Nursing Jobs in Ayer, MA

CMA Pediatric Full-time
Heywood Healthcare

Medical Assistant, HMG, Pediatrics, 40 Hours, Days, 7:45am-4:15pm, 8:00am-4:30pm, 8:15-4:45pm

apartment Heywood Healthcare location_onGardner, MA
Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: 40 Hours, Days, 7:45am-4:15pm, 8:00am-4:30pm, 8:15-4:45pm JOB SUMMARY: Under the direction of Management, Physician and/or Nursing, incumbent is responsible for assisting with patient care and medical office clinical support and clerical functions. Clinical duties include: Scheduling tests, obtaining and recording patient health information, including vitals and injections and rooming patients; performing in office testing, supporting providers; performing tasks /schedule management to help providers run on time; bucket management, schedule review; materials management and any other duties and locations as assigned. Must learn and perform new standards and processes as they are implemented and participate in customer service and patient satisfaction initiatives. Complete any assigned training. Perform phlebotomy services and administer vaccines. Clerical duties include: Answering phones, appointment scheduling, providing patient education. For complete description see below. Responsibilities ESSENTIAL FUNCTIONS Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe practice and hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Heywood Healthcare Attendance and Tardiness Policy. Completed all Heywood Healthcare and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Provides patient care by assisting with implementation of care plans. Assesses health status, documents interventions and evaluates patient progress following standard procedures. Performs basic office laboratory procedures such as urinalysis, urine culture, hematocrit, sed rate, mono spot, pregnancy tests, throat cultures and related procedures. Performs basic clinical procedures such as venipuncture/phlebotomy. Prepares documents and administers vaccines/non-intravenous injections as directed. Performs a variety of clerical functions to support office such as typing, filing, scheduling appointments, making phone calls and related duties as required or directed. Coordinates patient flow and prepares patient for examination. Takes and records vital signs and EKG’s. Documents intake assessment. Assists physician and others in clinical procedures as required or directed. Assist in triaging medical calls as per office protocol. Returns patient calls and documents in patient record as required or directed. Calls in prescriptions and refills as directed. Document prescription calls. Reviews laboratory results. Ensures abnormal results are brought to the attention of the physician and others as appropriate. Maintains records, reports, logs and other statistical information as required or directed. Processes Medical Records incoming and outgoing according to practice guidelines and regulations. Schedules and coordinates patient visits and medical procedures, for both inpatients and outpatients. Registers patients for each patient visit, utilizing computer based registration/scheduling system. Verifies patients insurance coverage and eligibility. Maintains assigned office and/or clinical supplies including vaccines. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items. Issues and verifies patients managed care referral. Collects copays from patients for visits, maintains records and reconciles daily deposits. Completes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner. Instruments and equipment are prepared and sterilized according to procedure to support infection control. Attends variety of meetings, conferences, and seminars as required or directed. Complies with established departmental policies, procedures, and objectives. Demonstrates use of quality improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Provide coverage when needed at other locations within Heywood Medical Group. All other duties and locations as assigned. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Qualifications JOB REQUIREMENTS Minimum Education High School diploma or equivalent required or must obtain within six months of employment Completion of accredited program in Medical Office Assisting (MOA) at an accredited school, or relevant job experience preferred. Required Certifications CMA/RMA or equivalent required. (Candidates with appropriate training or experience can obtain certification within six months of employment). BLS through American Heart Association required or must obtain within six months of employment Minimum Work Experience Experience in a medical office preferred. Required Skills Excellent written and verbal communications skills preferred. Proficiency with computers and electronic medical records is required. Ability to work flexible shifts, evening, and weekends required. Reliable transportation for travel between locations required. FUNCTIONAL DEMANDS Physical RequirementsExerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).
RN Full-time
Advocates

Registered Nurse

apartment Advocates location_onFramingham, MA
Overview Salary $82 - $86k The Registered Nurse (RN) participates in the coordination of medical, behavioral health/addiction treatment services and other supports in accordance with the person-centered treatment plan and works collaboratively with the BHCP team at their respective agency to manage or co-manage complex behavioral health cases. As a member of the multidisciplinary team, the RN provides consultation, education, and support to team members and provider network regarding co-occurring medical issues related to behavioral health/substance abuse treatment and management. Minimum Education Required Bachelor's Degree Responsibilities Support consortium entity teams by providing supervision, conducting audits, and actively participating as a member of their team to ensure high-quality care coordination and compliance with best practices. Provide medical consultation to BHCP team members in the assigned consortium entity (CE). Liaison to and consult with the BHPMW BHCP Medical Director. Conduct medication reconciliation functions required in the BHCP Model Contract. Review medical sections of Engaged Enrollee’s comprehensive assessments, and/or the entire assessment as assigned. Participate in BHCP team meetings to ensure effective communication among all disciplines. Participate in all required orientation and training and assist with training other staff on the CP Team. Learn all BHCP policies, procedures, protocols and plans and deliver services and consultation in compliance with them. Assist with training other staff on the CP Team. Develop knowledge about all focus populations and assist CP Team members in doing so. Learn evidence based practices identified by the BHC, and deliver CP supports and activities in compliance with them, and assist with training other CP Team members. Complete all required documentation in a timely manner. Demonstrate a proactive commitment to maintaining effective communication with staff, Enrollees, Care Team members and other collaterals, and other internal and external stakeholders and customers. Promote strong working relationships and excellent customer service. Complete required trainings and other professional development activities. Strictly adhere to HIPPA and confidentiality policies at all time, including when responding to inquiries for Enrollee information Attend and actively participate in supervision and staff meetings. Maintain current certifications and licenses Ensure that all clients are treated with dignity and respect in accordance with BHPMW’s Human Rights policy. Perform all duties in accordance with the agency’s policies and procedures. Strictly follow all agency Performance Standards. Qualifications Registered Nurse licensed in the Commonwealth of Massachusetts with minimum of 4 years of experience working with adults in a community-based mental health, substance use and/or physical health setting Demonstrated knowledge base and judgment necessary for independent clinical decision making. Excellent verbal and written communications skills. Strong interpersonal and customer relations skills required. Excellent organizational, time management and problem solving skills. Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies. Knowledge regarding psychiatric rehab and understanding of recovery model. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Must be able to perform each essential duty satisfactorily. Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport members. Must have ability to read English and communicate effectively in the primary language of the program to which he/she is assigned. Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience.
Caregiver Part-time
Five Star Senior Living

Caregiver

apartment Five Star Senior Living location_onWinchester, MA
Work With Purpose At Five Star Senior Living, our people are the critical link to those we serve, and it is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In addition to nurturing and advancing the lives of our residents, our team members enjoy meaningful opportunities for personal and professional growth, within a supportive culture centered around advancing their lives, as well. The Opportunity The Caregiver position provides support for our community’s residents with the essential day-to-day tasks they can no longer perform or need help with. Caregivers are responsible for helping people with their daily tasks, such as laundry, cleaning, bathing, dressing, and taking their medication. Successful Caregivers are sensitive, respectful and are passionate about helping those in need. What You’ll Do Helping with personal hygiene, including bathing, grooming, and dressing Supporting residents with medication Repositioning residents in bed and escorting them around the community Toileting, incontinent care Take vital signs, such as blood pressure, heart rate and pulse Observe and report on residents’ health, escalating any problems efficiently and effectively Detail daily reports to Nurse, or designated charge person, at end of shift Provide emotional support and serve as a source of comfort for residents and their loved ones Assist residents with mobility by helping them get in and out of bed, chairs, or wheelchairs. Assist residents with eating and drinking. Responsibilities include customer service, caregiving, resident safety and communication. What You’ll Bring POSITION REQUIREMENTS / QUALIFICATIONS: High School Diploma or equivalent preferred, although mandatory in certain states. Applicants must be a minimum of 18 years old, or the age required by state regulations, whichever is higher. Working experience alone, on a team, and on projects start to finish Strong emotional intelligence and listening skills Dedication to the medical field, especially towards working with the residents Must pass State and company background checks and drug test. Take Vital signs Assisting resident with Activities of Daily Living (ADLs) Medication supervision (within the scope of the state regulations) Read, write, speak and understand the English language. We Got You We see and support the whole you. Because investing in you, and all our team members, is the first step in making a difference in the lives of others. Comprehensive Medical/Dental/Vision 401k + Match Competitive PTO Life, Disability & other supplemental benefits Professional Development Funds Wellness Coaching & Personal Support Benefits Recognition & Reward Programs Is This You? Beyond checking off the boxes, we’re looking for someone who shares our deep sense of purpose and passion for advancing the lives of others. Puts People First – You have an authentic connection to our vision of a world in which the quality of life is ageless, and a desire to advance our culture by always respecting and empowering our team members, residents, and families. Customer Focused – You strive to build and strengthen customer loyalty by delivering exceptional hospitality, thoughtful solutions, and innovative customer attraction and retention strategies. Results Oriented – You’re forward thinking, seeing the big picture as you lead with empathy and drive to exceed results. You firmly believe that the way in which we achieve results is just as important as what we accomplish together. Drives Operational Excellence – You encourage a mindset of continuous improvement. You respect ideas, collaborate, and empower others to elevate how and what we deliver for our customers and each other. Embraces Change – You’re a change driver! A positive communicator who engages all key stakeholders to help them anticipate and embrace what’s next, you’re always adjusting the target for continuous improvement. EEOC Five Star prohibits discrimination against any applicant or employee with regard to or on the basis of race, color, religion, national or ethnic origin, age, ancestry, sex, pregnancy (including... Continue reading
LPN Full-time
Five Star Senior Living

LPN

apartment Five Star Senior Living location_onWinchester, MA
Work With Purpose At Five Star Senior Living, our people are the critical link to those we serve, and it is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In addition to nurturing and advancing the lives of our residents, our team members enjoy meaningful opportunities for personal and professional growth, within a supportive culture centered around advancing their lives, as well. The Opportunity The Licensed Caregiver – LPN is part of the Health & Wellness Team responsible for providing high-quality care to our residents under the supervision of registered nurses and healthcare professionals. What You’ll Do Supporting residents with medication. Take vital signs, such as blood pressure, heart rate and pulse Observe and report on residents’ health, escalating any problems efficiently and effectively Provide emotional support and serve as a source of comfort for residents and their loved ones Recognize abnormal changes in body functioning and report to a supervisor Perform nursing assessments, including vital signs monitoring, physical examinations, and health status evaluations, to identify and address resident needs promptly. Provide nursing interventions as directed by the registered nurse or healthcare provider, following applicable state regulations, established protocols and infection control practices. Responsibilities include customer service, safety, resident care, and communication. What You’ll Bring POSITION REQUIREMENTS / QUALIFICATIONS: Must have a valid, unrestricted nursing license in the state. Must be at least 18 years of age. Must pass State and Company criminal background/drug screens. Demonstrates effective time management skills. High school graduate or equivalent.. Current CPR certification. Maintain CEU requirements. Read, write, speak and understand the English language. Make independent decisions when circumstances warrant such action. Interpret and implement written or oral policies, procedures, and instructions. Staff supervision Assessment and resident care skills; Medication management principles and practice; and Written and verbal communication skills. We Got You We see and support the whole you. Because investing in you, and all our team members, is the first step in making a difference in the lives of others. Comprehensive Medical/Dental/Vision 401k + Match Competitive PTO Life, Disability & other supplemental benefits Professional Development Funds Wellness Coaching & Personal Support Benefits Recognition & Reward Programs Is This You? Beyond checking off the boxes, we’re looking for someone who shares our deep sense of purpose and passion for advancing the lives of others. Puts People First – You have an authentic connection to our vision of a world in which the quality of life is ageless, and a desire to advance our culture by always respecting and empowering our team members, residents, and families. Customer Focused – You strive to build and strengthen customer loyalty by delivering exceptional hospitality, thoughtful solutions, and innovative customer attraction and retention strategies. Results Oriented – You’re forward thinking, seeing the big picture as you lead with empathy and drive to exceed results. You firmly believe that the way in which we achieve results is just as important as what we accomplish together. Drives Operational Excellence – You encourage a mindset of continuous improvement. You respect ideas, collaborate, and empower others to elevate how and what we deliver for our customers and each other. Embraces Change – You’re a change driver! A positive communicator who engages all key stakeholders to help them anticipate and embrace what’s next, you’re always adjusting the target for continuous improvement. EEOC Five Star prohibits discrimination against any applicant or employee with regard to or on the basis of race, color, religion, national or ethnic origin, age, ancestry, sex, pregnancy (including... Continue reading
Home Health Aide Full-time
Fallon Health

Health Aide or CNA $20/hr (*Up to $24/hr) Benefits! Health Ins! Paid Mileage!

apartment Fallon Health location_onLowell, MA
Overview This is one of the better opportunities out there for Health Aides or CNAs and we will take great care of you! Why?.. + Great benefits! Full-time benefits offering! Health Insurance offerings! Paid Time Off! 12 Holidays! 401K Savings Plan! Tuition Assistance! Vision Care, Life Insurance and more!! + $20/hr to start and far exceeds state pay average! + Extra pay for shifts outside normal workday! Extra $3.50/hr weekdays between 7pm and 7am Monday through Friday (shift ends Friday at 7am) Extra $4.00/hr for weekends beginning at 7pm on Friday and ending 7am on Monday. + Mileage Reimbursement! + Respectful and Desirable Health Aide / CNA Work Setting! Predictable Hours! Safe and highly vaccinated work environment including the member population you care for Our Health Aides and staff love the familiarity and relationships establishes with our members You will likely find more autonomy and flexibility than you have in your current role Our model is low-volume and very member and quality care focused About Fallon Health Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. About Summit ElderCare : Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities. Summary: Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant’s plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and disinfecting of the PACE center as assigned and in accordance with current CDC guidelines Responsibilities Under the supervision of the RN, assists with the Activities of Daily Living (ADL) needs of participants both at the PACE center and in participants’ homes (i.e., community, Assisted Living Facilities, Rest Homes, Supportive Housing programs, etc.) Contributes to the development of a care plan for participants through interaction with other members of the Interdisciplinary Team. Collaborates with members of the Interdisciplinary Team to assure appropriateness and continuity of care. Carries out non-skilled treatments including, but not limited to vital signs, transfers, toileting, bathing, dressing at the PACE Center and in the community. Assists the Supervisor, Recreational Activities and other activities staff with individual and group programs by helping to plan individual treatment programs, increasing participants’ motivation to participate, assisting participants to participate when needed, and assisting with evaluation of program effectiveness. Assists registered therapists and certified therapy assistants with treatments and participant-specific activities which are ordered for each participant and assigned by the registered therapist including, but not limited to, positioning, transfers, ambulation, and exercises. Maintains a clean and safe working and/or living environment in the PACE center and/or participants’ homes. Assists with meal and snack preparation, serving, feeding as needed, and clean-up. Uses safe techniques in all interactions with participants at the PACE Center and in participants’ homes. Provides accurate and timely documentation in the EMR and other systems as required by SE policies and procedures and/or as assigned by supervisor. Participates in carrying out schedule of daily cleaning and disinfecting of the PACE center in accordance with CDC guidelines for increased precautions Actively participates in distribution of work for health aides to ensure care needs of participants and site tasks are completed timely and appropriately including but not limited to community-based care and center-based tasks, as assigned Actively participates in regular team meetings for health aides at respective site Participates in carrying out infection control precautions and increased cleaning and disinfecting of the PACE center as assigned and in accordance with current CDC guidelines Performs all duties in accordance with FH and Summit ElderCare policies and procedures. Qualifications Education: Completion of an approved Home Health Aide or Certified Nursing Assistant Training Program is highly desirable, but we will accept equivalent work experience in lieu of certificate. Certification: Certification as a Home Health Aide or Nursing Assistant is desired. Reliable Transportation Required. Experience: One year of experience working with a frail and/or older adult population preferably in a PACE program. If under one year, must complete Summit Eldercare training program for health aides prior to working with participants independently. Must complete a standardized set of Summit Eldercare competencies for Health Aides on an annual basis. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P03
Home Health Aide Full-time
Fallon Health

Health Aide or CNA $20/hr (*Up to $24/hr) Benefits! Health Ins! Paid Mileage!

apartment Fallon Health location_onWorcester, MA
Overview This is one of the better opportunities out there for Health Aides or CNAs and we will take great care of you! Why?.. + Great benefits! Full-time benefits offering! Health Insurance offerings! Paid Time Off! 12 Holidays! 401K Savings Plan! Tuition Assistance! Vision Care, Life Insurance and more!! + $20/hr to start and far exceeds state pay average! + Extra pay for shifts outside normal workday! Extra $3.50/hr weekdays between 7pm and 7am Monday through Friday (shift ends Friday at 7am) Extra $4.00/hr for weekends beginning at 7pm on Friday and ending 7am on Monday. + Mileage Reimbursement! + Respectful and Desirable Health Aide / CNA Work Setting! Predictable Hours! Safe and highly vaccinated work environment including the member population you care for Our Health Aides and staff love the familiarity and relationships establishes with our members You will likely find more autonomy and flexibility than you have in your current role Our model is low-volume and very member and quality care focused About Fallon Health Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. About Summit ElderCare : Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities. Summary: Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant’s plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and disinfecting of the PACE center as assigned and in accordance with current CDC guidelines Responsibilities Under the supervision of the RN, assists with the Activities of Daily Living (ADL) needs of participants both at the PACE center and in participants’ homes (i.e., community, Assisted Living Facilities, Rest Homes, Supportive Housing programs, etc.) Contributes to the development of a care plan for participants through interaction with other members of the Interdisciplinary Team. Collaborates with members of the Interdisciplinary Team to assure appropriateness and continuity of care. Carries out non-skilled treatments including, but not limited to vital signs, transfers, toileting, bathing, dressing at the PACE Center and in the community. Assists the Supervisor, Recreational Activities and other activities staff with individual and group programs by helping to plan individual treatment programs, increasing participants’ motivation to participate, assisting participants to participate when needed, and assisting with evaluation of program effectiveness. Assists registered therapists and certified therapy assistants with treatments and participant-specific activities which are ordered for each participant and assigned by the registered therapist including, but not limited to, positioning, transfers, ambulation, and exercises. Maintains a clean and safe working and/or living environment in the PACE center and/or participants’ homes. Assists with meal and snack preparation, serving, feeding as needed, and clean-up. Uses safe techniques in all interactions with participants at the PACE Center and in participants’ homes. Provides accurate and timely documentation in the EMR and other systems as required by SE policies and procedures and/or as assigned by supervisor. Participates in carrying out schedule of daily cleaning and disinfecting of the PACE center in accordance with CDC guidelines for increased precautions Actively participates in distribution of work for health aides to ensure care needs of participants and site tasks are completed timely and appropriately including but not limited to community-based care and center-based tasks, as assigned Actively participates in regular team meetings for health aides at respective site Participates in carrying out infection control precautions and increased cleaning and disinfecting of the PACE center as assigned and in accordance with current CDC guidelines Performs all duties in accordance with FH and Summit ElderCare policies and procedures. Qualifications Education: Completion of an approved Home Health Aide or Certified Nursing Assistant Training Program is highly desirable, but we will accept equivalent work experience in lieu of certificate. Certification: Certification as a Home Health Aide or Nursing Assistant is desired. Reliable Transportation Required. Experience: One year of experience working with a frail and/or older adult population preferably in a PACE program. If under one year, must complete Summit Eldercare training program for health aides prior to working with participants independently. Must complete a standardized set of Summit Eldercare competencies for Health Aides on an annual basis. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P03
Home Health Aide Full-time
Fallon Health

Health Aide or CNA $20/hr (*Up to $24/hr) Benefits! Health Ins! Paid Mileage!

apartment Fallon Health location_onLeominster, MA
Overview The current shifts available for Leominster are either Thursday to Tuesday, or Tuesday to Saturday - let us know what works best for you when you apply! This is one of the better opportunities out there for Health Aides or CNAs and we will take great care of you! Why?.. + Great benefits! Full-time benefits offering! Health Insurance offerings! Paid Time Off! 12 Holidays! 401K Savings Plan! Tuition Assistance! Vision Care, Life Insurance and more!! + $20/hr to start and far exceeds state pay average! + Extra hourly pay for shifts outside standard workday! Some shifts can get between an extra $3.50 to $4.00/hr + Mileage Reimbursement! + Respectful and Desirable Health Aide / CNA Work Setting! Predictable Hours! Our Health Aides and staff love the familiarity and relationships establishes with our members You will likely find more autonomy and flexibility than you have in your current role Our model is low-volume and very member and quality care focused About Fallon Health Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. About Summit ElderCare : Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities. Summary: Provides personal care, light housekeeping and assistance with ADLs (Activities of Daily Living) as outlined in each SE participant’s plan of care in participant homes as well as at the PACE center; exercises independent judgement; reports any changes in participant status to the IDT; participates in carrying out infection control precautions and increased cleaning and disinfecting of the PACE center as assigned and in accordance with current CDC guidelines Responsibilities Under the supervision of the RN, assists with the Activities of Daily Living (ADL) needs of participants both at the PACE center and in participants’ homes (i.e., community, Assisted Living Facilities, Rest Homes, Supportive Housing programs, etc.) Contributes to the development of a care plan for participants through interaction with other members of the Interdisciplinary Team. Collaborates with members of the Interdisciplinary Team to assure appropriateness and continuity of care. Carries out non-skilled treatments including, but not limited to vital signs, transfers, toileting, bathing, dressing at the PACE Center and in the community. Assists the Supervisor, Recreational Activities and other activities staff with individual and group programs by helping to plan individual treatment programs, increasing participants’ motivation to participate, assisting participants to participate when needed, and assisting with evaluation of program effectiveness. Assists registered therapists and certified therapy assistants with treatments and participant-specific activities which are ordered for each participant and assigned by the registered therapist including, but not limited to, positioning, transfers, ambulation, and exercises. Maintains a clean and safe working and/or living environment in the PACE center and/or participants’ homes. Assists with meal and snack preparation, serving, feeding as needed, and clean-up. Uses safe techniques in all interactions with participants at the PACE Center and in participants’ homes. Provides accurate and timely documentation in the EMR and other systems as required by SE policies and procedures and/or as assigned by supervisor. Participates in carrying out schedule of daily cleaning and disinfecting of the PACE center in accordance with CDC guidelines for increased precautions Actively participates in distribution of work for health aides to ensure care needs of participants and site tasks are completed timely and appropriately including but not limited to community-based care and center-based tasks, as assigned Actively participates in regular team meetings for health aides at respective site Participates in carrying out infection control precautions and increased cleaning and disinfecting of the PACE center as assigned and in accordance with current CDC guidelines Performs all duties in accordance with FH and Summit ElderCare policies and procedures. Qualifications Education: Completion of an approved Home Health Aide or Certified Nursing Assistant Training Program is highly desirable, but we will accept equivalent work experience in lieu of certificate. Certification: Certification as a Home Health Aide or Nursing Assistant is desired. Reliable Transportation Required. Experience: One year of experience working with a frail and/or older adult population preferably in a PACE program. If under one year, must complete Summit Eldercare training program for health aides prior to working with participants independently. Must complete a standardized set of Summit Eldercare competencies for Health Aides on an annual basis. Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #P03
RN Manager/Supervisor Full-time
Seven Hills Foundation

Nursing Supervisor-Manager

apartment Seven Hills Foundation location_onGroton, MA
Overview Pay rate: $43.00/hr Sign on bonus: $5000 paid quarterly over 18 months. Now Hiring: Nursing Supervisor - Manager Seven Hills Community Services, an affiliate of Seven Hills Foundation Are you a dedicated Registered Nurse (RN) looking to make a meaningful impact? Join Seven Hills Community Services as a Nursing Supervisor - Manager , where you'll advocate for the health and well-being of individuals in our programs. Why Join Us? 🔹 Lead and support a team of LPNs, ensuring high-quality care.🔹 Establish medical protocols and interventions to promote optimal health.🔹 Provide direct nursing care while overseeing compliance with the Nurse Practice Act.🔹 Work in a fulfilling, community-based setting with opportunities for professional growth. Responsibilities 🔹 Full-time, hours assigned based on program needs.🔹 On-call responsibilities required (agency cell phone provided).🔹 May cover LPN shifts as needed.🔹 Support individuals in living safe, independent, and enjoyable lives. Qualifications 🔹 Registered Nurse (RN) license in Massachusetts.🔹 Experience supervising LPN staff and managing healthcare protocols.🔹 Strong leadership, advocacy, and problem-solving skills.🔹 Commitment to person-centered care and community inclusion. Be part of a team that makes a difference every day ! Apply today and help us support individuals in leading safe, healthy, and fulfilling lives.
LPN Part-time
Seven Hills Foundation

Licensed Practical Nurse - Program Nurse

apartment Seven Hills Foundation location_onAyer, MA
Overview Licensed Practical Nurse - Program Nurse ASPiRE!, an affiliate of Seven Hills Foundation Join the ASPiRE! team as a Licensed Practical Nurse - Program Nurse and provide essential medical care and advocacy for individuals with diverse needs. Be part of a supportive, mission-driven environment where your expertise makes a meaningful impact. Advocate for program participants’ medical needs, focusing on their overall health and well-being. Perform nursing activities, including medication administration, documentation, and direct support. Pay: $35.25/Hr. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Develop and maintain medical policies and procedures in collaboration with the Health Care Supervisor and Assistant Vice President. Coordinate medical services with physicians, clinics, residential providers, and families. Administer and document medications and treatments as prescribed. Provide first aid, emergency care, and triage for participants and staff. Document interventions and participate in Support Plan processes and case conferences. Conduct pre-admission reviews of medical histories and needs for prospective participants. Assist participants with personal care needs, including dining, toileting, and transfers. Train staff and participants in relevant medical and health-related program areas. Foster dignity, respect, and growth in participants, ensuring age- and culturally appropriate care. Qualifications Education & Experience Bachelor’s degree preferred. 1-3 years of related experience. Licensed Practical Nurse (LPN) required. CPR/First Aid required. Valid Class C or D standard driver’s license required. Skills & Knowledge: Strong adaptability, flexibility, and communication skills. Expertise in daily living assistance, health and wellness promotion, and first aid. Collaborative team player with the ability to handle diverse medical needs. Why Join ASPiRE! at Seven Hills Foundation? Be part of an organization that values respect, dignity, and empowerment. Work in a collaborative environment dedicated to providing excellent care. Access opportunities for professional growth and development. Apply Today! Make a difference by providing compassionate care and support for those who need it most.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant - Teacher Assistant

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant - Teacher Assistant Seven Hills Pediatric Center, an Affiliate of Seven Hills Foundation Are you a compassionate and dedicated individual with a passion for helping others? We are looking for a Certified Nursing Assistant - Teacher Assistant to work alongside our team in providing essential skills training and support to students with severe disabilities. If you’re ready to make a direct impact in the lives of students and be part of a collaborative team, we want to hear from you! Pay: $26.00/hr As a Certified Nursing Assistant - Teacher Assistant , you will play a critical role in implementing skills training programs for students, focusing on daily living skills, eating skills, mobility, leisure activities, and more. This is an incredibly rewarding opportunity to make a difference by helping students develop independence and reach their potential. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Skills Training & Support: Implement programs that support daily living activities, individual eating skills, and mobility. Engage in Leisure & Educational Activities: Facilitate age-appropriate activities that promote learning and social development. Community Experience: Assist with planning and participating in field trips and community experience programs. Documentation & Reporting: Maintain detailed records and documentation on students’ progress, ensuring accurate and thorough tracking of activities and goals. Collaborate with a Team: Work with an interdisciplinary team to plan activities, address student needs, and participate in department and unit meetings. Behavioral & Communication Programs: Support students through behavioral programming and communication interventions, including assistive technology and computer-based solutions. Personal Care & Mobility Support: Participate in the daily care and mobility programs of students, including lifting and transferring students as needed. Qualifications High school graduate/GED required. Must be Certified as a Nursing Assistant (CNA) or willing to obtain certification within three months of hire.
LPN Part-time
Seven Hills Foundation

Direct Support Professional III - LPN

apartment Seven Hills Foundation location_onGroton, MA
Overview Direct Support Professional III - LPN Seven Hills Community Services, an Affiliate of Seven Hills Foundation The Direct Support Professional III - LPN is a direct service position providing individual medical support and education to individuals in assigned programs who advocate for all medical needs of assigned program participants focusing on optimal health for all individuals. Hours assigned by supervisor; on call responsibilities. Pay: $40.00/hr. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Assess and coordinate healthcare services for individuals, ensuring timely follow-up and communication with relevant SHCS staff Assist and transport individuals to medical appointments in accordance with DDS standards Document all nursing interventions, medical updates, and care changes in Electronic Health Records (EHR) Maintain and review medication and treatment orders; monitor for side effects and report concerns to appropriate personnel Support Individual Service Plan (ISP) implementation by understanding and monitoring relevant care components (e.g., behavior plans, hygiene, self-medication) Train staff on medication policies and procedures Ensure health records are accurate and compliant with DDS regulations Communicate medical updates and treatment plans to residential and day program staff Maintain safety standards and monitor for compliance across settings Collaborate with Health Care Director or program RN for supervision and clinical guidance Participate in staff meetings and mandatory in-services Uphold agency policies and maintain professionalism, confidentiality, and respect at all times Foster a supportive and cooperative team environment Perform additional duties as assigned by the Health Care Director or RN Qualifications Education & Experience: High School Diploma or GED with relevant experience; BA preferred. Licensed Practical Nurse (LPN) or Registered Nurse (RN) with current Massachusetts license. One year working with individuals with Department of Developmental Services (MR/DDS) Skills and Knowledge: Basic computer literacy; proficiency preferred Valid Driver’s License & Good Driving Record Medication Administration Program (MAP) certification preferred Why Join Seven Hills Community Services? Be part of a mission-driven team dedicated to person-centered care. Opportunities for professional development and growth. Create meaningful connections and positively impact lives every day. Ready to Make a Difference? Apply now to join a supportive, innovative team where you can help individuals achieve their full potential and thrive in their communities. Thank you for your interest in Seven Hills Foundation! We value every applicant. If you experience any difficulty in applying or need assistance, please contact the main office at 508-755-2340. You can also see an overview of the amazing work our organization does with this video: https://vimeo.com/344648526 The mission of Seven Hills Foundation is to promote and encourage the empowerment of people with significant challenges so that each may pursue their highest possible degree of personal well-being and independence.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant I

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant I Seven Hills Pediatric Center, an affiliate of Seven Hills Foundation Are you a compassionate, skilled Certified Nursing Assistant seeking a rewarding career in pediatric care? Seven Hills Pediatric Center invites you to make a difference by providing exceptional care to our residents in a supportive and dynamic environment. Pay: $26.00 - $27.75 Hourly Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Why You’ll Love This Role: Deliver hands-on, person-centered care to residents. Create a therapeutic environment while promoting social skills and community engagement. Collaborate with a multidisciplinary team to implement individualized care plans. Maintain high standards of care, service excellence, and ethical practice. Key Responsibilities: Assist with daily living activities, including bathing, dressing, grooming, and feeding. Monitor and report changes in resident condition. Ensure safety and comfort by maintaining a clean and organized environment. Support residents with physical activities, such as ROM exercises and mobility assistance. Accurately document care provided and observations. Participate in training, quality improvement, and team collaboration. Qualifications Education: High School Diploma or GED required. Certification: Must be a Certified Nursing Assistant (CNA) or be willing to obtain certification within three months of hire. Experience: Experience working with individuals with severe disabilities is preferred but not required. Skills: Compassionate, patient, and dedicated to improving the lives of others. Ability to work effectively in a team and communicate clearly with colleagues, students, and families. Strong attention to detail, especially in documentation and reporting. Willingness to actively engage in physical and therapeutic activities, including mobility and pool programs. Commitment to respecting the dignity and human rights of all individuals under your care. Commitment to ongoing education and training (12 hours of continuing education annually). Physical capability to meet the demands of the role, including lifting and assisting residents.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant - Teacher Assistant

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant - Teacher Assistant Seven Hills Pediatric Center, an Affiliate of Seven Hills Foundation Are you a compassionate and dedicated individual with a passion for helping others? We are looking for a Certified Nursing Assistant - Teacher Assistant to work alongside our team in providing essential skills training and support to students with severe disabilities. If you’re ready to make a direct impact in the lives of students and be part of a collaborative team, we want to hear from you! Pay: $20.50/hr. As a Certified Nursing Assistant - Teacher Assistant , you will play a critical role in implementing skills training programs for students, focusing on daily living skills, eating skills, mobility, leisure activities, and more. This is an incredibly rewarding opportunity to make a difference by helping students develop independence and reach their potential. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Skills Training & Support: Implement programs that support daily living activities, individual eating skills, and mobility. Engage in Leisure & Educational Activities: Facilitate age-appropriate activities that promote learning and social development. Community Experience: Assist with planning and participating in field trips and community experience programs. Documentation & Reporting: Maintain detailed records and documentation on students’ progress, ensuring accurate and thorough tracking of activities and goals. Collaborate with a Team: Work with an interdisciplinary team to plan activities, address student needs, and participate in department and unit meetings. Behavioral & Communication Programs: Support students through behavioral programming and communication interventions, including assistive technology and computer-based solutions. Personal Care & Mobility Support: Participate in the daily care and mobility programs of students, including lifting and transferring students as needed. Qualifications High school graduate/GED required. Must be Certified as a Nursing Assistant (CNA) or willing to obtain certification within three months of hire.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant I

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant I Seven Hills Pediatric Center, an affiliate of Seven Hills Foundation Are you a compassionate, skilled Certified Nursing Assistant seeking a rewarding career in pediatric care? Seven Hills Pediatric Center invites you to make a difference by providing exceptional care to our residents in a supportive and dynamic environment. Pay: $26.0/hr. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Why You’ll Love This Role: Deliver hands-on, person-centered care to residents. Create a therapeutic environment while promoting social skills and community engagement. Collaborate with a multidisciplinary team to implement individualized care plans. Maintain high standards of care, service excellence, and ethical practice. Key Responsibilities: Assist with daily living activities, including bathing, dressing, grooming, and feeding. Monitor and report changes in resident condition. Ensure safety and comfort by maintaining a clean and organized environment. Support residents with physical activities, such as ROM exercises and mobility assistance. Accurately document care provided and observations. Participate in training, quality improvement, and team collaboration. Qualifications Education: High School Diploma or GED required. Certification: Must be a Certified Nursing Assistant (CNA) or be willing to obtain certification within three months of hire. Experience: Experience working with individuals with severe disabilities is preferred but not required. Skills: Compassionate, patient, and dedicated to improving the lives of others. Ability to work effectively in a team and communicate clearly with colleagues, students, and families. Strong attention to detail, especially in documentation and reporting. Willingness to actively engage in physical and therapeutic activities, including mobility and pool programs. Commitment to respecting the dignity and human rights of all individuals under your care. Commitment to ongoing education and training (12 hours of continuing education annually). Physical capability to meet the demands of the role, including lifting and assisting residents.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant I

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant I Seven Hills Pediatric Center, an affiliate of Seven Hills Foundation Are you a compassionate, skilled Certified Nursing Assistant seeking a rewarding career in pediatric care? Seven Hills Pediatric Center invites you to make a difference by providing exceptional care to our residents in a supportive and dynamic environment. Pay: $26.00/hr Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Why You’ll Love This Role: Deliver hands-on, person-centered care to residents. Create a therapeutic environment while promoting social skills and community engagement. Collaborate with a multidisciplinary team to implement individualized care plans. Maintain high standards of care, service excellence, and ethical practice. Key Responsibilities: Assist with daily living activities, including bathing, dressing, grooming, and feeding. Monitor and report changes in resident condition. Ensure safety and comfort by maintaining a clean and organized environment. Support residents with physical activities, such as ROM exercises and mobility assistance. Accurately document care provided and observations. Participate in training, quality improvement, and team collaboration. Qualifications Education: High School Diploma or GED required. Certification: Must be a Certified Nursing Assistant (CNA) or be willing to obtain certification within three months of hire. Experience: Experience working with individuals with severe disabilities is preferred but not required. Skills: Compassionate, patient, and dedicated to improving the lives of others. Ability to work effectively in a team and communicate clearly with colleagues, students, and families. Strong attention to detail, especially in documentation and reporting. Willingness to actively engage in physical and therapeutic activities, including mobility and pool programs. Commitment to respecting the dignity and human rights of all individuals under your care. Commitment to ongoing education and training (12 hours of continuing education annually). Physical capability to meet the demands of the role, including lifting and assisting residents.
LPN Part-time
Seven Hills Foundation

Direct Support Professional III - LPN

apartment Seven Hills Foundation location_onGroton, MA
Overview Direct Support Professional III - LPN Seven Hills Community Services, an Affiliate of Seven Hills Foundation The Direct Support Professional III - LPN is a direct service position providing individual medical support and education to individuals in assigned programs who advocate for all medical needs of assigned program participants focusing on optimal health for all individuals. Hours assigned by supervisor; on call responsibilities. Pay: $40.00/hr.Sign-on Bonus: $5,000 (paid quarterly over 18 months) Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Assess and coordinate healthcare services for individuals, ensuring timely follow-up and communication with relevant SHCS staff Assist and transport individuals to medical appointments in accordance with DDS standards Document all nursing interventions, medical updates, and care changes in Electronic Health Records (EHR) Maintain and review medication and treatment orders; monitor for side effects and report concerns to appropriate personnel Support Individual Service Plan (ISP) implementation by understanding and monitoring relevant care components (e.g., behavior plans, hygiene, self-medication) Train staff on medication policies and procedures Ensure health records are accurate and compliant with DDS regulations Communicate medical updates and treatment plans to residential and day program staff Maintain safety standards and monitor for compliance across settings Collaborate with Health Care Director or program RN for supervision and clinical guidance Participate in staff meetings and mandatory in-services Uphold agency policies and maintain professionalism, confidentiality, and respect at all times Foster a supportive and cooperative team environment Perform additional duties as assigned by the Health Care Director or RN Qualifications Education & Experience: High School Diploma or GED with relevant experience; BA preferred. Licensed Practical Nurse (LPN) or Registered Nurse (RN) with current Massachusetts license. One year working with individuals with Department of Developmental Services (MR/DDS) Skills and Knowledge: Basic computer literacy; proficiency preferred Valid Driver’s License & Good Driving Record Medication Administration Program (MAP) certification preferred Why Join Seven Hills Community Services? Be part of a mission-driven team dedicated to person-centered care. Opportunities for professional development and growth. Create meaningful connections and positively impact lives every day. Ready to Make a Difference? Apply now to join a supportive, innovative team where you can help individuals achieve their full potential and thrive in their communities. Thank you for your interest in Seven Hills Foundation! We value every applicant. If you experience any difficulty in applying or need assistance, please contact the main office at 508-755-2340. You can also see an overview of the amazing work our organization does with this video: https://vimeo.com/344648526 The mission of Seven Hills Foundation is to promote and encourage the empowerment of people with significant challenges so that each may pursue their highest possible degree of personal well-being and independence.
RN Full-time
Seven Hills Foundation

Residential Registered Nurse

apartment Seven Hills Foundation location_onGroton, MA
Overview Residential Registered Nurse Seven Hills Pediatric Center, an Affiliate of Seven Hills Foundation The Residential Registered Nurse (RN) provides direct, hands-on nursing care to youth residing in the DCF-contracted, EEC-licensed Medically Complex Behavioral Residence in Groton, Massachusetts. The RN plays a critical role in maintaining the physical health, safety, and well-being of youth ages 12–18 with complex medical and behavioral needs. Responsibilities include providing daily nursing care, supervising LPNs, coordinating medical appointments, managing medications, supporting training and onboarding of staff, assisting with nursing schedules, and responding to medical or behavioral crises requiring nursing intervention. The RN ensures that each resident’s medical and behavioral care plan is implemented effectively in collaboration with the interdisciplinary team. Pay: $44.19/hr Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Direct Care : Provide daily nursing care, including medication administration, treatments, and ongoing assessments of physical and emotional health. Supervision : Oversee and support LPNs, ensuring high-quality care and compliance with policies, procedures, and regulatory standards. Care Coordination : Manage nursing schedules, ensuring adequate coverage and continuity of care across shifts. Training & Support : Assist in training and onboarding new staff, including nursing and direct care team members, on health protocols, safety measures, and medication administration. Medical Appointments : Coordinate and accompany residents to medical, dental, and specialist appointments, ensuring follow-up care and documentation. Crisis Response : Act as a key player in managing nursing-related crises, including medical emergencies and behavioral incidents. Documentation : Maintain accurate medical records, ensuring compliance with DCF, EEC, and regulatory standards. Team Collaboration : Participate in interdisciplinary meetings to develop and implement holistic, trauma-informed care plans for each resident. Medication Management : Oversee medication administration and ensure that the Medication Administration Program (MAP) guidelines are followed. Qualifications Current Massachusetts RN License . Graduation from an accredited school of nursing . Minimum of 3 years of nursing experience (preferably in behavioral health, residential, or medically complex settings). Experience working with medically complex and behavioral health needs is highly preferred. Strong leadership, organizational, and communication skills . Ability to coordinate care across multiple providers and systems . Valid driver’s license .
LPN Full-time
Wellpath

Licensed Practical Nurse (LPN)

apartment Wellpath location_onWest Boylston, MA
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant II - Preceptor

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant II - Preceptor Seven Hills Pediatric Center, an affiliate of Seven Hills Foundation Are you a skilled Certified Nursing Assistant who loves teaching and supporting others? Seven Hills Pediatric Center is seeking experienced and enthusiastic C.N.A. Preceptors to mentor new team members and lead by example in delivering exceptional resident care. Pay: Min. $27.00 - Max. $28.75/Hr. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Deliver hands-on, person-centered care to residents. Create a therapeutic environment while promoting social skills and community engagement. Collaborate with a multidisciplinary team to implement individualized care plans. Maintain high standards of care, service excellence, and ethical practice. Guide new employees through orientation, using the checklist to teach care routines, documentation, and communication. Mentor staff in providing high-quality care and maintaining organizational standards. Actively participate in preceptor meetings and a subcommittee, such as Staff Activities or Performance Improvement. Oversee tasks like the Resident Inventory Program and documentation reviews. Qualifications Educational Requirements : High school diploma/GED/HiSET required. license requirement : Certified Nursing Assistant (CNA), Standard driver’s license – class C or class D Professional Experience: at least one-year working full-time at Seven Hills at Groton. Skills: Active C.N.A. certification A passion for teaching, leadership, and delivering outstanding care. Reliability, strong organizational skills, and commitment to policies and excellence. Physical readiness to meet the demands of the role. Why Join Us? As a leader in a collaborative, mission-driven workplace you'll play a key role in shaping the future of our care team while enjoying opportunities for professional growth. If you’re ready to take the next step in your career and make a difference as a C.N.A. Preceptor, apply today!
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant II - Preceptor

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant II - Preceptor Seven Hills Pediatric Center, an affiliate of Seven Hills Foundation Are you a skilled Certified Nursing Assistant who loves teaching and supporting others? Seven Hills Pediatric Center is seeking experienced and enthusiastic C.N.A. Preceptors to mentor new team members and lead by example in delivering exceptional resident care. Pay: Min. $27.00/Hr. Max. $28.75/Hr. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Deliver hands-on, person-centered care to residents. Create a therapeutic environment while promoting social skills and community engagement. Collaborate with a multidisciplinary team to implement individualized care plans. Maintain high standards of care, service excellence, and ethical practice. Guide new employees through orientation, using the checklist to teach care routines, documentation, and communication. Mentor staff in providing high-quality care and maintaining organizational standards. Actively participate in preceptor meetings and a subcommittee, such as Staff Activities or Performance Improvement. Oversee tasks like the Resident Inventory Program and documentation reviews. Qualifications Educational Requirements : High school diploma/GED/HiSET required. license requirement : Certified Nursing Assistant (CNA), Standard driver’s license – class C or class D Professional Experience: at least one-year working full-time at Seven Hills at Groton. Skills: Active C.N.A. certification A passion for teaching, leadership, and delivering outstanding care. Reliability, strong organizational skills, and commitment to policies and excellence. Physical readiness to meet the demands of the role. Why Join Us? As a leader in a collaborative, mission-driven workplace you'll play a key role in shaping the future of our care team while enjoying opportunities for professional growth. If you’re ready to take the next step in your career and make a difference as a C.N.A. Preceptor, apply today!
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant - Teacher Assistant

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant - Teacher Assistant Seven Hills Pediatric Center, an Affiliate of Seven Hills Foundation Are you a compassionate and dedicated individual with a passion for helping others? We are looking for a Certified Nursing Assistant - Teacher Assistant to work alongside our team in providing essential skills training and support to students with severe disabilities. If you’re ready to make a direct impact in the lives of students and be part of a collaborative team, we want to hear from you! Pay: $26.00/hr. As a Certified Nursing Assistant - Teacher Assistant , you will play a critical role in implementing skills training programs for students, focusing on daily living skills, eating skills, mobility, leisure activities, and more. This is an incredibly rewarding opportunity to make a difference by helping students develop independence and reach their potential. Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Skills Training & Support: Implement programs that support daily living activities, individual eating skills, and mobility. Engage in Leisure & Educational Activities: Facilitate age-appropriate activities that promote learning and social development. Community Experience: Assist with planning and participating in field trips and community experience programs. Documentation & Reporting: Maintain detailed records and documentation on students’ progress, ensuring accurate and thorough tracking of activities and goals. Collaborate with a Team: Work with an interdisciplinary team to plan activities, address student needs, and participate in department and unit meetings. Behavioral & Communication Programs: Support students through behavioral programming and communication interventions, including assistive technology and computer-based solutions. Personal Care & Mobility Support: Participate in the daily care and mobility programs of students, including lifting and transferring students as needed. Qualifications High school graduate/GED required. Must be Certified as a Nursing Assistant (CNA) or willing to obtain certification within three months of hire.
RN Other
Wellpath

Registered Nurse (RN)

apartment Wellpath location_onWest Boylston, MA
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference As a Registered Nurse (RN), your primary responsibility is to provide patient care using the nursing process of assessment, planning, implementation, and evaluation. You will work under the supervision of Charge Nurse(s) to provide patient education and activities in accordance with your competencies and education. This role requires excellent communication and critical thinking skills to ensure optimal patient outcomes. Key Responsibilities Assist in assessing and planning individual treatment programs, consulting with Charge Nurse(s) and other staff as necessary. Implement medical plans by administering medications, obtaining diagnostic tests, and assisting with medical or minor surgical procedures as needed. Count controlled substances and implement clinical and technical aspects of care in accordance with established policies, procedures, and protocols. Document nursing encounters using the SOAP form of charting as required by policy and attend mandatory staff meetings and training. Communicate information to nursing staff, physician, health care unit supervisory personnel or other staff as necessary. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Registered Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
CNA Full-time
Seven Hills Foundation

Certified Nursing Assistant I

apartment Seven Hills Foundation location_onGroton, MA
Overview Certified Nursing Assistant I Seven Hills Pediatric Center, an affiliate of Seven Hills Foundation Are you a compassionate, skilled Certified Nursing Assistant seeking a rewarding career in pediatric care? Seven Hills Pediatric Center invites you to make a difference by providing exceptional care to our residents in a supportive and dynamic environment. Pay: $26.00/hr Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Why You’ll Love This Role: Deliver hands-on, person-centered care to residents. Create a therapeutic environment while promoting social skills and community engagement. Collaborate with a multidisciplinary team to implement individualized care plans. Maintain high standards of care, service excellence, and ethical practice. Key Responsibilities: Assist with daily living activities, including bathing, dressing, grooming, and feeding. Monitor and report changes in resident condition. Ensure safety and comfort by maintaining a clean and organized environment. Support residents with physical activities, such as ROM exercises and mobility assistance. Accurately document care provided and observations. Participate in training, quality improvement, and team collaboration. Qualifications Education: High School Diploma or GED required. Certification: Must be a Certified Nursing Assistant (CNA) or be willing to obtain certification within three months of hire. Experience: Experience working with individuals with severe disabilities is preferred but not required. Skills: Compassionate, patient, and dedicated to improving the lives of others. Ability to work effectively in a team and communicate clearly with colleagues, students, and families. Strong attention to detail, especially in documentation and reporting. Willingness to actively engage in physical and therapeutic activities, including mobility and pool programs. Commitment to respecting the dignity and human rights of all individuals under your care. Commitment to ongoing education and training (12 hours of continuing education annually). Physical capability to meet the demands of the role, including lifting and assisting residents.
RN Temporary
Seven Hills Foundation

Registered Nurse - Care Coordination

apartment Seven Hills Foundation location_onWorcester, MA
Overview Registered Nurse - Care Coordination Massachusetts Care Coordination Network, an Affiliate of Seven Hills Foundation The RN is responsible for reviewing the information with the Enrollees, gathered in thecomprehensive assessment; reviewing the Enrollee’s care plan; conducting medication reviews and providing oversight of LPN (not more than two) staff employed by MCCN; meeting weekly with each LPN to review difficult cases; providing specialty Care Coordination with other medicalproviders; and being available for both telephonic and in-person consultations for acute changes of status in enrollees. Pay: $33.65/hour Benefits for Full-time employees: Health Insurance: Offered through Blue Cross Blue Shield , with generous company contribution. Enhanced Retirement Plan: 25% - 33% Employer match based on tenure. Student Loan Assistance: Consolidation, counseling, & limited employer contribution! Discounted Tuition with College & University Partnerships! Tuition Assistance: Reimbursed or prepaid college coursework! Home Mortgage Initiative: Favorable down payment ( 3-5%) , reduced closing costs co-paid by Seven Hills! Work-Life Balance: Generous Accrued Paid Vacation: 3 weeks in your first year! Vacation Cash-Out Option 3 Paid Personal Days 11 Paid Holidays Accrued Paid Sick Time Responsibilities Provide medical consultation to MCCN team members regarding acute changes in Enrollees’ status Serve as liaison to and consult with the MCCN Medical Director Conduct medication reconciliations during comprehensive assessments and after inpatient, ED, or 24-hour setting discharges Coordinate with PCPs to verify discharge medications, address discrepancies, and promote adherence Educate Enrollees on proper medication administration and identify support systems to aid compliance Support Care Coordinators in ensuring access to appropriate medical and specialty care Review and complete medical sections of Enrollee assessments and collaborate on LTSS components Participate in interdisciplinary team meetings to promote effective communication Assist with staff orientation and training; provide coaching on medical conditions, risk factors, and CP team priorities Follow all MCCN policies, protocols, and evidence-based practices while assisting with staff training Apply a person-centered approach in planning and delivering care in coordination with Enrollees and their support systems Address medical risks and emergencies with appropriate interventions; develop medical protocols as needed Complete all documentation and reporting in a timely and compliant manner Maintain strong communication with staff, Enrollees, and care team members to foster collaboration Ensure adherence to HIPAA, agency policies, and performance standards Attend required trainings, staff meetings, and supervision; maintain all certifications and licenses Treat all clients with dignity and respect in alignment with MCCN’s Human Rights policy Perform all duties in accordance with agency standards and expectations Qualifications Education & Experience: Registered Nurse licensed in the Commonwealth of Massachusetts Minimum of 4 years of experience working with adults in a community-based mental health, substance use and/or physical health setting Demonstrated knowledge base and judgment necessary for independent clinical decision making. Skills and Knowledge: Excellent verbal and written communications skills. Strong interpersonal and customer relations skills required. Ability to use Electronic Health Records (EHR) Systems to document and coordinate services. Excellent organizational, time management and problem-solving skills. Strong computer knowledge, including proficiency in contemporary Windows operating systems and Windows office suites with an emphasis on Word and Excel; ability to learn new systems; experience entering and working with data; and comfort and experience using mobile technologies. Knowledge regarding psychiatric rehab and understanding of recovery model. Strongly prefer that a candidate will have a demonstrated understanding of and competence of Health Equity and in serving culturally diverse populations. Must be able to perform each essential duty satisfactorily. Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport members. Must have ability to read English and communicate effectively in the primary language of the program to which he/she is assigned. Why Join Us? At Massachusetts Care Coordination Network, you’ll make a meaningful impact on the lives of individuals served while working in a supportive and collaborative team environment. Apply Today! Take the next step in your career and join us as a Registered Nurse - Care Coordination