License in the State of Connecticut One year of experience in acute care and/or long-term care in a skilled nursing facility preferred, not required. Proficiency in English, including speaking, reading, and writing, required. COVID-19 Primary Series vaccination required. Booster shots are not required Religious and Medical Exemptions are available Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. IND123