Nursing Jobs in East Longmeadow, MA

CNA Full-time
Touchpoints at Bloomfield

Certified Nursing Assistant (CNA) FREE HEALTH INSURANCE

$20 / HOUR
Certified Nursing Assistant (CNA) We are hiring Certified Nursing Assistants (CNAs) to provide direct care to residents in our skilled nursing facility. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. We offer a fast and simple application process that will allow you to begin working in a short period of time. We have phone interviews available for your convenience. Benefits FREE health insurance Generous paid time off package Shift differentials No cost union pension plan Paid lunch Verizon discount 401(k) retirement program Paid holidays, including Juneteenth No-cost Training and Education funding for career expansion Extensive on-site training and development Career growth opportunities Weekly pay with the option of direct deposit Employee referral program Uniform allowance Other benefits through the 1199 Healthcare Workers Union Full-time, part-time, and per diem positions available, all shifts Qualifications State of Connecticut CNA Certification Proficiency in English, required Previous CNA experience is preferred, but not required COVID-19 Primary series vaccination required. Booster shots are not required. Religious and Medical Exemptions are available Hourly Pay Rate: $20 with scheduled raises Weekend and Holiday Pick-Up Shift bonuses Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. IN123
CNA Full-time
Trinity Hill Care

Certified Nursing Assistant (CNA)

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

RN, Step Down Unit, 24hr, Days

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $34.39 - $61.91 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Third Holiday, Monday through Friday, Weekends - Every Third Weekend Scheduled Hours: 6:45AM-7:15PM Shift: 1 - Day Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 25080 - 0208 4N Step Down Unit This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts licensure and registration. 2. Completion of an accredited school of nursing program. 3. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a normal patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
CMA Full-time
Mass General Brigham

Medical Assistant, General Surgery

Site: Mass General Brigham Medical Group Western Massachusetts, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. The Mass General Brigham Medical Group is a system-led operating entity formed by Mass General Brigham to deliver high quality, low cost, innovative community-based ambulatory care. This work stems from Mass General Brigham’s unified system strategy to bring health care closer to patients while lowering total health care costs. The Medical Group provides a wide range of offerings, including primary care, specialty care, behavioral and mental health, and urgent care, both digitally as well as at physical locations in Massachusetts, New Hampshire, and Maine. The group also offers outpatient surgery and endoscopy, imaging, cardiac testing, and infusion. We share the commitment to delivering a coordinated and comprehensive experience across all locations, ensuring the appropriate level of care is available to every patient across our care delivery sites. Cooley Dickinson Medical Group (CDMG) General Surgical Care and Bariatrics & Weight Management Program office is a community-based practice located in our outpatient office at 15 Atwood Drive, Northampton, MA. Here, we have a team of compassionate, highly trained providers who are committed to improving health and lives through their advanced expertise. Our approach to every case centers on the unique needs of the individual patient. Beyond the strictly medical, we consider the many social, emotional, and practical factors involved with any surgical option. Once we’ve worked with the patient and their family to determine the most effective course of action, we provide reliable, steadfast support through every step that follows. In this practice, we offer surgical treatment and services in a comprehensive range of specialties, including surgical oncology, abdominal, bariatric, breast, colorectal, dermatological, and pediatric surgeries. We are seeking a full-time, 40-hour Medical Assistant to support our General Surgical Care onsite, Monday through Friday 8:00AM to 4:30PM Job Summary The role supports healthcare teams by assisting with both clinical and non-clinical patient services under the direction of healthcare providers. Key responsibilities include taking vital signs, documenting patient information, scheduling appointments, and managing patient flow. This role involves direct interaction with patients to ensure their comfort and address concerns, as well as collaboration with physicians, nurse practitioners, and nursing staff to facilitate efficient care. Does this position require Patient Care? Yes Essential Functions -Assists junior Medical Assistants with day-to-day questions and responsibilities and helps facilitate their learning by participating in onboarding training. -Show patients to examination rooms, prepare necessary equipment for healthcare providers, and interview patients to obtain medical information, measure their vital signs, weight, and height, and record information in the patient's medical record. -Explain treatment procedures, medications, diets, and physician instructions to patients, ordering and organizing educational materials to reinforce patient education. -Perform general office duties, such as answering phones, taking dictation, and completing insurance forms, while acting as a liaison with other departments and advocating for patients with a positive customer service approach. -Collect blood, tissue, or other laboratory specimens, log them, and prepare them for testing; perform phlebotomy if competence is demonstrated. -Maintains inventory of immunizations and check expiration dates. -Provides immunizations (as applicable) which requires certification or 3 years of experience administering a vaccine and supervision of a provider. -Responsible for improving appropriate departmental quality initiatives, such as two patient identifiers and hand hygiene. Qualifications Education High School Diploma or Equivalent required or Associate's Degree Medical Assisting preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Basic Life Support [BLS Certification] - Various Issuers preferred Certified Medical Assistant [National Certification] - Various Issuers preferred Experience Direct MA experience or medical field work 1-2 years required Additional Job Details (if applicable) Remote Type Onsite Work Location 15 Atwood Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.71 - $24.94/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1920 Mass General Brigham Medical Group Western Massachusetts, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
CMA Full-time
Village MD

Medical Assistant

About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical , Village Medical at Home , Summit Health , CityMD , and Starling Physicians . When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com. Job Description This Medical Assistant position requires floating to multiple locations. The Medical Assistant (MA) is responsible for assisting physicians, PA, or NP with clerical duties, patient flow, patient care, and procedures. Essential Job Functions: Prepares the examination room. Escorts patient into the room. Cleans examination room when the exam is complete. Maintains efficient patient flow. Ensures proper preparation for patient visits. Prepares pertinent information needed for patient visits. Communicates & provides care consistent with the age, cultural, spiritual, and developmental needs of the patient. Answers the telephone in an appropriate manner. Directs calls and/or takes accurate messages. Schedules appointments accurately and appropriately according to departmental guidelines. Consistently and accurately stocks examination rooms with all necessary supplies. Assists in ordering and maintaining all supplies as assigned. Reconciles encounters daily and accurately, according to policy guidelines. Effectively communicates problems, concerns, or issues to the Supervisor and/or Manager appropriately and promptly. Understands and performs within the scope of practice. Obtains vital signs: BP, temp, pulse, height & weight accurately and completely as required. Documents appropriately in EHR. Reviews and updates medication list and accurately documents knew allergies in the Electronic Health Record (EHR). Demonstrates an understanding of prescription control and prescription refill procedures. Accurately documents allergies in EHR. Employs appropriate and timely use of Tasking in EHR. Appropriately enters orders and schedules appointments in the Practice Management System (PMS) and EHR. Provides referrals and/or consult orders appropriately and in a timely manner in the PMS and EHR. Appropriately adheres to universal safety precautions when administering medications and disposal of medical waste. Maintains proficiency with department specific equipment, troubleshoot, and reports malfunctions promptly Facilitates transition of care to UCC/Hospital Demonstrates flexibility with various work schedules. All other duties as assigned Recognizes and performs duties which need to be performed although not directly assigned. Provide scribing services. General Job Functions: Other duties as assigned Physical Job Requirements: Physical mobility, which includes movement from place to place on the job, taking distance and speed into account. Physical agility, which includes the ability to maneuver the body while in place. Dexterity of hands and fingers. Endurance (e.g. continuous typing, prolonged standing/bending, walking). Environmental Risks: Allergens: dust, mold, and/or pollen Combative Patients / Visitors Education, Certification, Computer and Training Requirements: High School Diploma or GED required Graduated from an accredited Medical Assistant program, required Basic Life Support (BLS), preferred Ability to communicate in English, both orally and in writing, required Ability to organize and perform multiple tasks in a timely manner, required Basic proficiency in computer use, required Ability to commute to satellite offices as needed, required Travel: Travel to satellite locations as needed Float Pool Locations: Avon, Bloomfield, Bristol, Cromwell, Enfield, Farmington, Glastonbury, Granby, Hartford, Manchester, New Britain, Newington, Rocky Hill, Southington, Tolland, Vernon, Wethersfield About Our Commitment Total Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/ .
CMA Full-time
Village MD

Medical Assistant

About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical , Village Medical at Home , Summit Health , CityMD , and Starling Physicians . When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com. Job Description This Medical Assistant position requires floating to multiple locations. The Medical Assistant (MA) is responsible for assisting physicians, PA, or NP with clerical duties, patient flow, patient care, and procedures. Essential Job Functions: Prepares the examination room. Escorts patient into the room. Cleans examination room when the exam is complete. Maintains efficient patient flow. Ensures proper preparation for patient visits. Prepares pertinent information needed for patient visits. Communicates & provides care consistent with the age, cultural, spiritual, and developmental needs of the patient. Answers the telephone in an appropriate manner. Directs calls and/or takes accurate messages. Schedules appointments accurately and appropriately according to departmental guidelines. Consistently and accurately stocks examination rooms with all necessary supplies. Assists in ordering and maintaining all supplies as assigned. Reconciles encounters daily and accurately, according to policy guidelines. Effectively communicates problems, concerns, or issues to the Supervisor and/or Manager appropriately and promptly. Understands and performs within the scope of practice. Obtains vital signs: BP, temp, pulse, height & weight accurately and completely as required. Documents appropriately in EHR. Reviews and updates medication list and accurately documents knew allergies in the Electronic Health Record (EHR). Demonstrates an understanding of prescription control and prescription refill procedures. Accurately documents allergies in EHR. Employs appropriate and timely use of Tasking in EHR. Appropriately enters orders and schedules appointments in the Practice Management System (PMS) and EHR. Provides referrals and/or consult orders appropriately and in a timely manner in the PMS and EHR. Appropriately adheres to universal safety precautions when administering medications and disposal of medical waste. Maintains proficiency with department specific equipment, troubleshoot, and reports malfunctions promptly Facilitates transition of care to UCC/Hospital Demonstrates flexibility with various work schedules. All other duties as assigned Recognizes and performs duties which need to be performed although not directly assigned. Provide scribing services. General Job Functions: Other duties as assigned Physical Job Requirements: Physical mobility, which includes movement from place to place on the job, taking distance and speed into account. Physical agility, which includes the ability to maneuver the body while in place. Dexterity of hands and fingers. Endurance (e.g. continuous typing, prolonged standing/bending, walking). Environmental Risks: Allergens: dust, mold, and/or pollen Combative Patients / Visitors Education, Certification, Computer and Training Requirements: High School Diploma or GED required Graduated from an accredited Medical Assistant program, required Basic Life Support (BLS), preferred Ability to communicate in English, both orally and in writing, required Ability to organize and perform multiple tasks in a timely manner, required Basic proficiency in computer use, required Ability to commute to satellite offices as needed, required Travel: Travel to satellite locations as needed Float Pool Locations: Avon, Bloomfield, Bristol, Cromwell, Enfield, Farmington, Glastonbury, Granby, Hartford, Manchester, New Britain, Newington, Rocky Hill, Southington, Tolland, Vernon, Wethersfield About Our Commitment Total Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/ .
The Suffield House Rehabilitation and Healthcare Center

Assistant Director of Nursing

We welcome any candidate who is interested to come into the facility and fill out an application. TITLE: Assistant Director of Nursing (OSHA Classification 1) FLSA: Exempt POSITION SUMMARY: Directs the daily routine functioning of the nursing staff by assuring the overall supervision of all nursing personnel concerned with resident care and ensuring compliance with all federal, state and facility regulations, policies, and procedures. TITLE OF SUPERVISOR: Director of Nursing Services TITLE OF IMMEDIATE SUBORDINATES: Nursing Staff. POSITION REQUIREMENTS - Education / Experience • Registered Nurse licensed in the State of Connecticut. • Minimum of three years additional education or experience in rehabilitative or geriatric nursing and one year of nursing services administration. • CPR certified. • Understands responsibilities concerning infection control, safety, accident and fire prevention. • Ability to read, write and comprehend English; ability to follow oral and written instructions. Strong written, verbal, analytical and interpersonal skills. • Fluent knowledge of word processing (including Microsoft Office) and other office equipment. • Ability to work hours as scheduled based on the requirements of the position assignment. Working Conditions: Works in an appropriately lighted and ventilated environment. Physical Requirements: • Must be able to move intermittently throughout the day, proper body mechanics required. • Must be able to see and hear or use prosthetics/equipment that will enable these senses to function adequately to assure that the requirements of this position can be fully met. • Must be able to lift a minimum of 50 lbs. BEHAVIORAL COMPETENCIES 1. Accountability The demonstrated ability to take responsibility and ownership for the outcomes of actions and decisions with particular emphasis on the quality of services, prudent fiscal management, and high ethical practice. Leadership accountability is characterized by the ability to measure, assess, and improve departmental functions and processes. Includes attending all required and mandatory annual in-services. 2. Change and Flexibility The demonstrated ability to initiate, support and implement effective changes to enhance organizational performance with due regard for the organization’s Mission. This competency is characterized by the ability to continuously seek opportunities to create value-driven processes and systems. Assistant Director of Nursing 07/2023 Page 2 of 4 3. Coaching and Developing Others The demonstrated ability to enhance the skills and performance of others by systematically supplying clear goals, performance-specific feedback, effective coaching and developmental opportunities and experiences. The outcome of effective coaching is the staff's ability to communicate openly, manage conflict effectively, actively commit to self-development and build a culture of continuous improvement. 4. Communication The demonstrated ability to present ideas and information in a concise, effective, and interpersonally appropriate manner, through written and oral forms. Recognizes emergency situations and responds and / or communicates appropriately. Willingly discusses any problems, needs, or concerns which arise with management. 5. Leadership The demonstrated ability to proactively envision and implement organizational goals and to align resources to achieve those goals. Leadership is characterized by the ability to effectively communicate, use critical thinking skills to enhance positive performance by others while assuming the responsibility in supporting the Organization in promoting and supporting positive employee relations and effective communications among facility staff and the awareness for continuous self-development. 6. Partnership / Collaboration The demonstrated ability to develop and cultivate trusting, respectful and mutually beneficial relationships with staff, residents, and families. This competency is characterized by integrity, open communication, and a commitment to win-win strategies. 7. Customer Service The demonstrated ability to develop and cultivate mutually beneficial relationships with internal and external customers, including but not limited to coworkers, residents, families, and physicians. Effective customer service behavior is characterized by continually striving to exceed all customer expectations. Service is characterized by responsible and caring stewardship, which assures the dignity of all individuals and the organization’s effectiveness. 8. Vision / Big Picture Thinking The demonstrated ability to be knowledgeable and sensitive regarding services to the aging, organizations, and operational issues, as well as market and industry developments. This competency is characterized by the ability to integrate the Organization’s missions with organizational implication in considering any issue. TECHNICAL COMPETENCIES 1. Understands and upholds state and federal regulations governing admissions to a nursing facility. 2. Understands and upholds the Resident’s Bill of Rights and holds all resident information confidential. 3. Follows and follows all State and Federal regulations and established Personnel Policies and Procedures. 4. Utilizes excellent assessment, communication, and counseling skills, including independent decision making. 5. Follow oral and written instructions. 6. Maintains all pertinent records in a timely, efficient, and confidential manner. 7. Projects a professional image always. ESSENTIAL FUNCTIONS 1. Directs and supervises Unit Managers, RN Supervisors and Charge Nurses (RN/LPN) in effectively accomplishing their duties. 2. Acts as liaison between Director of Nursing Services and Unit Managers/RN Supervisors/Charge Nurses (RN/LPN). 3. Acts as a resource person in all areas of resident care. 4. Ensures that nursing services staffing needs and schedules are met. 5. Assists in the interpretation of facility nursing policies and ensures implementation of these policies. 6. Assists in recruitment and selection of nursing services employees. 7. Responsible for ordering and receiving medications for the emergency drug box and oversees narcotic control and destruction. Assistant Director of Nursing 07/2023 Page 3 of 4 8. Assumes all responsibilities of the Director of Nursing Services in his/her absence. 9. Oversees disciplinary actions in conjunction with RN Supervisors and Charge Nurses (RN/LPN). 10. Verifies that significant clinical developments are reported to the resident's physician and family. 11. Tracks rehospitalization rates and identifies areas for education. 12. Serves as the Wound Care Nurse and/or resource for wound care (facility specific). 13. Conducts case reviews on hospital readmissions. 14. Oversees the Quality Assurance Program for the Nursing Department. Assists in planning, organizing, developing, implementing, and interpreting the facility's goals, objectives, policies, and procedures. 15. Understands and upholds the Resident’s Bill of Rights and holds all resident information confidential. 16. Performs other related duties and attends meetings as may be deemed necessary by the Administrator
LPN Full-time
Fresh River Healthcare

Licensed Practical Nurse LPN

LPN starting rate is $30/hr. Av erage up to $76,004 projected total annual compensation is based on actual average earnings by current LPNs and includes overtime and other paid wages in East Windsor facilities. Licensed Practical Nurse (LPN) We are hiring Licensed Practical Nurses (LPNs) to provide direct care to residents in our skilled nursing facility. This is an excellent opportunity to join a growing organization that delivers exceptional care to residents and fosters a positive work environment. We offer a fast and simple application process that will allow you to begin working in a short period of time. Benefits Zero dollar deductible health insurance plan with generous employer contribution Generous paid time off package Shift Differentials No-cost union pension plan Paid holidays, including Juneteenth No-cost training and education funding for career expansion 401(k) Retirement Program Career growth opportunities Extensive on-site training and development Weekly pay with the option of direct deposit Employee referral program Uniform allowance Other benefits through the 1199 Healthcare Employees Union Full-time, part-time, and per diem positions available, all shifts Qualifications State of Connecticut nursing license, required Proficiency in English, required Previous LPN experience is preferred, but not required Why iCare? By joining our team you can enjoy a fulfilling career and develop specialized skills by providing care to underserved residents, including those with behavioral health and substance use issues. IND123
CNA Full-time
Southbridge Rehabilitation & Health Care Center

Certified Nursing Assistant (CNA)

We are hiring full-time, part-time, and per diem Certified Nursing Assistants (CNA) to join our dynamic care team at Southbridge Rehabilitation & Health Care Center! All shifts open. Weekly pay ranging from $21 to $28 an hour, depending on shift. Evenings, overnights, and weekends come with shift differentials. Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we also aspire to be the employer of choice. We strive to create a workplace where your skills and talents are nurtured to allow you to grow within the company. As a Certified Nursing Assistant (CNA) the primary purpose of your job position is to provide your assigned residents with routine daily nursing care in accordance with our established nursing care procedures, and as may be directed by the licensed staff nurse. Experience & Education: Must be a registered certified nurse’s aide in accordance with the laws of this state. CPR certification preferred, but not necessary. High school diploma or its equivalent preferred. General work experience in long-term care preferred, but not necessary. New graduates welcome! Duties & Responsibilities: Meet the nursing and rehabilitation needs of each resident. Participate in planning and following current resident care plan on all residents under his/her care. Complete resident assignments effectively and promptly. Observe changes in resident conditions and promptly report them. Document accurately and completely. Meet personal grooming needs for each resident. Promptly answer call lights and assure that all are placed within reach of the resident. Assure the resident care areas are left clean and in an orderly manner. Methods of identification of residents are maintained. Maintain that all residents are appropriately identified (i.e., I.D. bracelets, etc.). Demonstrate correct safety techniques in accord with orientation and training processes of Athena and your specific job description. Other duties assigned by manager. Specific Requirements: Must have knowledge of restorative nursing and rehabilitation policies and utilize appropriately. Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such actions. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must possess the ability and willingness to work harmoniously with professional and non-professional personnel. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to communicate effectively with appropriate personnel regarding emergency situations. About Athena Health Care Systems: Since its establishment in 1984, Athena Health Care Systems has pioneered the delivery of exceptional healthcare services. Operating nursing homes and hospice agencies across Connecticut, Massachusetts, and Rhode Island, Athena stands out as a healthcare leader in Southern New England. Athena’s Benefits: Competitive and Weekly Pay Holiday Pay for Hourly and Salaried Employees Overtime Pay for Hourly Employees Career Advancement Opportunities Exclusive Employer Discount Program Available for Eligible Team Members: Employer Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law.
Caregiver Part-time
Right at Home Tolland

Companion Caregiver

COME WORK WITH US!! Pay and Benefits: We believe that our caregivers are the heart of our business. Without you, we couldn’t build meaningful relationships with our clients, put a smile on their face or be the highlight of their day. It is hard to put a price on helping others but we know how important you are and value the impact you would make day in and day out for our clients. In taking this position, you would receive Competitive pay Pay may vary by level of training and type of shift Weekly pay Mobile clock in/out Ongoing training and development Your local office may offer you a variety of initial and ongoing career training opportunities to help you grow your skills. This could include but not limited to: A ""library"" of senior care reference materials and resources in the office and online On-the-job training for unique client situations Make a difference, develop meaningful relationships and meet new people Give back to those who need you most (our clients need you now more than ever before!) Paid travel time in between clients Access to leadership Recognition, celebrations and great team interactions! In this role, we stand prepared to equip you with the right personal protective equipment (PPE) and are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. What You’ll Do and Who You Are: The good news is that your training will teach you everything you need to know to succeed on the job. But there are a few character traits you should have from the get-go. We have a great work culture at Right at Home and look for people with a similar mindset: You’re the honest, likable, energetic and approachable type, and are able to get along and verbally communicate easily with people at all levels. You listen well, have great decision making skills and are passionate about your customer focus. You’re never short of a smile and take real pride in your work by being resourceful, accountable, and adaptable and you cope well under pressure, take initiative and thrive on a challenge. Integrity is one of your core values as you do not ethically cut corners. You make a great first impression as you are professional and kind in your demeanor and approach. You don’t mind getting a little dirty … this could include (but is not limited to) assisting the client with homemaking activities, such as vacuuming, dusting, sweeping or mopping floors, doing dishes, changing bed linens, laundry, and cleaning bathrooms in ways that provide satisfaction and extraordinary results. You establish “partner” relationships with the client by providing companionship during activities such as accompanying client on walks, trips to social/recreational activities, assistance with hobbies, etc. You don’t have to be a gourmet chef but you can prepare a good meal, work your way around a kitchen and run to the grocery store, if needed. Must Haves: Homemaker Companion must have a sympathetic attitude toward the care of the sick, and the ability to deal effectively with the demands of the job. Read, write, speak, and understand English with or without reasonable accommodations as needed for the job Must have a current and valid driver’s license and be able to safely operate a vehicle in compliance with all applicable laws and regulations with or without reasonable accommodations. If you need assistance with this application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting us. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, LLC. Right at Home, LLC is not the employer or joint employer of the employees of any of its franchised offices. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net.
LPN Full-time
Touchpoints at Bloomfield

Licensed Practical Nurse (LPN)

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

Licensed Practical Nurse (LPN)

We are hiring full-time and part-time Licensed Practical Nurses (LPN) to join our dynamic care team at Southbridge Rehabilitation & Health Care Center! Weekly pay ranges from $40 to $45 an hour, depending on the shift. Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we also aspire to be the employer of choice. We strive to create a workplace where your skills and talents are nurtured to allow you to grow within the company. As a Licensed Practical Nurse, your job position is to provide direct nursing care under the supervision of the RN to residents and to supervise the day-to-day nursing activities performed by the nursing assistant to ensure that the highest degree of quality care is maintained at all times. Experience & Education: Must be a graduate of an approved LPN/LVN program. Must be CPR certified. Must possess a current, unencumbered license to practice as an LPN/LVN in this state. New graduates welcome! Duties & Responsibilities: Meet the nursing and rehabilitation needs of each resident. Maintain current resident care plans on all residents under his/her care. Follow physician’s orders. Renders and/or assist with complete nursing care, treatments, dressings, and other physician orders. Transcribe physician’s orders promptly and accurately. Review patient records daily to assure accuracy and completeness. Document comprehensive and complete nursing notes. Visit each resident daily to evaluate resident needs. Maintain accurate awareness of residents on alert list. Document and report any unusual or significant findings; contact the physician when necessary. Administer medication according to procedure. Maintain an accurate and safe control of all drugs for which he/she is responsible. Initiate any and all emergency procedures as necessary. Demonstrate correct safety techniques. Respects and takes care of facility equipment and not wasteful of supplies. Contributes to effective communication and pleasant working conditions. Contribute to and promote positive resident and family relations. Complies with facility Privacy Practices Policies & Procedures, protecting residents’ individual health information. Continue growth and expand job knowledge. Demonstrate leadership skills. Other duties assigned by manager. Specific Requirements: Must be able to read, write, speak, and understand the English language. Must possess the ability to make independent decisions when circumstances warrant such actions. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures, etc., that are necessary for providing quality care. Must possess accurate and comprehensive assessment skills. Must be familiar with drug actions and interactions. Must have knowledge of restorative nursing rehabilitation policies and utilizes appropriately. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to communicate effectively to appropriate personnel regarding emergency situations. About Athena Health Care Systems: Since its establishment in 1984, Athena Health Care Systems has pioneered the delivery of exceptional healthcare services. Operating nursing homes and hospice agencies across Connecticut, Massachusetts, and Rhode Island, Athena stands out as a healthcare leader in Southern New England. Athena’s Benefits: Competitive and Weekly Pay Holiday Pay for Hourly and Salaried Employees Overtime Pay for Hourly Employees Career Advancement Opportunities Exclusive Employer Discount Program Available for Eligible Team Members: Employer-Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law.
RN ER Part-time
UMass Memorial Health

Registered Nurse, Emergency Roor, Per Diem

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $34.39 - $61.91 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Sunday through Saturday Scheduled Hours: varies Shift: 4 - Mixed Shift, 12 Hours (United States of America) Hours: 0 Cost Center: 25080 - 2340 Emergency Room This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. I. Major Responsibilities: 1. Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. 2. Performs patient assessment/reassessment according to standard procedure. 3. Develops and coordinates individual plan of care including discharge planning. 4. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. 5. Delegates appropriately to others in accordance with job description and competency level. 6. Documents patient care according to standard procedure. 7. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. 8. Ensures quality and continuity of care through collaboration with other health care providers. 9. Administers medications, performs treatments, therapies and operates equipment according to policy and procedure. Assists physician with treatment and procedures and special tests as required or directed. 10. Participates in and supports Nursing Governance activities. 11. Assumes responsibility for professional growth. Assists in education and development of staff. 12. Participates in performance improvement initiatives and demonstrate the use of quality improvement in daily operations. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Current Massachusetts licensure and registration. 2. Completion of an accredited school of nursing program. 3. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Experience/Skills: Required: 1. Thorough knowledge of the discipline of Nursing. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered medium. Position requires work indoors in a normal patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.
CNA Hospice Full-time
Ascend Hospice & Palliative Care MA

Certified Nursing Assistant (CNA)

Great new Career Opportunity in Hospice! Now Hiring - Certified Nursing Assistant (CNA) This Certified Nursing Assistant will be responsible for, but not limited to: Provides or assists in ADL activities; personal hygiene, grooming, mouth, skin care and nails. Provides assistance in toileting; positioning and transfer activities, frequent turning and positioning of a bed bound resident/patient. Assists with the prescribed exercise and ROM activities which the resident/patient and Hospice aide have been taught by the Hospice Nurse. Assists with light housekeeping of individual's personal unit or room, including changing of bed linen, if needed and patient laundry. Feeds and assists with meals. Obtains temperature, pulse and respirations as supervised by the Hospice Nurse. Reports any changes in resident's/patient's condition to the Hospice Nurse and, if in a facility, to the facility nurse and documents the information on the Home Health Aide Certification of House form, including the date and time of the report and the person receiving the information. Assists or reminds the patient to take medication, in compliance with regulations of appropriate regulatory and accrediting bodies. Ascend Hospice & Palliative Care MA - is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees. We are proud to Offer: Competitive Salaries Comprehensive Healthcare Benefits 401(k) Retirement Plan Paid Time Off Mileage Reimbursement Opportunities to advance and grow your career And More! If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. Ascend Hospice & Palliative Care MA is an Equal Opportunity Employer EEO/AA/M/F/DV "," Education: High School Diploma or equivalent Professional Experience: Must have a State Certified CNA license Experience in hospice or home health, preferred No experience necessary but 1 year, preferred Must be willing to travel Must have a valid driver's license and reliable transportation #APPLOIAIDE
CNA Full-time
Autumn Lake Healthcare at Windsor

Certified Nursing Assistant (CNA)

Join our wonderful team as a Certified Nursing Assistant (CNA) today! Autumn Lake Healthcare is an exceptional team-oriented company hiring for Certified Nursing Assistant (CNA) ! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Certified Nursing Assistant (CNA): Shift Differentials! Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Same Day Pay! Qualifications & Experience Requirements for Certified Nursing Assistant (CNA): Previous Experience as a Certified Nursing Assistant (CNA) preferred Certified Nursing Assistant (CNA) LP
The Suffield House Rehabilitation and Healthcare Center

RN Supervisor Unit Manager

Suffield House Rehabilitation and Healthcare, a 128 bed Skilled Nursing Facility in Suffield, CT is seeking an RN SUPERVISOR for a UNIT MANAGER position. Position is Monday- Friday day shift .We are in need of an RN with strong leadership skills who is dedicated and compassionate. Come join our excellent team!! Competitive Rates. Amazing work environment. Great Benefits. NOW HIRING: RN Supervisor QUALIFICATIONS: CT RN License Suffield House is an equal opportunity employer.
RN MDS Full-time
Healthcare Nursing Center

MDS Coordinator

Come Join our Amazing Team!! We are a dedicated skilled nursing facility committed to providing exceptional care for our residents. We are seeking a detail-oriented and experienced MDS Coordinator to join our interdisciplinary team. Requirements: Licensed Massachusetts RN or LPN Minimum 1 year of experience as an MDS Coordinator (MDS experience required) Strong communication, organizational, and assessment skills Knowledge of Medicare coverage, PPS, and OBRA regulations Responsibilities: Oversee and facilitate resident assessments in accordance with Federal and State regulations Establish and manage assessment schedules to ensure accurate and timely completion Transmit assessments to the State of Massachusetts, Department of Health Coordinate resident care plans in compliance with regulatory requirements Initiate Medicare coverage for newly qualified residents and issue denial letters when necessary Stay updated on Medicare changes and determine required documentation for reimbursement Coordinate, plan, implement, and evaluate resident care following the MDS process Facilitate care conferences with the interdisciplinary team Complete and review Minimum Data Sets (MDS) Educate and train nursing staff and other departments on MDS processes and documentation Ensure all current MDS/PPS updates are implemented and staff are in-serviced Cross-train between PPS and OBRA processes Conduct regular resident interviews as required by MDS Why Join Us: Supportive, collaborative work environment Opportunity to make a meaningful impact on resident care Competitive compensation and professional development opportunities
RN Infusion Per Diem
CureCare

Home Infusion RN

Are you looking for something new? Have you been spending long hours on your feet, rushing from patient to patient with no time to provide quality care? It's time for a change. Join CureCare, a trusted home infusion nursing provider that has been serving patients across the Northeast for over a decade. At CureCare, we value your expertise and offer a supportive work environment that allows you to make a meaningful difference in patients' lives. CureCare is searching for hardworking RNs to join our team of dedicated Home Infusion nurses. As a Home Infusion RN, you will have the opportunity to provide infusion therapy and nursing services to patients in the comfort of their own homes, ensuring the highest quality of care and patient satisfaction. With CureCare, you'll have a great deal of flexibility in your per diem role. Our nurses are expected to have at least 20 hours of availability per month to see patients. This position will require you to build your book of business; no hours are guaranteed.* Step away from the hectic pace of traditional nursing and experience the rewarding work of providing personalized care in a home setting. Join us at CureCare to experience a fulfilling work environment and make a difference in patients’ lives. Don't miss this opportunity to enhance your nursing career with a company that values your expertise and focuses on patient-centered care. Hourly Pay Range: Pay is based on experience. Responsibilities: CureCare’s nursing team provides best-in-class clinical care. As a member of the nursing team, you will: • Build rapport with patients, provide infusion therapy, education, and monitoring. • Establish and maintain vascular access devices as prescribed. • Administer medications, assess for side effects. • Maintain knowledge of infusion therapies. • Assess patient appropriateness for home infusion. • Document patient history and clinical information. • Provide skilled care as ordered. • Communicate patient response to care promptly. Why CureCare: Join CureCare as an infusion nurse and enjoy the perks: • Flexible work schedules • Reimbursement for travel expenses based on the IRS standard mileage rate • Digital nurse documentation • Incentivized nurse referral program • Convenient access to infusion materials, delivered directly to patients' homes • Supported by both CureCare's Clinical and Corporate Teams Qualifications: • Active and unrestricted RN licensure in state(s) of practice • Valid Driver’s License and ability to commute to patient’s house • Minimum 2+ years of general Infusion Experience in clinical care setting (e.g. medical surgical unit, emergency department, intensive care unit) • Ability to work independently in home • Able to complete nursing documentation using electronic medical record documentation • Recent and strong peripheral IV insertion skills. • Current CPR Certification • Covid vaccination preferred, but not mandatory • Home Infusion experience preferred
Autumn Lake Healthcare at Windsor

3-11 Registered Nurse (RN) Supervisor

Join our wonderful team as an Evening Shift Registered Nurse ( RN) Nurse Supervisor today! Autumn Lake Healthcare is an exceptional team-oriented company hiring for Evening Shift Registered Nurse (RN) Nurse Supervisor! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Evening Shift Registered Nurse (RN) Nurse Supervisor: Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Now Offering Same Day Pay! Qualifications & Experience Requirements for Evening Shift Registered Nurse (RN) Nurse Supervisor: Previous Experience as an Evening Shift Registered Nurse (RN) Nurse Supervisor preferred Registered Nurse (RN) License M-F with On Call HP
LPN Wound Care Full-time
aSure Wound Solutions

Clinical Specialist for Wound Care Supplies RN LPN

Asure Wound Solutions is seeking a highly skilled and dedicated Clinical Specialist, Wound Care Supplies to join our team. This is a remote position based in the central Massachusetts area (you must live in the area) and requires experience working in nursing homes or long-term care facilities as well as a strong background in wound care. The ideal candidate must be comfortable driving distances up to 2 hours away. Starting salary for this position is $75,000/yr Benefits include: travel reimbursement, paid Holidays, PTO, Health benefits Shift: Monday - Friday Wound Care Responsibilities: Provide clinical expertise and support to nursing homes and long-term care facilities in the management of wounds and wound-related conditions Develop and implement wound care plans for residents in collaboration with the interdisciplinary team Educate and train nursing home staff on proper wound care techniques, products and equipment usage Collaborate with healthcare professionals to ensure proper wound care is provided in a timely manner Monitor and document the progress of wounds and adjust wound care plans as needed Maintain current knowledge of best practices in wound care and stay abreast of new developments in the field Wound Care Requirements : Active nursing license At least 3 years of nursing experience in nursing homes or long-term care facilities Wound care certification preferred Strong understanding of wound care principles and practices Excellent communication and interpersonal skills Ability to work independently and as part of a team Strong computer skills and proficient in Microsoft Office Must be comfortable driving distances up to 2 hours away Asure Wound Solutions offers a competitive salary and benefits package for our Clinical Specialists, Wound Care Supplies. If you are a highly motivated individual with a passion for wound care, we encourage you to apply for this exciting opportunity.
NP Urgent Care Full-time
GoHealth Urgent Care

Urgent Care Nurse Practitioner or Physician Assistant $15,000 sign on bonus (Open)

It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. Hartford HealthCare, one of the nation's leading health care providers, and GoHealth Urgent Care, an on-demand consumer-centric care company, are operating urgent care centers across the Connecticut area. At Hartford HealthCare- GoHealth Urgent Care, we place the needs of our patients first - by providing an effortless patient experience, a welcoming culture of care and seamless integration with market-leading health systems and our communities. We would love for you to become a member of our team! We are seeking experienced Physician Assistants or Nurse Practitioners who have urgent care, emergency room experience, or high acute family medicine experience treating both adult and pediatric patients, to join our welcoming and diverse community of providers in the surrounding region . Sign on bonus up to $15,000 for external candidates Market-leading compensation and benefits include: Medical, Dental, Vision, 401k matching Paid CME time off plus CME budget, reimbursed professional licenses and dues Enhanced Tuition Assistance Employee assistance and wellness programs including a strong focus on promoting mental health Generous Paid time off Discounts on services, products and optional coverages – movie tickets, pet insurance, travel and more Bonus: Monthly ( based on volumes ) & Quarterly ( based on patient satisfaction and quality metrics ) Shift Differentials apply in addition for evening and weekends Job Summary Urgent care Advanced Practitioners (Physician Assistant/Nurse Practitioner) provide a wide variety of clinical services including treatment of acute episodic conditions such as sore throats, colds, flu-like symptoms, cuts, sprains and minor infections. Functioning in lieu of or alongside of a physician, it is essential for an urgent care Advanced Practitioner to have excellent assessment skills in order to recognize more serious conditions and direct the patient to the emergency room for advanced care when necessary. Job Requirements Education Bachelor's Degree required for Physician Assistants Master's Degree required for Nurse Practitioners Work Experience One (1) year of full-time experience in Emergency Medicine or One (1) year of Urgent Care setting experience required . Will consider 2 years of Family Medicine experience. Required Licenses/Certifications National Certification Active state medical licensure Additional Knowledge, Skills and Abilities Work experience in an Urgent Care or Emergency Room setting preferred Applicable office procedures including but not limited to suturing, splinting, casting etc. Preliminary reads on EKGs and X-rays required . Experience treating patients ages 6 months and up in an acute care setting required . Additional Knowledge, Skills, and Abilities Preferred Knowledge and experience with Electronic Medical Records Ability to be attentive with strong listening skills Strong communication and customer service skills Essential Functions Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives . Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job. Examining and treating patients Taking patients’ medical histories Ordering and interpreting diagnostic tests and X-rays Making diagnoses and prescribing medications Treating minor injuries that may require sutures, splints, or casting Recording progress notes for follow-up patients Educating and counseling patients Ordering and/or carrying out therapy with patients Giving vaccinations, and referring patients to additional care Each provider will work an anticipated eight (8) or twelve (12) hours per shift which will be assigned by an authorized representative of GoHealth Urgent Care All other duties as assigned Connect with us: Have questions or need more information? Apply below or reach out to our Provider Recruiter, Damaris.ruiz@gohealthuc.com to start a conversation about your future with Hartford Healthcare- GoHealth Urgent Care . Note : this job description is not inclusive of all the duties of the position . You may be asked by leaders to perform other duties . Management reserves the right to revise this position description at any time . Set up email alerts as new job postings become available that meet your interest! If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
CMA Full-time
Baystate Health

Medical Assistant

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $17.63 - $22.54 - $29.24 NOW HIRING NON-REGISTERED or NON-CERTIFIED MEDICAL ASSISTANTS!!! Sign On Bonus Eligible for Certified/Registered Medical Assistants!! Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Practices, the largest multispecialty group in the region is looking for a full-time Medical Assistant to join our experienced Cancer Center team in Spring field , MA. RESPONSIBILITIES: Baystate Health, Medical Assistants perform an important role providing care to our patients. They take vital signs, perform patient intake and history, clinical orders, procedures, documentation and patient discharge. Our supportive work environment allows you to provide optimal patient care. SCHEDULE: Full-time, 40 hours a week, Monday through Friday 8:30am-5:00pm NO weekends, NO holidays LOCATION : 3350 Main St. Springfield, MA THE ADVANTAGES OF WORKING WITH BAYSTATE! Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Excellent Compensation High-quality, low-cost medical, dental and vision insurance Generous PTO – up to 25 days in the first year, with scheduled earned increases Continuing education support and reimbursement First Time Home Buyers Financial Packages Farm Share Memberships 403b retirement company match & annual company contribution increase based on years of service Free money coach advice from a certified professional Wellbeing programs that include but are not limited to mental, physical, and financial health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more! Wellbeing programs that include but are not limited to mental, physical, and financial health QUALIFICATIONS: High School diploma or GED CPR-Basic Life Support of Healthcare Provider required from the American Heart Association LEVEL QUALIFICATIONS/REQUIREMENTS: MAI & MAII- requires graduate of accredited MA program Or minimum of 3 years current relevant medical assistant experience in a medical practice setting. (evaluated by hiring manager for level hiring for) MAIII - requires graduate of accredited MA program with minimum of 3 years’ current medical assistant experience in a medical practice setting OR demonstrated competencies of MA III (evaluated by hiring manager) with minimum 5 years’ current relevant medical assistant experience in a medical practice setting MAIV - Only through promotional career ladder internally. Minimum of two years as an MAIII at a Baystate Health with demonstrated competencies for promotion to MA IV. Graduate of an accredited MA program and registered/certified by a third-party credential body. We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! OUR COMPENSATION PHILOSOPHY We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Education: GED or HiSET (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Certified Medical Assistant - OtherOtherOther Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
CMA Full-time
Baystate Health

Medical Assistant

$17.63 - $29.24 / HOUR
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $17.63 - $22.54 - $29.24 NOW HIRING NON-REGISTERED or NON-CERTIFIED MEDICAL ASSISTANTS!!! Sign On Bonus Eligible for Certified/Registered Medical Assistants!! Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Practices, the largest multispecialty group in the region is looking for a full-time Medical Assistant to join our experienced General Surgery team in Springfield, MA. RESPONSIBILITIES: Baystate Health, Medical Assistants perform an important role providing care to our patients. They take vital signs, perform patient intake and history, clinical orders, procedures, documentation and patient discharge. Our supportive work environment allows you to provide optimal patient care. SCHEDULE: Full-time, 40 hours a week, Monday through Friday 8-4:30p NO weekends, NO holidays LOCATION : 2 Medical Center Drive Springfield, MA THE ADVANTAGES OF WORKING WITH BAYSTATE! Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Excellent Compensation High-quality, low-cost medical, dental and vision insurance Generous PTO – up to 25 days in the first year, with scheduled earned increases Continuing education support and reimbursement First Time Home Buyers Financial Packages Farm Share Memberships 403b retirement company match & annual company contribution increase based on years of service Free money coach advice from a certified professional Wellbeing programs that include but are not limited to mental, physical, and financial health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more! Wellbeing programs that include but are not limited to mental, physical, and financial health QUALIFICATIONS: High School diploma or GED CPR-Basic Life Support of Healthcare Provider required from the American Heart Association LEVEL QUALIFICATIONS/REQUIREMENTS: MAI & MAII- requires graduate of accredited MA program Or minimum of 3 years current relevant medical assistant experience in a medical practice setting. (evaluated by hiring manager for level hiring for) MAIII - requires graduate of accredited MA program with minimum of 3 years’ current medical assistant experience in a medical practice setting OR demonstrated competencies of MA III (evaluated by hiring manager) with minimum 5 years’ current relevant medical assistant experience in a medical practice setting MAIV - Only through promotional career ladder internally. Minimum of two years as an MAIII at a Baystate Health with demonstrated competencies for promotion to MA IV. Graduate of an accredited MA program and registered/certified by a third-party credential body. We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! OUR COMPENSATION PHILOSOPHY We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Education: GED or HiSET (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Certified Medical Assistant - OtherOtherOther Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
CMA Full-time
Baystate Health

Medical Assistant

$17.63 - $29.24 / HOUR
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $17.63 - $22.54 - $29.24 NOW HIRING NON-REGISTERED or NON-CERTIFIED MEDICAL ASSISTANTS!!! Sign On Bonus Eligible for Certified/Registered Medical Assistants!! Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Practices, the largest multispecialty group in the region is looking for a full-time Medical Assistant to join our experienced High Street Adult Health Center team in Springfield, MA. RESPONSIBILITIES: Baystate Health, Medical Assistants perform an important role providing care to our patients. They take vital signs, perform patient intake and history, clinical orders, procedures, documentation and patient discharge. Our supportive work environment allows you to provide optimal patient care. SCHEDULE: Full-time, 40 hours a week, Monday through Friday 9-5:30pm One evening (M or Th) 5-8pm and one Sat per month 8a-12p LOCATION : 140 High Street. Springfield, MA THE ADVANTAGES OF WORKING WITH BAYSTATE! Sign on bonus (Sign on Bonuses are paid to external hires only; not applicable for internal or company transfers, unless otherwise specified. Former employees are eligible after 1 year post separation from Baystate Health) Excellent Compensation High-quality, low-cost medical, dental and vision insurance Generous PTO – up to 25 days in the first year, with scheduled earned increases Continuing education support and reimbursement First Time Home Buyers Financial Packages Farm Share Memberships 403b retirement company match & annual company contribution increase based on years of service Free money coach advice from a certified professional Wellbeing programs that include but are not limited to mental, physical, and financial health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety of wellbeing activities, included but limited to gym membership and equipment, personal trainer, massage and so much more! Wellbeing programs that include but are not limited to mental, physical, and financial health QUALIFICATIONS: High School diploma or GED CPR-Basic Life Support of Healthcare Provider required from the American Heart Association LEVEL QUALIFICATIONS/REQUIREMENTS: MAI & MAII- requires graduate of accredited MA program Or minimum of 3 years current relevant medical assistant experience in a medical practice setting. (evaluated by hiring manager for level hiring for) MAIII - requires graduate of accredited MA program with minimum of 3 years’ current medical assistant experience in a medical practice setting OR demonstrated competencies of MA III (evaluated by hiring manager) with minimum 5 years’ current relevant medical assistant experience in a medical practice setting MAIV - Only through promotional career ladder internally. Minimum of two years as an MAIII at a Baystate Health with demonstrated competencies for promotion to MA IV. Graduate of an accredited MA program and registered/certified by a third-party credential body. We strive to be the place where we can help you build the career you deserve – apply today – YOU belong at Baystate! OUR COMPENSATION PHILOSOPHY We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above considers the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Education: GED or HiSET (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Certified Medical Assistant - OtherOtherOther, Credentialing must be awarded by a third-party credentialing body which can be obtained through: 1. Registered through Medical Assistant (ARMA) - (Minimum Requirement); 2. Registered through American Medical Technologist (AMT) association; or 3. Certified Clinical Medical Assistant (CCMA) through the National Healthcare Association (NHA); or American Association of Medical Assistants (AAMA); or 4. Nationally Certified Medical Assistant (NCMA) through National Center for Competency Testing (NCCT). - Credentialing must be awarded by a third-party credentialing body which can be obtained through: 1. Registered through Medical Assistant (ARMA) - (Minimum Requirement); 2. Registered through American Medical Technologist (AMT) association; or 3. Certified Clinical Medical Assistant (CCMA) through the National Healthcare Association (NHA); or American Association of Medical Assistants (AAMA); or 4. Nationally Certified Medical Assistant (NCMA) through National Center for Competency Testing (NCCT). Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
RN Full-time
Trinity Health at Home

RN Case Manager Palliative Care

Employment Type: Full time Shift: Description: RN Case Manager Palliative Care Location: Enfield Region Status: Full Time Bonus: Sign On Bonus Trinity Health Of New England At Home serves patients and their loved ones by providing a variety of in-home services including but not limited to nursing, social work and physical/occupational/speech therapies. We are committed to providing compassionate, exceptional care where people are most comfortable: at home! A faith based, Mission-driven, non-profit organization, we are affiliated with Johnson Memorial Hospital of the Trinity Health Of New England health system and are part of Trinity Health At Home, a National Health Ministry of Trinity Health, one of the largest Catholic healthcare systems in the United States. Position Purpose: The Palliative Care RN is responsible for patients and families in the palliative care program. Provides Palliative care clinical consultation. Position Details: Schedule: Monday - Friday, 8 am - 5 pm, one weekend every 4 weeks and two rotating holidays per year. NO ON CALL REQUIREMENTS! Coverage Region: Enfield Bonus: $10,000 sign-on bonus paid out over two years. This position is 100% home care providing services in in patients private homes. What you will do: Collaborates with manager in the development of performance measurements for the Palliative Care Program to ensure continuous quality improvement; ensures implementation Motivates/supports employees for exemplary performance on internal and external customer service, productivity, and accuracy Provides statistical/budgetary data to appropriate Palliative care program. Works collaboratively with all departments to ensure execution of quality delivery of services Ensures that stakeholders are satisfied with services provided; improvement plan developed when necessary. Develops tracking outcomes of enrolled patients and ensures information is available for review A commitment to quality palliative care provision and transition to hospice when appropriate Exercises sound clinical judgment in oversight of Palliative Care Program Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Minimum Qualifications: Graduate of an approved nursing education program. Current Registered Nurse licensure in the state of practice. CPR certification Hospice/Palliative Care certification preferred. Home care experience, strong clinical knowledge base, Hospice experience Computer skills, strong interpersonal and organizational skills. Palliative Care experience, demonstrate ability to use problem solving, critical thinking and priority setting skills. Must be able to work independently and on a team, Ability to perform diversified duties with time limitations, Ability to develop, coordinate and evaluate programs in Palliative care and end-of-life care. Valid driver’s license and reliable transportation required Position Highlights and Benefits: Comprehensive benefit packages available including 1st Day medical coverage, dental, vision, short- and long-term disability insurance. Paid Time Off (PTO) package plus 7 additional paid holidays 403B Retirement plan with generous matching contributions Tuition reimbursement of up to $5250 a year and mileage reimbursement. Ability to earn incentives through our Employee Referral program. Comprehensive Orientation and professional development opportunities Ministry/Facility Information Trinity Health Of New England At Home provides Mission-driven, people-centered care in communities we serve. We are recognized for our alternative services programs to support patients with complex disease management needs. With new strategy, vision and technology, we are growing and shaping the future of healthcare! Apply Now! Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.