Nursing Jobs in Shelton, NE

Critical Care Technician (CCT/CNA)-Night Shift

Job Description: Night Shift The Critical Care Technician is responsible for providing clerical and organizational support to the ICU. Under the direct supervision of Registered Nursing staff assists in performing delegated patient care activities, including activities of daily living and basic nursing care procedures, as well as identified competencies required in the assigned patient care unit. Monitors Cardiac Rhythms, VS, and SaO2 levels. EDUCATION : GED or High School Diploma required. EXPERIENCE : Minimum of one month related experience and/or training preferred. CERTIFICATIONS : CNA license from the State of Nebraska OR completion of a basic nursing course, completion of Emergency Medical Technician training/certification, completion of a hospital provided training course, or other health care related major required. Basic Life Support ( BLS ) certification from the American Heart Association (AHA) with a recommended renewal date, required within 90 days of employment. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

RN

Part-time

1 month ago

Total Joint Unit RN

Mary Lanning Healthcare Hastings, NE

Job Description: Night Shift hours: 6:45pm - 7:15am Seeking a talented RN to join our team on the Total Joint Unit (TJU). This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATIONS/LICENSES: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

RN

Full-time

1 month ago

Surgery RN (Ortho)

Mary Lanning Healthcare Hastings, NE

Job Description: The Surgery Nurse (Ortho) works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. DEPARTMENT SPECIFIC JOB DUTIES: Verification of patient’s identity, operative procedure, operative site, surgeon and consent. Follows standard procedures and aseptic principles of practice for surgical interventions, along with preferences of surgeons and anesthesiologists, when planning for intraoperative care. Anticipate needs of surgeons and/or specific procedures. Performs sponge, instrument and needle counts according to policy and procedure. Applies principles of proper body alignment during transfer and positioning of patient. Ensures safety of patient during the use of electrical equipment (i.e. electrosurgical cautery units). Correctly collects and accurately labels specimens. Documents and maintains accurate OR nursing records including: intraoperative care, patient’s condition, medications, treatment, responses and assessment of changes, etc. Identifies, labels, and dispenses medications and solutions safely. Assists anesthesia as requested by anesthesia personnel. Demonstrates ability to assist in ACLS interventions. Maintains surgeons’ preference books Become proficient in scrubbing and circulating duties for all specialties. Fill in other duties as needed to meet OR staffing such as housekeeping and workroom duties. Cover call shifts as assigned with a 15 minute response time. Assist in the orientation of new staff/students Assist in the maintenance of a clean, dust-free environment. Coordinate or assist in the coordination of specialty supplies. Functions as a patient advocate between patient, physician, other healthcare providers, administration, etc., as needed, and interacts professionally with patient and family members. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: 1 year in surgical nursing experience preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. CNOR, ACLS certification preferred. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

RN-PCU

Bryan Health Kearney, NE

Summary Provides direct and indirect patient care in the progressive care setting. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in the PCU department with adequate supervision. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures. Ability to interpret results of waived tests; take appropriate action on waived tests results. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the five (5) medication rights and reduces the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills. Demonstrates ability to perform treatments and provide services to level licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group. Performs bedside report on patients at shift change; this includes any handoff of patient care. Provides morning/evening cares which may include brushing teeth, showering/bathing patients, pericares, and denture care. Education/Experience: Graduate of an accredited school of nursing. BSN or current enrollment in a BSN program preferred. Current Registered Nurse licensure in the state of Nebraska. 1 year of experience on a Progressive Care Unit preferred. Current BLS certification. ACLS certification within 6 months of hire. NIH Stroke Scale certified within 6 months of hire.

Clinic RN-Surgery Group of Grand Island

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients. 3. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart. 4. *Makes accurate and timely observations and documents changes in the patient’s condition in the patient chart. 5. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, PA, NP). 6. *Assists the medical provider with all examinations and procedures. 7. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies. 8. *Schedules follow-up procedures/appointments and specialty appointments. 9. *Explains tests and preparation as needed for adequate patient education. 10. Monitors inventory of supplies and communicates information to Office Manager. 11. *Administers injections, vital signs, vision and auditory testing as delegated. 12. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Graduation from an accredited professional nursing program required. Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

LPN Home Health

CommonSpirit Health Grand Island, NE

Job Summary and Responsibilities Responsibilities: At CHI Health at Home , we strive to embody our mission of delivering hope and healing to those we serve. We are looking for a compassionate and skilled Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) to join our team and help embody this mission. As an LPN you will deliver direct patient care based on approved treatment plans while adhering to clinical protocols and guidelines. Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care according to the treatment plan and patient care guidelines. Conduct patient visits as specified by the physician’s treatment plan, ensuring compliance with federal, state, and county regulations. Make skilled observations of patients' physical and mental conditions, documenting care provided accurately. Report any changes in patient condition to supervisors and the attending physician in a timely manner. Provide patient education to patients and caregivers, fostering understanding of care plans and health management. Demonstrate sensitivity to the needs, customs, and feelings of patients and their families. Participate in case conferences and in-services or special case orientations. Complete and submit all required documentation accurately and promptly. Your benefits include: Competitive annual bonus structure to reward commitment and performance. Generous vacation policy, including paid holidays and personal days. Comprehensive medical, dental, and vision insurance plans. Tuition reimbursement for continued education and professional growth. Participation in the Fidelity 401(K) plan. Job Requirements Qualifications: Graduate of an accredited practical nursing program and licensed to practice in the respective state. Current CPR or BLS certification with hands-on demonstration is required and must be maintained throughout employment. Minimum of one year of nursing experience; one year of home care or hospital nursing experience preferred. Excellent clinical skills and strong written and verbal communication abilities. Ability to work effectively within a multi-disciplinary team and build interpersonal relationships. Strong organizational and time management skills. Valid Driver’s license and compliant auto liability insurance coverage as per organizational policy. Experience with electronic health records (EHR) systems, such as HomeCare HomeBase, is a plus. At CHI Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities. Where You'll Work CHI Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

LPN Home Health

Virginia Mason Franciscan Health Grand Island, NE

Job Summary and Responsibilities Responsibilities: At CHI Health at Home , we strive to embody our mission of delivering hope and healing to those we serve. We are looking for a compassionate and skilled Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) to join our team and help embody this mission. As an LPN you will deliver direct patient care based on approved treatment plans while adhering to clinical protocols and guidelines. Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care according to the treatment plan and patient care guidelines. Conduct patient visits as specified by the physician’s treatment plan, ensuring compliance with federal, state, and county regulations. Make skilled observations of patients' physical and mental conditions, documenting care provided accurately. Report any changes in patient condition to supervisors and the attending physician in a timely manner. Provide patient education to patients and caregivers, fostering understanding of care plans and health management. Demonstrate sensitivity to the needs, customs, and feelings of patients and their families. Participate in case conferences and in-services or special case orientations. Complete and submit all required documentation accurately and promptly. Your benefits include: Competitive annual bonus structure to reward commitment and performance. Generous vacation policy, including paid holidays and personal days. Comprehensive medical, dental, and vision insurance plans. Tuition reimbursement for continued education and professional growth. Participation in the Fidelity 401(K) plan. Job Requirements Qualifications: Graduate of an accredited practical nursing program and licensed to practice in the respective state. Current CPR or BLS certification with hands-on demonstration is required and must be maintained throughout employment. Minimum of one year of nursing experience; one year of home care or hospital nursing experience preferred. Excellent clinical skills and strong written and verbal communication abilities. Ability to work effectively within a multi-disciplinary team and build interpersonal relationships. Strong organizational and time management skills. Valid Driver’s license and compliant auto liability insurance coverage as per organizational policy. Experience with electronic health records (EHR) systems, such as HomeCare HomeBase, is a plus. At CHI Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities. Where You'll Work CHI Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

LPN Home Health

CHI Health Grand Island, NE

Job Summary and Responsibilities Responsibilities: At CHI Health at Home , we strive to embody our mission of delivering hope and healing to those we serve. We are looking for a compassionate and skilled Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) to join our team and help embody this mission. As an LPN you will deliver direct patient care based on approved treatment plans while adhering to clinical protocols and guidelines. Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care according to the treatment plan and patient care guidelines. Conduct patient visits as specified by the physician’s treatment plan, ensuring compliance with federal, state, and county regulations. Make skilled observations of patients' physical and mental conditions, documenting care provided accurately. Report any changes in patient condition to supervisors and the attending physician in a timely manner. Provide patient education to patients and caregivers, fostering understanding of care plans and health management. Demonstrate sensitivity to the needs, customs, and feelings of patients and their families. Participate in case conferences and in-services or special case orientations. Complete and submit all required documentation accurately and promptly. Your benefits include: Competitive annual bonus structure to reward commitment and performance. Generous vacation policy, including paid holidays and personal days. Comprehensive medical, dental, and vision insurance plans. Tuition reimbursement for continued education and professional growth. Participation in the Fidelity 401(K) plan. Job Requirements Qualifications: Graduate of an accredited practical nursing program and licensed to practice in the respective state. Current CPR or BLS certification with hands-on demonstration is required and must be maintained throughout employment. Minimum of one year of nursing experience; one year of home care or hospital nursing experience preferred. Excellent clinical skills and strong written and verbal communication abilities. Ability to work effectively within a multi-disciplinary team and build interpersonal relationships. Strong organizational and time management skills. Valid Driver’s license and compliant auto liability insurance coverage as per organizational policy. Experience with electronic health records (EHR) systems, such as HomeCare HomeBase, is a plus. At CHI Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities. Where You'll Work CHI Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

RN PCU

CHI Health Kearney, NE

Job Summary and Responsibilities As our PCU Nurse at Good Samaritan Hospital , now part of CommonSpirit Health formed between Catholic Health Initiatives and Dignity Health, you will help critically ill patients by providing exceptional care, monitoring and managing their conditions, and administering medications and treatments as prescribed by physicians. Collaborate with physicians and nursing team to devise and implement individualized care plans for patients. Administer medications, change dressings, monitor vital signs, and chart with timely documentation Educate patients and their families on prevention and healthy habits, while fostering a supportive and compassionate environment. Incentives: up to $15,000 sign on bonus, up to $10,000 education assistance (must have graduated within 5 years) Nurse Residency offered for all New Graduates- https://www.chihealth.com/education/professional-training/nurse-residency Job Requirements Graduate of an accredited nursing program Current Registered Nurse (RN) license that allows you to practice in our state Basic Life Support (BLS) required Advanced Cardiac Life Support ( ACLS) required within 5 months of hire Where You'll Work The PCU at CHI Health Good Samaritan is a 49 bed unit. We specialize in intermediate care. All patients have additional monitoring via telemetry. We strive to provide a level of care and highly skilled nurses that allow our community and surrounding areas to receive health care close to home. Established by the Sisters of the St. Francis in 1924, CHI Health Good Samaritan is a 268-bed regional referral center in Kearney, Nebraska. At CHI Health Good Samaritan you’ll find an advanced level trauma center that also offers AirCare emergency helicopter transport and an ambulance program providing long distance and local 911 service. Among our many other services are cardiac care including open-heart surgery, a level II neonatal intensive care unit, a nationally accredited cancer center, comprehensive neurosurgery, advanced orthopedic program, and inpatient and outpatient mental health services at our free-standing Richard Young Behavioral Health facility. #CHIMSRES22

LPN Home Health

Dignity Health Grand Island, NE

Job Summary and Responsibilities Responsibilities: At CHI Health at Home , we strive to embody our mission of delivering hope and healing to those we serve. We are looking for a compassionate and skilled Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) to join our team and help embody this mission. As an LPN you will deliver direct patient care based on approved treatment plans while adhering to clinical protocols and guidelines. Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care according to the treatment plan and patient care guidelines. Conduct patient visits as specified by the physician’s treatment plan, ensuring compliance with federal, state, and county regulations. Make skilled observations of patients' physical and mental conditions, documenting care provided accurately. Report any changes in patient condition to supervisors and the attending physician in a timely manner. Provide patient education to patients and caregivers, fostering understanding of care plans and health management. Demonstrate sensitivity to the needs, customs, and feelings of patients and their families. Participate in case conferences and in-services or special case orientations. Complete and submit all required documentation accurately and promptly. Your benefits include: Competitive annual bonus structure to reward commitment and performance. Generous vacation policy, including paid holidays and personal days. Comprehensive medical, dental, and vision insurance plans. Tuition reimbursement for continued education and professional growth. Participation in the Fidelity 401(K) plan. Job Requirements Qualifications: Graduate of an accredited practical nursing program and licensed to practice in the respective state. Current CPR or BLS certification with hands-on demonstration is required and must be maintained throughout employment. Minimum of one year of nursing experience; one year of home care or hospital nursing experience preferred. Excellent clinical skills and strong written and verbal communication abilities. Ability to work effectively within a multi-disciplinary team and build interpersonal relationships. Strong organizational and time management skills. Valid Driver’s license and compliant auto liability insurance coverage as per organizational policy. Experience with electronic health records (EHR) systems, such as HomeCare HomeBase, is a plus. At CHI Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities. Where You'll Work CHI Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

Clinical Nurse Educator & Perinatal Safety Specialist

CHI Health Kearney, NE

Job Summary and Responsibilities CHI Health Good Samaritan is seeking a Clinical Nurse Educator & Perinatal Safety Specialist to support nursing professional development while leading key perinatal safety initiatives. In this dual role, you will provide education, mentorship, and clinical expertise while promoting a culture of safety and high-quality care for mothers, babies, and staff. What You’ll Do Develop, implement, and evaluate nursing education, onboarding, and competency programs. Mentor nursing staff and support evidence-based practice and clinical excellence. Lead perinatal safety initiatives and ensure adherence to national and system standards. Provide ongoing perinatal training, updates, and safety communication. Conduct safety rounds, support quality improvement, and analyze safety events. Collaborate with clinical leaders to drive consistent, high-quality patient outcomes. Job Requirements Bachelors Of Nursing BSN upon hire or Masters Of Nursing MSN upon hire OR completion of MSN program within 5 years of start date Registered Nurse License in NE Basic Life Support from the American Heart Association Neonatal Resuscitation Program, within 90 Days Minimum of 5 years as a clinician in Women’s Services Minimum of 2 years of project experience in Women and Infants Perinatal Safety Nursing education experience demonstrating progressive experience in the development and implementation of clinical education programs Where You'll Work The Maternity Center at CHI Health Good Samaritan has 19 L&D private patient rooms. We are a Level II NICU and we provide care for patients from antepartum, labor, delivery, and postpartum, including mother-baby care in our Maternity Center. CHI Health Good Samaritan is a 268-bed regional referral center in Kearney, Nebraska. You’ll find an advanced level trauma center that also offers AirCare emergency helicopter transport and an ambulance program providing long distance and local 911 service. Among our many other services are cardiac care including open-heart surgery, a level II neonatal intensive care unit, a nationally accredited cancer center, comprehensive neurosurgery, advanced orthopedic program, and inpatient and outpatient mental health services at our free-standing Richard Young Behavioral Health facility.

RN

Part-time

1 month ago

Behavioral Services Unit - RN (Casual Status)

Mary Lanning Healthcare Hastings, NE

Job Description: Seeking a talented Registered Nurse (RN) to join our team on the Behavioral Services Unit ( BSU) . This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. DEPARTMENT SPECIFIC JOB DUTIES: Thoroughly assess adult patients for suicide risk. Complete risk assessment. Take necessary precautions to keep patients safe. Thoroughly assess adult patients for risk to others. Complete Duty to Warn when appropriate. Take necessary precautions to keep all patients safe. Complete Psychiatric Nursing Screen for patients on medical floors when indicated. Use Crisis Prevention Intervention methods when de-escalating patients. Interact with patient’s family for support and education. Complete Geriatric phone assessment as part of evaluating the Nursing Home patient prior to admission. Consistently strive to reduce restraints. If restraints are utilized staff will follow all procedures and policies for patient and staff safety. Ensure 15 minute patient rounds are completed 24/7. Provide therapeutic educational groups. Provide education regarding medications and follow-up appointments with patient and support system at discharge. Follow through with treatment team recommendations and individualized patient approach plan. Follow legal protocols in the treatment of patients un Emergency Protective Custody, Police Holds, Mental Health Commitment, Against Medical Advice discharges, Obligation to Report situations. Follow established protocols regarding special precautions ( elopement, suicide, one-to-one observation, violence to others, etc. Triage psychiatric emergencies. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. Crisis Prevention/Intervention (CPI) certification must be completed within 6 months of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

CNA

Full-time

1 month ago

Float Pool CNA-Nursing Assistant

Mary Lanning Healthcare Hastings, NE

Job Description: Seeking a Certified Nursing Assistant (CNA) to collaborate with our patients and staff to uphold compassionate clinical care and clerical support. Under the direction of a Registered Nurse, the CNA will be responsible for: Assisting patients with activities pertaining to their individual needs for daily living. Communicating patient care needs, change in condition, observations and responses to the appropriate RN. Documenting information related to patient responses and/or patient care activities on the appropriate tool. Providing basic care in a timely, and courteous, manner that encourages physical and mental comfort amongst patients and families. Other duties as assigned. This position is a great opportunity for an individual who is flexible, patient, and skilled at clear communication and critical thinking. Position Requirements: EDUCATION : High school diploma or General Education Degree (GED) preferred. *Certification as a nurse assistant, completion of a basic nursing course, completion of Emergency Medical Technician training / certification, or completion of a hospital provided training course required. CNA required for placement in Skilled Nursing Units. Students in other health care related majors will be considered. EXPERIENCE : One month related experience and/or training preferred. CERTIFICATIONS : BLS certification required within 90 days of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

Registered Nurse/RN New Grad

Mary Lanning Healthcare Hastings, NE

Job Description: Apply here to connect with our Nurse Recruiter to align your career goals! Mary Lanning is seeking talented RN's to join our team and invites nursing graduates to apply even before graduation! Full-Time and Part-Time options available. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATIONS/LICENSES: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

RN

Full-time

1 month ago

Float Pool Nurse (RN)

Mary Lanning Healthcare Hastings, NE

Job Description: Seeking a talented RN to join our team in the Float Pool. Float Pool nurses may work in various departments. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATIONS/LICENSES: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

Med Surg Nurse (RN)

Mary Lanning Healthcare Hastings, NE

Job Description: Seeking a talented RN to join our team on Med Surg. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATIONS/LICENSES: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

LPN

Full-time

1 month ago

LPN-Acute Care

Bryan Health Kearney, NE

Summary At the direction of a Registered Nurse (RN) and/or Licensed Practitioner, contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. *Contributes to the patient assessment and reassessment based on the presenting problems/needs in accordance with Kearney Regional Medical Center's (KRMC) procedures and policies. 3. Follows the eight (8) medication rights and reduces the potential for medication errors. 4. *Performs vital signs including heart rate, respirations, blood pressure, oxygen saturation, and temperature. 5. *Performs EKGs. 6. Interprets and analyzes heart rhythms. 7. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 8. *Utilizes appropriate pain management techniques. Educate the patient and family regarding pain management. 9. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 10. Executes therapeutic and/or supportive interventions under the direction of the RN. 11. As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences, and readiness to learn. 12. Incorporates cultural considerations into the plan/delivery of care. 13. Includes family or significant others in the care of the patient as appropriate. 14. Documents patient care and related information according to facility procedures for documentation. 15. *Provides care in conjunction with other members of the interdisciplinary team. 16. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 17. *Performs purposeful hourly rounding on all patients assigned. 18. Performs bedside report on patients at shift change in the room; this includes any handoff of patient care. 19. Contributes to the patient's transition to the next level of care. 20. Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 21. Serves as a role model to colleagues, students, and other care providers, acts in a composed and professional manner, especially under pressure 22. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 23. Participates in meetings, committees and department projects as assigned. 24. Performs other related projects and duties as assigned by manager. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GIRMC Staff RN-Med/Surg

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation, precepting and/or resourcing of others. Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs. 5. *Executes therapeutic and/or supportive interventions. 6. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Includes family, significant other, or identified support person in the care of the patient as appropriate. 11. *Documents patient care and related information according to Bryan Medical Center procedures for documentation. 12. *Provides care in collaboration with other members of the interdisciplinary team. 13. *Facilitates patient’s transition to the next level of care. 14. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 15. Serves as a role model to colleagues, students and other care providers. 16. *Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job. 17. Integrates evidence based research findings into practice in accordance with policy and procedure. 18. Engages in department specific and organizational performance improvement initiatives. 19. Appropriately utilizes all safety equipment when indicated and as defined by organizational procedure (i.e. lifting equipment, PPE, sharps, etc.). 20. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 21. Participates in meetings, committees and department projects as assigned. 22. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional 6. Ability to maintain confidentiality of patient information. 7. Ability to exercise professional judgment, courtesy and tact in daily interactions with others. 8. Ability to establish and maintain effective working relationships with health care team members and diverse patient populations. 9. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

RN

Full-time

1 month ago

Staff RN-Float

Bryan Health Kearney, NE

Summary Responsible for all aspects of direct patient care while maintaining high performance level in quality, service, critical nursing skills and critical thinking. Provides leadership by delegating and working cooperatively and collaboratively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting. 1. *Commits to the KRMC mission, vision, values and goals and consistently demonstrates our core values. 2. *Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. 3. *Follows the five (5) medication rights and reduces the potential for medication errors. 4. *Monitors the hemodynamic status of patient and correctly interpret the results. 5. *Performs a head-to-toe assessment on all patients and reassessments as per policy. This includes pediatric, geriatric and the general patient population. 6. *Adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. 7. *Formulates an individualized plan of care, revises plan as indicated quickly and accurately by the patient’s response to treatment and evaluates overall plan daily for effectiveness. 8. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate. 9. Identifies the need to involve other disciplines in the patients care. 10. Abilit to perform at maximum efficiency without compromising quality care. 11. Participates in guidance and educational programs. 12. Maintains an awareness of legal aspects of nursing, including accurate and timely documentation according to standards. 13. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. 14. Assists physicians with procedures as appropriate. 15. Monitors coworkers and voices concerns in a constructive manner to minimize errors. 16. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as a liaison between administration, patients, physicians, and other healthcare providers. 17. Maintains a good working relationship with all departments. 18. Meets current standards and policies for documentation. 19. Participates in performance improvement activities and/or committees. 20. Assists in orientation and/or acts as a preceptor for new personnel. 21. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 22. Participates in meetings, committees and department projects as assigned. 23. Performs other related projects and duties as assigned. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Graduate of an accredited school of nursing required. BSN or current enrollment in BSN program preferred. Minimum of two (2) years of recent experience in a clinical care, acute care setting preferred. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire. National Institutes of Health (NIH) Stroke Scale certification required within 6 months of hire.

In Home Evening and Weekend Caregiver 133

Right at Home Northeast & Central Nebraska Hastings, NE

Job Description: Right at Home is looking for a compassionate and dependable In-Home Evening & Weekend Caregiver to join our team in Hastings, NE . This role involves providing quality care to seniors and adults with disabilities, helping them maintain independence and quality of life in the comfort of their homes. Responsibilities: Assist clients with personal care tasks (bathing, dressing, grooming, toileting). Provide companionship and emotional support. Help with meal preparation and light housekeeping. Medication reminders and basic health monitoring. Maintain clear communication and documentation in our care app. Ensure clients are comfortable and safe. Schedule: Evening shifts available Part-time and flexible hours Qualifications: Experience in caregiving (preferred but not required – training available) Reliable transportation and valid driver’s license Ability to pass background checks A compassionate, patient, and positive attitude Why Work With Us? Competitive pay Paid training and ongoing professional development Supportive and friendly team environment Meaningful work that makes a difference in people’s lives If you have a passion for caregiving and are looking for flexible evening hours, we would love to have you join our team!

NOW HIRING: Overnight In-Home Caregiver – Kearney, NE! Right at Home – Central Nebraska 782

Right at Home Northeast & Central Nebraska Kearney, NE

Are you a night owl who loves helping others? Looking for a position where your calm presence and compassion truly make a difference? Right at Home is hiring an Overnight Caregiver in the Kearney area to join our award-winning, family-owned team. We support seniors and adults with disabilities so they can live safely and comfortably at home — and we’d love to have you be part of that mission. What You’ll Do: Provide companionship and support during quiet overnight hours Assist with personal care (as needed) Offer reassurance, check-ins, and safety monitoring Keep clients comfortable, cared for, and never alone at night Light housekeeping & simple tasks to keep the home safe Why You’ll Love Working With Us: Flexible overnight schedule Weekly pay Supportive, family-owned team that truly cares Training provided — no experience required You become part of a company awarded Forbes Great Place to Work 2024 & 2025 Work that genuinely matters Who We’re Looking For: Someone dependable and kind Someone who wants to make a real difference Must pass background checks Valid driver’s license & reliable transportation preferred Location: Kearney, Nebraska Shift: Overnight (specific hours vary by client) If you want a job where you’re appreciated AND you change lives just by being there — this is it. APPLY TODAY! Send us a message or apply online at: rightathome.net/centralnebraska

Caregiver

Full-time

2 months ago

NOW HIRING: Compassionate Caregiver – Grand Island, NE 782

Right at Home Northeast & Central Nebraska Grand Island, NE

Experience with Dementia/Alzheimer’s Required Right at Home Central Nebraska is looking for an experienced and dependable In-Home Caregiver to support a client in the Grand Island area who requires 24/7 care . We are building a strong team of caregivers to provide consistent, compassionate support. Position: In-Home Caregiver Location: Grand Island, Nebraska Schedule: Various shifts available — we are staffing 24/7, 7 days a week Experience: Dementia/Alzheimer’s care REQUIRED What You’ll Do: • Provide companionship and emotional support • Assist with personal care (bathing, dressing, hygiene) • Support with mobility and safety • Meal preparation & light housekeeping • Medication reminders • Help create a calm, structured, and comforting environment What We’re Looking For: Caregivers with dementia experience Reliable, patient, and compassionate individuals Strong communication skills Ability to work independently and follow a care plan Must pass a background check Valid driver’s license preferred Why Work With Right at Home? Work for a Forbes 2024 & 2025 Great Place to Work Certified company Flexible scheduling Competitive pay Supportive, family-owned team Paid training + growth opportunities Make a REAL difference every day If you have a heart for dementia care and want to be part of a team that truly values you, we’d love to hear from you! Apply today: Send us a message or apply online at www.rightathome.net

Now Hiring: In-Home Caregivers in Hastings, NE! 782

Right at Home Northeast & Central Nebraska Hastings, NE

$15 - $17 / hour

Caregivers Needed in Hastings, Nebraska! At Right at Home , we know it takes a special kind of person to care for others — and that’s exactly who we’re looking for! If you’re compassionate, dependable, and ready to make a difference in your community, we’d love to have you on our team in Hastings, NE . Pay & Perks: Competitive pay $15–$17 per hour Flexible scheduling: Daytime hours & weekends available A supportive, family-owned company that values YOU Work that brings purpose and meaning every day ‍ What You’ll Be Doing: Assisting clients with personal care and daily routines Preparing meals, light housekeeping, and errands Offering companionship and encouragement Helping seniors live independently in the comfort of their homes What We Require: Must pass background check & drug screening Valid driver’s license and active car insurance A caring heart and reliable nature Location: Hastings, NE Schedule: Flexible daytime & weekend shifts available If you’re looking for more than just a job and want to be part of a team that truly makes an impact, this is the place for you. Apply today and start changing lives with Right at Home Hastings!

In-Home Caregiver 782 HIRING!

Right at Home Northeast & Central Nebraska Kearney, NE

$15 - $17 / hour

Join Our Team as an In-Home Caregiver – Kearney, Nebraska Do you want a job where you end each day knowing you’ve made someone’s life brighter? At Right at Home , we’re not just hiring caregivers — we’re building a family of compassionate people who want to give back to their community. We are looking for dependable, caring In-Home Caregivers in Kearney, NE ! Why Work With Us? Pay range: $15–$17 per hour (based on experience) Flexible daytime hours & weekend shifts Work that’s rewarding and meaningful every single day Be part of a trusted, family-owned company that truly cares about YOU ‍ What You’ll Do: Assist seniors and adults with daily living tasks Provide personal care, companionship, and encouragement Help with meal prep, errands, and light housekeeping Support clients in maintaining independence in their homes What You’ll Need: Ability to pass background check & drug screening Valid driver’s license + active car insurance Compassionate heart, reliability, and positive attitude Location: Kearney, Nebraska Schedule: Daytime & weekend shifts available If you’re ready to join a team where you’re valued, supported, and given the chance to truly make a difference, we’d love to meet you. Apply today and become part of the Right at Home Kearney family!

RN

Full-time

2 months ago

Cardiovascular Clinical Registered Nurse- Bryan Heart Grand Island Operations

Bryan Health Grand Island, NE

Summary GENERAL SUMMARY: Responsible for the provision and oversight of professional nursing care and medical care prescribed by the Licensed Healthcare Provider (Physician, APRN, or PA). Supports a provider in a primary role, coordinating and facilitating patient care and follow up. Assists provider with examinations and procedures to serve the medical needs of patients with various cardiac and vascular related health conditions in a professional, confidential, and caring manner. Provides care that is beyond the practice scope of LPN II and CMA II assigned to support a provider in a primary role; including triage of patient follow up, patient teaching, and abnormal test result communication. Accountable for having knowledge of and complying with the Nebraska Nurse Practice Act and other relevant State Nurse Practice Acts, any applicable licensure/certification requirements, as well as, organizational policies and procedures. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values in interactions with providers, staff, patients, and families. 2. *Supports provider(s) in a primary role, coordinating and facilitating patient care and follow up to achieve quality patient care and customer service goals. 3. *Performs nursing care that requires professional knowledge and judgement for assigned providers, including triage of patient follow up, patient teaching and abnormal test result communication. 4. * Retrieves test results, as soon as available, communicates with the provider and contacts the patient regarding abnormal results; may delegate communication of normal results. 5. *Monitors patient caseload for high-risk patients, compliance with physician orders and follow up appointments and referrals. 6. *Triages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer, in a timely manner. Responds appropriately to urgent/emergent situations, documents as necessary and manages transfer of care. 7. *Prepares Electronic Health Record (EHR) for patient visit, ensuring all necessary information is in the chart prior to appointment, as well as, documenting patient interactions, orders, results, patient questions/concerns and medication changes, in a timely manner. 8. *Facilitates flow of patients in accordance with appointment time to avoid delays for the provider and undue waiting for patients. 9. *Conducts new patient history and assessment, reviews established patient history updates; including pain assessment, domestic abuse review, medication reconciliation and allergy review. 10. *Educates patient and family about tests/procedures, results, medications, nutrition and other health related issues. 11. *Assists with rooming; including vital signs, patient history, preparing patient for examination/procedures, performing EKG, as well as, keeping rooms stocked, clean and ready for use. 12. *Rooms patients via EHR status indicator for outstate clinics and enters clinical documentation, orders, and results received from clinic, as assigned. 13. *Complies with HIPAA and maintains confidentiality in matters related to patient, family, staff, and providers. 14. * Provides care in a non-judgmental, compassionate, non-discriminatory manner remaining sensitive to the patient’s diversity, autonomy, dignity, and rights. 15. *Assists patients with pre-authorizations, release of information requests, FMLA certification, etc., as needed. 16. *Responds appropriately to urgent /emergent situations, documents as necessary and manages transfer of care. 17. *Maintains compliance with OSHA and safety plan. 18. Notifies Team Leader of problems/incidents related to staff or patients in a timely manner. 19. Participates in meetings related to performance improvement, electronic health record enhancements, and day-to-day operations, as assigned. 20. Manages work hours, supplies, and other clinical costs in line with fiscal responsibility and budget. 21. Assists provider(s) in both Lincoln and Outreach Clinic sites, as assigned. 22. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 23. Participates in meetings, committees and department projects as assigned. 24. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk “*”. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. EDUCATION AND EXPERIENCE: Graduation from an accredited Registered Nursing Program is required. BSN is preferred. Current licensure as an RN in the State of Nebraska is required. Minimum of one (1) year relevant nursing experience is required. Clinic and cardiovascular nursing experience is preferred. Licensure as an RN in the State of Kansas is required for nurses traveling to Kansas clinics and in other states where the nurse practices in the clinic, and/or patients, who receive care or instruction by phone, reside.