RN Jobs in King of Prussia, PA

RN Full-time
Roosevelt Rehabilitation and Healthcare Center

Registered Nurse (RN)

Join our team at Roosevelt Rehabilitation and Healthcare Center as an RN! Proudly supported by Marquis Health Consulting Services Full-time, part-time, and PRN opportunities available (3p-11p) Same Day Pay! $37/hr - $46/hr (all inclusive) Responsibilities of RN: The Registered Nurse (RN) will provide resident care in accordance with acceptable standards of nursing practice and the written plan of care as well as physicians plan of treatment The Registered Nurse (RN) follows a plan of care designed by our Nurse Manager Registered Nurse (RN)Perform Medication Administration and Treatments per POC Monitor residents' conditions and report accordingly by the Registered Nurse (RN) Accurate documentation in accordance with the provided orders Qualifications of RN: A current, unencumbered active license to practice as an RN in the state PA Valid BLS Certification (CPR) Ability to work with multiple patients at once Benefits for RN: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Shift differentials Company sponsored life insurance Employee assistance program (EAP) resources The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
RN Manager/Supervisor Full-time
Roosevelt Rehabilitation and Healthcare Center

Unit Manager (RN)

Join our team at Roosevelt Rehabilitation and Healthcare Center as a Unit Manager. Proudly supported by Marquis Health Consulting Services Full-time opportunity available Same Day Pay! Sign on Bonus: $10k (paid out within 2 years) $79k/yr-$125k/yr Responsibilities for a Unit Manager: Assume responsibility and accountability for resident care on assigned unit Oversees resident care to promote the highest level of physical, mental, and psychosocial functioning possible for assigned unit Ensures complete and prompt reporting of incidents with follow-up as necessary to Administrator and Director of Nursing Actively participates in committee/programs as directed by Director of Nursing Participates in the development and implementation of new policies and procedures based on identified needs Qualifications for a Unit Manager Must possess a current, unencumbered, active license to practice as an RN in this state. Valid BLS Certification (CPR) Nursing degree from an accredited college or university preferred. Five (5) or more years of nursing experience required; Two (2) years or more years of experience as a supervisor in a nursing care Center, hospital or other related health care Center. Benefits for a Unit Manager Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Company sponsored life insurance Employee assistance program (EAP) resources The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.
RN Hospice Full-time
Affinity Hospice Management LLC

Hospice RN On Call

Job Title/Position : Hospice On Call RN Reports To : Clinical Director JOB DESCRIPTION SUMMARY : The On-Call Hospice RN is responsible for responding to all of the Hospice patient census and their families, as well as handling any referrals or community inquiries outside of office hours (nights, weekends and holidays). The on-call nurse will provide urgent clinical and psychosocial interventions for patients and their families, skilled pain and symptom management and collaboration with providers within and outside of the hospice team to maximize positive patient outcomes. The work of the On-Call Hospice RN provides considerable consideration for independent assessment and judgement in crisis situations, utilizing and consulting with the Hospice Medical Director and administrator on call as indicated. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES : Consistent availability by telephone and email during assigned shifts. Conducts urgent physical and psychosocial assessments of the patient and family during after hours and determines appropriate interventions. Provides and maintains a safe environment for the patient. Provides professional nursing care by utilizing all elements of the nursing process. Provides skilled nursing care focusing on pain control and symptom management. Provides interim guidance to the patient and family regarding diagnosis, medications, treatments and progress. Documents patient care thoroughly and timely. Completes, maintains and submits accurate and relevant clinical documentation regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates and collaborates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Works closely with members of the IDG to provide continuity of care and support for the patient and family. Collaborates with vendors to obtain DME, supplies and medications when needed after-hours. Collaborates with the hospital and other community residential staffing to adjust interventions and plans of care as needed. Conducts after hours hospice admissions as necessary. Participates in mandatory meetings as required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-services. Fulfills the obligation of requested assignments. Performs other job-related duties as assigned. POSITION QUALIFICATIONS : Understands and is committed to the hospice philosophy of care. Functions effectively as a team member. Holds a comprehensive knowledge of medication, treatment and therapies for pain and symptom management. Visits patients wherever they call home. Consults with physicians, other team members and administrative staff as indicated. Relates to and cares for people from all walks of life in a calm, courteous and professional manner. Maintains client confidentiality in accordance with HIPAA laws and company policy. Graduate of an accredited school of nursing. Maintains current unencumbered license to practice in FLORIDA a as a Registered Nurse. Preferably has two years of experience in hospice, homecare, hospital medical-surgical or oncology nursing. Understands and works within state and federal laws and regulations and nursing scope of practice. Understands documentation requirements and is able to complete documentation in a timely manner. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Must maintain current driver’s license and automobile insurance, providing own transportation. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. Excellent observation, verbal and written communication skills, problem solving skills, basic computer skills, basic math skills and nursing skills per competency checklist. 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.
RN Manager/Supervisor Full-time
Holland Center

RN (Registered Nurse)

*$5,000 SIGN ON BONUS!* Holland Center for Rehabilitation and Nursing is now hiring a full-time Day and Night RNs who are committed to providing the best life and care for our residents. If you are looking forward to becoming a part of a dynamic team, we would love to meet you! RESPONSIBILITIES OF AN RN: Administrating treatments and documentation Complete assessments to determine the resident’s needs. Use health assessment data to determine nursing diagnosis. Counsel patient’s family in meeting nursing-related needs. All other duties as assigned by the Director of Nursing. QUALIFICATIONS OF AN RN: Must have an active Certification as an RN in the state of PA Minimum two years of relevant experience is required As a Holland Center employee, you will receive benefits including PTO, Health Insurance, Dental and Vision Insurance. #HP
RN Director of Nursing Full-time
Holland Center

Assistant Director of Nursing (ADON)

Holland Center for Nursing and Rehabilitation is seeking a compassionate and professional Assistant Director of Nursing to work in coordination with the DON to support the nursing department functions of our rehabilitation and skilled nursing facility. If you are looking forward to becoming a part of a dynamic team, we would love to meet you! RESPONSIBILITIES OF THE ADON: Ensure that all nursing personnel in our facility comply with established standards, practices, and regulatory requirements for the highest quality of resident care. Support the development and implementation of nursing department budgets in coordination with the facility administration. Implementing compliance and quality improvement policies, programs, and procedures. Is responsible for surveillance, rounding, analyzing, interpreting, and the reporting of healthcare-associated infections Supports the development of evidence-based organizational infection prevention policies/standards that meet state, federal, regulatory, and accrediting agencies standard Leads in infection prevention and serves as a resource, educator, researcher and proponent of change in order to influence infection prevention improvement to provide quality health care within the organization REQUIREMENTS OF ADON: As the Assistant Director of Nursing, you must possess strong interpersonal communication skills and the ability to deal effectively with patients, families, physicians, community resources and the general public. Associate degree in Nursing or higher from an accredited school of nursing. Must have a valid Pennsylvania RN license Minimum 3 years’ experience as an ADON preferred, Unit Manager/Nursing Supervisor in Long Term Care experience may be considered #IND123
RN Manager/Supervisor Per Diem
Rosemont Care & Rehabilitation Center

RN Supervisor *PRN*

WE ARE SEEKING a PRN Night RN Supervisor Rosemont Center is now hiring an RN Supervisor who is committed to providing the best life and care for our residents. RESPONSIBILITIES OF AN RN SUPERVISOR: Administrating treatments and documentation Complete assessments to determine the resident’s needs. Use health assessment data to determine nursing diagnosis. Counsel patient’s family in meeting nursing related needs. All other duties as assigned by the Director of Nursing. QUALIFICATIONS OF AN RN SUPERVISOR: Must have an active Certification as an RN in the state of PA Minimum two years of experience is required As a Rosemont Center employee, you will receive benefits including PTO, Health Insurance, Dental and Vision Insurance. #MP
RN Manager/Supervisor Full-time
Rosemont Care & Rehabilitation Center

RN Supervisor (Weekends)

* **$5,000 SIGN ON BONUS!*** Saturday and Sunday! Rosemont Center is now hiring a weekend RN Supervisor who is committed to providing the best life and care for our residents. RESPONSIBILITIES OF AN RN SUPERVISOR: Administrating treatments and documentation Complete assessments to determine the resident’s needs. Use health assessment data to determine nursing diagnosis. Counsel patient’s family in meeting nursing related needs. All other duties as assigned by the Director of Nursing. QUALIFICATIONS OF AN RN SUPERVISOR: Must have an active Certification as an RN in the state of PA Minimum two years of experience is required As a Rosemont Center employee, you will receive benefits including PTO, Health Insurance, Dental and Vision Insurance.
RN Hospice Full-time
Affinity Hospice Management LLC

Hospice Registered Nurse Case Manager

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 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 hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. 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. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)
RN School Other
EDU Healthcare

Registered Nurse

Job Ref#: 419692 Location: Located in Norristown, PA Now hiring for RNs in locations around Montgomery County!! This amazing new opportunity will work with a student in an Early Intervention setting. Great school environment. The school staff is amazing! Come join EDU Healthcare and find out why we are one of the fastest-growing companies in the country! We provide competitive pay, support, continuing education, and more! Apply Now or call us to learn more about this position at 866-757-1272! EDU Healthcare is hiring a Registered Nurse for our school-based assignments in Norristown, PA REGISTERED NURSE School Nurse: Are you a caring and compassionate healthcare professional passionate about making a profound difference in childrens lives? If so, we have the perfect opportunity for you! Join our dynamic team as a School Nurse in beautiful Broward County and play a vital role in ensuring our students well-being and academic success. EDU Healthcare is dedicated to providing a safe and nurturing environment for our students to learn and grow. We firmly believe that health is a fundamental cornerstone of a successful education, and were looking for passionate individuals who share this belief to join our team! The Role : As our School Nurse, youll be responsible for the health and well-being of our students. Your role will include: ✓Assess, monitor, and manage students with chronic health conditions ✓ Maintain accurate and confidential nursing records for students ✓ Ensure compliance with state and federal laws, as well as school district policies, related to health services in schools ✓ Communicate with parents and guardians regarding students health concerns, medications, and necessary follow-up ✓Collaborate with Administration, teachers, and other school staff to support students physical and emotional well-being. What We Offer : Were committed to providing our school nurses with the support and resources they need to excel. You can expect ✓ Competitive compensation packages and pay rates ✓ A welcoming and inclusive school community. ✓ A picturesque location in the heart of Broward County, offering an incredible work-life balance. ✓ 401K retirement plan with company match and immediate vesting. ✓ No-fee direct deposit program. ✓ Nationwide career opportunities. ✓ Refer a friend and receive a referral bonus. Qualifications : To succeed in this role, you should possess: ✓ A valid RN/LPN license in Florida. ✓ Pediatric nursing experience (preferred). ✓ Compassion and a nurturing spirit. ✓ Strong communication and interpersonal skills. ✓ Dedication to the well-being of children. ✓ CPR and First Aid certification. About EDU Healthcare: EDU Healthcare provides health services to educational systems in all 50 states. We partner closely with school districts to deliver high-quality services that support the needs of exceptional student populations. As a therapist-owned company, we understand firsthand how critical educational health-related services are to a student's academic growth and success. With extensive knowledge and experience in school-based settings, we are experts at delivering impactful, student-centered care. EDU Healthcare offers unparalleled support and communication throughout your assignment, because we believe in taking care of the people who care for students.
RN Manager/Supervisor Part-time
Brookside Healthcare and Rehabilitation Center

RN SUPERVISOR EVERY OTHER WEEKEND 7am-7pm

BROOKSIDE HEALTHCARE AND REHABILITATION CENTER HAS AN OPENING FOR RN SUPERVISOR EVERY OTHER WEEKEND LOOKING TO FILL SHIFTS FOR 7AM TO 7PM . COMPETITIVE RATES! AT BROOKSIDE YOU HAVE AN OPPORTUNITY TO JOIN A SUPPORTIVE TEAM AND WORK IN A FRIENDLY ENVIRONMENT! As a RN SUPERVISOR the expectations would be: Completion of nursing assessments, transfers, discharges, treatment plans, progress notes, medication reconciliation, medication administration, and vitals. Conveys accurate information in supportive and courteous manner to unit nursing Seeks out supervision and direction from physician. Assist medical doctor as needed Attend and actively participate in departmental staff meetings. Maintain confidentiality and proper boundaries. Orientation of new employees to unit specific policies and procedures Must have Knowledge of HIPAA laws, confidentiality, state licensing regulations, CPR, AED and First Aid. Oversight and serve as a resource to the direct care staff Support to the Director of Nursing and Unit Managers with staffing and activities as assigned Direct patient care when necessary and/or assigned RN SUPERVISOR Qualifications: Licensed as a Registered Nurse (RN) by the Pennsylvania State Board of Nursing. CPR Certification Experience is preferred in rehabilitative or geriatric nursing. Must posses a compassionate and caring demeanor We look forward to reviewing your resume for the RN SUPERVISOR position! EOE RN- Registered Nurse - RN Supervisor- Part time
RN Full-time
AristaCare At Cherry Hill

Registered Nurse (RN)

AristaCare is looking for a Registered Nurse (RN) to provide nursing care to residents according to their individual needs. Responsibilities include but not limited to: medication supervision, health monitoring, assessing physical and mental capacity and developing individualized care plans. This position requires overall teamwork, collaboration, excellent leadership, communication and interpersonal skills. The RN is responsible for leading by example, assessing resident care needs and taking appropriate action to provide high quality care to all residents. Shifts available : Full-Time / Part Time / Per-diem Requirements: - Valid Registered Nurse (RN) license in the State of NJ, required Current CPR certification Sub-acute or long term care experience, preferred Availability to work rotating weekends is a must We are proud to offer: Competitive Rates 401(k) Retirement Plan Healthcare benefits (medical, dental and vision) Paid time off Location: 1399 Chapel Ave, Cherry Hill, NJ 08002, USA More about us at: www.aristacare.com
RN Director of Nursing Full-time
Renaissance Healthcare and Rehabilitation Center

Assistant Director of Nursing

Renaissance Healthcare and Rehabilitation Center, our beautiful facility located in the University City area of Philadelphia, PA, has great opportunity for a dynamic Assistant Director of Nursing to join our TEAM! The Assistant Director of Nursing position includes a host of diverse responsibilities across both clinical and managerial functions, including but not limited to : Assisting with developing nursing service objectives, performance standards and various policies/procedures for all categories of nursing personnel Evaluating resident care as it relates to needs, family involvement and the physician’s plan of care Assessing resident responses to medication and treatment, and providing skilled recommendations for necessary nursing next steps Managing emergency situations and, in the absence of a physician, initiating life saving measures, as appropriate Assisting with conducting daily resident rounds and initiating corrective action, as needed Assisting with conducting interviews and making the hiring decisions regarding all new nursing department personnel Assisting with overseeing nursing orientations and new personnel training, as well as comprehensive in-service programs for licensed and unlicensed staff Assisting with overseeing nursing educational programs geared towards geriatric residents and residents of varying ages, as well as programs designed for families and external caregivers Assisting with the planning and he implementation of the nursing department budget, and ensuring all team members work within these guidelines Assisting with directing the allocation of nursing service equipment and supplies within the facility, to maximize efficiency and economical utilization Working closely with the Director of Nursing regarding the management of clinical policies and procedures Qualifications for the Assistant Director of Nursing position: The Assistant Director of Nursing position reports directly to the Director of Nursing, and will serve as the day-to-day leader for the nursing department. As such, advanced training in nursing supervision/management is critical, as is sound medical and professional judgment, geriatric experience and top-notch interpersonal skills are essential. Professional requirements include a current RN license, preferably in the state of Pennsylvania A minimum of 3-5 years supervisory or administrative experience in a long term care setting, preferably in Assistant Director of Nursing role or an RN management role. A strong knowledge base in state and federal regulations and have proven leadership and administrative skills, along with a professional demeanor. Benefits for the Assistant Director of Nursing position: Health Insurance Dental Insurance Eye Care Insurance Paid Time Off 40lk We look forward to reviewing your resume for Assistant Director of Nursing position! EOE
RN Hospice Full-time
Serenity Hospice Care Pennsylvania

Hospice RN Case Manager Northeast Philadelphia

*****REGISTERED NURSE - RN - CASE MANAGER - HOSPICE - Northeast 3000.00 Sign on Bonus after 90 days Philadelphia and the surrounding area: Serenity Hospice Care is looking to hire 'Registered Nurse (RN) Case Managers to join our team of professionals. Available territories include Northeast Philadelphia and the surrounding area. The RN Case Manager will be responsible for assisting the Team with Case Management/Visits to aid in coverage and call outs. Job duties can include, but are not limited to: Completing an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide are that is continuous and well-coordinated Counsels the patient and family in meeting end of life needs Initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's The proper candidate must have a current New Jersey RN License in good standing, must be familiar with and willing to travel the area and have hospice experience. Must also have reliable transportation and insurance. Monday through Friday 8:30am to 4;30pm. Care for Hospice patients in their homes and facilities. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Interested and qualified may submit Resume via e-mail. Job Type: Full-time Serenity is not freedom from the storm, but peace amid the storm. Sometimes in life there are no simple solutions, only balanced and wise choices. When someone is struggling with terminal illness, they and the family members who are assisting them need to decide how to best cope with the situation. At Serenity Hospice Care, we believe that an individual dealing with a life-limiting illness should be made as comfortable and peaceful as possible, physically, emotionally, and spiritually. The Serenity mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. #OCEAN2024
Children’s Hospital of Philadelphia

Registered Nurse-Per Diem- King of Prussia Outpatient Oncology Clinic

SHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This per diem position requires 12 months of previous Pediatric Nursing work expereince. This team prefers the RN to have previous Oncology and Chemo Administration expereince. This is located at the Outpatient Oncology at King of Prussia. The UP2 Clinical Nurse meets the established staffing and scheduling expectations for the position. Maintenance of all competencies and required educational programs relevant to the unit patient population is required. UP2 Clinical Nurses practice as Clinical Nurses in accordance with the following, which is consistent for all RNs with this job title: The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. S/he practices in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. What you will do Clinical Practice Follows the nursing process to deliver safe, compassionate, and culturally effective care. Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated. Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate. Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care. Develops, implements and/or revises the patient's plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team. Coordinates care across the continuum - understands and utilizes case management resources. Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes. Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation. Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families. Evaluates and documents the care provided on each assigned shift. Accountable for the rapid adoption and implementation of clinical practice changes into own practice. Communication Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures. Consistently follows safe hand-off practices as defined in patient care standards and procedures. Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations. Uses effective verbal and nonverbal communication techniques and good listening skills to empathetically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. Collaboration Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect. Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds. Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team. Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided. Develops and sustains professional, well- boundaried, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense. Professional Development Models appearance and behaviors that promote a positive image of professional nursing. Expands clinical judgment and critical thinking skills with increased experience. Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration. Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores. Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels. Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: Manages own time to accomplish direct/indirect care in a cost-effective manner. Conserves unit and organizational resources; assures supplies are not wasted or misused. Does not incur incidental overtime. Understands the implications of the cost of staffing decisions. Identifies observed opportunities for cost savings. Well-informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology. Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes. Identifies own learning needs and actively assures learning needs are met. Seeks out opportunities to meet needs and attends all required programs. Maintains CEU's for nursing licensure. Maintains compliance with mandatory education and annual nursing competencies. Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment. Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level. Understands and contributes to the science of nursing: Develops a sense of inquiry. Reads articles pertinent to the patient population. Performs literature reviews. Develops clinical questions and advances understanding and application of evidence based practice. Understands the nursing research process and utilizes resources to participate in research projects. Participates in activities that contribute to improving the health of the community. Education Qualifications Technical Diploma Nursing - Required Bachelor's Degree Nursing - Preferred Experience Qualifications At least one (1) year pediatric nursing experience. Required or At least one (1) year psychiatric nursing experience. Required Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). (Required proficiency) Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). (Required proficiency) Web browsing, intranet search, document access. (Required proficiency) Use of shared network file space. (Required proficiency) Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors). (Required proficiency) Navigation and use of clinical communication systems. (Required proficiency) Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. (Required proficiency) Accesses needed information effectively and efficiently. (Required proficiency) Evaluates information and its sources critically and appropriately incorporates it into clinical practice. (Required proficiency) Evaluates outcomes of the use of information. (Required proficiency) Information Management Literacy Navigation of the electronic health record system. (Required proficiency) Ability to locate and review specific patient data in various clinical information systems. (Required proficiency) Effectively uses clinical decision support tools. (Required proficiency) Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. (Required proficiency) Ability to collect clinical data using quality improvement tools. (Required proficiency) Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $47.15 - $56.72 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
RN Med-Surg Full-time
Penn Medicine

Clinical Nurse 2- Inpatient- 6 Cathcart (General Med Surg)- FT-Nights - Pennsylvania Hospital

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Pennsylvania Hospital is seeking a Registered Nurse to join our Nursing 6 Cathcart team. This is a full-time, night shift opportunity. 6 Cathcart is a complex 43 bed medical-surgical unit at Pennsylvania Hospital that provides the highest quality of care to its patients. 6 Cathcart also achieves outcomes that exceed national benchmarks in quality, employee engagement and patient satisfaction through a strong interdisciplinary team approach. Surgical service lines include Colorectal, Urology, Gynecology, Otorhinolaryngology and General Surgery. While a majority of our patient volume is surgery, we also care for general medicine patients. RN patient assignments are most frequently 3-5:1, depending on the overall acuity of the assignment, which is measured by our acuity scale. These patient assignments are also supported by highly skilled Patient Care Technicians (PCT) that perform vital signs, accuchecks, electrocardiograms, intake and outputs, phlebotomy, assistance with ADLs and ambulation. The PCT patient assignments are most frequently 8-12:1, again depending on the overall acuity of the assignment. Summary: The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description addendum. The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Responsibilities: Professional Practice Competency Domains Definitions Continuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Credentials: BLS/CPR, as a healthcare provider as per the American Heart Association (Required) Registered Nurse - PA (Required) Education or Equivalent Experience: Bachelor of Science Nursing (Required) More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
RN Full-time
Masonic Villages Lafayette Hill

RN: Registered Nurse

RN: Registered Nurse Full Time | Days (7 am - 3pm) | No Weekends! ** Minimally starting at $42.50/hr ( Pay based on experience) ** With over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assists individuals in realizing their potential and enjoying the highest possible quality of life. Why Choose Masonic Villages: Each campus is supported by corporate leaders who are fully invested in our Mission of Love and hiring like-minded individuals who are committed to providing heartfelt customer service and contributing to our team environment. When you join our team you can expect: Benefits/Perks for Full Time & Part Time staff: Industry-leading benefits such as $0 cost medical coverage option Vacation Time/Flex Time and Paid Holidays Paid Lunch (Paid while you work!) Benefits/Perks for ALL staff: Option for pay in lieu of benefits. Pay on-demand. Access up to $500 of your earned wages in real-time. Tuition and Educational Reimbursement Discounts on meals Free Gym Membership Discounted Grocery gift cards Discounted tickets for movies, theme parks, hotels, and MORE! Shoe discounts Cell phone discounts Competitive pay rates to attract the best talent Employer matched Retirement Savings with free financial planning A commitment to growing our leaders, with at least 50% of our leadership positions being filled internally As an RN: Registered Nurse, you will carry out our Mission of Love by being responsible to organize, deliver and direct professional nursing care to residents . Our RN: Registered Nurse is responsible for the following: Serves as charge nurse for assigned resident care unit assuring continuous clinical leadership at all times. Directs NAs regarding resident care and notifies families, physicians and departments of residents' needs. Collects data on residents and accurately documents residents' condition in an informative and descriptive manner that reflects the care provided to the resident, the resident's response to the care, and medical assessment of the resident. Completes assigned paperwork, i.e., wound documentation, MARS, TARS, Care Plans, etc. on each resident on assigned resident care unit. Performs clinical testing such as glucometer and pulse oximetry as necessary. Administers ordered medications and treatments as approved, including monitoring of IV fluids. Monitors effectiveness of medications and treatments. Prepares for and performs weekly resident rounds with the physician. Accepts physician's orders including verbal/telephone orders as appropriate and compliant with regulations and nursing practice. Transcribe physician's orders to residents' charts and care plans as required. What You Have: Graduation from an accredited School of Nursing as a Registered Nurse. Current RN licensure by the Pennsylvania State Board of Nursing. CPR certification required (prior to or upon employment). We are proud to be an equal opportunity employer.
RN Full-time
Temple Health

RN - Case Manager- 40/hrs, Day Shifts (Temple Hospital)

In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the patients' admission diagnosis, influencing the progression of care, facilitating the patients' navigation through the acute care episode, and proposes an appropriate transition plan within 48 hours of admission. The Case Manager serves as an advocate for the patient and family throughout the entire acute episode of care. Education Bachelor's Degree in Nursing (BSN) Required or Combination of relevant education and experience may be considered in lieu of degree Required Experience 1 year experience in acute care Case Management setting or Utilization Management at an acute care facility and/or insurance company in either UR or CM Required General Experience Required General Experience and knowledge of InterQual criteria Preferred Licenses PA Registered Nurse License Required Show more Show less
Temple Health

Nurse Manager, Urology - Temple Faculty Practice

Ambulatory Urology Directs the nursing care provided to patients on a nursing unit. Maintains standards of service excellence and nursing practice. Develops evidenced based policies, procedures, and work processes to ensure provision of quality patient care. Responsible for staffing, budget, control of expenses, continuing development and education of staff, performance improvement, and human resource management. Supervises, evaluates, guides and counsels nursing staff in their work performance. National certification in Nursing or Healthcare related speciality preferred. Education Bachelor's Degree in relevant field Required Bachelor's Degree in Nursing from an accredited school of nursing Required Experience 5 years experience as a RN in a clinical specialty area Required 1 Year Experience In a Clinical Leadership Role Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Show more Show less
RN Part-time
Temple Health

RN CASE MANAGER - Part-time Weekends, Day Shift Hours (Temple Health-Chestnut Hill Hospital)

Part Time: The Case Manager provides clinically based case management to support the delivery of effective and efficient patient care in the inpatient or outpatient rehabilitation setting. Coordinates the rehabilitation team to establish appropriate patient-centered discharge plans in a timely fashion. Assists the patient and/or family in adjusting to and coping with lifestyle changes precipitated by episodes of illness or disability and in carrying out discharge recommendations. Uses a variety of modalities to assist patients and families in the alleviation or resolution of social, financial, and emotional problems related to illness, health care, and rehabilitation. Education Experience Other Graduate of an accredited school of nursing Required General Experience Relevant Experience Required Licenses PA Registered Nurse License Required Show more Show less
RN OB/GYN Full-time
Temple Health

RN-STAFF/CLIN NURSE- OBGYN (40/hrs, Day Shifts) - Temple Faculty Practice

Provides professional nursing care at the proficient level which includes assessment, planning, implementation, and evaluation in accordance with care standards, under the direction of a licensed physician or other licensed medical professional. Contributes to a safe and therapeutic environment that is centered on the needs of the patients, caregivers and others demonstrating concern for the patient's privacy, comfort, and emotional state. Treats patient with consideration to age, race, gender, gender identity, sexual orientation, religion, socioeconomic background, and culture in a caring, ethical, and professional manner. Education Bachelor's Degree Preferred Other Graduate of an accredited school of nursing Required Experience 1 year experience in area of clinical specialty Preferred General Experience In An Outpatient / Ambulatory Setting Preferred General Experience with EPIC EMR Preferred Licenses PA Registered Nurse License Required Basic Life Support Required Show more Show less
AristaCare At Cherry Hill

RN Supervisor (Weekdays/Weekend)

AristaCare is seeking for an RN Supervisor responsible for the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services, to ensure that the highest degree of quality care is maintained at all times. Shift available: Weekends (7a-7p) Weekdays (11p -7a) Requirements: Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved RN program. Must have, as a minimum, 2 year(s) of experience as a supervisor in a hospital, long-term care facility, or other related health care facility. Must have, as a minimum, 12 months training experience in rehabilitative and restorative nursing practices. We are proud to offer: Competitive Rates 401(k) Retirement Plan Healthcare benefits (medical, dental and vision) Paid time off Location: 1399 Chapel Ave, Cherry Hill, NJ 08002, USA More about us at: www.aristacare.com
Epic Healthcare

Director of Nursing

Epic Healthcare NOW HIRING: Director of Nursing Are you working as a Director of Nursing and looking for THE BEST JOB OUT THERE? Apply today! Share your personal talent! Apply to learn more Outstanding Benefits PTO Competitive Salary NEW HIRE BONUS Qualifications: RN Certification in PA LTC/SNF experience Friendly disposition Now Hiring: DON - Director of Nursing in Long term care facility
Surgery Partners

Director of Nursing - ASC

JOB TITLE : Director of Nursing GENERAL SUMMARY OF DUTIES : The Director of Nursing is responsible for the day-to-day operations of the Surgery Center. This includes but is not limited to overseeing the scheduling of procedures, inventory control, QA/ QI, staff credentialing, preventative maintenance and safety, risk management and all related supporting services of the ambulatory surgical center and its personnel. REQUIREMENTS : Graduate of an accredited school of nursing and current state Registered Nurse License required. Current American Heart Assn. BLS and ACLS certifications also required. Benefits: Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization. #100
Luther Woods Nursing and Rehabilitation Center

Assistant Director of Nursing (ADON)

Luther Woods Nursing and Rehab Center is seeking a full-time Assistant Director of Nursing (ADON) . The ADON will work in conjunction with the Director of Nursing to coordinate and manage the clinical services for nursing, assisting in the responsibility and coordination of nursing care services provided to all residents of the facility. Responsibilities of the ADON: Manage and direct Nursing Department in partnership with and in absence of Director of Nursing (DON), making necessary decisions, etc. Make clinical rounds of all stations. Conduct clinical assessment; use critical thinking and coordinate professional standards of care. Develop, review and revise care plans to accurately reflect Resident needs. Manage incident/accident practices to comply with State/Federal regulations as directed by the Director of Nursing (DON). Manage and participate in the discharge/transfer process to ensure proper nursing services; complete, accurate, and timely documentation. Oversee Rehab Unit Qualifications and Skills of the ADON: Must have, as a minimum 1-year experience as a supervisor in a health care facility. Must possess a current, unencumbered, active license to practice as an RN in PA. Must be knowledgeable in various computer programs, system applications, and other office equipment. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies & procedures, etc., that are necessary for providing quality care. Must have basic knowledge of professional, State, Federal and regulatory standards. On call Rotation for Weekends As a Luther Woods Nursing and Rehab Center employee, you will enjoy working in an environment that promotes professional growth and development that offers competitive wages, PTO, and insurance plans. #mp Job Type: Full-time
Holland Center

RN Supervisor *Weekends*

Holland Center for Rehabilitation and Nursing is now hiring a RN Supervisor/charge nurse for our Weekend Shifts who is committed to providing the best life and care for our residents. If you are looking forward to becoming a part of a dynamic team, we would love to meet you! RN Supervisors earn $48/hr! RESPONSIBILITIES OF AN RN SUPERVISOR: Administrating treatments and documentation Complete assessments to determine the resident’s needs. Use health assessment data to determine nursing diagnosis. Counsel patient’s family in meeting nursing related needs. All other duties as assigned by the Director of Nursing. QUALIFICATIONS OF AN RN SUPERVISOR: Must have an active Certification as an RN in the state of PA Minimum two years of relevant experience is required As an Holland Center employee, you will receive benefits including PTO, Health Insurance, Dental and Vision Insurance.