Nursing Jobs in Winchester, IN

Job Title: Personal Care Assistant (PCA) About Us: At Altra Homecare Group , we believe great care starts with genuine human connection. We are a community-based home care agency dedicated to helping individuals live safely and comfortably in their own homes. Our patient-first philosophy is built on strong relationships, personalized care, and a team approach that supports both our clients and our caregivers. Position Overview: We are currently seeking compassionate, dependable individuals to join our growing team as Personal Care Assistants. In this role, you will provide hands-on assistance and companionship to clients, helping them maintain independence and quality of life in their own homes. Key Responsibilities: Assist with bathing and personal hygiene Provide medication reminders Prepare light meals and assist with feeding when needed Support safe ambulation and mobility Perform range-of-motion exercises and simple physical activities Monitor and document vital signs, including temperature Ensure a safe and clean living environment Perform light housekeeping and laundry Offer companionship, including conversation, reading, and letter writing Observe and report any changes in client condition to your supervisor Maintain accurate documentation and follow care plans Adhere to privacy policies and infection control procedures Qualifications: Must be at least 18 years of age Valid driver’s license and current auto insurance Ability to read, follow written care instructions, and document services Current CPR certification Willingness to complete required state and federal training Prior caregiving experience preferred (1+ year), but not required Why Work With Altra Homecare Group? Competitive pay: $13–$16 per hour Weekly pay Overtime and holiday pay Flexible scheduling Health, dental, and vision insurance Direct deposit Supportive team environment Meaningful work that truly makes a difference Join Our Team: If you are passionate about helping others and want a career where your work matters every day, Altra Homecare Group would love to hear from you. 
Overview SHIFTS: SWO Days, +1 shift Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! This is a Special Weekend Option position which qualifies for premium pay! This position is also referral eligible. Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. At IU Health, you will learn and develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! Indiana University Health Ball is a level III trauma center with 48 beds. ED nurses will have ACLS, PALS, TNCC, and ENPC certifications paid for IU Health. Growth and development support is provided by leadership and the IU Health Organization. Developing as a nurse is important to us and we had multiple team members present podium and poster presentations at national conferences. Indiana University Health recently became a Pathway to Excellence Designed Hospital. Nursing skills gained on this unit: Assessment Comprehensive Care Critical Thinking Unit Culture: Great Teamwork Qualifications Requires an Associates of Nursing (ASN); Bachelor of Nursing (BSN) preferred. Education: The Registered Nurse (RN) must have graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires Basic Life Support certification through the AHA. Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: Increased pay scale for bedside nurses A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education. 
Overview We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day. Sound like a perfect match? Apply NOW! - We can't wait to hear from you! Full-Time Monday - Friday 8:30am – 5pm No Weekends No Holidays Under the supervision of the designated supervisor and assigned physician, performs duties associated with direct patient care and clinical direction to provide patient care given in accordance with the organization standards. Assures completeness of ordered procedures and treatments, assures smooth patient flow, performs general lab work, instructs patients concerning procedures, treatments and needs, and ensures medical orders and referrals are carried out accurately and in a timely manner. Performs registration and scheduling activities per organizational and departmental procedures. Maintains EMR files and performs general front office functions as needed. May perform computerized physician order entry, only if directed by assigned physician. Expected to precept current MA team members or MA Externs as requested by leadership. AHA Basic Life Support for healthcare workers certification required. Other advanced life support certifications may be required per unit/department specialty according to patient care policies. High school diploma or equivalent required. Graduation from a Medical Assistant program preferred. Current certification in medical assisting required from America Association of Medical Assistants (CMA), American Medical Technologists (RMA), National Health Career Association (CCMA), National Center for competency Testing (NCMA), and/or American Medical Certification Association (CMAC). Knowledge of OSHA, CLIA, and ADA required. Knowledge of ICD-10 and CPT coding required. TB validated (to administer or read) or validation obtained within 6 months of hire preferred. Knowledge of Business Unit Quality Programs, Meaningful Use and Standard Work Programs and concepts within 6 months of hire. Knowledge of standard laboratory and medical procedures. Knowledge of insurance plans and third-party payers. Ability to master standard clinical competencies per current Clinical policy, Point of Care and Skills Competency checklists. Requires basic math and accurate data collection and entry skills. 
Overview We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day. Sound like a perfect match? Apply NOW! - We can't wait to hear from you! Full-Time Monday - Friday 8am – 5pm No Weekends No Holidays Under the supervision of the designated supervisor and assigned physician, performs duties associated with direct patient care and clinical direction to provide patient care given in accordance with the organization standards. Assures completeness of ordered procedures and treatments, assures smooth patient flow, performs general lab work, instructs patients concerning procedures, treatments and needs, and ensures medical orders and referrals are carried out accurately and in a timely manner. Performs registration and scheduling activities per organizational and departmental procedures. Maintains EMR files and performs general front office functions as needed. May perform computerized physician order entry, only if directed by assigned physician. Expected to precept current MA team members or MA Externs as requested by leadership. AHA Basic Life Support for healthcare workers certification required. Other advanced life support certifications may be required per unit/department specialty according to patient care policies. High school diploma or equivalent required. Graduation from a Medical Assistant program preferred. Current certification in medical assisting required from America Association of Medical Assistants (CMA), American Medical Technologists (RMA), National Health Career Association (CCMA), National Center for competency Testing (NCMA), and/or American Medical Certification Association (CMAC). Knowledge of OSHA, CLIA, and ADA required. Knowledge of ICD-10 and CPT coding required. TB validated (to administer or read) or validation obtained within 6 months of hire preferred. Knowledge of Business Unit Quality Programs, Meaningful Use and Standard Work Programs and concepts within 6 months of hire. Knowledge of standard laboratory and medical procedures. Knowledge of insurance plans and third-party payers. Ability to master standard clinical competencies per current Clinical policy, Point of Care and Skills Competency checklists. Requires basic math and accurate data collection and entry skills. 
About Us At Altra Homecare Group , we are dedicated to delivering personalized, compassionate care through a collaborative, community-focused approach. As a personal service agency, our mission is to ensure the well-being of every client by providing high-quality care in the comfort and familiarity of their own homes. Our patient-centered philosophy, rooted in trust and meaningful relationships, guides us in exceeding the unique needs of those we serve. Join Our Team Altra Homecare Group is currently seeking caring and dependable individuals to join our team as Personal Care Assistants (PCA), Home Health Aides (HHA), Certified Nursing Assistants (CNA) —or even those with no prior experience but a passion for helping others. As a caregiver, you will play a vital role in delivering essential care tailored to each patient’s needs. Key Responsibilities Assist with laundry and light housekeeping tasks Provide medication reminders Ensure patient safety and well-being Report significant changes in condition to the supervisor Prepare light meals and assist with feeding as needed Monitor and record vital signs, including temperature Assist with ambulation and simple physical activities Perform range-of-motion exercises Maintain accurate documentation in line with care protocols Adhere to privacy regulations and infection control guidelines Assist with bathing and personal hygiene Offer companionship and engage in activities such as reading or letter-writing Qualifications Ability to read, follow written care plans, and document services provided Must comply with all required training per state and federal regulations Willingness to travel Reliable transportation Requirements Must be at least 18 years old Possess a valid driver's license and proof of auto insurance Ability to pass a background check Occasional heavy lifting (up to 50 pounds) Benefits Health, dental, and vision insurance Competitive weekly pay ($14 – $16 per hour) Overtime and holiday pay Flexible scheduling Direct deposit available Paid orientation/training Referral program 
Overview We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day. Sound like a perfect match? Apply NOW! - We can't wait to hear from you! Full-Time Monday - Friday 8am – 5pm No Weekends No Holidays Under the supervision of the designated supervisor and assigned physician, performs duties associated with direct patient care and clinical direction to provide patient care given in accordance with the organization standards. Assures completeness of ordered procedures and treatments, assures smooth patient flow, performs general lab work, instructs patients concerning procedures, treatments and needs, and ensures medical orders and referrals are carried out accurately and in a timely manner. Performs registration and scheduling activities per organizational and departmental procedures. Maintains EMR files and performs general front office functions as needed. May perform computerized physician order entry, only if directed by assigned physician. Expected to precept current MA team members or MA Externs as requested by leadership. AHA Basic Life Support for healthcare workers certification required. Other advanced life support certifications may be required per unit/department specialty according to patient care policies. High school diploma or equivalent required. Graduation from a Medical Assistant program preferred. Current certification in medical assisting required from America Association of Medical Assistants (CMA), American Medical Technologists (RMA), National Health Career Association (CCMA), National Center for competency Testing (NCMA), and/or American Medical Certification Association (CMAC). Knowledge of OSHA, CLIA, and ADA required. Knowledge of ICD-10 and CPT coding required. TB validated (to administer or read) or validation obtained within 6 months of hire preferred. Knowledge of Business Unit Quality Programs, Meaningful Use and Standard Work Programs and concepts within 6 months of hire. Knowledge of standard laboratory and medical procedures. Knowledge of insurance plans and third-party payers. Ability to master standard clinical competencies per current Clinical policy, Point of Care and Skills Competency checklists. Requires basic math and accurate data collection and entry skills. 
Altra Homecare Group Job Details: Full time, Part time, or PRN Job Duties and Responsibilities: · Assisting with patient’s laundry · Providing medication reminders · Meeting safety needs of patients · Reporting significant changes in the patient’s condition to their supervisor · Preparing light meals and assisting in feeding patient if necessary · Performing range of motion and other simple exercises · Maintaining documentation and care procedures · Adhering to privacy policies and infection control protocols · Bathing assistance as needed · Light housekeeping as needed · Companionship services Requirements: · 18 years of age (or older) · Valid Driver’s License · Auto Insurance Benefits: Altra Homecare Group sees our employees as our strongest resource. As a full time Altra employee, you are eligible for: · Weekly Paycheck - Every Friday! · Overtime Pay · Holiday pay · Flexible Schedule · Direct Deposit · Paid Training (Paid Orientation) Job Types: Full-time, Part-time, Per diem, PRN Salary: $14.00 - $17.00 per hour Additional Benefits: · Dental insurance · Flexible schedule · Health insurance 
Position: This position is for a Registered Nurse in the Emergency Department. This position is working 36 hours per week and required to work every other weekend and every other holiday. The applicant will be cross-trained to other departments within the facility. The position reports to the Director of Emergency Services. Qualifications: Currently licensed to practice in the State of Ohio BSN preferred Current BLS Certification required Previous critical care experience preferred ACLS and PALS certification preferred 3 to 5 years of Emergency Room experience Skill and Ability: Interpersonal and analytical skills necessary to function under the current standards of nursing practices Physically able to perform the functions of the position ACLS certification required within six months of transition/hire PALS certification required within one year of transition/hire Hazmat training required TNCC certification encouraged Cardiac arrhythmia interpretation course required within six months Maintains all required qualifications for area assigned All other duties as assigned 
Overview Under the supervision of the designated supervisor and assigned physician, performs duties associated with direct patient care and clinical direction to provide patient care given in accordance with the organization standards. Assures completeness of ordered procedures and treatments, assures smooth patient flow, performs general lab work, instructs patients concerning procedures, treatments and needs, and ensures medical orders and referrals are carried out accurately and in a timely manner. Performs registration and scheduling activities per organizational and departmental procedures. Maintains EMR files and performs general front office functions as needed. May perform computerized physician order entry, only if directed by assigned physician. Expected to precept current MA team members or MA Externs as requested by leadership. AHA Basic Life Support for healthcare workers certification required. Other advanced life support certifications may be required per unit/department specialty according to patient care policies. High school diploma or equivalent required. Graduation from a Medical Assistant program preferred. Current certification in medical assisting required from America Association of Medical Assistants (CMA), American Medical Technologists (RMA), National Health Career Association (CCMA), National Center for competency Testing (NCMA), and/or American Medical Certification Association (CMAC). Knowledge of OSHA, CLIA, and ADA required. Knowledge of ICD-10 and CPT coding required. TB validated (to administer or read) or validation obtained within 6 months of hire preferred. Knowledge of Business Unit Quality Programs, Meaningful Use and Standard Work Programs and concepts within 6 months of hire. Knowledge of standard laboratory and medical procedures. Knowledge of insurance plans and third-party payers. Ability to master standard clinical competencies per current Clinical policy, Point of Care and Skills Competency checklists. Requires basic math and accurate data collection and entry skills. 
Overview SHIFTS: SWO Days, +1 shift Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! This position is referral eligible We are seeking an individual with a minimum of one year of RN experience for this role. This is a Special Weekend Option position which qualifies for premium pay! This position is also referral eligible. Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. At IU Health, you will learn and develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! Ball Memorial’s adult intensive care unit is an 18-bed unit specializes in Comprehensive care putting the patient and their family first, addressing all elements of care medical, emotional, and spiritual. Driven by evidence-based practice to provide up to date care and pushing the field of nursing forward. we use a multidisciplinary team approach consisting of nurses, physicians, patient care assistants, case managers, and secretarial support staff. Our care team specializes in the care of acutely ill medical/surgical patients, with a primary focus on patients effected by trauma, general surgery, stroke, cardiac arrest respiratory failure/prone, neurosurgery, and unstable critical patients. We pride ourselves on our strong partnership and high-quality care we deliver to our patients. Nursing skills gained on this unit: Service Specialties: Ventriculostomy/Neurosurgery, CRRT/CVVHD, IABP, NIHSS Stroke Certification, Target Temperature Management, TBI Management, Assistance with bedside procedures (bronchoscopy, central line placement, intubation, cardioversion, etc.) Unit Successes/Designations: Structured support and mentors for new nurses to transition through their first 2 years from novice to expert. 12-14 Week Nursing Orientation Supporting our local community to provide quick stroke treatment Comprehensive post-arrest care Comprehensive trauma care Multiple staff members who have presented at national conferences. Professional Development (CCRN driven) Several Daisy Award Winning Nurses with an abundance of nurses receiving nominations Unit Culture: ICU Vision Statement- Our team’s purpose and passion is to stabilize and treat critically ill patients within the East Central Region, who are our families, friends, and neighbors. We strive to provide excellent, evidence-based care and genuine compassion for our patients and their families. Qualifications: Requires an Associates of Nursing (ASN); Bachelor of Nursing (BSN) preferred. Education: The Registered Nurse (RN) must have graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires Basic Life Support certification through the AHA. Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: Increased pay scale for bedside nurses A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education. 
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: Registered Nurse Home Health 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. 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 SHIFT: FT Nights Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! This position is referral eligible. Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. At IU Health, you will learn and develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! Nursing skills gained on this unit: OR skills Triage skills Newborn care Unit Successes/Designations: Baby Friendly Certification Safe Sleep Gold Certification Level 3 Obstetrics and NICU Unit Culture: Increased Patient Likelihood to Recommend Scores Increased Employee Engagement Scores Exceptional High Safety Processes and Joint Commission Scores Low Employee Turnover and High Retention Rate Opportunities for Conference Attendance Qualifications Requires an Associates of Nursing (ASN); Bachelor of Nursing (BSN) preferred. Education: The Registered Nurse (RN) must have graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Requires current state of Indiana license as Registered Nurse. Requires that the RN has graduated from a nationally accredited nursing program. Requires Basic Life Support certification through the AHA. Other Advanced Life Support certifications may be required per unit/department specialty according to patient care policies. Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: Increased pay scale for bedside nurses A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education. 
A GREAT OPPORTUNITY FOR YOU ON OUR CAREGIVER TEAM As a care provider of SYNERGY HomeCare of Richmond, you will build meaningful relationships with those whom you are carefully matched to provide care. At SYNERGY HomeCare our goal is to enhance every aspect of living. This is achieved by providing help with daily functions such as meal preparation, light exercise, local transportation, social interaction, and housekeeping. Your compassion and skill as a care provider bring joy to the lives of your clients. Your abilities encourage them, keep them engaged and feeling loved. We are scheduling interviews immediately to meet numerous openings. What you should know about SYNERGY HomeCare: Benefits: Location –We hate commuting too—and we’ll do our best to provide clients as close to you as possible. Flexibility – We understand how difficult it can be to find a job that balances your time with school, kids, or other priorities. We’ll do our best to provide flexible options that work with your schedule. 1 on 1 care – an opportunity to build a meaningful relationship with your clients Education/Learning – Free online courses will be at your fingertips every day to help you grow in your position and gain professional experience for future opportunities. Gas Compensation – When a client requires you to travel more than a 15-mile radius Employee referral program - get paid to refer friends to work with SYNERGY HomeCare Employee Recognition Awards - monthly, quarterly, and yearly Requirements: Experience –If you’ve had a job or experience in a position with similar goals and responsibilities, we’d love to connect with you. Skills – We’re looking for individuals that are compassionate, social, trustworthy and service-minded. If you have experience cooking, cleaning or caring for others, that’s a bonus! Characteristics – This is an autonomous position, so we’re looking for individuals that are self-motivated and willing to learn through experience and receiving feedback. Responsibilities: Personal care including bathing, dressing, and toileting Preparing snacks and meals to help sustain and satisfy the client throughout your scheduled time with them. Encouraging light exercise (walks, bikes, swims, stretches) to keep the client active and physically moving. Tidying up the house and helping with basic housekeeping tasks that keep the home environment neat and enjoyable for the client. Transporting the client to nearby appointments or engagements. Take the clients to social activities, fairs, and events in the community or with family and friends. Learn more about joining our team calling 765-939-2819 or email your resume to: thomasdeckard@synergyhomecare.com 
Overview We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day. Sound like a perfect match? Apply NOW! - We can't wait to hear from you! Full-Time Monday - Friday 8am – 5pm No Weekends No Holidays Under the supervision of the designated supervisor and assigned physician, performs duties associated with direct patient care and clinical direction to provide patient care given in accordance with the organization standards. Assures completeness of ordered procedures and treatments, assures smooth patient flow, performs general lab work, instructs patients concerning procedures, treatments and needs, and ensures medical orders and referrals are carried out accurately and in a timely manner. Performs registration and scheduling activities per organizational and departmental procedures. Maintains EMR files and performs general front office functions as needed. May perform computerized physician order entry, only if directed by assigned physician. Expected to precept current MA team members or MA Externs as requested by leadership. AHA Basic Life Support for healthcare workers certification required. Other advanced life support certifications may be required per unit/department specialty according to patient care policies. High school diploma or equivalent required. Graduation from a Medical Assistant program preferred. Current certification in medical assisting required from America Association of Medical Assistants (CMA), American Medical Technologists (RMA), National Health Career Association (CCMA), National Center for competency Testing (NCMA), and/or American Medical Certification Association (CMAC). Knowledge of OSHA, CLIA, and ADA required. Knowledge of ICD-10 and CPT coding required. TB validated (to administer or read) or validation obtained within 6 months of hire preferred. Knowledge of Business Unit Quality Programs, Meaningful Use and Standard Work Programs and concepts within 6 months of hire. Knowledge of standard laboratory and medical procedures. Knowledge of insurance plans and third-party payers. Ability to master standard clinical competencies per current Clinical policy, Point of Care and Skills Competency checklists. Requires basic math and accurate data collection and entry skills. 
Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About Richmond State Hospital : Richmond State Hospital is about the people we serve and the community relationships we have developed, dating back to 1890. Richmond State Hospital is a public behavioral health facility operated by the state of Indiana and one of six state psychiatric hospitals within the Family and Social Services Administration Division of Mental Health and Addiction. As part of a newly integrated system of state psychiatric hospitals, we serve consumers across the state as the Eastern Center of Excellence in Mental Health and Addiction Services. Nestled in northwestern Richmond, our beautiful campus provides a quiet and peaceful environment. We provide psychiatric and co-occurring treatment to all adults regardless of race, religion, sex, gender identification, age, handicap, national origin, and ability to pay for services. We are proud of our heritage and committed to continuing our tradition of service. Richmond State Hospital offers individual psychotherapy, group psychotherapy, chaplain services, family therapy and education, group psych-education, rehabilitation therapies, and patient employment opportunities. Unit-based programming is augmented with campus-wide specialty groups. RSH has been a state leader in evidenced-based medication prescribing to both reduce the risks associated with polypharmacy and optimize clinical outcomes. The hospital clinical and medical leadership collaborate with the unit treatment teams to provide the most contemporary and comprehensive care possible. Salary Statement : The salary for this position traditionally starts at $31.91 per hour but may be commensurate with education or work experience. A Day in the Life: Program Administration Support Prioritize and organize the daily care of patients/ Make care assignments and assist in developing treatment plans in collaboration with other clinical staff. Direct support staff to coordinate workflow and communicate problems to unit supervisors. Complete required documentation of nursing notes, transfer forms, and other records to ensure accurate and timely reporting. Provide orientation and support to staff on the unit. Program Management Support Provide ongoing assessment and documentation of individuals' physical and psychosocial status from admission to discharge to inform care decisions. Administer medications and treatments according to facility policies and procedures.. Develop and implement nursing care plans for diagnosis or treatment plan changes to adapt to evolving needs. Complete medication administration supervision monitors and clinical observation notes for support staff. Educate individuals and family members regarding medication, procedures, and treatment goals and objectives. Respond and intervene in emergency situations and with agitated individuals to maintain safety and therapeutic environment. Ensure proper safety and infection control standards are met for the unit to protect staff and individuals. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time. What You'll Need for Success: Individuals in this role should minimally be able to articulate or demonstrate the following: Critical Thinking Ability to understand and apply medical and facility terminology. Knowledge of and ability to interpret nursing and facility policies and procedures. Communicating Effectively Effective interpersonal skills, verbal, and written communication skills. Ability to serve as a patient advocate. Managing Stress Ability to respond effectively in emergency situations and maintain composure under pressure. Ability to support individuals with behavioral or emotional needs. Navigating Organizations Proficiency in computer skills and ability to learn programs used in maintaining electronic medical records. Ability to use MS Office applications and electronic patient records. Experience & Education Must possess an Associate or Bachelor’s degree in nursing from an accredited college. Must posses an active license to practice nursing in the State of Indiana as a Registered Nurse. Must hold and maintain CPR certification. Must stay current with behavioral intervention training applicable to the assigned setting. Individuals should have the ability to perform essential functions with or without reasonable accommodation. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: This seasonal position does not offer benefits and is limited to 180 working days in an eleven (11) month continuous period. Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov . 
This position is a Casual/PRN Nursing Assistant position working varied shifts and hours, based on the needs of the department. The position will be cross trained to other units and scheduled there as needed. The position reports to the Director of Inpatient Services. Qualifications: 6 months’ experience in a health care environment desired. STNA License required within 6 months. Current CPR certification or successful completion upon hire to the position. Computer skills to meet the needs of the position. High School diploma or equivalent Skill and Ability: Should obtain minimal level of proficiency of tasks through experience by the end of three months. Knowledge of principles of direct patient care, certain treatments, basic observations and essential points of care about emergency patients. Requires high level of mental alertness to avoid error and negative consequences to patients. Spends majority of time dealing with patients of whom some may create stress, frustration, or high level of concern. Physical abilities must allow for frequent working, stooping, bending, and frequent lifting and moving of patients. Emergency Preparedness and Life Safety within one year. All other duties as assigned This position is a Part-Time Nursing Assistant position working 12-hour shifts and 24 hours per week and every other weekend. The position can be cross-trained as needed. The position reports to the Director of In-Patient Services. Qualifications: 6 months’ experience in a health care environment desired Current CPR certification or successful completion upon hire to the position Computer skills to meet the needs of the position High School diploma or equivalent Prefer satisfactory completion of a current Nursing Assistant/Aide course Skill and Ability: Ability to think and work independently and with direction Good teamwork skills Good foundation of clinical skills and knowledge Excellent attention to detail Good communication and interpersonal skills Physical abilities must allow for frequent working, stooping, bending, and frequent lifting and moving of patients All other duties as assigned Position: This position is an ICU RN position, working 7p-7pa and 12-hour shifts. Holiday and weekend hours are also 12-hour shifts. This position is 72 hours per pay period. The applicant will be cross trained to other departments within the facility, so they are able to float to the units. Qualifications: Currently licensed to practice in the State of Ohio. BSN preferred but not required. Current BLS Certification required. 1-2 years of ICU experience in acute care setting required. Skill and Ability: Interpersonal and analytical skills necessary to function under the current standards of nursing practices. Physically able to perform the functions of the position. ACLS certification required within 6 months of hire. Must complete and pass ECG class. TNCC certification is preferred. All other duties as assigned 
Overview SHIFT: FT/PT Nights This position is referral eligible. Full time roles are eligible for a sign on bonus. The amount is dependent upon FTE - apply now to learn more! We are seeking an individual with a minimum of one year of RN experience for this role. This position is also referral eligible. Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. At IU Health, you will learn and develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! Ball Memorial’s medical diabetes unit is an 18-bed unit specializes in providing exceptional care for patients transitioning from progressive to medical levels of care. We specialize in the care of the acutely ill Diabetic Patients. Join our dynamic team on the Progressive Care Unit using the innovative Team-Based Acuity Adaptable Model (TBAAM). Our dedicated team includes skilled nurses, patient care assistants, a unit secretary, an RN case manager, a geographically placed physician, a pharmacist, and a dietician. Nursing skills gained on this unit: Use of insulin and cardiac drips Collaboration with other disciplines Foundation of nursing Prioritization of care Patient education Unit Successes/Designations/National Recognition: Daisy and Bee Award nominations 2023- MDU Daisy Award Winner 2023- 2 Bee Award Winners 2023-Presented Innovation trial at AMSN conference Certified Nurses Distinguished Nurse Unit Culture: Unit Based Council- very active and focused on improving nurse and patient outcomes. Flexible scheduling to accommodate professional development opportunities Academy of Nursing Excellence, Furthering education Attending educational offerings and conferences. 2023- MDU involved/picked to be involved in innovation opportunities MDU- support of 2 Clinical Nurse Specialist (Med/Surg and Critical Care) Qualifications Requires an Associates of Nursing (ASN); Bachelor of Nursing (BSN) preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires that the RN has graduated from a nationally accredited nursing program. Requires Basic Life Support certification through the AHA. Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. requirement of becoming OCN certified within 2yrs of hire Education: The Registered Nurse (RN) must have graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: Increased pay scale for bedside nurses A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education. 
Position: This position is for a Registered Nurse in the Emergency Department. This position is working 36 hours per week and required to work every other weekend and every other holiday. The applicant will be cross-trained to other departments within the facility. The position reports to the Director of Emergency Services. Qualifications: Currently licensed to practice in the State of Ohio BSN preferred Current BLS Certification required Previous critical care experience preferred ACLS and PALS certification preferred 3 to 5 years of Emergency Room experience Skill and Ability: Interpersonal and analytical skills necessary to function under the current standards of nursing practices Physically able to perform the functions of the position ACLS certification required within six months of transition/hire PALS certification required within one year of transition/hire Hazmat training required TNCC certification encouraged Cardiac arrhythmia interpretation course required within six months Maintains all required qualifications for area assigned All other duties as assigned 
Position: This is a full-time, 12 hour shift position for the OB Department working 7P-7A with 36 hours weekly. This position is working every other weekend. The applicant will be cross trained to other departments in the facility and will assist in those departments when not needed in OB. Qualifications: Currently licensed to practice in the State of Ohio. BSN preferred Current BLS Certification required. Post-Partum, Obstetrical, Labor & Delivery experience preferred. NRP and ACLS Certification preferred, BLS completion required. 1-year Medical/Surgical experience in acute care setting preferred. Skills and Ability: Interpersonal and analytical skills necessary to function under the current standards of nursing practice. Physically able to perform all the functions of the position. Fetal monitoring course required within six months, External Fetal Monitoring Certificate completion within 2 years of hire. NRP certification required within six months. OB Certification required within 2 years of hire ACLS required within one year NCC and PALS certification preferred Maintains all required qualifications for the areas assigned. 
Overview We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day. Sound like a perfect match? Apply NOW! - We can't wait to hear from you! Full-Time Monday – Friday Multiple schedule options available No Weekends No Holidays Knows and uses the nursing process in planning, implementing, and evaluating nursing care to individual patients. Collaborates with other members of the healthcare team. Evaluates response to interventions and patient status toward goal achievement. Accepts delegated nursing measures for which he or she knows he or she is prepared, qualified and licensed to perform. Requires graduation from a nationally accredited licensed practical nursing program. Requires an active Licensed Practical Nurse (LPN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) LPN license. Requires Basic Life Support certification through the AHA. Other advanced life support certifications may be required per unit/department specialty according to patient care policies. Successful completion of orientation required. 1-2 years of relevant experience preferred. 
Job Title/Position: Registered Nurse (RN)/Case Manager (SOC & ROC visits only) Pay: $125 - $140 per Start of Care or Resumption of Care visit Benefits: Mileage and cell phone reimbursement. Health, Dental, Vision & 401k (with match) for full-time employees. Reports To: Director of Nursing WHO ARE WE? At Home Quality Care was founded in 1983 in a rural area 50 miles west of Chicago. We soon became a leading provider of comprehensive home health and non-medical home care services throughout the region. Today, we deliver care with seven branches throughout Indiana, Illinois and Texas and continue to grow. Driven by a simple mission to provide the BEST care for our patients, At Home Quality Care is looking for the BEST professionals to join our growing team! Come join us and apply today!!! BRIEF JOB DESCRIPTION : The Registered N urse (RN)/Case Manager plans, organizes, and directs home care services emphasizing health education/experience. The Registered Nurse (RN)/Case Manager is responsible for traveling to a patient’s home to administer the services dictated by their physician while helping patients maintain their independence and quality of life. This role provides a lot of FLEXIBILITY for our field staff! Part-time and PRN positions availabe in the Porter County area. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES FOR REGISTERED NURSE/CASE MANAGER (RN): Patient Care: 1. The Registered Nurse (RN) assess and chart observations of the patient's condition and needs at each home visit. 2. Complete evaluation tasks, including medication reviews and vital signs. 3. Initiate the P lan of Care and makes necessary revisions as patient status and needs change. 4. Provide education to patients and family members on proper home health procedures and strategies. 5. Develop a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive and rehabilitative nursing actions. 6. Administer medications and treatments as prescribed by the physician. 7. Provides health care instructions to the patient as appropriate per assessment and plan of care. 8. Identifies discharge planning needs as part of the care plan. Prepares patient and family for discharge. 9. RN acts as Case Manager when assigned by Director of Nursing and assumes responsibility to coordinate patient care for assigned caseload. 10. Coordinate with physicians, physical therapists, occupational therapists, MSWs and other individuals in the patient care plan. Communication: 1. Prepares clinical notes and updates the primary physician when necessary. 2. Communicate with the physician and office regarding the patient's needs and report any changes in the patient's condition; obtain/receives physician's orders as required. 3. Communicate with community health-related persons to coordinate the care plan. 4. Registered Nurse (RN) reports with home office on any updates, concerns and issues regarding the paient. POSITION QUALIFICATIONS: 1. Home healthcare experience required. 2. Graduate of an accredited school of nursing. 3. Current licensure in state of Indiana and current CPR certification. 4. Management experience not required. 5. Excellent observation, verbal and written communication skills, problem-solving skills, basic math skills, nursing skills per competency checklist. 6. Prolonged or considerable walking or standing. Able to lift, position, or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, or crouching. Visual acuity and hearing to perform required nursing skills. 7. Must be a licensed driver with an automobile insured under the state of IN. Automobile is in good working order. www.athomeqc.com 
Job Title/Position: Registered Nurse (RN)/Case Manager (SOC & ROC visits only) Pay: $125 - $140 per Start of Care or Resumption of Care visit Benefits: Mileage and cell phone reimbursement. Health, Dental, Vision & 401k (with match) for full-time employees. Reports To: Director of Nursing WHO ARE WE? At Home Quality Care was founded in 1983 in a rural area 50 miles west of Chicago. We soon became a leading provider of comprehensive home health and non-medical home care services throughout the region. Today, we deliver care with seven branches throughout Indiana, Illinois and Texas and continue to grow. Driven by a simple mission to provide the BEST care for our patients, At Home Quality Care is looking for the BEST professionals to join our growing team! Come join us and apply today!!! BRIEF JOB DESCRIPTION : The Registered N urse (RN)/Case Manager plans, organizes, and directs home care services emphasizing health education/experience. The Registered Nurse (RN)/Case Manager is responsible for traveling to a patient’s home to administer the services dictated by their physician while helping patients maintain their independence and quality of life. This role provides a lot of FLEXIBILITY for our field staff! Part-time and PRN positions availabe in the Lake County area. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES FOR REGISTERED NURSE/CASE MANAGER (RN): Patient Care: 1. The Registered Nurse (RN) assess and chart observations of the patient's condition and needs at each home visit. 2. Complete evaluation tasks, including medication reviews and vital signs. 3. Initiate the P lan of Care and makes necessary revisions as patient status and needs change. 4. Provide education to patients and family members on proper home health procedures and strategies. 5. Develop a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive and rehabilitative nursing actions. 6. Administer medications and treatments as prescribed by the physician. 7. Provides health care instructions to the patient as appropriate per assessment and plan of care. 8. Identifies discharge planning needs as part of the care plan. Prepares patient and family for discharge. 9. RN acts as Case Manager when assigned by Director of Nursing and assumes responsibility to coordinate patient care for assigned caseload. 10. Coordinate with physicians, physical therapists, occupational therapists, MSWs and other individuals in the patient care plan. Communication: 1. Prepares clinical notes and updates the primary physician when necessary. 2. Communicate with the physician and office regarding the patient's needs and report any changes in the patient's condition; obtain/receives physician's orders as required. 3. Communicate with community health-related persons to coordinate the care plan. 4. Registered Nurse (RN) reports with home office on any updates, concerns and issues regarding the paient. POSITION QUALIFICATIONS: 1. Home healthcare experience required. 2. Graduate of an accredited school of nursing. 3. Current licensure in state of Indiana and current CPR certification. 4. Management experience not required. 5. Excellent observation, verbal and written communication skills, problem-solving skills, basic math skills, nursing skills per competency checklist. 6. Prolonged or considerable walking or standing. Able to lift, position, or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, or crouching. Visual acuity and hearing to perform required nursing skills. 7. Must be a licensed driver with an automobile insured under the state of IN. Automobile is in good working order. www.athomeqc.com 
Company Description CareMed Group is a facility-based team of medical providers who provide medical services to patients living in long-term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team provides medical care to patients in long-term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking a Wound Care Nurse Practitioner to provide wound services to patients living in long-term care facilities. PRIMARY AND WOUND NP ROLE AND RESPONSIBILITIES: Provide wound care and primary services for long-term care patients residing in skilled nursing facilities. Prescribe appropriate medications, including controlled substances in accordance with OH Law. Order, review, and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with the primary care physician. PRIMARY AND WOUND NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Ohio. Board Certification. DEA licensure (Optional) Clinical background in adult, family, or geriatric specialties. Clinical background of wound care; including but not limited to chronic, debilitating, stalled, or infected wounds Must be comfortable with diagnosing and treating diabetic, arterial, venous, and mixed etiology wounds or Kennedy Ulcers. Must be comfortable staging pressure injuries according to the NPIAP Must be familiar with wound care best practice and advanced wound care products; collagens, alginates, foams, silvers, etc. Must have experience with wound vacs and other DME, such as pressure relieving/ reducing devices Strong preference to having wound certification or be open to getting certified Experience working in a long-term care setting. Ability to work with an EMR. Ability to work within an interdisciplinary care team to coordinate patient care. Basic coding knowledge preferred, not required. FULL TIME NP BENEFITS 401(k) matching Continuing education credits Recertification Reimbursement Dental insurance Health insurance Paid time off Vision insurance Malpractice insurance Coverage Mileage reimbursement