395,876 Night Rn jobs in the United States

Share your love of nursing!

What a privilege to be invited into the lives of patients and families with loving, compassionate, excellent nursing. Hospice of Wichita Falls is seeking premier, compassionate RNs to join our PRN Night Homecare team. Help us provide Care, Hope, and Support for All When Illness Threatens Life -apply today!

About Hospice of Wichita Falls

For over 40 years, HOWF has been the only non-profit, community-based hospice serving 12 North Texas counties. Our nurses meet patients where they are-private homes, nursing facilities, assisted living communities, and our free-standing 24-bed inpatient center-honoring and upholding patient wishes while delivering premier care.

We take pride in a team culture of communication, respect, and teamwork . If you have the Hospice Heart , you'll feel the appreciation-from leadership, patients, families, and our community-every day.

Your life as a PRN Night RN

You'll serve patients primarily at night across Wichita, Archer, Clay, Jack, Montague, and Young counties. In this PRN role you will:

• Cover night call for HOWF and Palliative Care; make visits (PRN, crisis care, hospital, and death visits) and document promptly at the point of care so your notes clearly "paint the picture" for the next clinician.

• Complete admissions (evaluation, assessment, and timely paperwork), assess hospitalized referrals, and initiate the individualized Comprehensive Plan of Care with the IDT and physician(s).

• Triage incoming patient calls and determine visit needs; coordinate and direct LVNs and CNAs to exceed patient expectations.

• Teach disease processes, expected changes, and end-of-life care; advocate for the patient and family; and support at time of death and in early bereavement.

• Update EMR (events, orders, MAR, guidelines), follow up on new meds/orders, and maintain HIPAA compliance and HOWF standards of conduct.

What you'll bring

• Education: Graduate of an approved school of professional nursing; BSN preferred. Current Texas RN license.

• Experience: Two (2) years acute care within the last four (4) years preferred; specialized skills in palliative and end-of-life care.

• Skills: Self-directed, strong clinical judgment, effective oral/written communication, ability to lead and educate team members, and comfort educating families on disease process and expected changes.

• Readiness for nights & travel: Able to work nights, respond to urgent needs, and travel home-to-home on a flexible schedule.

Why you'll love it here

• A mission-driven, non-profit team that meets patients where they are-and supports you while you do the same.

• The chance to practice the best of hospice nursing: clinical excellence, patient advocacy, and life-honoring care-night after night.

Apply today and help us fulfill our mission of Care, Hope, and Support for All when Illness Threatens Life.

200 Bristol Glen Dr, Newton, NJ 07860, USA | Hourly | 44.50 per hour Experience based rate + Shift differential + $25,000 Sign On Bonus | Full Time Night

RN - Full Time Night with $25k Sign On Bonus

Every Other Weekend Rotation Required

UMC has been certified A Great Place to Work for the 8th year in a row! 87% of our teammates say they feel they make a difference in the work that they do at UMC!

UMC is currently seeking RN's for our Bristol Glen Senior Care Community located in Newton, NJ. Bristol Glen Continuing Care Retirement Community (CCRC) is a thoughtfully designed to provide person directed care in a home-like environment to ensure exceptional care and quality of life for our residents.

The RN: Registered Nurse is responsible for rendering professional nursing care to resident's while exercising good judgment and respecting confidential matters.

Requirements for an RN: Registered Nurse:

• Education:

• Graduate of an accredited school of Nursing or Associate Degree in Nursing.

• BSN preferred

• Prior Long Term Care experience preferred.

• Current New Jersey or Compact Registered Nurse License.

Responsibilities for an RN: Registered Nurse:

• Admit, transfer, and discharge residents

• Performs nursing assessments regarding the health status of the resident

• Develops care plans; Attends and participates at care plan meetings as scheduled

• Provides nursing documentation in EHR per standard nursing practices on each resident

• Contributes to the resident's assessment (MDS/RAP's)

• Completes accident/incident reports on all incidents observed/ reported on the shift that they occur

• Recognize and assess changes in resident's physical condition early and notifies the physician or licensed independent in a timely manner

• Accurately receives, transcribes and carries out physician orders

• Collaborates with the resident, partners of healthcare and, when appropriate, the resident's responsible part

• Consults with, utilizes and initiates referrals to appropriate community agencies and healthcare resources to provide continuity of care as per physician order

• Administers and documents administration of medications, enteral nutrition and treatments per the physician's order and accurately records all care provided in the EHR. Adheres to the 6 rights of medication administration

• Accountable for all narcotics on a shift; and medication cart keys

• Attends and participates in all scheduled mandatory trainings, educational in-services, and completes annual Relias trainings timely.

About UMC:

• Our Mission is: Compassionately serving in community so that all are free to choose abundant life

• Certified A Great Place to Work for the last 8 years, we continue to grow and innovate to meet the needs of our residents while building upon our rich history of over 115-years of dedication to the communities we serve. Over 84% of our teammates say they feel good about the ways UMC contributes to the community!

• According to the 2025 Great Place to Work Survey, 87% of our teammates:

• Feel they make a difference and their work has special meaning; this is not" just a job"

• Feel their workplace is physically SAFE!

• We offer 4 Full-Service Communities, 5 Affordable Housing Communities and HomeWorks throughout the State of NJ, offering a variety of options from Independent Living, Assisted Living, Memory Care, Long Term Care, Short Term Rehab, home care and more!

• Our company culture at UMC is built on our values of Compassion, Respect, Stewardship and Service.

B enefits offered by UMC for our Teammates:

• Employer-subsidized Medical and Dental Coverage (eligible at 30-hours per week)

• 403(b) Retirement Savings Program with Employer Match

• Daily Overtime Available for Eligible Positions

• Employee Assistance Program

• Tuition Assistance, Professional Development and E-Learning

• Employee Discount Program

• Generous Paid Time Off Program

• Group Life Insurance (No Cost to YOU!)

• 9 Paid Holidays/Premium Pay when working holidays

• Free uniform items & additional uniform allowances

• Immediate Pay - on demand access to earned pay!

• Additional great benefits like Vision coverage, Health Savings Account, Voluntary Life Insurance & so much more!

UMC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by laws and regulations.

RN - Registered Nurse
Night Shift | $5,000 Sign On Bonus | Jonesborough, Tennessee

Join Four Oaks Healthcare Center - where compassion feels like family.

Four Oaks Healthcare is seeking compassionate, reliable RNs to join our care team. If you're looking for a rewarding role in a team-driven environment, we want to meet you!

RN Position Summary

As a RN at Four Oaks Healthcare, you'll be an essential part of our residents' care. Responsibilities include:

• Manage the nursing care for all residents and delegate shift tasks to nurses.
• Supervise nurse aides as they complete their assignments.
• Observe residents' conditions, oversee, and respond as necessary.
• Inform physicians of any changes in resident conditions.
• Communicate with patients, family members, and the interdisciplinary team about care plan changes.
• Maintain confidentiality of protected health information, including verbal, written and electronic communications.

RN Requirements

• Current unrestricted RN License for the state of Tennessee
• Current CPR/BLS Certification

Full-Time Employee Benefits and Incentives

• DailyPay - Get paid when YOU need it
• PTO
• Medical, Dental & Vision - Comprehensive Coverage
• Free Life Insurance & 401(k) with company match
• Supportive Team
• Employee Recognition - We celebrate YOU!

Equal Opportunity Employer

Four Oaks Healthcare Center does not discriminate based on race, creed, ethnic background, national origin, sex, or disability.

Salary: $45 -$50 / per hour
Maxim Healthcare is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes.
Why Join Maxim:
+ Competitive Pay & Weekly Paychecks
+ Health, Dental, Vision, HSA and Life Insurance
+ Paid Time Off
+ 401(k) Savings Plan
+ Maxcares Awards Program
Responsibilities:
+ Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required
+ Initiates the plan of care when directed and requests from prescriber any necessary revisions as patient status and needs change
+ Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient diagnosis and established goals
+ Intervenes as applicable in response to changes in patient/client condition and reports such changes to appropriate physician or supervisor
+ Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention
+ Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and discharge planning needs, as applicable
Requirements:
+ Current Registered Nurse (RN) License for the state in which the nurse practices.
+ Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).
+ Current PPD or Chest X-Ray.
+ Current BLS card.
+ One year prior Registered Nurse (RN) experience preferred.
Maxim Benefits:
Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program
Retirement and Financial Security: Health Savings Account, 401(k), Short Term Disability, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Home and Auto Insurance discounts, Pet Insurance and Legal Benefits
Lifestyle Benefits: Paid Time Off, Employee Discount Program, Transportation Benefits and College Partnership Program
*Benefit eligibility is dependent on employment status.
About Maxim Healthcare
Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare, Inc. ("Maxim") is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Assist the Director of Nursing Services in directing the day to day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day to day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, regulations, professional standards of practice, etc.) maintained at the nurses' stations is current. Recommend written material that will assist the nursing service department in meeting the day to day needs of the resident. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist the Director in planning the nursing services portion of the resident's discharge plan as necessary. Meet with the nursing staff, as well as support personnel, in planning the department's services, programs, and activities. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., asnecessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Committee Functions Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. Provide information to the Quality Assurance and Assessment Committee as requested. Participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. Implement recommendations from established committees as instructed by the Director. Personnel Functions Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Develop work assignments, and/or assist in completing and performing such tasks. Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. Review and evaluate your department's work force and make recommendations to the Director. Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Nursing Care Functions Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary Make rounds with physicians as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Inform the Director when physician visits are not made in a timely manner. Consult with the resident, his/her family, and the resident's physician in planning the resident's care, treatment, rehabilitation, etc., as necessary. Notify the resident's attending physician and next of kin when there is a change in the resident's condition. Visit residents on a daily basis in order to observe and evaluate each resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informat
ive and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Provide direct nursing care as necessary. Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. Take TPRs, blood pressures, etc., as necessary. Admit, transfer and discharge residents as necessary. Report problem areas to the Director. Assist in developing and implementing corrective action. Keep the Director informed of the status of residents and other related matters through written/oral reports. Assist the Charge Nurse in monitoring seriously ill residents. Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problems to the Director. Assist in arranging transportation for discharged residents as necessary. Inform family members of the death of the resident. Call funeral homes when requested by the family. Staff Development Participate in developing, planning, conducting, and scheduling in service training classes that provide instructions on "how to do the job," and ensure a well educated nursing service department. Assist the In service Director/Educator in developing annual facility in service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Assist the Safety Officer in developing safety standards for the nursing service department as necessary. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and jobrelated functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. Monitor your shift's personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that all nursing service personnel comply with established departmental policies and procedures. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that nursing service personnel follow established handwashing and hand hygiene procedures. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the nursing service department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident to participate in the development and review of his/her care plan. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review resident's medical and nursing treatments to ensure that they are provided in accordance with the resident's care plan and wishes. Budget and Planning Functions Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing service department. Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Supervisory Requirements Assist with the overall supervision of and management of the nursing staff. As RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must posess, as a minimum, a Nursing Degree an accredited college or university. Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long term care facility. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from mana
gers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems. the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must demonstrate the knowledge and skills necessary to provide care appropriate to the age related needs of the residents served. Be a supportive team member, contribute to and be an example of team work and team concept. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an RN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Job Title: Registered Nurse (RN) - Long-Term & Post-Acute Care

Location: Lewis Park Post Acute - Hohenwald, TN

Job Type: Full-time / Part-time / PRN

Shifts: (Day, Evening, and Night Shifts Available)

Reports To: Director of Nursing

Qualifications:

• Current, unrestricted RN license in the state of Tennessee
• CPR/BLS certification (must be current).
• Previous experience in long-term care, skilled nursing, or post-acute rehab preferred.
• Strong leadership, communication, and critical thinking skills.
• Commitment to resident-centered care and team collaboration.
• 3 year's experience preferred.

Physical Requirements:

• Ability to lift up to XX lbs and assist residents as needed.
• Frequent standing, walking, bending, and lifting.
• Ability to respond quickly and effectively in emergencies.

Why Join Lewis Park Post Acute?

• Competitive wages based on experience
• Comprehensive health, dental, and vision coverage
• 401(k) with employer match
• Paid time off and holiday pay
• Supportive, team-oriented work environment
• Professional development and continuing education opportunities

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Assist the Director of Nursing Services in directing the day to day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day to day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, regulations, professional standards of practice, etc.) maintained at the nurses' stations is current. Recommend written material that will assist the nursing service department in meeting the day to day needs of the resident. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist the Director in planning the nursing services portion of the resident's discharge plan as necessary. Meet with the nursing staff, as well as support personnel, in planning the department's services, programs, and activities. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., asnecessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Committee Functions Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. Provide information to the Quality Assurance and Assessment Committee as requested. Participate in developing the agenda for the Care Plan Committee meetings as necessary. Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. Implement recommendations from established committees as instructed by the Director. Personnel Functions Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. Develop work assignments, and/or assist in completing and performing such tasks. Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. Review and evaluate your department's work force and make recommendations to the Director. Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Nursing Care Functions Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary Make rounds with physicians as necessary. Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. Inform the Director when physician visits are not made in a timely manner. Consult with the resident, his/her family, and the resident's physician in planning the resident's care, treatment, rehabilitation, etc., as necessary. Notify the resident's attending physician and next of kin when there is a change in the resident's condition. Visit residents on a daily basis in order to observe and evaluate each resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informat
ive and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Provide direct nursing care as necessary. Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. Take TPRs, blood pressures, etc., as necessary. Admit, transfer and discharge residents as necessary. Report problem areas to the Director. Assist in developing and implementing corrective action. Keep the Director informed of the status of residents and other related matters through written/oral reports. Assist the Charge Nurse in monitoring seriously ill residents. Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problems to the Director. Assist in arranging transportation for discharged residents as necessary. Inform family members of the death of the resident. Call funeral homes when requested by the family. Staff Development Participate in developing, planning, conducting, and scheduling in service training classes that provide instructions on "how to do the job," and ensure a well educated nursing service department. Assist the In service Director/Educator in developing annual facility in service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Assist the Safety Officer in developing safety standards for the nursing service department as necessary. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and jobrelated functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. Monitor your shift's personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that all nursing service personnel comply with established departmental policies and procedures. Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that nursing service personnel follow established handwashing and hand hygiene procedures. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate the nursing service department's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Encourage the resident to participate in the development and review of his/her care plan. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that all personnel involved in providing care to the resident are aware of the resident's care plan. Ensure that nursing personnel refer to the resident's care plan prior to administering daily care to the resident. Review nurses' notes to determine if the care plan is being followed. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Review resident's medical and nursing treatments to ensure that they are provided in accordance with the resident's care plan and wishes. Budget and Planning Functions Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Director the equipment needs of the nursing service department. Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Supervisory Requirements Assist with the overall supervision of and management of the nursing staff. As RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must posess, as a minimum, a Nursing Degree an accredited college or university. Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long term care facility. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from mana
gers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems. the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must demonstrate the knowledge and skills necessary to provide care appropriate to the age related needs of the residents served. Be a supportive team member, contribute to and be an example of team work and team concept. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an RN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.