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As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
Find a home for your career here.
Join us and embrace a culture of Caring.
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Growing together.
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies.
You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
Hiring Full Time and PRN/ Per Diem Primary Responsibilities: Clinical Competence Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations Provides required supervisory visits Documentation and Care Delivery Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely Documents patient visits per policy and payer requirements, and syncs timely per LHC policy Quality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence Teamwork Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes Participates in on-call and weekend rotation as needed to meet patient needs Adheres to and participates in the agency's utilization management model You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications: Current and unrestricted RN licensure in state of practice 1 years of Home Health experience Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Current CPR Certification or ability to complete within 90 days of hire Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: Ability to work independently Solid communication, writing, and organizational skills Pay Range $64,100
- $141,500 annual total cash target pay $36.98
- $81.63 per visit point $30.82
- $68.03 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above.
Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role.
This role receives two types of compensation depending on the work being performed.
When conducting visits, you will be paid per visit point rate compensation.
Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits.
Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities.
Visits are assigned based on patient and business needs.
The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed.
You will be paid your hourly rate for certain non-visit activities such as orientation.
We comply with all minimum wage laws as applicable.
In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes
- an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug
- free workplace.
Candidates are required to pass a drug test before beginning employment.
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
Primary Responsibilities:
* Clinical Competence
* Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
* Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
* Provides required supervisory visits
* Documentation and Care Delivery
* Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
* Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
* Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
* Quality
* Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
* Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
* Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
* Teamwork
* Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
* Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
* Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
* Participates in on-call and weekend rotation as needed to meet patient needs
* Adheres to and participates in the agency's utilization management model
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
#LHCjobs
Required Qualifications:
* Current and unrestricted RN licensure in state of practice
* Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
Preferred Qualifications:
* Current CPR Certification or ability to complete within 90 days of hire
* 1+ years of Home Health experience
* Ability to work independently
* Solid communication, writing, and organizational skills
Pay Range
$64,100 - $141,500 annual total cash target pay
$36.98 - $81.63 per visit point
$30.82 - $68.03 hourly rate
Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
This position will coordinate data for input of care plan process.
This position will also complete assessments as needed.
Manages on-call as scheduled in a consistently responsible manner.
JOB DUTIES/RESPONSIBILITIES: Duty 1: Uses the nursing process to assess, plan, implement, and evaluate patient care to provide for the unique physical and emotional needs of each patient.
Duty 2: Demonstrates knowledge and skill necessary to provide disease/diagnosis age specific care to the patients served with Bridge Home Health and Hospice.
Duty 3: Successfully complete the admission process and set-up medication as applicable Duty 4: Educate patient on services, applicable insurance coverage, and overall Bridge philosophy Duty 5: Ensure that documentation is consistent with or exceeds Bridge Home Health and Hospice guidelines Duty 6: Utilizes a team approach to teaching opportunities and family care issues of the patient.
Duty 7: Consistently maintains optimal patient care efficiently.
Maintains assigned patient referrals within scheduled hours.
Duty 8: Complies with organizational policies, procedures, and practices to ensure quality job performance and Medicare/Medicaid compliance to include OASIS if appropriate.
Duty 9: Manages holiday on-call and helper assignments responsible to include keeping management informed of any unusual or special incident occurrences.
Duty 10: Establishes and maintains communication/collaboration with the interdisciplinary team and patient's primary physician regarding patient condition, orders, plan of care, and anticipated needs to ensure exceptional patient care.
Duty 11: Able to communicate admission criteria specific to each patient.
Duty 12: Displays Service Excellence as evidenced by practicing the mission, vision, and values of the organization to promote patient satisfaction.
REQUIRED QUALIFICATIONS Current state licensure as a Registered Nurse (RN) Minimum of 1-2 years of general nursing experience Valid Ohio driver’s license and owns a car for use during scheduled hours.
Commitment to and knowledge of the philosophy, mission and goals of the agency and standards and regulations governing it.
Positive service-oriented interpersonal and communication skills required Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status and interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures.
PREFERED QUALIFICATIONS Home Health and/or Hospice experience PHYSICAL DEMANDS This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting, and standing.
The associate will be required to walk up to 2 hours a day, sit for 4 hours a day, and stand for 2 hours a day.
The individual must be able to lift 50 pounds and reach work above the shoulders.
The individual must have good eye/hand coordination and fine finger dexterity, including the ability to document legibly.
This associate must have excellent verbal communication skills to perform daily tasks.
The associate must have corrected vision and hearing in the normal range.
This position is classified at risk for possible occupational exposure to bloodborne pathogens (HBV, HIV, etc.)
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens.
Are you passionate about delivering high-quality, compassionate care-and ready to do it from the comfort of your home? Join Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where you'll be on the front lines of accessible, patient-first care.
We're seeking experienced, independently licensed NPs who are energized by innovation, technology, and the opportunity to transform the way care is delivered. You'll provide personalized medical care to patients across the country, while collaborating with a supportive and dynamic clinical team.
This position supports hiring 100% remote within the U.S.
Essential Duties and Responsibilities
Conduct thorough virtual assessments and diagnose common acute conditions.
Develop individualized treatment plans and prescribe medications.
Educate patients on preventive care, wellness, and treatment adherence.
Document visits efficiently in our intuitive electronic health record system.
Collaborate with cross-functional care teams to ensure comprehensive care delivery.
Participate in clinical improvement initiatives that shape the future of virtual care.
Required Qualifications:
Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)
5+ years of clinical experience as a Nurse Practitioner.
Must hold four active state license with full practice and prescriptive authority, including at least one in New York, Virginia, Maryland, Arizona, Illinois, Nevada, Colorado, Washington or Florida prior to interview.
Must be willing to obtain additional licenses in the future
Must be nationally NP board certified: FNP-BC or FNP-C
Experience providing care across the lifespan, starting from infancy (age 0 and up) as a NP.
Must have a minimum of 1 year experience working in an Urgent Care or Emergency Room (ER) setting.
Previous Telehealth experience preferred.
Must not be excluded from participating in any state or federal healthcare programs.
Must have a clean professional record with no board disciplinary actions.
Strong clinical decision-making skills and confidence in practicing independently.
Tech-savvy and adaptable to telehealth platforms and evolving virtual care protocols.
Passion for creating meaningful patient relationships in a digital environment
Our Commitment to You
100% remote position - practice from any of the 50 U.S. states
Be part of a mission-driven organization changing healthcare for the better.
No need to source your own patients - we take care of scheduling and support.
Work alongside a team of experienced clinicians, care navigators, and medical directors.
Focus on clinical care - we handle the admin.
Access to cutting-edge virtual tools and ongoing professional development.
Great benefits including CME Credits, Malpractice Coverage and additional Licensure
The base salary for this position is $100,000. In addition to a base salary, this position is eligible for productivity pay as well as a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc 2026 Benefits. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.
#THMG
You will accrue 8 hours of PTO per semi-monthly pay period. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details.
As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.
Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
Why join Teladoc Health?
Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.
Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day.
Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available at this link.
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we're transforming how better health happens.
Summary of Position
Are you passionate about delivering high-quality, compassionate care-and ready to do it from the comfort of your home? Join Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where you'll be on the front lines of accessible, patient-first care.
We're seeking experienced, independently licensed NPs who are energized by innovation, technology, and the opportunity to transform the way care is delivered. You'll provide personalized medical care to patients across the country, while collaborating with a supportive and dynamic clinical team.
This is a weekend only option which consists of Friday, Saturday and Sunday 12 hour shifts per day.
This position supports hiring 100% remote within the U.S.
Essential Duties and Responsibilities
Conduct thorough virtual assessments and diagnose common acute conditions.
Develop individualized treatment plans and prescribe medications.
Educate patients on preventive care, wellness, and treatment adherence.
Document visits efficiently in our intuitive electronic health record system.
Collaborate with cross-functional care teams to ensure comprehensive care delivery.
Participate in clinical improvement initiatives that shape the future of virtual care.
Required Qualifications:
Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)
5+ years of clinical experience as a Nurse Practitioner.
Must hold four active state license with full practice and prescriptive authority, including at least one in New York, Virginia, Maryland, Arizona, Illinois, Nevada, Colorado, Washington or Florida prior to interview.
Must be willing to obtain additional licenses in the future
Must be nationally NP board certified: FNP-BC or FNP-C
Experience providing care across the lifespan, starting from infancy (age 0 and up) as a NP.
Must have a minimum of 1 year experience working in an Urgent Care or Emergency Room (ER) setting.
Previous Telehealth experience preferred.
Must not be excluded from participating in any state or federal healthcare programs.
Must have a clean professional record with no board disciplinary actions.
Strong clinical decision-making skills and confidence in practicing independently.
Tech-savvy and adaptable to telehealth platforms and evolving virtual care protocols.
Passion for creating meaningful patient relationships in a digital environment
Our Commitment to You
100% remote position - practice from any of the 50 U.S. states
Be part of a mission-driven organization changing healthcare for the better.
No need to source your own patients - we take care of scheduling and support.
Work alongside a team of experienced clinicians, care navigators, and medical directors.
Focus on clinical care - we handle the admin.
Access to cutting-edge virtual tools and ongoing professional development.
Great benefits including CME Credits, Malpractice Coverage and additional Licensure
Physical Requirements
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Teladoc Health will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual in line with company policy.
The base salary for this position is $100,000. In addition to a base salary, this position is eligible for productivity pay as well as a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.
#THMG
You will accrue 8 hours of PTO per semi-monthly pay period. You will also receive 80 hours of Paid Sick, Safe, and Caregiver Leave annually. This applies to full-time positions only. If you are applying for a part-time role, your recruiter can provide additional details.
As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.
Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
Why join Teladoc Health?
Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.
Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
Join a multi-faceted community that celebrates each colleague's unique perspective and is focused on continually improving, each and every day.
Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health's Notice of Privacy Practices for U.S. Employees' Personal information is available at this link.
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$124.640 - $160.830 - $197.020
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.
Required Qualifications
- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED
Other Qualification Requirements
- Board certified in a medical discipline (internal medicine or family practice preferred).
Essential Functions
- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.
Knowledge, Skills, and Abilities
- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)
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Remote working/work at home options are available for this role.
0-1 years of experience: $10,000
1-3 years of experience: $15,000
3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
Initiates the patient problem list and incorporates relevant medical history into the plan of care.
Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
Determines nursing interventions to achieve those outcomes/goals.
Prioritizes patient care needs/ activities.
Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
Organizes and prioritizes care for the patients within the team.
Delegates tasks appropriately to other team members.
Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
Uses nursing judgment to determine the appropriate frequency and components of reassessment.
Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
Participates in develop discharge plan.
Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
Evaluates patient response(s) to interventions.
Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
Communicates relevant clinical information to physicians regarding the patient’s condition.
Reports progress toward outcomes/goals and/or changes in condition to other health team members.
Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
Assures medication safety by following the “5 Rights” of medication administration.
Prioritizes and implements intervention according to patient assessment.
Demonstrates competency in computer systems and applications required for role.
Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
Must be capable of managing multiple patients requiring continuous cardiac monitoring.
Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
May be required to assist with data collection and quality improvement initiatives.
Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
Performs tasks/procedures, uses equipment in an age-appropriate manner.
Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
Attends required safety programs.
Appropriately and consistently uses the personal protective equipment required of the job.
Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
Reports and removes unsafe equipment/furniture.
Asks for assistance when needed to assure safety for all involved.
Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
Reverence: We honor the sacredness and dignity of every person.
Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
Justice: We foster right relationships to promote the common good, including sustainability of Earth.
Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
Integrity: We are faithful to those we say we are.
Schedule:
- Full Time: 36 hours per week (3, 12-hour shifts)
- Available Shifts: Days (7 AM – 7 PM) / Nights (7 PM – 7 AM)
- Every other holiday, and every other weekend
Position Highlights and Benefits:
- Relocation Bonus
- Tuition Reimbursement
- Eligible for a generous Night Shift Differential
MINIMUM QUALIFICATIONS
Associate degree in nursing required
Bachelor of Science in Nursing (BSN) preferred.
Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
American Heart Association Basic Life Support (BLS) required.
American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PH
Empowering Recovery, One Step at a Time
At Our Lady of Mercy Life Center, our Sub-Acute Rehabilitation Unit is dedicated to helping patients regain strength, independence, and confidence after hospitalization. Whether recovering from surgery, illness, or injury, our team provides compassionate, goal-oriented care in a supportive environment.
We’re seeking skilled and motivated healthcare professionals who thrive in a fast-paced, restorative care setting—where every day brings new opportunities to make a meaningful impact.
If you are looking for a RN position in skilled nursing, to meet your schedule as full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are currently hiring for full-time and part-time RNs for day (7a-3p) and evening shifts (3p-11p) with an every other weekend commitment.
Divided into four units of 40 residents each, four private rooms and 18 semiprivate rooms, Our Lady strives to maintain the intimacy of a homelike setting. To help foster a sense of community and friendship among the residents, each unit has its own distinctively decorated dining room.
What you will do:
- • Deliver short-term, high-acuity care focused on rehabilitation and discharge readiness
• Collaborate with physical, occupational, and speech therapists to support patient goals
• Monitor progress and adjust care plans to promote optimal recovery
• Educate patients and families on post-discharge care and wellness
What Makes us Unique:
- A dedicated unit designed for short-term rehab stays
- Interdisciplinary teamwork with a strong focus on functional outcomes
- A culture of respect, encouragement and clinical excellence
- Opportunities to grow professionally within St. Peter's Health Partners
Position Highlights:
What We Offer:
- Competitive compensation and day one benefits
- Tuition reimbursement
- Retirement plan with employer contribution
- Flexible scheduling and shift options
- Supportive leadership and ongoing training
- A chance to be part of a mission-driven organization that values healing and hope
Responsibilities:
- Admission assessment consistent with guidelines and interview resident/significant others to complete health history
- Utilize resources to assess residents with conditions that are new, unfamiliar or not commonly seen on unit
- Interpret overt/covert assessment data to determine when resident is at acute psychological and/or psychosocial risk then report and record the interpretation
- Inform and educate resident what care or service is to be provided
- Develop and contribute to a plan of care based on potentially existing problems, expected resident response and the medical plan of care
- Communicate the plan of care by using methods that include action plans, goals and time frames
What you will need:
Required:
- A current license to practice as a Registered Nurse (RN) in the State of New York
- Associate’s degree in nursing or Degree of Nursing from an accredited school
Pay Range: $40.00 - $52.81 per hour
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Empowering Recovery, One Step at a Time
At Our Lady of Mercy Life Center, our Sub-Acute Rehabilitation Unit is dedicated to helping patients regain strength, independence, and confidence after hospitalization. Whether recovering from surgery, illness, or injury, our team provides compassionate, goal-oriented care in a supportive environment.
We’re seeking skilled and motivated healthcare professionals who thrive in a fast-paced, restorative care setting—where every day brings new opportunities to make a meaningful impact.
If you are looking for a RN position in skilled nursing, to meet your schedule as full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. We are currently hiring for full-time and part-time RNs for day (7a-3p) and evening shifts (3p-11p) with an every other weekend commitment.
Divided into four units of 40 residents each, four private rooms and 18 semiprivate rooms, Our Lady strives to maintain the intimacy of a homelike setting. To help foster a sense of community and friendship among the residents, each unit has its own distinctively decorated dining room.
What you will do:
- • Deliver short-term, high-acuity care focused on rehabilitation and discharge readiness
• Collaborate with physical, occupational, and speech therapists to support patient goals
• Monitor progress and adjust care plans to promote optimal recovery
• Educate patients and families on post-discharge care and wellness
What Makes us Unique:
- A dedicated unit designed for short-term rehab stays
- Interdisciplinary teamwork with a strong focus on functional outcomes
- A culture of respect, encouragement and clinical excellence
- Opportunities to grow professionally within St. Peter's Health Partners
Position Highlights:
What We Offer:
- Competitive compensation and day one benefits
- Tuition reimbursement
- Retirement plan with employer contribution
- Flexible scheduling and shift options
- Supportive leadership and ongoing training
- A chance to be part of a mission-driven organization that values healing and hope
Responsibilities:
- Admission assessment consistent with guidelines and interview resident/significant others to complete health history
- Utilize resources to assess residents with conditions that are new, unfamiliar or not commonly seen on unit
- Interpret overt/covert assessment data to determine when resident is at acute psychological and/or psychosocial risk then report and record the interpretation
- Inform and educate resident what care or service is to be provided
- Develop and contribute to a plan of care based on potentially existing problems, expected resident response and the medical plan of care
- Communicate the plan of care by using methods that include action plans, goals and time frames
What you will need:
Required:
- A current license to practice as a Registered Nurse (RN) in the State of New York
- Associate’s degree in nursing or Degree of Nursing from an accredited school
Pay Range: $40.00 - $52.81 per hour
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!
- 0-1 years of experience: $10,000
- 1-3 years of experience: $15,000
- 3+ years of experience: $20,000
POSITION PURPOSE
Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
ESSENTIAL FUNCTIONS
1. Conducts an initial assessment to gather data.
- Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
- Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
- Initiates the patient problem list and incorporates relevant medical history into the plan of care.
- Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
- Determines nursing interventions to achieve those outcomes/goals.
- Prioritizes patient care needs/ activities.
- Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
- Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. Implements the outcome/goal- based plan of care.
- Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
- Organizes and prioritizes care for the patients within the team.
- Delegates tasks appropriately to other team members.
- Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
- Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
- Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
- Uses nursing judgment to determine the appropriate frequency and components of reassessment.
- Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
- Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
- Participates in develop discharge plan.
- Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
- Evaluates patient response(s) to interventions.
- Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
- Updates the problem list and outcomes/goals.
5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.
- Communicates relevant clinical information to physicians regarding the patient’s condition.
- Reports progress toward outcomes/goals and/or changes in condition to other health team members.
- Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
- Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
- Documents completely, comprehensively and legibly and in accordance with policy.
6. Demonstrates clinical competence.
- Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
- Assures medication safety by following the “5 Rights” of medication administration.
- Prioritizes and implements intervention according to patient assessment.
- Demonstrates competency in computer systems and applications required for role.
- Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
- Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.
- Completes assigned shift duties and assures resolution of discrepancies.
7. Manages telemetry and cardiac monitoring when applicable.
- Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
- Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
- Must be capable of managing multiple patients requiring continuous cardiac monitoring.
- Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
- May be required to assist with data collection and quality improvement initiatives.
- Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
- May be asked to participate in unit-based committees and provide education to nursing staff as requested.
8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
9. Collects, analyzes, interprets and applies age-specific data.
- Performs tasks/procedures, uses equipment in an age-appropriate manner.
- Communicates and works with others in an age-appropriate manner.
10. Adheres to all safety, infection control and colleague health policies and procedures.
- Attends required safety programs.
- Appropriately and consistently uses the personal protective equipment required of the job.
- Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.
- Reports and removes unsafe equipment/furniture.
- Asks for assistance when needed to assure safety for all involved.
- Maintains a safe working environment and practices safe working habits.
11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Core Values:
- Reverence: We honor the sacredness and dignity of every person.
- Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
- Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
- Justice: We foster right relationships to promote the common good, including sustainability of Earth.
- Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
- Integrity: We are faithful to those we say we are.
MINIMUM QUALIFICATIONS
- Associate degree in nursing required
- Bachelor of Science in Nursing (BSN) preferred.
- Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
- American Heart Association Basic Life Support (BLS) required.
- American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
- Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
- High language, intermediate to high math, high critical thinking ability. Basic computer skills required.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
The most significant duties have been included in this description. Other duties may be assigned as necessary. The facility reserves the right to modify this job description as needed to accurately reflect the duties assigned.
Our Commitment
