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Nurse Healthcare Manager RN

Brookdale Senior Living Birmingham AL, 35202

Full Time Nurse Healthcare Manager RNFull Time Nurse Healthcare Manager RN Brookdale Univ Pk IL/AL/MC(AL) 400 University Par...

Posted 7 days ago

Full Time Nurse Healthcare Manager RNFull Time Nurse Healthcare Manager RN Brookdale Univ Pk IL/AL/MC(AL) 400 University Park Drive Birmingham, AL 35209 Job #:NHMSCbirmAL7245877 Brookdale. Bringing new life to senior living. Job Summary: Manages the day-to-day clinical services of the community to ensure resident's healthcare needs are met. Ensures residents are treated with respect and dignity and ensures quality care as resident's healthcare needs change. Supervises and provides leadership as well as coaching to licensed nurses and other direct care staff within the community. Your responsibilities: * Responsible for the direct supervision of community-based licensed, certified and non-certified clinical associates. * Assigns and directs work of subordinates; appraising performance; rewarding and disciplining associates; addressing complaints and resolving problems * Provides training and education to resident care associates on an ongoing basis with classroom in-services, and situation-specific training * Supervises the maintenance of resident charts and reviews documentation performed by care giving staff * As described and allowed in the Nurse Practice Act, assesses health, oversee medication administration, functional and psycho-social status of residents, initiates individualized service plans, proactively manages care and services for each resident, evaluates effectiveness and maximizes the resident's opportunity to remain in their environment * Manages the health care of residents, including the dissemination of information to families and associates. Ensures that family members are aware of resident's need for scheduled appointments * Participates in pre-admission screening of prospective new residents. Assures that required documentation is completed prior to or upon resident admission, including nursing assessments, service plans, and other assigned forms. Updates assessments as required by policy and as described/allowed in Nurse Practice Actor state regulation * Performs on-site evaluations of residents admitted to alternate care environments for treatment, and maintains contact with resident families with the intent of returning resident to Brookdale * Evaluates residents; documents changes in condition, and notifies executive director, physician, and resident's legally responsible party/family of resident's condition and reactions * Communicates with physicians regarding residents' status and condition changes. Ensures residents are prepared for physician appointments, and visits * Facilitates continuity of care for those residents receiving home health care, hospice services, and other third party healthcare- related services * Participates in or leads meetings relevant to resident care issues, such as Service Plan meetings, involving appropriate parties as needed * Ensures in-house ancillary medical services such as podiatrist, doctor visits, dental visits, psych visits, lab, X-ray, ambulance, etc. are scheduled and followed through * Participates in department quality improvement activities * Assists in keeping the environment safe for associates to reduce the occurrence of Workers' Compensation claims by appropriately evaluating resident transfer and mobility needs and involving therapy services as indicated * Shares on-call and manager on duty responsibilities/shifts as required Required skills and qualifications: * Education as required to obtain state nursing license (RN). * Preferred a minimum of 3 years clinical leadership experience. * Working knowledge of basic technology and electronic documentation * RN license required Brookdale is the largest senior living solutions company in the country, with 1,000+ communities in 46 states serving 110,000 residents around the country. That translates to lots of career opportunities for you! We offer independent living, assisted living, Memory Care, skilled nursing, continuing care retirement, in-house therapy, hospice, home health, and personalized living. If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

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Registered Nurse 3P-11P

Encompass Health Birmingham AL, 35202

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patie...

Posted 7 days ago

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100130 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment Address: 3800 Ridgeway Drive, Birmingham 35209 Shift: Day Job Job ID: 1825055

C

Home Chronic Care Nurse Pract Supervisor- AL

Cigna Birmingham AL, 35202

Alegis Care, a division of CareAllies, is a premier home based healthcare provider and medical services company. We are an innovat...

Posted 1 week ago

Alegis Care, a division of CareAllies, is a premier home based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide. At Alegis Care, our focus is delivering comprehensive care at home to improve outcomes and reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers. A main focus of our practice is: * Comprehensive Health Risk Assessments (HRA): health plans contract with Alegis Care to conduct in-home comprehensive health assessments in order to ensure patient's medical well –being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement. * Complex Care Program (CCP): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort to improve clinical outcomes. Our team collaborates with the patients' primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP. Chronic Care Management (CCM): Alegis Care contracts with and receives referrals from health plans to assume primary care of chronically ill patients with high admission rates and multiple emergency department visits in an effort to improve clinical outcomes. Nurse practitioners work alongside physicians delivering care in the patient's home. For the most part, the nurse practitioners attend to acute visit needs and see patients post hospital or nursing home discharge. The Nurse Practitioner Supervisor delivers clinical services in the home and provides administrative oversight of a dedicated Team of Nurse Practitioners to achieve quality medical care and outcomes for patients in the home in a cost-effective manner. Supervisor Role and Responsibilities * Supervises a Team of Nurse Practitioners within an identified geography or market. Manages a caseload of chronic care patients and can complete health risk assessments as needed. Manages a field based panel of patients according to NP Program responsibilities outlined in the NP job descriptions (see attached). * Tracks, monitors and manages to specific transition of care parameters for the NP Team. * Regularly meets face to face with direct reports and rides along to home visits to monitor and provide feedback on the quality of the NP assessment and care delivery. * Conducts regular Team meetings * Provides a clinical escalation pathway for the NP with access to a Medical Director for further clinical consultation. * Monitors and reports key clinical and productivity indicators for the NP Team to ensure quality of care and service delivery. Other duties * Manages on call schedules and coverage for the NP Team. * Participates in quality processes such as medical documentation audits, and other quality projects at the direction of department Clinical Manager * Provides direct management of the NP Team including recruiting, training, time and attendance, and quarterly performance check-ins. Acts as the NP liaison between the NP Team and clinical and operational departments Required Knowledge, Skills, Abilities and Certifications * NP candidates must be board certified by the ANCC or AANP or geriatrics, and have current RN and NP licensure in the state of practice. (active and unrestricted RN and NP licenses) * Excellent clinical assessment and analytical skills with the ability to recognize conditions, characteristics, and behaviors that place seniors and families at risk. * Ability to perform comprehensive physical exams, assess, identify, diagnose, treat, and document acute and chronic disease. * Experience with electronic medical records is required along with a proficiency with various computer based applications such as Microsoft Office and excel. * Must have a valid State driver's license * Current BLS certification; ACLS preferred * Highly motivated, self-directed professional with strong organizational skills and comfortable working independently. Preferred Knowledge, Skills, Abilities and Certifications * Five years of clinical experience in geriatric, adult, or family medicine * Excellent verbal and written communication skills * Experience with postpartum, pediatric and adolescent health * Effective leadership and interpersonal skills with the ability to facilitate problem resolution with a professional demeanor in difficult situations

G

Registered Nurse (Full Time)

Genesis Healthcare LLC Gardendale AL, 35071

COME JOIN OUR WEEK-END WARRIORS, COMPETITIVE SHIFT DIFFERENTIAL SATURDAY-SUNDAY 6:30a-11:00p!!!!!!! Genesis is the nation's...

Posted 2 weeks ago

B

Registered Nurse RN

Brookdale Senior Living Birmingham AL, 35202

Full Time Registered Nurse RNFull Time, Part Time, PRN Registered Nurse RN All Shifts Available Per Diem RN Weekdays and Weeken...

Posted 7 days ago

Full Time Registered Nurse RNFull Time, Part Time, PRN Registered Nurse RN All Shifts Available Per Diem RN Weekdays and Weekends Galleria Woods AL 3850 Galleria Woods Drive Birmingham, AL 35244-1098 Job#:BSL7245313 Brookdale. Bringing new life to senior living. As a nurse at our senior living community you'll ensure our residents receive the best possible care by coordinating with physicians and other healthcare personnel. This position gives you the opportunity to bond with seniors who will put their trust in you. It's a chance to make deep connections while utilizing your nursing skills. You'll get to know our entire population as you make the rounds and administer prescribed medications and treatments. We offer a family-friendly schedule, opportunities for advancement and a supportive work environment. Forget the 12-hour shifts and rapid hospital pace. Make the change. Your responsibilities: * Implement and coordinate the delivery of care in collaboration with physician and resource health care personnel * Utilize the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge * Document all pertinent information regarding nursing care, care plans and observations * Maintain a working knowledge of facility infection control procedures * Provide functional direction and assistance to LPN's and CNA's, and complete new staff orientation as assigned * Make rounds on a timely basis to ensure continuity of care Required skills and qualifications: * Graduate of an accredited school * Current registered nurse in the state of practice * One year of nursing experience, including long-term care experience * Flexible schedule, including availability to work evenings, weekends and holidays as needed * Must enjoy working with the senior population If you're a Brookdale associate, please consider referring someone through the Good People Program! Brookdale is an EOE-(Equal Opportunity Employer) and drug-free workplace. Brookdale offers a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, educational reimbursement. All associates, age 21 and older, are eligible to participate in the 401(k) retirement savings plan.

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Licensed Practical Nurse LPN

Brookdale Senior Living Birmingham AL, 35202

Full Time Licensed Practical Nurse LPNFull Time, Part Time, PRN Licensed Practical Nurse LPN All Shifts Available Galleria W...

Posted 7 days ago

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Full Time Home Health Licensed Practical Nurse (55985)

Gentiva Health Services, Inc. Jasper AL, 35504

I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that's what our...

Posted 1 week ago

I believe that better care begins at home. Compassionate care, uncompromising service and clinical excellence – that's what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation's leading provider of comprehensive home health, hospice, and non-medical home care services. Kindred at Home, and its affiliates, delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families. I believe in working for a company that cares as much as I do. We offer a unique employment package that includes: * Unprecedented opportunities for career growth. * Clinical ladder for professional credentialing and advancement. * Innovative specialties with cutting-edge training and development. * Flexible full-time, part-time and PRN positions I believe my work is my calling. As a Home Health LPN, you will: * Provide professional nursing services under the direction of a RN in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, and Gentiva Health Services policies and procedures. * Provide skilled nursing interventions in the treatment of the patient/clients illness, rehabilitative needs and preventative care. Utilize a holistic approach in the provision of problem specific therapeutic interventions, teaching and training activities in accordance with the plan of care. * Apply knowledge and skills in accordance with accepted standards of clinical practice to facilitate problem resolution and achieve individualized patient goals and outcomes. * Confer with the RN Supervisor regarding needed changes in the Plan of Treatment. Accept verbal orders from physician were permitted by state law/regulations/Nurse Practice Act and communicate these orders to the RN Supervisor. * Utilize a systematic, individualized goal/outcome driven approach in implementing the nursing plan of care. * Maintain contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner regarding patient/family needs and status changes. Participate in care coordination activities and discharge planning as appropriate. * Maintain the highest standards of professional conduct in relation to information that is confidential in nature. Share information only when the recipient's right to access is clearly established and the sharing of such information is dearly in the best interests of the patient. * Appropriately communicate to ensure adherence to professional standards in the provision of and availability of supplies, materials and equipment needed to safely and effectively implement the plan of care. * Prepare, submit and maintain documentation as required by the Company and/or facility. Visit/shift notes documented on day services are rendered. Required Skills Qualifications * Graduate of an accredited Licensed Practical Nursing Program or accredited School of Vocational Nursing. * Current nursing license in the practicing state. * Valid drivers license, auto insurance and reliable transportation. * Current CPR certification. * Two years experience as an LPN/LVN in a clinical setting, preferably in a home health or hospice setting. Required Experience Keywords: ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, cardio nurse, cardio LPN, cardio LVN, cardiac nurse, cardiac LPN, cardiac LVN, case management, case manager, clinical, clinic, critical care, ER, Emergency Room, Healthcare, health care, Homecare, home care, home health, homehealth, home health nurse, homecare nurse, home care nurse, home health LPN, home health LVN, homecare LPN, homecare LVN, home care LPN, home care LVN, hospice nurse, hospice LPN, hospice LVN, hospital, ICU, intensive care unit, LPN, LVN, L.P.N., L.V.N., license practical nurse, licensed practical nurse, license vocational nurse, licensed vocational nurse, medical, medical care, med surg, med-surg, medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology LPN, oncology LVN, oncology nurse, palliative care nurse, ortho nurse, ortho LPN, ortho LVN, palliative care LPN, palliative care LVN, LPN Job, LVN Job, LPN jobs, LVN jobs, Nursing, nursing job, nursing jobs, Oasis, PRN, PDM, progressive care nurse, rehab LPN, rehab LVN, rehab nurse, skilled visit, staff LPN, staff LVN, staff nurse, step down unit, step-down unit, step down unit LPN, tele, telemetry, telemetry nurse, telemetry LPN, telemetry LVN, travel nurse, travel LPN, travel LVN, visit nurse ~MON~ All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.

E

Registered Nurse 7P-7A

Encompass Health Birmingham AL, 35202

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patie...

Posted 1 week ago

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100130 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment Address: 3800 Ridgeway Drive, Birmingham 35209 Shift: Day Job Job ID: 1824784

A

Hospice After Hours Registered Nurse I 7 On 7 Off I Full Time

Amedisys Home Health Services Homewood AL, 35209

What You Will Do: As an on-call and triage nurse for Amedisys hospice you will respond to telephone requests for assistance and...

Posted 1 week ago

What You Will Do: As an on-call and triage nurse for Amedisys hospice you will respond to telephone requests for assistance and perform home visits for hospice and palliative care patients and families in their home setting after-hours and on weekends. * Answer and respond to incoming calls, referrals, and requests for assistance, completes admissions into care, and make follow-up visits on patients admitted the day prior; as necessary. * Communicate significant findings, problems, patient's needs, reports changes in condition or environment to the physician, clinical manager and other members of the hospice care team and obtains physician orders as required. * Maintain flow of communication between in-house staff, field staff and other departments, for coordination of activities and services. * Participate as a member of the interdisciplinary team in patient care conferences. Required: * Currentand unencumbered license to practice as a Registered Nurse. An employee is thisrole is only able to provide clinical guidance to patients in states in whichthe employee possesses a current and unencumbered license. * Nurse Licensure Compact (NLC) documents thefollowing: The mutual recognition model of nurse licensure allows a nurse tohave one license (in his or her state of residency) and to practice in otherstates (both physical and electronic), subject to each state's practice law andregulation. Nurses must legally reside in a NLC state to be eligible to have amulti-state license. See list of Nurse Licensure Compact (NLC) * Minimum of one (1) year of nursing experiencerequired. * CurrentCPR certification. Preferred: * Bachelor of Science in Nursing (BSN) degree * Certified Hospice Palliative Nurse (CHPN) * Previous hospice or homecare experience Amedisys is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

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Registered Nurse 7P-7A

Healthsouth Corporation Birmingham AL, 35202

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patie...

Posted 1 week ago

Now Hiring Registered Nurses Helping patients regain hope and independence The Facts Act as the direct link to help patients succeed in inpatient rehabilitation by supervising care and treatments provided by team members, leading patient assessments, creating personalized plans of care, communicating progress and targeting patient concerns, offering timely solutions. The Difference The importance of nursing to our rehabilitation hospitals can't be overstated. Comprehensive rehabilitation is planned and administered by a highly specialized and integrated team including physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, case managers and others. Rehabilitation nurses are a valuable resource and bring an important perspective to this interdisciplinary approach. Our rehabilitation nurses help the patients regain control of their lives and their independence, treating complex medical issues and redefining how care is provided. The Perks Only the best will do * Comprehensive medical, dental and vision plans * 401(k) * College savings plan * Employee assistance program * Pre-paid legal plan * and much more! The Patients Eighty percent of patients discharged directly home Our registered nursing teams get to know patients over two to four weeks on average, providing care for conditions such as: * Stroke * Spinal cord injury * Brain injury * Neurological disorders * Joint replacement * Amputation * Multiple trauma The Power Advanced tools to support patient progress * Advanced technologies * Evidence-based practice guidelines * Clinical outcomes to assess and improve treatment interventions * National outcomes database * Trained mentors * Internal and external education * Professional treatment teams * Multiple trauma The Basics * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred * One-year experience in inpatient rehabilitation hospital setting preferred Job Code: 100130 License or Certification: * Current RN licensures appropriate to state regulations * CPR certification (ACLS preferred) * CRRN certification preferred Education, Training and Years of Experience: * One year of experience in inpatient hospital setting preferred * Inpatient rehabilitation experience preferred Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer Physical Requirements: * Good visual acuity and ability to communicate * Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 30 pounds, which includes the lifting, pushing and/or pulling of medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements * Ability to withstand prolonged standing and walking * Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment

Nurse Healthcare Manager RN

Registered Nurse 3P-11P

Home Chronic Care Nurse Pract Supervisor- AL

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Registered Nurse (Full Time)

Registered Nurse RN

Licensed Practical Nurse LPN

Full Time Home Health Licensed Practical Nurse (55985)

Registered Nurse 7P-7A

Hospice After Hours Registered Nurse I 7 On 7 Off I Full Time

Registered Nurse 7P-7A

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Nurse Healthcare Manager RN

Registered Nurse 3P-11P

Home Chronic Care Nurse Pract Supervisor- AL

Boost your job search productivity with our free Chrome Extension!

Registered Nurse (Full Time)

Registered Nurse RN

Licensed Practical Nurse LPN

Full Time Home Health Licensed Practical Nurse (55985)

Registered Nurse 7P-7A

Hospice After Hours Registered Nurse I 7 On 7 Off I Full Time

Registered Nurse 7P-7A

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