Nursing Jobs in Warrenville, IL

Department: 34700 Advocate Christ Medical Center - Rehabilitation Unit Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: none Pay Range $20.40 - $30.60 Major Responsibilities: Assists RN with daily care of patients including bathing, oral hygiene, feeding, activity orders and ambulation which may include use of therapeutic assistive devices, proper positioning, range of motion and special transferring as indicated. Measures and documents blood pressures, TPRs (Temperature, Pulse, Respiration), I & O (Intake and Output), daily weights, and other patient data as requested. Documents accurately in Electronic Medical Record (EMR). Performs purposeful rounding under direction of RN and promptly communicates observations, concerns, and needs of patient/family to RN. Documents appropriately. Participates in admission, transfer and discharge process under supervision of RN including room set up, orientation to room, removing linen, and proper management of patient belongings. Ensures patient call light is always in reach of patient and answers call-lights promptly. Collects urine, stool, and sputum specimens and performs point-of-care testing as indicated using approved process for accurate specimen labeling and identification. Maintains competency as required. Completes various errands as directed including pick-up and delivery of trays, charts, specimens, and reports. Maintains and orders stock for nursing area. Cleans equipment and work areas. Performs various patient positioning and transporting duties which require lifting and pushing/pulling while utilizing proper technique and assistive devices. Performs tasks related to nutritional needs of patient under direction of RN to include diet review, tray set up/removal, proper positioning and diet selection. Performs tasks related to maintaining skin integrity to include proper repositioning and skin care. Ensures special patient supplies and appliances are provided and maintained such as TED hose and sequential compression devices. Under the direction of RN and as determined by site/unit requirements, may be required to remove IVs, provide post mortem care, and bladder scans. Practices within policies and procedures of infection prevention by demonstrating hand hygiene and knowledge of sterile and aseptic procedures, proper disposal of contaminated materials and utilizing proper attire when in direct contact with patients in isolation. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 45 days, and Nurse Aide in good standing as indicated with the State Registry in which the team member practices. Education Required: Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED), or High School Graduate. Experience Required: None. Knowledge, Skills & Abilities Required: Basic computer skills. Excellent oral and written communication. Excellent organizational skills and ability to set priorities. Certification Addendum Team members will maintain annual educational requirements for hospital based certifications (e.g. DNV, CARF or others). Physical Requirements and Working Conditions: Must be able to sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift. Must be able to: lift up to 50 lbs. from floor to waist. lift up to 20 lbs. over the head. carry up to 40 lbs. a reasonable distance. Must be able to: push/pull with 30 lbs. of force. perform a sliding transfer of 150 lbs. with a second person present. Will be required to use foot pedals on carts or machines. Must have functional vision and hearing. Will be exposed to mechanical, electrical, chemical, and radiation hazards as well as blood and body fluids on a continuous basis; therefore, protective clothing must be worn as necessary. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. 
$7500 SIGN-ON BONUS! Salary $28 - $35 an hour Job Type Full-time Part-time Qualifications Experience: registered nurse, 1 year (Preferred) License: RN (Preferred) Full Job Description Tower Hill Healthcare Center is a 200+ bed skilled nursing facility that is urgently seeking to hire floor nurses. Tower Hill Healthcare Center is looking for hardworking, dedicated employees to join the nursing team and assist in providing quality care to the residents of the facility. There are options for both part-time and full-time availability and flexible schedules offered. The facility has 3 shifts: 7-3:30, 3-11:30, and 11-7:30. Many benefits available: Up to a $7500 sign on bonus* Refer a friend and get up to a $2500 Referral Bonus! Paid Sick Time Paid Vacation Time 401K w/ match Interest free loan program Referral bonuses offered Schedule: 8 hour shift Day shift Holidays Monday to Friday Night shift Overtime Weekends Experience: registered nurse: 1 year (Preferred) License: RN (Preferred) Work Location: One location Hours per week: 10-19 20-29 30-39 Environment: Inpatient Employer type: Nursing home Qualifications: RN Nurse Patient Ratio: +1:7 This Job Is Ideal for Someone Who Is: Dependable -- more reliable than spontaneous Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction Autonomous/Independent -- enjoys working with little direction High stress tolerance -- thrives in a high-pressure environment Company's website: www.towerhillhealthcarecenter.com Work Remotely: No COVID-19 Precaution(s): Personal protective equipment provided or required Social distancing guidelines in place Sanitizing, disinfecting, or cleaning procedures in place Requirements CNA certificate (current and active) BLS certificate Able to stand for hours at a time Able to lift up to 50 lbs Prefer: Experience with LTC Experience with POC Excellent communication skills and customer service skills Tasks for this position include, but not limited to: Able to work 0630 to 1430, 1430 to 2230, and/or 2230 to 0630 Every other weekend is required for FT or PT Safely perform daily resident care Accurately obtain vitals and weights Perform restorative programs (ROM, Dressing, Grooming, ect.) Able to perform standard CNA care as learned in CNA classes. Benefits: Be part of a new and upcoming community. Work in a facility that cares as much about its staff as much as it cares about its residents. (Having the supplies needed to do the job: printer, fax, oxygen, ect.) Join a team attempting to make a difference for residents and staff Schedule: 10P-6A weekdays with every other weekend Pay: $20/Hour 
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Baylor Weekend Registered Nurse Home Health Thursday - Sunday, 10 hour days At Elara Caring, we care where you are and believe the best place for your care is where you live. We know there’s no place like home, and that’s why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to make a difference as a Registered Nurse Home Health. Being a part of something this great, starts by carrying out our mission every day through your true calling: developing an amazing team of compassionate and dedicated healthcare providers. To continue to be an industry pioneer delivering unparalleled care, we need a Registered Nurse Home Health with commitment and compassion. Are you one of them? If so, apply today! Why Join the Elara Caring mission? Work autonomy and flexible schedules 1:1 patient care Supportive and collaborative environment Competitive compensation package Tuition reimbursement for full-time staff and continuing education opportunities for all employees Comprehensive insurance plans for medical, dental, and vision benefits 401(K) with employer match Paid time off, paid holidays, family and pet bereavement Pet insurance As a Registered Nurse Home Health, you’ll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Home Health team. Add key accountabilities here. Maintains patient and staff privacy and confidentiality pursuant to HIPAA Privacy Final Rule. Assesses assigned case load of home health care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. Assumes primary responsibility for caseload, including assessing, planning, coordinating, implementing, and evaluating the plan of treatment. Assesses patient needs and obtains data on physical, psychological, social, and spiritual factors that may influence patient/family/caregiver health status and incorporate that data into the plan of care. Makes the initial evaluation and re-evaluates the patient’s nursing needs during each visit. Makes follow up visits according to patient, family, and facility needs. Communicates significant findings, problems, and changes in health condition, environment, or unsafe facility conditions to the Clinical Supervisor, physician, facility, and/or other personnel involved with patient care. Revises the plan of care in response to identified patient care issues and notifies the Clinical Supervisor, physician, facility, and other team members. What is Required? Current, unrestricted state RN licensee 1+ year experience in a clinical care setting as a nurse Able and willing to travel within branch/office coverage area. Must have a dependable vehicle, valid driver’s license, and current auto insurance in accordance with state laws. Must be able and willing to travel 50% Associates Degree or Bachelor’s Degree in Nursing is preferred Previous Home Health or Hospice Experience is preferred Previous experience with HomeCare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor This is not a comprehensive list of all job responsibilities and requirements; a full job description will be provided upon request. #LI-NG1 We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to recruiting@elara.com. 
Overview Medical Assistant – Naperville - Internal Medicine Position Highlights : Full-Time, 40 hours per week Hours: Monday-Friday, hours vary Location: 808 Rickert Drive Naperville, Illinois 60540 Travel: As needed. Benefits: Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider. Employer provided life and disability insurance. $5,250 Tuition Reimbursement per year. Immediate 401(k) match. 40 hours paid volunteer time off. A culture committed to community engagement and social impact. Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met. Responsibilities Greet patients and assist with registration, scheduling, measuring vital signs and collecting health history Provide support to physicians during examinations, minor office surgeries, dressing changes and other first aid procedures Certified medical assistants may assist with immunizations or injections Assist patients with prescription requests, address pharmacy callbacks, provider orders, update charting and filing Conduct onsite lab testing to include: EKG, pulmonary function, blood glucose and urine pregnancy tests Maintains clean, warm and inviting examination rooms for patient visits Provide excellent customer service exemplifying Duly Health and Care CARE values Some travel to assist other local clinics may be required Qualifications High school diploma or GED required Completion of Medical Assistant educational program or higher education courses in health sciences or related experience required Several of our clinical specialties including Internal Medicine, Pediatrics, and Family Practice, require active medical assistant certification through one of the following: American Medical Technologists (AMT) National Center for Competency Testing (NCCT) National Healthcareer Association (NHA) American Registry of Medical Assistants (ARMA) American Association of Medical Assistants (AAMA) CPR certification or willing to become certified upon hire required May require phlebotomy certification to be completed within 90 days of hire Prior experience working as an MA, CMA, CNA, EMT or 2 years of prior experience working in a medical office assisting with patient care Prior experience using an electronic medical record preferred College graduates from a health sciences program interested in gaining patient care experience and in pursuing a career in healthcare are welcome to apply The compensation for this role includes a base pay range of $21.43-23.63 for a Medical Assistant; Certified or Registered Medical Assistant the base pay range is $22.97-24.57, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package. 
Overview At Duly Health and Care, you are empowered to deliver care that reflects the full scope of your training – with autonomy, purpose, and the full support of a robust, collaborative network. With access to more than 1,200 partner providers across 50+ specialties, six ambulatory surgery centers, comprehensive ambulatory services including imaging, laboratory services, physical and occupational therapy, and more, you have access to all the resources you need to provide exceptional patient care and perfect the practice of medicine every day. Duly Health and Care Naperville is seeking a APP who is committed to empowering health and elevating care for our patients while also pursuing innovative solutions with their care team that move healthcare forward. Responsibilities As an APP at Duly, you will get the opportunity to: Practice at the top of your license and form trusting relationships working under the direct supervision of your collaborating physician, Dr. Yousuf Sayeed, MD, MBA | Duly Health and Care . Gain increased autonomy and independence in decision making with support from Dr. Sayeed. Impact care delivery and patient satisfaction by having a voice in clinical decisions. Develop a relationship and partnership with Dr. Sayeed, clinical staff members, and management. Join a collaborative team and participate in a structured training program including orientation, shadowing, and onboarding Complete patient examinations and treatment, order diagnostic and therapeutic modalities, prescribe medication, provide patient and family education, and complete documentation. Strong internal referral network and collaborative provider partners across Pain Management and more than 1,600 Duly providers Live and work in the vibrant suburbs of Chicago with excellent schools and convenient access to some of the nation's leading healthcare facilities Duly Health and Care provides a valuable benefits program that’s made to meet the various needs of our team members and their families. Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider. Employer provided life and disability insurance. Flexible Spending Account/Health Savings Account 401K Vacation, Sick Time, Volunteer Days, and Paid Holidays Employee Discounts and Tuition Assistance $2,500 in CME funds . Qualifications Graduation from an approved school for Physician Assistant Or Nurse Practitioner-Masters Degree. Licensed or ability to obtain licensure in the state of Illinois Previous experience in Orthopedics, Pain, or similar setting. If you are dedicated to pursuing the absolute best – for our patients and the future of healthcare – you belong at Duly. ***The anticipated base compensation range for this position is $100,000-140,000, depending upon the applicant’s qualifications and experience. In addition to the base compensation, this position may also be eligible for a sign-on bonus. 
Overview Certified Medical Assistant – Winfield - Pulmonary Medicine Position Highlights : Full-Time, 40 hours per week Hours: Monday-Friday, hours vary Location: Central DuPage Hospital 25 North Winfield Road 3rd Floor Winfield, Illinois 60190 Travel: As needed. Benefits: Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider. Employer provided life and disability insurance. $5,250 Tuition Reimbursement per year. Immediate 401(k) match. 40 hours paid volunteer time off. A culture committed to community engagement and social impact. Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met. Responsibilities Greet patients and assist with registration, scheduling, measuring vital signs and collecting health history Provide support to physicians during examinations, minor office surgeries, dressing changes and other first aid procedures Certified medical assistants may assist with immunizations or injections Assist patients with prescription requests, address pharmacy callbacks, provider orders, update charting and filing Conduct onsite lab testing to include: EKG, pulmonary function, blood glucose and urine pregnancy tests Maintains clean, warm and inviting examination rooms for patient visits Provide excellent customer service exemplifying Duly Health and Care CARE values Some travel to assist other local clinics may be required Qualifications High school diploma or GED required Completion of Medical Assistant educational program or higher education courses in health sciences or related experience required Several of our clinical specialties including Internal Medicine, Pediatrics, and Family Practice, require active medical assistant certification through one of the following: American Medical Technologists (AMT) National Center for Competency Testing (NCCT) National Healthcareer Association (NHA) American Registry of Medical Assistants (ARMA) American Association of Medical Assistants (AAMA) CPR certification or willing to become certified upon hire required May require phlebotomy certification to be completed within 90 days of hire Prior experience working as an MA, CMA, CNA, EMT or 2 years of prior experience working in a medical office assisting with patient care The compensation for this role includes a base pay range of $21.43-23.63 for a Medical Assistant; Certified or Registered Medical Assistant the base pay range is $22.97-24.57, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package. 
Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services. Highlights of working at Marathon Health: Competitive health benefits that start 1st of month after start date 15 days of PTO plus paid holidays No out-of-pocket cost for scrubs Pay Range: $20.00-25.00/hr The actual offer may vary dependent upon geographic location and the candidate’s years of experience and/or skill level. About Us At Marathon Health we are building the most trusted, accessible and personalized healthcare experience alongside our patients and clients. With 20+ years’ experience from our shared organizations, we hold a unified goal of building deep, trusted and lasting relationships with our patients and clients. As Marathon Health, we are guided by our core principles of Patients First, Courage, Ingenuity, Community, and Fun. About the Role We are currently looking for an experienced Medical Assistant to join our team. The Medical Assistant is a key component of our care team and works closely with a primary care physician to deliver excellent patient care and provide an exceptional guest experience to our patients. Because of our unique model, our Medical Assistants oversee the full spectrum of the patient experience- acting both as a Medical Receptionist as well as assuming clinical responsibilities of a Medical Assistant. Essential Duties and Responsibilities The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive. Escorts patients to room and ensures that exam rooms are thoroughly cleaned and stocked Reviews previous medical information and gathers any relevant updated health information from the patient to inform the provider Take vitals, perform blood draws, give injections, bandage wounds, assist with procedures. Work with the contracted labs for additional tests Prepares and administers approved medications and immunizations via oral, topical, inhaled, intramuscular, subcutaneous or intradermal at the direction of and upon written order from the Provider Partners with other members of the care team to develop individual patient plan of care including identifying and working to address gaps in care Front desk duties, including: patient scheduling, medical record requests and abstraction, documentation, coordinate specialist visits, referrals, and other care outside of the clinic, check-in, check-out, etc. Records accurate and pertinent data in the medical record according to documentation guidelines Process test results and provide the patient with timely results via e-message, mail or phone as directed in written instructions by the Provider Participates in outreach to patients to drive engagement among eligible patient groups Maintains clinical and office supplies and equipment for treatments About You Minimum of 1 year of experience working as a Medical Assistant, preferably in Primary Care. May vary based on clinic needs Graduation from a formal Medical Assistant program or other related program National or state-specific MA certification or registration is strongly preferred. MA certification or registration is required for employment in States where certification/registration is required. CPR/BLS certification required at time of start date Phlebotomy experience is preferred We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page. Marathon Benefits Summary We believe in empowering teammates to do their best work and build better healthcare. Below are some of our benefit offerings. Eligibility is based on 24/hr week. Health and Well-Being : Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Benefits are effective on the first of the month following date of hire. Financial Support: Competitive compensation, 401k match, access to financial coaching through our Employee Assistance Program Lifestyle: Paid time off for vacation, sick leave, and more. For more information, visit our careers page. $19.50/Hour Full Time Available for all shifts!!!!! Get paid Daily with DailyPay!!! Requirements CNA certificate (current and active) BLS certificate Able to stand for hours at a time Able to lift up to 50 lbs Prefer: Experience with LTC Experience with POC Excellent communication skills and customer service skills Tasks for this position include, but not limited to: Able to work 0630 to 1430, 1430 to 2230, and/or 2230 to 0630 Safely perform daily resident care Accurately obtain vitals and weights Perform restorative programs (ROM, Dressing, Grooming, ect.) Able to perform standard CNA care as learned in CNA classes. Benefits: Be part of a new and upcoming community. Work in a facility that cares as much about its staff as much as it cares about its residents. (Having the supplies needed to do the job: printer, fax, oxygen, ect.) Join a team attempting to make a difference for residents and staff. 
Description Candidates with 1+ years of RN experience would be eligible for a $3,000 sign on bonus paid in three equal installments over the first year of employment with NM. Internal NM RN transfers and previous NM employees who were employed within the last 12 months are not eligible for the sign on bonus. The schedule for this position is three 12-hour shifts 7p - 7:30a with every third weekend (Friday and Saturday nights) required. The Registered Nurse Inpatient reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. A clinically competent, registered, professional nurse who prescribes, delegates and coordinates nursing care to the acutely ill patient through the nursing process of assessment, planning, intervention, implementation and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining ANA standards of professional nursing practice. Responsibilities: Collects and analyzes data, identifies expected outcomes, develops and implements an individualized plan, coordinates care delivery and evaluates progress toward attainment of outcomes. Directs care and determines the appropriate utilization of any assistant involved in providing direct patient care. Collaborates with patient, family, physicians and ancillary staff. Creates a documented plan, focused on outcomes and decisions related to the care and delivery of services that indicates communications with patients, families, and others. Participates in shared governance, committee work, and unit projects. Evaluates and documents the patient’s responses to nursing interventions in the health record and properly individualizes the plan of care based on the evaluation of findings. Utilizes the best available evidence, including research findings to guide practice decisions. Qualifications Required : Bachelor of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse American Heart Association Basic Life Support (BLS) Strong interpersonal skills Ability to collaborate with others Strong analytic abilities Preferred: Experience in acute care inpatient nursing Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. 
Description The Staff Nurse reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The registered professional nurse assumes accountability and responsibility for the individualized, age-specific care of a patient along the continuum from admission to discharge. She/He gives direct care to assigned patients and assists with other patient care when necessary. The registered professional nurse’s decisions and actions on behalf of the patient/family are determined in an ethical manner. She/He collects and analyzes the assessment data in determining nursing diagnoses, collaborates with the patient/family and other health care team members, develops a plan of care to attain realistic outcomes, provides education founded on evidence-based practice, and systematically evaluates the quality and effectiveness of nursing practice. Responsibilities: Assess and records patient status and identifies patient care needs upon admission/point of care entry. Organizes the assessment health data so that it is accurate, complete and accessible. Identifies problems that need immediate attention. Validates diagnoses with patient/family and other health care team members. Documents diagnoses in a manner that facilitates the determination of expected outcomes and plan of care. Initiates Problem List at the time of admission and updates as needed. Incorporates principles of age-specific care into the patient’s plan of care. Documents that the patient’s individualized plan of care has been discussed with and agreed upon by the patient/family. Begins plans for discharge at time of admission; consults with patient/family and health care team members regarding discharge plan. Identifies patient teaching needs on admission and throughout hospital stay. Arranges conferences with patient and/or family and other members of health team when indicated to plan care. Prioritizes and organizes nursing interventions that are evidence based and reflective of established standards of care. Provides individualized, mutually agreeable, patient and family education that is founded on evidence-based practice and research guidelines. Documents all assessments, interventions and patient responses. Reviews consistently the patient’s health data to keep the Plan of Care updated. Assures that revisions to the plan of care are systematic and ongoing and are driven by measurable realistic goals. Documents the patient’s progression toward identified outcomes Identifies unmet outcomes and provides direction for continuity of care. Reassesses nursing actions for effectiveness in achieving desired outcomes. Communicates with patient/family and health care team members re: patient care and nursing’s role in the provision of care. Collaborates with patient/family and healthcare team members re: the patient’s progress/plan of care. Presents relevant patient information at multidisciplinary meetings/conferences for feedback from peers. Makes appropriate referrals as needed for continuity of care. Qualifications Required: Bachelor of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse American Heart Association Basic Life Support (BLS) Strong interpersonal skills Ability to collaborate with others Strong analytic abilities Associate Degree Nursing (ADN) acceptable with commitment to obtain a BSN from an accredited program within three years of first day of employment in clinical nurse role. Additional Requirements for the Emergency Room: ACLS, PALS/ENPC & TNCC within one year of hire Additional Requirements for the Pediatric Emergency Room: Pediatric Advanced Life Support TNCC within one year of hire Additional Requirements for Non-Invasive Cardiology: ACLS Preferred: Experience in specific clinical area Additional Preferences for the Emergency Room and the Pediatric Emergency Room: Trauma Nurse Specialist (TNS) Emergency Communications Registered Nurse Certified Pediatric Nurse Certified Emergency Nurse Preferred: Experience in specific clinical area. Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. 
Description Candidates with 1+ years of RN experience would be eligible for a $3,000 sign on bonus paid in three equal installments over the first year of employment with NM. Internal NM RN transfers and previous NM employees who were employed within the last 12 months are not eligible for the sign on bonus. The schedule for this position is three 12-hour shifts 7p - 7:30a with every third weekend (Friday and Saturday nights) required. The Registered Nurse Inpatient reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. A clinically competent, registered, professional nurse who prescribes, delegates and coordinates nursing care to the acutely ill patient through the nursing process of assessment, planning, intervention, implementation and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining ANA standards of professional nursing practice. Responsibilities: Collects and analyzes data, identifies expected outcomes, develops and implements an individualized plan, coordinates care delivery and evaluates progress toward attainment of outcomes. Directs care and determines the appropriate utilization of any assistant involved in providing direct patient care. Collaborates with patient, family, physicians and ancillary staff. Creates a documented plan, focused on outcomes and decisions related to the care and delivery of services that indicates communications with patients, families, and others. Participates in shared governance, committee work, and unit projects. Evaluates and documents the patient’s responses to nursing interventions in the health record and properly individualizes the plan of care based on the evaluation of findings. Utilizes the best available evidence, including research findings to guide practice decisions. Qualifications Required : Bachelor of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse American Heart Association Basic Life Support (BLS) Strong interpersonal skills Ability to collaborate with others Strong analytic abilities Preferred: Experience in acute care inpatient nursing Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family. 
Silver Cross Hospital is an extraordinary place to work. We’re known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It’s the way you want to be treated. Summary: The position of nursing manager requires a clinically competent Registered Nurse whose responsibilities include planning, directing, supervising and coordinating patient care provided by the healthcare team. The leader is responsible for the overall clinical, quality, service, and financial performance for their area. Collaborates with staff, management, and physicians to ensure quality and patient care is being provided with optimum patient outcomes. Acts as a resource person to staff in problem identification and solving. Serves as a mentor for staff and promotes a team based model. Effectively interacts with patients, significant others, and other health team members. Requirements: Currently licensed as a Registered Nurse in the State of Illinois. BSN degree; MSN preferred. CPR. Certification(s) pertinent to clinical specialty preferred. A minimum of 2 years clinical nursing experience in the clinical specialty preferred. Work Shift Details: Days - First Shift, Manger over units 5-1, 5-2, 5- Department: 5-2 INPATIENT NURSING Benefits for You At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members. Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes: · Medical, Dental and Vision plans · Life Insurance · Flexible Spending Account · Other voluntary benefit plans · PTO and Sick time · 401(k) plan with a match · Wellness program · Tuition Reimbursement Registry employees who meet eligibility may participate in one of our 401(k) Savin gs plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits. The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more. The expected pay for this position is listed below: $47.17 - $60.14 
JOB DESCRIPTION SUMMARY The Nurse Practitioner is a licensed professional nurse with advanced graduate education and clinical training who provides comprehensive palliative care services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The Nurse Practitioner provides palliative care through the evaluation, assessment and management of the HPI, review of symptoms, physical exam, management of health problems by directing and developing the plan of care, prescribing medications as needed, coordinating and collaborating with patients, families and other healthcare practitioners. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, and provides a consultation to meet the patient's goals and improve quality of life. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Provides palliative care consultations in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. 2. Completes history and physical examinations by evaluating the patient's medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient's medical record. 3. Manages advanced illnesses by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating hospice care, when appropriate. 4. Educates patient/family on disease progression, trajectory, and options for care. 5. Reviews clinical information, coordinates and oversees patient care in consultation with the palliative care interdisciplinary team and other healthcare practitioners. 6. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members and other healthcare providers. 7. Reviews and develops advanced directives with patient/family. 8. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's primary care physician, specialists, home health care team, caregivers, and other healthcare providers within the patient's care team. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in palliative care interdisciplinary group meetings. 5. Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record. 6. Educate/counsel patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and palliative care interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 10. Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community. 11. Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for evaluation and management billable services 2. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 3. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. 4. Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes. 5. Fulfills the obligation of requested and/or accepted assignments. 6. Demonstrate knowledge in communication and counseling patient/family in dealing with advanced illnesses. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. POSITION QUALIFICATIONS 1. Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. 2. Current nursing licensure in State and CPR certification. 3. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 4. Accreditation from an approved certifying body for advanced practice nursing as required by State. 5. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN) or Geriatrics). 6. Ability to work independently and effective time management skills. 7. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 8. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 9. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 10. Ability to receive or has a current DEA license. Assistant Director of Nursing Located in Elgin, IL Salary: $80K to $90K; based on experience Qualifications of the Assistant Director of Nursing: Must have prior experience as an Assistant Director of Nursing Must have current IL RN License Must have long term care experience Must have strong clinical background and knowledge Must have excellent leadership skills Responsibilities of the Assistant Director of Nursing: Assist in supervision of nursing staff in the facility Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident #2824 
Department: 39109 Hospice North Region - Hospice Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday through Friday (8am to 5pm); 1 summer holiday and 1 winter holiday oncall commitments (8am to 8pm shifts). Primary assignment location: Lincolnwood, Norwood, Norridge, Harwood Heights, Rogers Park, Edgewater, Skokie, Evanston, Lincoln Square, and overflow from Niles and Morton Grove areas. Secondary assignment location: Lincoln Park, Logan Square, and neighboring Chicago areas. External candidates may be eligible for a $7500 sign on bonus!! Pay Range $37.50 - $56.25 Major Responsibilities: Responsible for identifying and coordinating patient/family care to support terminally ill patients and families in all hospice settings. Frequency of patient / family contacts will be at the discretion of the Case Manager and his/her assessment of need, but will be a minimum of every 15 days. The Case Manager utilizes teaching, assessment, and intervention skills to provide comfort care at end of life and maximize the quality of life for the patients and families. Educates patients and families regarding disease processes and trajectory, disease management, hospice philosophies, signs and symptoms of decline and end of life. Updates the primary physician as indicated and according to agency, accreditation, state and federal requirements. Responsible for continuous review of all aspects of every patient of her/his caseload to include appropriate utilization of services and the appropriate hospice level of care criteria are met. Makes referrals to other team members as appropriate. Administers medication and treatments as prescribed by the physician. Leads the interdisciplinary care group (IDG) specific to each patient and family on their caseload. Working within the IDG to develop, revise, and implement the patient’s Plan of Care. Coordinates all services and collaborates with members of the interdisciplinary team to provide consistent patient care. Arranges for and/or recommends equipment, medical supplies and other necessary items and services as indicated. Enters, completes and updates documentation in the electronic health record as required according to agency/department standards and policies, accreditation, state and federal guidelines. Documentation accurately records the patient’s experience with a combination of assessments and narrative . Provides on-going assessment of patient response to treatments, medications and teaching while making appropriate changes in interventions and follow-up to meet patient needs. Updates and revises POC as indicated with supportive documentation to changes. Communicates problems and changes in condition to physicians, supervisor and other members of the IDG. Enters verbal orders from the physician or APN into the Electronic Health Record. Supervises and performs Home Health Aide and licensed practical nurse supervisory visits according to agency standards. Instructs paraprofessional staff on a timely basis and in accordance with agency, state and federal regulations. Facilitates the discharge planning process according to agency standards and utilizes interagency/system and community resources to assure continuity of care after discharge. WI ONLY: May conduct OASIS assessments for Palliative Care patient and establish and update the plan of care. May conduct hospice initial and comprehensive assessments and establish and update the plan of care. Ensures continued skilled nursing/home bound criteria are met. Initiates appropriate preventive and rehabilitative nursing procedures. Utilizes proper body mechanics, assistive devices and safety techniques when performing various patient positioning/repositioning and transporting duties, which require lifting, and pushing/pulling. Orients and mentors new staff as requested. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration and/or Certification Required: Registered Nurse license issued by the state in which the team member practices, and Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained upon hire unless department leader has determined it is not required, and A valid driver’s license issued by the Division of Motor Vehicles. Education Required: Completion of an accredited or approved program in Nursing. Experience Required: Typically requires 1-2 years of experience in nursing that includes experiences in home health, hospice, medical/surgical, long term care, emergency care/ICU or oncology or similar related experience. Knowledge, Skills & Abilities Required: Competent in the principles of deformity prevention, normal range of motion, body mechanics and body alignment; and fundamental principles of human behavior and an understanding of the effects of stress upon individuals and groups. Excellent awareness and perception skills, for the purpose of assessing a patient's needs, concerns and to recognize changes in their health condition. Excellent communication and interpersonal skills. Excellent decision making and critical thinking skills, with the ability to work independently and make sound judgments. Excellent prioritization and organizational skills. Physical Requirements and Working Conditions: Must be able to: - Lift up to 50 lbs. from floor to waist. - Lift up to 20 lbs. over the head. - Carry up to 40 lbs. a reasonable distance. Must be able to: - Push/pull with 30 lbs. of force. Perform a sliding transfer of 150 lbs. with a second person present. Must be able to work safely with people of various sizes and weight, with diverse and complex medical conditions and physical limitations. Must have the physical agility and stamina to move about in confined spaces, including bending, kneeling, squatting and occasionally reaching one or both arms over the head for long periods of time. Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids. Will be required to wear protective clothing and equipment as needed. Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. 
Department: 37200 Advocate Sherman Hospital - Pain Management Status: Part time Benefits Eligible: Yes Hou rs Per Week: 24 Schedule Details/Additional Information: Monday through Friday day shift and does include some weekends Pay Range $34.90 - $56.25 Sherman Hospital Elgin, IL Registered Nurse (RN) This nursing position works in the Pain Management Clinic (PMC) which includes in office injections. The nurses of PMC also cover the Outpatient Infusion Clinic and place PICC/MIDLINES. Outpatient Infusion Clinic serves patients presenting for daily IV antibiotic and related therapies. Registered Nurse (RN) – Pain Management, Infusion, & Venous Access Part Time - 24 hours a week Schedule: Pain Management Clinic hours: Monday - Friday 9am-5:30pm Outpatient Infusion Clinic hours: 7 days a week 9am-12pm. After Infusion clinic is complete, this role will place PICC/Midlines for the hospital until 5pm. Start times for shift can start as early as 8am. Required holiday rotation for infusion clinic Rotating Weekends (Saturday & Sunday) Level 2 Trauma Competitive Benefit Package Medical, Dental, Vision, PTO, Tuition Reimbursement on Day 1 of employment! Major Responsibilities: Uses the nursing process to assess the needs of the patient, plan and implement individualized interventions and evaluate the effectiveness of the plan of care. Includes the patient and family in planning and implementing care and develops and maintains a therapeutic relationship throughout the healthcare continuum. Anticipates and recognizes significant changes in the patient’s condition, status, and need for care. Provides ongoing assessment of the patient and takes appropriate actions when changes occur. Anticipates and alters the plan of care as needed, mobilizes appropriate resources, and collaborates with other health care team members to coordinate patient centered care. Implements strategies to reduce patient risk and increase patient safety. Assesses patient and family readiness to learn and individualizes the approach as necessary. Works collaboratively to develop strategies to meet the learning needs of the patient and family. Actively coordinates the discharge plan utilizing an interdisciplinary approach. Applies evidence-based practice to deliver patient care. Consistently incorporates nursing and regulatory standards of care into practice. Provides ongoing evaluation of patient, team, and unit outcomes and is empowered to take appropriate action when changes are needed. Supports shared governance activities and initiatives to improve processes and patient outcomes. Demonstrates effective communication, feedback, and conflict resolution skills. Promotes collaboration among healthcare team members. Assumes a leadership role in the care team and delegates appropriately to unlicensed personnel. Promotes a culture of safety through identifying threats to patient safety and intervening to prevent patient harm. Reports patient safety events and near misses in a timely manner. Seeks to identify potential safety issues and assists in the implementation of corrective actions. Applies ethical decision making, demonstrates respect and understanding for peers, and other clinical disciplines. Participates as an effective member of the patient care team to formulate an integrated, unbiased, individualized approach to care. Participates in quality/process improvement initiatives to improve the functions of the department and the patient care experience. Participates in professional activities which contribute to personal professional development and the development of others. Seeks opportunities to be taught, coached, and mentored. Attends required meetings/educational programs and completes annual competencies in a timely manner. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices, and Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA). Education Required: Completion of an accredited or approved program in Nursing. Experience Required: Typically requires 1 year of experience in clinical nursing. Knowledge, Skills & Abilities Required: Demonstrates progression to provide holistic patient care and the ability to view clinical situations from a patient and family focus. Demonstrates progression to recognize situational changes that require unplanned or unanticipated interventions, and responds to situations with confidence, timeliness and flexibility. Proficient computer skills, use of electronic mail and electronic medical records systems. Excellent communication (written and verbal), listening and interpersonal skills. Demonstrates human relation skills with the ability to develop rapport and maintain positive, professional relationships with a variety of patients, team members and physicians. Ability to take initiative and work collaboratively with others. Demonstrated ability to effectively make critical, independent decisions. Excellent organization, prioritization and problem-solving skills. Demonstrates time management skills with an ability to multi-task and prioritize in an environment with frequent interruptions. Demonstrates coordination, collaboration, delegation and team building skills. Certification Addendum: Team members will maintain annual educational requirements for hospital based certifications (e.g. DNV, CARF or others) Physical Requirements and Working Conditions: Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday. Must be able to: lift up to 50 lbs. from floor to waist. lift up to 20 lbs. over the head. carry up to 40 lbs. a reasonable distance. Must be able to: push/pull with 30 lbs. of force. perform a sliding transfer of 150 lbs. with a second person present. Position requires use of foot pedals on carts or machines. May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary. Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. 
Department: 39109 Hospice North Region - Hospice Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: 12 hour shifts (8a-8p); includes every other weekend rotation; holiday oncall commitments: 1 summer and 1 winter holidays; assignment location: Gold Team territory (northwest suburbs, Chicago areas: east, north, and northwest sides, downtown by the South Loop neighborhood, and Lakeview areas. External candidates may be eligible for a $5,000 sign on bonus! Pay Range $34.90 - $52.35 Major Responsibilities: Performs all scheduled visits and collaborates with members of the interdisciplinary team as necessary. Conducts thorough physical, psychosocial and environmental assessments of assigned patients and updates plan of care where appropriate and as a result of visit finding. Follows a care plan, which identifies problems (nursing diagnosis) and evaluates outcomes within a certain time frame. Communicates with physicians to confirm and update patient's plan of treatment that may be necessary as a result of assigned visits. Communicates those changes to the primary registered nurse. Provides on-going assessment of patient response to treatments, medications and teaching and applies interventions as appropriate. Updates and revises care plan as indicated. Schedules patients and case conferences with primary registered nurse. Assists with the discharge planning process according to agency standards and utilizes interagency/system and community resources to assure continuity of care after discharge. Accurately documents and updates patient records according to agency, state and federal guidelines. Communicates problems to physicians and primary Registered Nurse, and clearly states plans, actions and goals so that changes are reflected as they occur. Follows published policies and procedures and regularly monitors changes or additions to them. Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the team member practices, and Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, and A valid drivers license issued by the Division of Motor Vehicles Education Required: Associate's Degree in Nursing. Experience Required: Typically requires 2 years of experience in nursing. Knowledge, Skills & Abilities Required: Proficiency in clinical skills with the ability to work under direction and make sound judgments. Excellent communication (written and verbal) and interpersonal skills. Ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians. Demonstrated ability to effectively make critical, independent decisions. Good organization, prioritization and problem solving skills. Ability to multi-task with frequent interruptions. Physical Requirements and Working Conditions: Must be able to sit, stand, walk and climb stairs for limited to prolonged periods of time. Must have the physical agility to move about in confined spaces, including bending, twisting, kneeling, squatting and occasionally reaching one or both over head. Must have the physical stamina to attend to patient care requirements over a period of three or more hours without complete rest. Must be able to concentrate with frequent interruptions. Must have accurate vision to read gauges and measuring devices and to interpret written instructions. Subject to exposure to chemical and hazardous waste and communicable disease; therefore protective clothing must be worn, as needed. Must be able to: - Lift up to 50 lbs. from floor to waist. - Lift up to 20 lbs. over the head. - Carry up to 40 lbs. a reasonable distance. Must be able to: - Push/pull with 30 lbs. of force. Perform a sliding transfer of 150 lbs. with a second person present. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. 
SUMMARY: The primary purpose of the Assistant Director of Nursing is to assist the Director of Nursing in planning, organizing, developing, and directing the day-to-day functions of the Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing, to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of nursing department. Ensure that reference material maintained at the nurse’s station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing organization structure. Make written and oral recommendations to the Director as necessary/required, concerning the operation of the nursing department. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. Ensure that all nursing personnel are following their respective job descriptions. Participate in the development, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. Assist the resident and Discharge Planning Coordinator in planning the nursing portion of the resident’s discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas. Assist the Director in obtaining staffing information that must be posted on a daily basis. Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to Administrator. Service on the Quality Assurance and Assessment Committee as directed. Schedule, attend, and participate in developing the agenda for the Care Plan Team Meetings as required. Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing personnel. Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained. Ensure that a sufficient number of Certified Nursing Assistants are available for each shift to ensure that routing nursing care is provided to meet the daily nursing care needs of each resident. Also ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistants program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to the Charge Nurse and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to Director. Review complaints and grievances made or filed by department personnel. Make appropriate reports to Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies as necessary. Ensure that all nursing personnel participate in the facility’s TB testing program. Participate in the interviewing and selection of residents for admission to the facility. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Review nurse’s notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to Director. Assist in developing and implementing corrective action. Participate in developing, planning, conducting, and scheduling in-service training that provide instructions on “how to do the job” and ensure a well-educated nursing department. Participate in the mandatory new hire orientation. Assist Director in scheduling annual mandatory in-service training for staff. (OSHA, HIPAA, Abuse Prevention, Infection Control, etc.) Assist the Safety Officer in developing safety standards for the nursing department. Assist the Director of Nursing in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that nursing personnel work areas (nurse’s station, medication rooms, etc.) are maintained in a clean and sanitary manner. Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that all nursing personnel participate in and conduct all fire safety and disaster preparedness drill in a safe and professional manner. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner. Ensure that only trained and authorized personnel operate the department’s equipment in a safe manner. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the MDS/CPC in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Be sure that staff members are providing care that reflects the wishes of the resident. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure all nursing personnel are knowledgeable of the residents’ responsibilities and rights include the right to refuse treatment. Performs other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Must possess, as a minimum, a Nursing Degree from an accredited college or university. Registered Nurse with current unencumbered state license. Must have, as a minimum, 2 years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility. Must have, as a minimum of 6 months experience in rehabilitative and restorative nursing practices. Current CPR Certification is required. Must be able to read, write, speak and understand the English language. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as at the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to move intermittently throughout the day. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. APERCHI2 
SUMMARY: The primary purpose of the Assistant Director of Nursing is to assist the Director of Nursing in planning, organizing, developing, and directing the day-to-day functions of the Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing, to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of nursing department. Ensure that reference material maintained at the nurse’s station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing organization structure. Make written and oral recommendations to the Director as necessary/required, concerning the operation of the nursing department. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. Ensure that all nursing personnel are following their respective job descriptions. Participate in the development, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. Assist the resident and Discharge Planning Coordinator in planning the nursing portion of the resident’s discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas. Assist the Director in obtaining staffing information that must be posted on a daily basis. Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to Administrator. Service on the Quality Assurance and Assessment Committee as directed. Schedule, attend, and participate in developing the agenda for the Care Plan Team Meetings as required. Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing personnel. Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained. Ensure that a sufficient number of Certified Nursing Assistants are available for each shift to ensure that routing nursing care is provided to meet the daily nursing care needs of each resident. Also ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistants program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to the Charge Nurse and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to Director. Review complaints and grievances made or filed by department personnel. Make appropriate reports to Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies as necessary. Ensure that all nursing personnel participate in the facility’s TB testing program. Participate in the interviewing and selection of residents for admission to the facility. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Review nurse’s notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to Director. Assist in developing and implementing corrective action. Participate in developing, planning, conducting, and scheduling in-service training that provide instructions on “how to do the job” and ensure a well-educated nursing department. Participate in the mandatory new hire orientation. Assist Director in scheduling annual mandatory in-service training for staff. (OSHA, HIPAA, Abuse Prevention, Infection Control, etc.) Assist the Safety Officer in developing safety standards for the nursing department. Assist the Director of Nursing in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that nursing personnel work areas (nurse’s station, medication rooms, etc.) are maintained in a clean and sanitary manner. Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that all nursing personnel participate in and conduct all fire safety and disaster preparedness drill in a safe and professional manner. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner. Ensure that only trained and authorized personnel operate the department’s equipment in a safe manner. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the MDS/CPC in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Be sure that staff members are providing care that reflects the wishes of the resident. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure all nursing personnel are knowledgeable of the residents’ responsibilities and rights include the right to refuse treatment. Performs other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Must possess, as a minimum, a Nursing Degree from an accredited college or university. Registered Nurse with current unencumbered state license. Must have, as a minimum, 2 years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility. Must have, as a minimum of 6 months experience in rehabilitative and restorative nursing practices. Current CPR Certification is required. Must be able to read, write, speak and understand the English language. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as at the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to move intermittently throughout the day. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. APERCHI2 
SUMMARY: The primary purpose of the Assistant Director of Nursing is to assist the Director of Nursing in planning, organizing, developing, and directing the day-to-day functions of the Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing, to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of nursing department. Ensure that reference material maintained at the nurse’s station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing organization structure. Make written and oral recommendations to the Director as necessary/required, concerning the operation of the nursing department. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. Ensure that all nursing personnel are following their respective job descriptions. Participate in the development, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. Assist the resident and Discharge Planning Coordinator in planning the nursing portion of the resident’s discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas. Assist the Director in obtaining staffing information that must be posted on a daily basis. Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to Administrator. Service on the Quality Assurance and Assessment Committee as directed. Schedule, attend, and participate in developing the agenda for the Care Plan Team Meetings as required. Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing personnel. Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained. Ensure that a sufficient number of Certified Nursing Assistants are available for each shift to ensure that routing nursing care is provided to meet the daily nursing care needs of each resident. Also ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistants program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to the Charge Nurse and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to Director. Review complaints and grievances made or filed by department personnel. Make appropriate reports to Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies as necessary. Ensure that all nursing personnel participate in the facility’s TB testing program. Participate in the interviewing and selection of residents for admission to the facility. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Review nurse’s notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to Director. Assist in developing and implementing corrective action. Participate in developing, planning, conducting, and scheduling in-service training that provide instructions on “how to do the job” and ensure a well-educated nursing department. Participate in the mandatory new hire orientation. Assist Director in scheduling annual mandatory in-service training for staff. (OSHA, HIPAA, Abuse Prevention, Infection Control, etc.) Assist the Safety Officer in developing safety standards for the nursing department. Assist the Director of Nursing in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that nursing personnel work areas (nurse’s station, medication rooms, etc.) are maintained in a clean and sanitary manner. Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that all nursing personnel participate in and conduct all fire safety and disaster preparedness drill in a safe and professional manner. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner. Ensure that only trained and authorized personnel operate the department’s equipment in a safe manner. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the MDS/CPC in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Be sure that staff members are providing care that reflects the wishes of the resident. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure all nursing personnel are knowledgeable of the residents’ responsibilities and rights include the right to refuse treatment. Performs other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Must possess, as a minimum, a Nursing Degree from an accredited college or university. Registered Nurse with current unencumbered state license. Must have, as a minimum, 2 years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility. Must have, as a minimum of 6 months experience in rehabilitative and restorative nursing practices. Current CPR Certification is required. Must be able to read, write, speak and understand the English language. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as at the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to move intermittently throughout the day. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. APERCHI2 
Responsibilities RESOURCE RN POOL FOR HARTGROVE AND GARFIELD PARK BEHAVIORAL HOSPITALS. MUST COMMIT TO FLOAT TO EITHER HOPSITAL AS NEEDED . FLEX/PRN - Min 6 shifts/month (3 weekends) $50 + shift differentials Garfield Park Behavioral Hospital and Hartgrove Behavioral Hospital are looking for dynamic experienced Registered Nurses for our new Resource Float Pool ! If you have a desire to work in an engaging environment with a team of professionals dedicated to the healing and health of the patients we serve, we want to hear from you! Shifts: 8 hours - 11pm - 7:30am; 3pm - 11:30pm or 7am - 3:30pm Garfield Park Behavioral Hospital is dedicated to providing behavioral health and psychiatric support to children and teens ages 3 to 17. Above all else, we treat every patient with compassion and respect. Using evidence-based treatment approaches and individualized care, we strive to instill hope in our patients, their families and our community. Hartgrove Behavioral Health System is a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for its diverse population of children, adolescents and adults. Hartgrove Hospital has become the flagship behavioral health facility within Universal Health Services, Inc., its parent company. As a leader in behavioral health within UHS and in the Chicago area, Hartgrove Hospital is a state-of-the-art facility offering some of the most advanced technologies and programs found in the behavioral health field. We are dedicated to our teamwork approach and provide a compassionate and therapeutic environment, as well as offering a continuum of specialty programs throughout our inpatient, partial and outpatient services. Our Registered Nurses provide professional nursing care on assigned units in a manner consistent with the philosophy and objectives of the Hospitals. Registered Nurses prescribe, coordinate and delegate nursing care utilizing the nursing process which is integrated into the multidisciplinary treatment team plan of care. Registered Nurses are accountable for assigned nursing care activities on a shift basis and are responsible for promoting and enhancing professional nursing practice. Registered Nurses are authorized to initiate restraints or seclusion and assess continuation. If you would like to learn more about the new Resouce Float Pool, please contact Rasa Avizienis, Group Talent Acquisition Manager @ rasa.avizienis@uhsinc.com FLEX/PRN positions - no benefits. Qualifications Registered Nurse (RN) Job Requirements: Current license to practice nursing in Illinois Minimum one year RN experience or prior LPN experience, preferably in a behavioral health or psychiatric setting Current CPR or BLS certification What do our current nurses value at UHS? An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer nurses and nursing leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. 
Responsibilities RESOURCE RN POOL FOR HARTGROVE AND GARFIELD PARK BEHAVIORAL HOSPITALS. MUST COMMIT TO FLOAT TO EITHER HOPSITAL AS NEEDED . FLEX/PRN - Min 6 shifts/month (3 weekends) $50 + shift differentials Garfield Park Behavioral Hospital and Hartgrove Behavioral Hospital are looking for dynamic experienced Registered Nurses for our new Resource Float Pool ! If you have a desire to work in an engaging environment with a team of professionals dedicated to the healing and health of the patients we serve, we want to hear from you! Shifts: 8 hours - 11pm - 7:30am; 3pm - 11:30pm or 7am - 3:30pm Garfield Park Behavioral Hospital is dedicated to providing behavioral health and psychiatric support to children and teens ages 3 to 17. Above all else, we treat every patient with compassion and respect. Using evidence-based treatment approaches and individualized care, we strive to instill hope in our patients, their families and our community. Hartgrove Behavioral Health System is a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for its diverse population of children, adolescents and adults. Hartgrove Hospital has become the flagship behavioral health facility within Universal Health Services, Inc., its parent company. As a leader in behavioral health within UHS and in the Chicago area, Hartgrove Hospital is a state-of-the-art facility offering some of the most advanced technologies and programs found in the behavioral health field. We are dedicated to our teamwork approach and provide a compassionate and therapeutic environment, as well as offering a continuum of specialty programs throughout our inpatient, partial and outpatient services. Our Registered Nurses provide professional nursing care on assigned units in a manner consistent with the philosophy and objectives of the Hospitals. Registered Nurses prescribe, coordinate and delegate nursing care utilizing the nursing process which is integrated into the multidisciplinary treatment team plan of care. Registered Nurses are accountable for assigned nursing care activities on a shift basis and are responsible for promoting and enhancing professional nursing practice. Registered Nurses are authorized to initiate restraints or seclusion and assess continuation. If you would like to learn more about the new Resouce Float Pool, please contact Rasa Avizienis, Group Talent Acquisition Manager @ rasa.avizienis@uhsinc.com FLEX/PRN positions - no benefits. Qualifications Registered Nurse (RN) Job Requirements: Current license to practice nursing in Illinois Minimum one year RN experience or prior LPN experience, preferably in a behavioral health or psychiatric setting Current CPR or BLS certification What do our current nurses value at UHS? An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer nurses and nursing leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. 
Responsibilities RESOURCE RN POOL FOR GARFIELD PARK AND HARTGROVE BEHAVIORAL HOSPITALS. MUST COMMIT TO FLOAT TO EITHER HOPSITAL AS NEEDED . FLEX/PRN - Min 6 shifts/month (3 weekends) $50 + shift differentials Garfield Park Behavioral Hospital and Hartgrove Behavioral Hospital are looking for dynamic experienced Registered Nurses for our new Resource Float Pool ! If you have a desire to work in an engaging environment with a team of professionals dedicated to the healing and health of the patients we serve, we want to hear from you! Shifts: 8 hours - 11pm - 7:30am; 3pm - 11:30pm or 7am - 3:30pm Garfield Park Behavioral Hospital is dedicated to providing behavioral health and psychiatric support to children and teens ages 3 to 17. Above all else, we treat every patient with compassion and respect. Using evidence-based treatment approaches and individualized care, we strive to instill hope in our patients, their families and our community. Hartgrove Behavioral Health System is a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for its diverse population of children, adolescents and adults. Hartgrove Hospital has become the flagship behavioral health facility within Universal Health Services, Inc., its parent company. As a leader in behavioral health within UHS and in the Chicago area, Hartgrove Hospital is a state-of-the-art facility offering some of the most advanced technologies and programs found in the behavioral health field. We are dedicated to our teamwork approach and provide a compassionate and therapeutic environment, as well as offering a continuum of specialty programs throughout our inpatient, partial and outpatient services. Our Registered Nurses provide professional nursing care on assigned units in a manner consistent with the philosophy and objectives of the Hospitals. Registered Nurses prescribe, coordinate and delegate nursing care utilizing the nursing process which is integrated into the multidisciplinary treatment team plan of care. Registered Nurses are accountable for assigned nursing care activities on a shift basis and are responsible for promoting and enhancing professional nursing practice. Registered Nurses are authorized to initiate restraints or seclusion and assess continuation. If you would like to learn more about the new Resouce Float Pool, please contact Rasa Avizienis, Group Talent Acquisition Manager @ rasa.avizienis@uhsinc.com FLEX/PRN positions - no benefits. Qualifications Registered Nurse (RN) Job Requirements: Current license to practice nursing in Illinois Minimum one year RN experience or prior LPN experience, preferably in a behavioral health or psychiatric setting Current CPR or BLS certification What do our current nurses value at UHS? An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer nurses and nursing leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. 
Department: Dialysis Location: Park Ridge Hours Per Week: 40 Schedule: Days/Weekends/Evenings SUMMARY: As a Licensed Practical Nurse in Hemodialysis, your specialized skill set and ability to collaborate with the Registered Nurse is vital to exceptional patient care. RESPONSIBILITIES: Conducts and documents a thorough assessment of each patient’s medical status upon admission and throughout the patient’s course of treatment. Assists in the implementation of the patient’s treatment plan under the direction of the RN. Complies with the evaluation, treatment, and documentation guidelines of the department. Acts in compliance with hospital, regulatory, and professional standards and policies. Maintains clinical currency by pursuing continuing education opportunities. Administers IVP medications specific to dialysis patient population. Initiate and discontinue dialysis treatments using multiple access sites including AV fistulas, AV grafts and Central Venous Catheters (CVC). Clean and redress CVC skin sites. Draw Blood from CVC. Respond to CVC line separations. REQUIRED QUALIFICATIONS: Graduate from an accredited School of Practical Nursing OR ASN/BSN in Nursing. Current New York State Licensed Practical Nurse license. Completion of the NYS Department of Health and NYS DOE approved training curriculum for LPN’s working in Outpatient Hemodialysis Units (completed as part of unit based orientation). Completion of the NYS DOH and NYS DOE approved annual competency for LPN’s accessing central lines in a hemodialysis unit (completed as part of unit based orientation). Basic Life Support (BLS) Certification required. PREFERRED QUALIFICATIONS: One year experience preferred. EDUCATION: LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), LPN - Licensed Practical Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED) PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations. PAY RANGE: $27.25 - $33.25 CITY: Rochester POSTAL CODE: 14626 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.