Nursing Jobs in Monongahela, PA

Home Health Aide Home Health Full-time
Senior LIFE

(HHA) Home Health Aide Full-Time & Part-Time - Uniontown

apartment Senior LIFE location_onUniontown, PA
Overview We are hiring! Weekend Home Health Aides Industry Leading INCREASED Rates and Perks : $17.60 - 20.60 Per Hour $0.80 per mile with paid travel time Weekly Pay Flexible schedulingPaid Time Off Paid Uniforms Enjoy a pay increase after 6 months and another increase after 1 year! CNAs receive an additional $0.25 per hour *Must have reliable transportation, valid driver's license and car insurance* ** The rates that are advertised do include the hourly shift differentials that are available. The base rate for this position is not the rate that is shown above. ** Apply now! For more information call David at 814-248-7827 or email DQualls@PACE-CS.com Call or walk-in at:89 W Fayette Street Uniontown, PA 15401 EOE Qualifications CNA , PCA , HHA , Home Health Aide , MA , Memver Assistant , Certified Nursing Assistant , Personal Care Aide
Home Health Aide Home Health Full-time
Senior LIFE

(HHA) Home Health Aide Full-Time & Part-Time

apartment Senior LIFE location_onUniontown, PA
Overview We are hiring! Weekend Home Health Aides Industry Leading INCREASED Rates and Perks : $17.60 - 20.60 Per Hour $0.80 per mile with paid travel time Weekly Pay Flexible schedulingPaid Time Off Paid Uniforms Enjoy a pay increase after 6 months and another increase after 1 year! CNAs receive an additional $0.25 per hour *Must have reliable transportation, valid driver's license and car insurance* ** The rates that are advertised do include the hourly shift differentials that are available. The base rate for this position is not the rate that is shown above. ** Apply now! For more information call David at 814-248-7827 or email DQualls@PACE-CS.com Call or walk-in at:89 W Fayette Street Uniontown, PA 15401 EOE Qualifications CNA , PCA , HHA , Home Health Aide , MA , Memver Assistant , Certified Nursing Assistant , Personal Care Aide
Home Health Aide Home Health Full-time
Senior LIFE

(HHA) Home Health Aide Full-Time & Part-Time - Washington

apartment Senior LIFE location_onWashington, PA
Overview We are hiring! Home Health Aides Industry Leading INCREASED Rates and Perks: $17.60 - $20.60 Per Hour $0.80 per mile with paid travel time Weekly PayFlexible scheduling Paid Time Off Paid Uniforms Enjoy a pay increase after 6 months and another increase after 1 year! CNAs receive an additional $0.25 per hour *Must have reliable transportation, valid driver's license and car insurance* ** The rates that are advertised do include the hourly shift differentials that are available. The base rate for this position is not the rate that is shown above. *** Apply now! For more information call David at 814-248-7827 or email DQualls@PACE-CS.com Call or walk-in at:2114 N. Franklin Drive, Washington, PA 15301 EOE Qualifications Vaccination from covid-19 is a condition for hiring.
Home Health Aide Home Health Per Diem
Senior LIFE

(HHA) Home Health Aide Weekday Evenings On-Call - Washington

apartment Senior LIFE location_onWashington, PA
Overview We are hiring! Home Health Aides Industry Leading INCREASED Rates and Perks: $25 Per Hour $25 stipend if not called out to home visit during scheduled shift $0.80 per mile with paid travel time Weekly Pay Paid Time Off Paid Uniforms Enjoy a pay increase after 6 months and another increase after 1 year! CNAs receive an additional $0.25 per hour *Must have reliable transportation, valid driver's license and car insurance* ** The rates that are advertised do include the hourly shift differentials that are available. The base rate for this position is not the rate that is shown above. *** Apply now! For more information call David at 814-248-7827 or email DQualls@PACE-CS.com Call or walk-in at:2114 N. Franklin Drive, Washington, PA 15301 EOE Qualifications Vaccination from covid-19 is a condition for hiring.
Home Health Aide Home Health Per Diem
Senior LIFE

(HHA) Home Health Aide Weekends On-Call

apartment Senior LIFE location_onUniontown, PA
Overview We are hiring! Weekend Home Health Aides Industry Leading INCREASED Rates and Perks : $27.00 Per Hour $30.00 Stipend per scheduled shift (if not called out) $0.80 per mile with paid travel time Weekly Pay Flexible schedulingPaid Time Off Paid Uniforms *Must have reliable transportation, valid driver's license and car insurance* ** The rates that are advertised do include the hourly shift differentials that are available. The base rate for this position is not the rate that is shown above. . ** Apply now! For more information call David at 814-248-7827 or email DQualls@PACE-CS.com Call or walk-in at:89 W Fayette Street Uniontown, PA 15401 EOE Qualifications CNA , PCA , HHA , Home Health Aide , MA , Memver Assistant , Certified Nursing Assistant , Personal Care Aide
Home Health Aide Home Health Per Diem
Senior LIFE

(HHA) Home Health Aide Weekday Evenings On-Call

apartment Senior LIFE location_onUniontown, PA
Overview We are hiring! Weekday Home Health Aides Industry Leading INCREASED Rates and Perks : $25.00 Per Hour $25.00 Stipend per scheduled shift (if not called out) $0.80 per mile with paid travel time Weekly Pay Flexible schedulingPaid Time Off Paid Uniforms *Must have reliable transportation, valid driver's license and car insurance* ** The rates that are advertised do include the hourly shift differentials that are available. The base rate for this position is not the rate that is shown above. . ** Apply now! For more information call David at 814-248-7827 or email DQualls@PACE-CS.com Call or walk-in at:89 W Fayette Street Uniontown, PA 15401 EOE Qualifications CNA , PCA , HHA , Home Health Aide , MA , Memver Assistant , Certified Nursing Assistant , Personal Care Aide
RN Full-time
Senior LIFE

Registered Nurse (RN) - Senior LIFE Greensburg

apartment Senior LIFE location_onGreensburg, PA
Overview Full Time Registered Nurse (RN) - Greensburg, PA Nurses are you bored with the same routine? Looking for a new opportunity and to put a little LIFE back into your career? Then join our team at Senior LIFE Greensburg! We offer competitive wages, newly enhanced benefits package, paid time off, SIGN ON BONUS and much more! So step out of the old and into the new- let Senior LIFE be the right choice for you!! New grads welcome to apply! “When the work that you do matters, it matters where you work” Senior LIFE is expanding our RN Home Care team! Become a part of an amazing group of healthcare professionals in the community where you live, work and love! Our RNs work as an extension of our Clinic Team but with the autonomy and flexibility of providing that care in the home and community settings. We serve the senior population of Greensburg and a limited surrounding area so you won’t spend all of your time in a car. You will be doing what you do best in providing the care to enable our participants to live their best lives exactly where they most want to be – at home! Supported by a team of dedicated professionals our RNs enjoy: Full-Time Monday- Friday, Daylight Hours *NO WEEKENDS, EVENINGS OR HOLIDAYS!* Flexibility in scheduling AND REMOTE HOURS Minimal On Call Rotation Technology to keep you mobile *NEWLY ENHANCED* Comprehensive Medical Benefits! Paid Holidays Off Generous Paid Time Off (PTO) package! Mileage Reimbursement Paid Travel Time Company Matching 401(k) Sign on Bonus! Your patients, your schedule! Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior LIFE makes it possible for seniors to remain at home, enjoying the comfort and reassurance of familiar surroundings while receiving the care they need. Senior LIFE staff live the mission of the program. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with participants, their families and your fellow team members, then being a Senior LIFE RN is your perfect fit! Mission driven, Senior LIFE has been at the forefront of health care for more than 15 years and is committed to following the highest clinical standards to enable our participants and staff thrive. Applicants must hold a current RN license, and valid driver's license. EOE Qualifications
LPN Full-time
Senior LIFE

Licensed Practical Nurse (LPN) - Greensburg

apartment Senior LIFE location_onGreensburg, PA
Overview Full Time - Daylight - Altoona, PA LPN License and valid Driver's License required Senior LIFE is currently seeking LPNs to fill a full time, permanent, position at Senior LIFE. The ideal candidate will hold a current state of Pennsylvania LPN license, valid driver's license, and must have one year's experience working specifically with an elderly or aging population. Schedule of the Licensed Practical Nurse (LPN) Monday - Friday, Daylight Schedule Benefits of the Licensed Practical Nurse (LPN) Competitive Pay Comprehensive Benefits Package 401k Paid Time Off Paid Holidays Off Requirements of the Licensed Practical Nurse (LPN) Must have a current state of Pennsylvania LPN License Must have a valid Driver's License Responsibilities of the Licensed Practical Nurse (LPN) Provide high quality nursing care to members, as prescribed by the physician and approved care plan Implementing care and other services following a thorough member assessment and approved plan initiated by the RN Providing accurate and timely documentation of all member services to reflect approved care plans Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior LIFE makes it possible for seniors to remain at home, enjoying the comfort and reassurance of familiar surroundings while receiving the care they need. Senior LIFE staff live the mission of the program. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services. At the center of this mission is the nursing staff, including Licensed Practical Nurses (LPN) who provide direct and indirect care to assigned members, both in-home and in-center. This position requires a motivated self-starter who can work effectively and independently, as well as in partnership with medical and non-medical personnel, to deliver the most comprehensive care available. As such, nurse candidates must have strong clinical competency and advanced knowledge/skills. EOE
CMA Other
Concentra

Medical Assistant

apartment Concentra location_onPittsburgh, PA
Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make a meaningful difference in the lives of the patients you serve. The Medical Support Specialist (MSS) is responsible for performing routine medical and testing procedures under direct supervision of the treating clinician as well as supports in other areas of the facility as needed including registration and referral management. This role requires efficient and accurate delivery of one-on-one patient care while thriving in a fast-paced environment. The MSS ensures that every patient is treated the with quality clinical care and receives an excellent patient experience from welcoming, respectful, and skillful colleagues. Responsibilities Perform Department of Transportation (DOT) and Non-DOT drug and alcohol testing Prepare patients for physical examinations, including taking vital signs and any required or requested ancillary testing including but not limited to vaccines and injections, phlebotomy, PFTs, audiogram testing and respirator fit testing Perform rapid screening tests (influenza, strep, mono, glucose, etc.) Assist providers during examination and treatment Responsible for performing routine medical procedures as ordered by treating clinician as well as triaging emergent patients as needed Prepare and assist clinician with procedure set up and injury care Apply bandages, dressings and splints as ordered by the treating clinician Dispense medications and DME as ordered by the treating clinician in accordance with state regulations Complete quality assurance activities on equipment and medical devices as well as testing processes used in the center Maintain supplies, clean rooms and equipment, and stock exam rooms Maintain and operate all medical devices and equipment, including calibration and record keeping in accordance with current policy and procedures Notify supervisor immediately if equipment is not functioning properly, supplies are needed, or facility is not operating as expected In partnership with center leadership, assist with patient flow and volume Keep patients informed of expected wait times during all aspects of the center visit Responsible for clerical tasks in both the front and back office associated with patient care and proper record keeping Ensure accuracy in documentation Perform front office duties: greet patients, obtain authorization, check in/out, communicate wait times, answer multi-line telephone system, and distribute employer results/paperwork as needed Follow HIPAA guidelines and safety rules Attend center staff meetings or huddles as required Assist in maintaining a neat, clean, and orderly appearance throughout the facility Complete any applicable training including but not limited to clinical competency training that occurs monthly This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Education Level: Vocational/Technical/Business School Graduate of an accredited medical assistant program with completion of an externship highly preferred, OR at least one year of direct patient care experience as a medical assistant, OR military medical specialist experience (must meet credentials in the state of employment in accordance with state requirements and applicable regulations) Job-Related Experience Customarily has at least six months or more of medical assistant experience Knowledge of medical procedures and medical terminology Working knowledge of occupational medicine requirements (state specific) preferred Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Able to communicate both verbally and in writing in a clear, and professional manner Teamwork focus with peers and center leadership team; ability to maintain working relationship with all levels of colleagues Must participate in initial and ongoing training as required Obtain all certifications required of Medical Support Specialists including but not limited to Drug Screen Collection, Breath Alcohol Certification, Hair and Oral Fluids Collection Intermediate knowledge of Microsoft Office such as Word, Excel, Outlook and entry of data into various systems/applications Additional Data 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, & Dental Plans Life & Disability Insurance Paid Time Off & Extended Illness Days Offered Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided 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. Please contact us to request accommodation. Concentra is an Equal Opportunity Employer , including disability/veterans
CMA Other
Concentra

Medical Assistant

apartment Concentra location_onClairton, PA
Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make a meaningful difference in the lives of the patients you serve. The Medical Support Specialist (MSS) is responsible for performing routine medical and testing procedures under direct supervision of the treating clinician as well as supports in other areas of the facility as needed including registration and referral management. This role requires efficient and accurate delivery of one-on-one patient care while thriving in a fast-paced environment. The MSS ensures that every patient is treated the with quality clinical care and receives an excellent patient experience from welcoming, respectful, and skillful colleagues. Responsibilities Perform Department of Transportation (DOT) and Non-DOT drug and alcohol testing Prepare patients for physical examinations, including taking vital signs and any required or requested ancillary testing including but not limited to vaccines and injections, phlebotomy, PFTs, audiogram testing and respirator fit testing Perform rapid screening tests (influenza, strep, mono, glucose, etc.) Assist providers during examination and treatment Responsible for performing routine medical procedures as ordered by treating clinician as well as triaging emergent patients as needed Prepare and assist clinician with procedure set up and injury care Apply bandages, dressings and splints as ordered by the treating clinician Dispense medications and DME as ordered by the treating clinician in accordance with state regulations Complete quality assurance activities on equipment and medical devices as well as testing processes used in the center Maintain supplies, clean rooms and equipment, and stock exam rooms Maintain and operate all medical devices and equipment, including calibration and record keeping in accordance with current policy and procedures Notify supervisor immediately if equipment is not functioning properly, supplies are needed, or facility is not operating as expected In partnership with center leadership, assist with patient flow and volume Keep patients informed of expected wait times during all aspects of the center visit Responsible for clerical tasks in both the front and back office associated with patient care and proper record keeping Ensure accuracy in documentation Perform front office duties: greet patients, obtain authorization, check in/out, communicate wait times, answer multi-line telephone system, and distribute employer results/paperwork as needed Follow HIPAA guidelines and safety rules Attend center staff meetings or huddles as required Assist in maintaining a neat, clean, and orderly appearance throughout the facility Complete any applicable training including but not limited to clinical competency training that occurs monthly This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Education Level: Vocational/Technical/Business School Graduate of an accredited medical assistant program with completion of an externship highly preferred, OR at least one year of direct patient care experience as a medical assistant, OR military medical specialist experience (must meet credentials in the state of employment in accordance with state requirements and applicable regulations) Job-Related Experience Customarily has at least six months or more of medical assistant experience Knowledge of medical procedures and medical terminology Working knowledge of occupational medicine requirements (state specific) preferred Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Able to communicate both verbally and in writing in a clear, and professional manner Teamwork focus with peers and center leadership team; ability to maintain working relationship with all levels of colleagues Must participate in initial and ongoing training as required Obtain all certifications required of Medical Support Specialists including but not limited to Drug Screen Collection, Breath Alcohol Certification, Hair and Oral Fluids Collection Intermediate knowledge of Microsoft Office such as Word, Excel, Outlook and entry of data into various systems/applications Additional Data 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, & Dental Plans Life & Disability Insurance Paid Time Off & Extended Illness Days Offered Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided 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. Please contact us to request accommodation. Concentra is an Equal Opportunity Employer , including disability/veterans
NP Other
WellBe Senior Medical

Nurse Practitioner - Scottdale, PA

apartment WellBe Senior Medical location_onScottdale, PA
Job Summary Join a Top-Rated Healthcare Company Making a Difference in Senior Care! WellBe Senior Medical was founded in 2019 to provide a more effective and personalized healthcare experience for patients living with chronic conditions. Our home-based medical visits nurture all aspects of a patient’s well-being so they can live better, feel healthier, and stay independent longer. With our mission at the forefront of everything we do, we aim to build our team with the most capable and compassionate individuals we can find. Named a Best Place to Work from Modern Healthcare, WellBe is a leading provider of in-home medical care and mental health services across the country! Job Description What APP – Nurse Practitioners Love About WellBe: $10,000 Sign-on Bonus! Competitive salary and full benefits package. $106,800-140,000 Meaningful, one-on-one care with your own patient panel. Mileage reimbursement *Please note: The salary range provided reflects the potential compensation for this role, but it does not guarantee an offer within that range. Final offers are based on factors like your experience, skills, and overall fit for the positio WellBe’s Culture is Welcoming: Be part of something important: Be part of pioneering a new way of healthcare that is revolutionizing the industry. A patient-focused environment that ensures patients can live a fulfilling life whatever their health level is. Our focus is to give our patients more good days. Give yourself incredible opportunities: Work as part of a collaborative team with a strong team culture. Training in the WellBe model and team-based care. Full in-person orientation, vision, mission, and values introduction, and instilling cultural ideals. Empowerment and ownership for solving problems that arise and doing the right thing in each interaction. Your APP – Nurse Practitioner Responsibilities: Will primarily support in-home, patient-facing visits to support patient care needs in the market. Performs primary care in home services, initial patient screenings/physical examinations, creates appropriate assessment/plan and completes documentation in a timely manner. Partners with other clinicians in the Care Community managing the health and wellbeing of patients living in their homes. Responsible for engaging attributed patients into the WellBe program and supporting care needs and efforts to keep patients engaged. Facilitates staff, patient, and family decision-making by providing educational resources. Addresses any urgent care needs of the patients as needed, including transition of care visits. Collaborates with community team to complete a full patient care assessment and plan. Orders, interprets, and analyzes diagnostic tests and determine the need for follow-up. appointments and further treatment options per state supervisory agreement. Prescribes and manage medications and treatments as appropriate, including but not limited to as psychopharmacological agents per state supervisory agreement. Updates patient records and check records for accuracy at each patient appointment. Delivers patient care and completes regular patient reviews with supervising physician per state supervisory agreement. Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses. Utilizes all available resources to help care for patient needs and refers to internal/external resources as appropriate, such as WellBe behavioral health protocols. Collaborate with the interdisciplinary team and participate in regularly scheduled team meetings. Oher tasks needed to accomplish team’s objectives/goals. Job Requirements APP – Nurse Practitioner Qualifications Master’s Degree, Nursing with focus on Family Nurse Practitioner, Adult Nurse Practitioner, Geriatric Nurse Practitioner or Adult-Geriatric Nurse Practitioner from an accredited, Nurse Practitioner program (required) Active, unencumbered Nurse Practitioner license in the state of job posting and must reside in state (required) Current board certification in your field with either ANCC (American Nurses Credentialing Center) or AANP (American Association of Nurse Practitioners) (required) BLS certified and an active NPI# as an NP (required) CPR certification (required) Active, unencumbered DEA licensure or eligibility to obtain (required) Have a valid driver’s license, car insurance, have access to a car and willingness to drive to patient homes as site of care delivery Requires proof of an active auto insurance policy (required) APP – Nurse Practitioner Skills We Value 3+ years Nurse Practitioner experience (preferred), will consider new grads Prior healthcare experience in areas of medical assistant, certified nursing assistant, EMT/paramedic, lab assistant, registered nurse, or similar health care related roles (preferred) Previous experience in value-based care, home care, primary care, hospice, palliative care, or geriatrics strongly preferred, other complex patient health care experience also beneficial (preferred) Additional experience with telehealth care delivery (preferred) Requires homes visits to patients in a variety of residential settings Ability to conduct in- home setting visits and have previous experience on a telehealth platform Demonstrated role proficiency with Microsoft Office; Excel, Word, G-suite, etc. Proficient with office software, including Electronic Health Records, Scheduling Software and Ring Central applications Safety-Sensitive Statement :This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including for substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana—including medical or recreational use—is prohibited. WellBe Senior Medical will comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations. Drug Screening Requirement :As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Americans with Disabilities Act: WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application or employment process, please contact Human Resources at HRPeopleLine@wellbe.com Supervisory Responsibility : This position will have supervisory responsibility. Travel requirements : Travel may be required up to 100% locally to deliver patient care. Work Conditions: Ability to lift up to 30 lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assisting with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity. The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodation so that a qualified employee(s) can perform the essential functions of this role