Neonatal RN Per Diem (NURSE PD)

apartment UC Davis Health location_onSacramento, CA, US

Job Summary

The CN identifies and implements nursing interventions and evaluates results for a wide variety of patient populations, directs and acts as resource to other members of the nursing team as assigned and promotes compliance and support for policies. The primary responsibilities for this position consist of providing total, comprehensive, continuous and patient centered care which includes: assessing, documenting, planning, implementing, teaching, developing, and evaluating a comprehensive nursing plan of care; delivering direct patient care; ensuring patient satisfaction; training and delegating duties; and adhering to University policies and procedures as well as federal, state and local regulations.

Autonomous nursing care is the ability of a nurse to assess and provide nursing actions as appropriate for patient care populations based on competence, professional expertise, and knowledge. The nurse is expected to practice autonomously consistent with ANA Standards of Practice and Professional Performance. Independent judgment is expected to be exercised within the context of interdisciplinary and multidisciplinary approaches to patient care.

Provides direct patient care to a diversified patient population. Applies knowledge, experience and judgment to determine the importance of a situation, set priorities, and use abstract thought to evaluate clinical situations. Participates in patient and staff education. Demonstrates leadership skills. Demonstrates accountability for own practices as defined by the Nurse Practice Act.

Apply By Date: December 9th by 11:59pm - Interviews will occur after this time.

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

At least 1 year of recent Neonatal Intensive Care Unit Experience
Valid California Registered Nurse License without restriction
American Heart Association (AHA) Basic Life Support (BLS) or UC Davis Health CPR
American Academy of Pediatrics (AAP)/American Heart Association (AHA) Neonatal Resuscitation Program (NRP) Certification
Graduation from an accredited school of nursing.
Ability to read, write, speak, and understand the English language.
Ability to utilize medical terminology appropriately.
Knowledge of current trends in nursing.
Commitment to excellence in patient care.
Effective interpersonal skills.
Demonstrates accountability and professionalism.
Adapts to change in a positive, professional and productive manner.
Knowledge of legal implications in clinical practice and documentation.
Knowledge of performance improvement and evidence-based practice.
Basic computer skills.
Ability to assess, plan, implement and evaluate patient care, taking into consideration protective interventions, development (behavioral and physical) and physiological characteristics specific to the patients.

Preferred Qualifications

S.T.A.B.L.E certification
BSN
RN experience in a Level IV NICU
Previous experience caring for micro preemies, cardiac infants and children with gastrointestinal malformations

Key Responsibilities

70% - Nursing Process and Practice
15% - Quality and Evidence-Based Practice
5% - Leadership
5% - Professional Development
5% - Research

Department Overview

The UC Davis Children's Hospital Level IV Neonatal Intensive Care Unit and Special Care Nursery is a tertiary and quaternary care treatment unit specializing in the care of high-risk infants, including those born prematurely and very prematurely, from 23 to 37 weeks gestation. The nursery also cares for infants born with congenital defects as well as birth related conditions, including congenital heart defects, gastroschisis, myelomeningocele (spina bifida) metabolic disorders and persistent pulmonary hypertension of the newborn, as well as birth related conditions such as jaundice, birth asphyxia, sepsis, pneumonia, perinatal depression, and intraventricular hemorrhage.

POSITION INFORMATION

Salary or Pay Range: $94.79 - $109.03
Salary Frequency: Hourly
Salary Grade: 107
UC Job Title: NURSE PD
UC Job Code: 009119
Number of Positions: 1
Appointment Type: Staff: Per Diem
Percentage of Time: 20%
Shift (Work Schedule): 1845-0715
Location: Main Hospital (HSP001)
Union Representation: NX-Nurses
Benefits Eligible: No
This position is 100% on-site

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

High quality and low-cost medical plans to choose from to fit your family’s needs
UC pays for Dental and Vision insurance premiums for you and your family
Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Access to free professional development courses and learning opportunities for personal and professional growth
WorkLife and Wellness programs and resources
On-site Employee Assistance Program including access to free mental health services
Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

Standing - Continuous 6 to 8+ Hours
Walking - Continuous 6 to 8+ Hours
Sitting - Frequent 3 to 6 Hours
Lifting/Carrying 0-25 Lbs - Continuous 6 to 8+ Hours
Pushing/Pulling 0-25 Lbs - Frequent 3 to 6 Hours
Pushing/Pulling 26-50 lbs - Occasional Up to 3 Hours
Pushing/Pulling over 50 lbs - Occasional Up to 3 Hours
Bending/Stooping - Continuous 6 to 8+ Hours
Squatting/Kneeling - Occasional Up to 3 Hours
Twisting - Continuous 6 to 8+ Hours
Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours
Reaching overhead - Occasional Up to 3 Hours
Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Environmental Demands

Loud noise levels - Occasional Up to 3 Hours
Uneven Surfaces or Elevations - Occasional Up to 3 Hours

Mental Demands

Sustained attention and concentration - Continuous 6 to 8+ Hours
Complex problem solving/reasoning - Continuous 6 to 8+ Hours
Ability to organize & prioritize - Continuous 6 to 8+ Hours
Communication skills - Continuous 6 to 8+ Hours
Numerical skills - Continuous 6 to 8+ Hours
Constant Interaction - Continuous 6 to 8+ Hours
Customer/Patient Contact - Continuous 6 to 8+ Hours
Multiple Concurrent Tasks - Continuous 6 to 8+ Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Works overtime as defined by the collective bargaining agreements, floats to other areas and works weekends and holidays. References reflect an overall meet or exceeds.

Special Requirements – Please contact your recruiter with questions regarding which activities apply by position

This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we’re committed to solving life’s most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks

Share this job

Related Jobs

Director of Nursing

Full-time

Director Of Nursing (DON)

apartment Rancho Seco Care Center location_onGalt, CA

Who we are: Rancho Seco Skilled Nursing facility is a 99 bed long term and skilled community located in beautiful Galt, California. The team is lead by a seasoned Admininistrator who has called Rancho home for over three years, surrounded by a savvy clinical team who has longevity in their postions and have achieved stellar clinical results. With this years state survey behind us, we look forward to focusing on making our team more dynamic and growing our acuity to better serve our residents and neighbors. What We’re Looking For: We’re looking for a dynamic Director of Nursing to lead our clinical team and provide our residents with an exceptional care experience. We need you to plan, organize, develop and direct the overall operation of your Nursing Service Department in accordance with current federal, state, and local standards, guidelines and regulations. What You Will Do: Ensure 24hour availability as nursing administration resource by providing on-call and telephone access or designating an alternative, qualified nursing staff member to do so. Interview, hire, and train employees; plan, assign, and direct work; appraise performance; reward and discipline employees; address complaints and resolve problems. Coordinate care and services to improve organization and implementation of plans of care, and quality of life and for all residents. Ensure proper assessment of all prospective residents prior to admission including visiting client at their home or in the hospital. Develop staffing plans that assure sufficient staffing to meet direct care needs, recommend numbers and types of nursing personnel necessary to provide care and maintain compliance. Audit clinical records for accuracy and completeness of comprehensive resident assessments, effective documentation reflecting resident responses to interventions and consistent implementation of plans of care by all staff and professionals, on all shifts. Conduct quality assessment and assurance activities, including regulatory compliance rounds, in all departments to monitor performance and to continuously improve quality. Lead and participate in interdisciplinary conferences as needed to develop adequate plans of care. Establish and maintain established policies, procedures, safety, environmental and infection control standards. Provide direct administrative and technical supervision of nursing, admissions and continuing care functions. Establish performance goals. Provide leadership in planning, organization, evaluation and fiscal management. Collaborate with executive management team on goals of our home. Collaborate with interdisciplinary team members to develop and promote programs to enhance the resident’s quality of life and healthcare. Ensure compliance with applicable local, state and federal regulations and the policies and procedures. Assist in the preparation of departmental budgets and allocation of funds based upon a review of department estimates and recommendations. What You’ll Bring: 2 years of DON experience in a California Skilled Nursing Facility preferred. Unrestricted RN license in the state of California Must be able to pass background check

Full-time

Registered Nurse (RN)

apartment Rancho Seco Care Center location_onGalt, CA

We are seeking a motivated charge nurse with excellent leadership and communication skills. As a successful candidate, you will provide assistance and care for patients, supervise nursing staff, offer guidance and support, maintain a clean and safe working environment, and ensure that all operational tasks are completed efficiently and on time. To excel in this role, you will need to be a licensed nursing professional with at least 1 year of experience in a healthcare environment. You should enjoy working with people, have excellent organizational skills, and the ability to work under pressure. Charge Nurse Responsibilities Record patients’ medical records and monitor vital signs. Supervising nursing staff and monitoring their needs. Coordinating daily administrative duties, including schedules, nursing assignments, and patient care. Overseeing patient admissions, transfers, and discharges. Mentoring and training new staff and providing support and guidance to all staff members. Monitoring medical charts and providing compassionate care and assistance to patients and families. Liaising with doctors and administrators and communicating any protocol changes to staff. Ensuring compliance with all health and safety regulations. Recording and maintaining accurate reports. Identifying issues or emergencies and responding in a calm and efficient manner. Charge Nurse Requirements Associate’s degree in nursing. Licensed as a RN Further certification may be required. Prior experience in a healthcare facility required. Excellent leadership, communication, and organizational skills. Compassionate with sound judgment and problem-solving skills. Proficient in Microsoft Office and medical software systems. Ability to handle stress and work shifts.

Full-time

RNA

apartment Rancho Seco Care Center location_onGalt, CA

Job Position: The primary purpose of your job position is to perform restorative nursing assistant procedures that maximize the resident’s existing abilities, emphasize independence instead of dependence, and minimize the negative effects of disability with an attitude of realistic optimism under the supervision of a restorative nurse. Qualifications: Must possess Certified Nursing Assistant license. Experience: Must have training in rehabilitative and restorative therapy practices.

Full-time

PCH Radiology RN (CLIN NURSE 2) Folsom

apartment UC Davis Health location_onRocklin, CA

$73.72 - $99.20 / HOUR

Job Summary The CN identifies and implements nursing interventions and evaluates results for a wide variety of patient populations, directs and acts as resource to other members of the nursing team as assigned and promotes compliance and support for policies. The primary responsibilities for this position consist of providing total, comprehensive, continuous and patient centered care which includes: assessing, documenting, planning, implementing, teaching, developing, and evaluating a comprehensive nursing plan of care; delivering direct patient care; ensuring patient satisfaction; training and delegating duties; and adhering to University policies and procedures as well as federal, state and local regulations. Autonomous nursing care is the ability of a nurse to assess and provide nursing actions as appropriate for patient care populations based on competence, professional expertise, and knowledge. The nurse is expected to practice autonomously consistent with ANA Standards of Practice and Professional Performance. Independent judgment is expected to be exercised within the context of interdisciplinary and multidisciplinary approaches to patient care. Provides direct patient care to a diversified patient population. Applies knowledge, experience and judgment to determine the importance of a situation, set priorities, and use abstract thought to evaluate clinical situations. Participates in patient and staff education. Demonstrates leadership skills. Demonstrates accountability for own practices as defined by the Nurse Practice Act. #ca-ls Apply By Date December 3, 2025, by 11:59 p.m. Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position Valid California Registered Nurse License without restriction American Heart Association (AHA) or American Red Cross Basic Life Support (BLS), or UC Davis Health CPR American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) American Heart Association (AHA) Pediatric Advanced Life Support (PALS) Graduation from an accredited school of nursing At least three (3) years of recent ICU, ED or Inpatient Radiology Experience Ability to read, write, speak, and understand the English language. Ability to utilize medical terminology appropriately. Knowledge of current trends in nursing. Commitment to excellence in patient care. Effective interpersonal skills. Demonstrates accountability and professionalism. Adapts to change in a positive, professional and productive manner. Knowledge of legal implications in clinical practice and documentation. Knowledge of performance improvement and evidence-based practice. Basic computer skills. Ability to assess, plan, implement and evaluate patient care, taking into consideration protective interventions, development (behavioral and physical) and physiological characteristics specific to the patients. Preferred Qualifications BSN Key Responsibilities 70% - Nursing Process and Practice 15% - Quality and Evidence-Based Practice 5% - Leadership 5% - Professional Development 5% - Research Department Overview The UC Davis Medical Center Radiology Department provides comprehensive imaging and interventional services across multiple modalities, including Diagnostic Radiology, Interventional Radiology (IR), Neuro-Interventional Radiology (Neuro-IR), Ultrasound, Computerized Tomography (CT), Nuclear Medicine, Positive Emission Tomography (PET) and Magnetic Resonance Imaging (MR). The Department includes Interventional Radiology Suites, CT scanners, Ultrasound procedure rooms, Nuclear Medicine cameras, a PET Imaging unit, MR scanners and Diagnostic radiology rooms that support both inpatient and outpatient care. Radiology services are delivered at the Main Hospital (Davis Tower), the Ambulatory Care Center (ACC), 48X Outpatient Surgery Center and throughout UC Davis Health Primary Care Network (PCN) as operationally required. Staff may be assigned to any of these locations, based on operational needs deemed necessary by management. Department Specific Job Scope This position provides direct nursing care in radiology service areas including but not limited to Diagnostic Radiology, Interventional Radiology, Neuro-Interventional Radiology, Ultrasound, Computerized Tomography (CT), Nuclear Medicine, Positive Emission Tomography (PET) and Magnetic Resonance Imaging (MRI). Radiology nursing collaborates with multidisciplinary teams to ensure safe, high-quality imaging and procedural care for patients across inpatient, outpatients and ambulatory settings. POSITION INFORMATION Salary or Pay Range: $73.72 - $99.20 Salary Frequency: Hourly Salary Grade: 114 UC Job Title: CLIN NURSE 2 UC Job Code: 009139 Number of Positions: 2 Appointment Type: Staff: Career Percentage of Time: 100% Shift (Work Schedule): 0700-1730 PCH Sunday to Saturday (7-day service)|Folsom Monday to Saturday (6-day service) Location: Placer Center for Health (PCN147) and Folsom Medical Care Clinic Union Representation: NX-Nurses Benefits Eligible: Yes This position is 100% on-site Benefits Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page. If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html High quality and low-cost medical plans to choose from to fit your family's needs UC pays for Dental and Vision insurance premiums for you and your family Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement Access to free professional development courses and learning opportunities for personal and professional growth WorkLife and Wellness programs and resources On-site Employee Assistance Program including access to free mental health services Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here Physical Demands Standing - Continuous 6 to 8+ Hours Walking - Continuous 6 to 8+ Hours Sitting - Frequent 3 to 6 Hours Lifting/Carrying 0-25 Lbs - Continuous 6 to 8+ Hours Pushing/Pulling 0-25 Lbs - Frequent 3 to 6 Hours Pushing/Pulling 26-50 lbs - Occasional Up to 3 Hours Pushing/Pulling over 50 lbs - Occasional Up to 3 Hours Bending/Stooping - Continuous 6 to 8+ Hours Squatting/Kneeling - Occasional Up to 3 Hours Twisting - Continuous 6 to 8+ Hours Climbing (e.g., stairs or ladders) - Occasional Up to 3 Hours Reaching overhead - Occasional Up to 3 Hours Keyboard use/repetitive motion - Frequent 3 to 6 Hours Environmental Demands Loud noise levels - Occasional Up to 3 Hours Uneven Surfaces or Elevations - Occasional Up to 3 Hours Mental Demands Sustained attention and concentration - Continuous 6 to 8+ Hours Complex problem solving/reasoning - Continuous 6 to 8+ Hours Ability to organize & prioritize - Continuous 6 to 8+ Hours Communication skills - Continuous 6 to 8+ Hours Numerical skills - Continuous 6 to 8+ Hours Constant Interaction - Continuous 6 to 8+ Hours Customer/Patient Contact - Continuous 6 to 8+ Hours Multiple Concurrent Tasks - Continuous 6 to 8+ Hours Work Environment UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space. This position may perform duties in the Placer Center for Health (PCH), Main Hospital, 48X Outpatient Surgery Center, Ambulatory Care Center (ACC), Folsom and/or satellite facilities throughout UCD’s Primary Clinic Network as deemed necessary by management. Works overtime as defined by the collective bargaining agreements; floats to other areas; and works weekends, holidays and call as required. References reflect an overall meets or exceeds. Special Requirements – Please contact your recruiter with questions regarding which activities apply by position This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment This is a position with direct access to or responsibility for controlled substances, high risk hazardous chemicals, biological or radioactive/nuclear materials This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. A Culture of Opportunity and Belonging At UC Davis, we’re committed to solving life’s most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together. As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. To view the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks

Per Diem

Operating Room Circulator RN

apartment United Surgical Partners International, Inc location_onFolsom, CA

Operating Room RN PRN Folsom Surgery Center Ideal candidate will be focused on excellent customer service, have the ability to multi-task, the ability to show flexibility in assignments, maintain scrupulous infection control standards, maintain professional competencies and have the ability to work as part of an interdependent multidisciplinary team. Position requires weekdays only -- no holidays, weekends, or call. Some later evenings required. Competitive salary and benefits for the right candidate. Hourly Range: $50 - $72 / hour Wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience. Required Skills: Candidates must have graduated from an accredited school of nursing and hold a current unrestricted license to practice in the State of CA. Current American Heart BLS certification and experience working as a circulator required. BSN preferred. Required Experience: Folsom Outpatient Surgery Center complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.