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Assistant Director of Nursing (ADON)

New
11207 Brooklyn Bushwick Center

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Job Description

full time

Bushwick Center is hiring an Assistant Director of Nursing (ADON) in Brooklyn, NY.

DUTIES:

  • Assist the DNS with management responsibilities and in maintaining the quality of care

  • Responsible for Wound/Skin Rounds weekly

  • Assist with compliance and ensure effective communication with all levels of nursing staff

  • Meet the nursing medical needs of all residents

  • 24 hours on call

  • Coordinate and direct the total planning for nursing services

  • Maintain a comprehensive knowledge of general nursing theory and practice

  • Responsible for the accurate and timely completion of medical records

  • Assist with interviewing, hiring and orienting of new nursing staff

  • Oversee daily staffing process

  • infection control

  • Maintain flexibility with work schedule to address unpredictable needs

REQUIREMENTS:

  • Current State RN license required

  • Min. 3 yrs. exp. in Long-Term Care settings

  • 2 years of management experience preferred

  • 1-year staff education experience preferred

  • Excellent Communication Skills required

  • Evidence of basic leadership skills and supervision

  • Flexible hours required

About us:

Bushwick Center for Rehabilitation and Healthcare is a 225-bed rehabilitation and skilled nursing facility located on the border of Brooklyn & Queens. Our size enables a warm, nurturing environment, which allows each resident to maintain his or her individuality. Our staff is committed to ensuring the highest quality of life of all our residents, by maintaining each resident’s dignity and independence. Bushwick Center is a proud member of the Centers Health Care consortium.

Equal Opportunity Employer –M/F/D/V

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Certified Nurses' Aide- All Shifts

10304 Staten Island Carmel Richmond

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Job Description

ArchCare cares for people of all  ages and faiths where they are most comfortable and best able to receive it -- at home, in the community and in nursing homes . As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job. To us, it's a privilege and our calling.

We are proud to be Certified™ by Great Place to Work® , a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture.

Benefits/Perks:

  • Includes accrued vacation days, sick days, and holidays.
  • Participation in 403 (b)
  • Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance
  • Discounted membership: Plum Benefits
  • Pay for work-related eligible commuter expenses with pre-tax dollars

Responsibilities :  Under the direction and supervision of an RN or LPN, performs various resident care activities and related non-professional duties for the specific needs and comfort of the aged and those that need our help. 

  • Assist residents with activities of daily living to include: bathing, dressing, grooming and toileting. 
  • Transfer residents to and from activities and meals according to their individual service plans. 
  • Serve meals to residents in the dining room or their apartments. 
  • Record and report changes in residents' eating habits to supervisor. 
  • Promote quality services within company, state and federal regulations.   

Qualifications :  Current NY State Certified Nursing Assistant 

Education :  High School Diploma/GED 

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Nursing Assistant

Posted 1 day ago

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Job Description

full-time
Centers Health Care is seeking an experienced Assistant Director of Nursing to support clinical operations within our Healthcare & Medical Services department. In this role, you will assist in overseeing nursing staff, ensuring high-quality patient care, maintaining regulatory compliance, and implementing best practices. You’ll collaborate with interdisciplinary teams, mentor nurses, and help drive quality improvement initiatives. We foster an inclusive, collaborative culture with strong opportunities for professional growth, continuous learning, and leadership development in a mission-driven environment.
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Nurse Educator

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Job Description

full time

Boro Park Center is hiring a Registered Nurse Educator in Brooklyn, NY.

Key Responsibilities
  • Develop, coordinate, and deliver educational programs for nursing and support staff.

  • Facilitate onboarding, orientation, annual competencies, and ongoing in-service training programs.

  • Promote best practices related to infection prevention, workplace safety, emergency preparedness, resident care, and regulatory compliance.

  • Monitor staff performance and provide coaching, mentoring, and educational support to improve clinical outcomes.

  • Assist with quality improvement initiatives and participate in performance improvement activities.

  • Maintain educational records, competency evaluations, attendance logs, and required training documentation.

  • Collaborate with nursing leadership to identify educational needs and implement effective training solutions.

  • Review employee-related incidents and contribute to workplace safety and injury prevention efforts.

  • Support employee health initiatives, including required screenings, immunizations, and return-to-work processes as permitted within scope of practice.

  • Stay current with healthcare regulations, evidence-based practices, and industry standards to ensure ongoing compliance and excellence.

Qualifications
  • Active New York State Registered Nurse (RN) license.

  • Minimum of three years of experience in nursing education, staff development, or clinical training within a long-term care or post-acute care setting.

  • Strong understanding of state and federal regulations governing long-term care facilities.

  • Experience with quality assurance, performance improvement, and competency-based education.

  • CPR certification required; instructor certification is a plus.

  • Knowledge of infection prevention, employee health, workplace safety, and emergency preparedness.

  • Excellent communication, presentation, coaching, and organizational skills.

  • Ability to maintain confidentiality and exercise sound professional judgment.

  • Demonstrated commitment to staff development, resident care quality, and regulatory compliance.

About Us:


Boro Park Center for Rehabilitation and Healthcare is a 510-bed rehabilitation and Skilled Nursing Facility in the heart of the Boro Park section of Brooklyn. Our warm and nurturing environment allows each resident to maintain his or her Rehabilitation and Healthcare, healthier, happier, and most of all, with the tools to succeed. Our staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident's individuality. We want all residents to leave the Boro Park Center font’s dignity and independence. Boro Park Center is a proud member of the Centers Health Care consortium. 

Equal Opportunity Employer –M/F/D/V

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House Supervisor - Nursing Administration - F/T Evenings

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Job Description

The House Supervisor demonstrates HMH values, leadership and interpersonal skills to oversee the clinical and leadership functions of the Medical Center in the absence of unit managers and senior leadership. The House Supervisor assures the provision of safe and effective patient care after hours, on weekends and on holidays. Responsibilities include assessment of all departments to maintain patient flow and assure continuity of care. Report pertinent information to management and administration. They provide supervision of staff in the delivery of care for patients and serve as a clinical resource. They assume the leadership position for Incident Command until other qualified personnel arrive on-site. The House Supervisor responds to codes and rapid responses, deploys staff, supplies and/or equipment as needed. The House Supervisor is responsible for effectively communicating unusual occurrences or complaints for follow-up and intervenes immediately as needed. They ensure appropriate use of hospital resources by reviewing all patients admitted to the hospital and evaluating appropriateness of admission using approved criteria. Ensures appropriate patient status (inpatient, observation, ambulatory) to assure appropriate placement and bed usage to maximize patient flow.
Education, Knowledge, Skills and Abilities Required:
1. A minimum of an associate in Nursing or diploma of Nursing degree.
2. BSN in progress and/or willing to acquire within three (3) years of hire. (Note this applies to team members hired on or after February 2025). Note: Advanced masters degree in nursing programs satisfy the BSN requirement (ie Associates to MSN).
3. A minimum of four years of recent clinical experience. Demonstrates clinical knowledge and skills.
4. Demonstrates leadership competencies.
5. Demonstrated ability to work independently.
6. Good basic knowledge of the nursing process, standards of care, regulatory requirements and best practices.
7. Excellent written and verbal communication skills.
8. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.
Education, Knowledge, Skills and Abilities Preferred:
1. Knowledge of evidence based criteria, utilization review, discharge planning and case management.
Licenses and Certifications Required:
1. NJ State Professional Registered Nurse

Minimum rate of $113,817.60 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
+ Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
+ Experience: Years of relevant work experience.
+ Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
+ Skills: Demonstrated proficiency in relevant skills and competencies.
+ Geographic Location: Cost of living and market rates for the specific location.
+ Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
+ Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
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Critical Care Nurse Practitioner / Physician Assistant Per Diem

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Job Description

**The Acute Care Advanced Practice Nurse (APN) or Physician Assistant utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs.**
**APP with RRT, ED or CCM experience required for per diem positions.**
**Education, Knowledge, Skills and Abilities Required: 1. Graduate of an NLN/AACN accredited nursing program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing education and clinical practice. 4. Experience in a relevant patient care setting (or as regulations dictate). 5. National Provider Identifier (NPI). 6. Prescriptive authority through CDS and DEA registration according to New Jersey state law. 7. Collaborative agreement with physicians on staff. 8. Excellent written and verbal communication skills. 9. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advance Practice Nurse License. 3. BLS AHA Basic Health Care Life Support HCP Certification. 4. Board certified by AANP or ANCC. 5. AHA Advanced Cardiac Life Support Certification. 6. Acute Care NP cert**

Minimum rate of $79.23 Hourly
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
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Neonatal Nurse Practitioner

07740 Long Branch RWJBarnabas Health

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Job Description

Rutgers University Medical Group - Neonatal Nurse Practitioner in Long Branch, NJ

Job Title: Neonatal Nurse Practitioner

Location: Rutgers University Medical Grp

Department Name : RWJMS Neonatology

Req # :

Status : Salaried

Shift : Day/Night/Weekends/Holidays

Job Overview:

The Neonatal Nurse Practitioner provides health care to neonates, infants and children up to one year of age. The NP provides care for critically ill premature and full-term infants with emphasis place on family centered culturally diverse sensitive care. In collaboration with the Neonatologist, the NP has daily responsibility for the assessment and management of patients in high and low acuity.

The Neonatal Nurse Practitioner practices in collaboration with a multi-disciplinary team to provide a continuum of primary, acute and or subspecialty healthcare to their patients.

They enhance the quality of care through education and clinical practice utilizing advanced practice, knowledge and research.

Job Title : Neonatal Nurse Practitioner

Location : Rutgers University Medical Grp

Department Name : RWJMS Neonatology

Pay Transparency:

Pay Range: $120,000.00 - $190,000.00 per year

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

How to Apply:

To learn more about this position or to apply directly, please contact Francesca Badalamenti, Physician Recruitment , by e-mail at:

General Requirements:

  • CDS and DEA

  • Current NRP and BLS certification

APN Specific Requirements:

  • APN License

  • RN License

  • One of the following

    • NNP Certification with NICU RN experience

    • Primary Care Pediatric NP Certification with NP experience in an inpatient setting

    • Acute Care Pediatric NP Certification with PICU setting procedural experience as an APP

Scheduling Requirements:

  • Full Time

  • 36 hrs (12hr shifts: day/night/weekends/holidays)

Essential Functions:

  • Conduct comprehensive evaluations and assessments of patients.

  • Diagnose and treat a wide range of medical conditions in collaboration with a physician.

  • Develop and implement treatment plans in collaboration with the healthcare team.

  • Perform procedures as necessary.

  • Work closely with physicians, nurses, and other healthcare professionals to ensure coordinated care.

  • Communicate effectively with patients and their families regarding treatment plans and health education.

  • Stay current with medical best practices, guidelines, and regulations.

  • Engage in continuing education and professional development activities.

  • Participate in research or quality improvement projects as directed or needed.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

  • $4000 CME + Professional Expenses Allowance

  • Paid Time Off (PTO)

  • Medical and Prescription Drug Insurance

  • Dental and Vision Insurance

  • Retirement Plans

  • Short & Long Term Disability

  • Life & Accidental Death Insurance

  • Tuition Reimbursement

  • Health Care/Dependent Care Flexible Spending Accounts

  • Wellness Programs

  • Voluntary Benefits (e.g., Pet Insurance)

  • Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

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NICU Neonatal Nurse Practitioner or Physician Assistant PART-TIME

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**The Joseph M. Sanzari Children's Hospital Level IIIC NICU at Hackensack University Medical Center Neonatology Nurse Practitioner or Physician Assistant utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs.**
**Part-Time (20 hrs/wee** **k) position**
**APNs mu** **st have NNP cert. PA's must have either NICU fellowship or prior Neonatal experience.**
**The Hackensack University Medical Center (HUMC) Neonatal Intensive Care Unit (NICU) operates a 48-bed, state-designated Regional Perinatal Center at the** **⁠Joseph M. Sanzari Children's Hospital ( **in Hackensack, NJ. The unit offers specialized services including whole-body cooling, high-frequency ventilation, and is the first in New Jersey to earn Disease-Specific Care certification in prematurity care.**
** ( Knowledge, Skills and Abilities Required: 1. Graduate of an NLN/AACN accredited nursing program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing education and clinical practice. 4. Experience in a relevant patient care setting (or as regulations dictate). 5. National Provider Identifier (NPI). 6. Prescriptive authority through CDS and DEA registration according to New Jersey state law. 7. Collaborative agreement with physicians on staff. 8. Excellent written and verbal communication skills. 9. Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms. Education, Knowledge, Skills and Abilities Preferred: 1. Not Applicable. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advance Practice Nurse License. 3. BLS AHA Basic Health Care Life Support HCP Certification. 4. Board certified by AANP or ANCC. 5. AHA. Advanced Cardiac Life Support Certification. 6. NNP cert**

Minimum rate of $84,406.40 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
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Assistant Nurse Manager - Med/Surg/Tely - F/T Evenings

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The Assistant Nurse Manager (ANM) is a professional, registered nurse who is a skilled communicator, collaborator and authentic leader. The ANM supports the organization in the execution of the nursing strategic plan and priorities. The ANM actively participates in unit and hospital decision-making and provides meaningful recognition to others. The ANM provides operational and administrative support to Nurse leadership. This position effectively coordinates staffing, supports throughput, quality and safety outcomes, staff competency, hiring, clinical and staff corrective actions, unit efficiency, quality care and other departmental activities to support the mission, vision and values of Hackensack Meridian Health. The ANM, in collaboration with the Nurse Manager, assesses, plans, implements, monitors and evaluates nursing practice and the nursing care delivery system with direct supervision of front-line staff.
Education, Knowledge, Skills and Abilities Required:
1. A minimum of an associate in Nursing or diploma of Nursing degree.
2. BSN in progress and/or willing to acquire within three (3) years of hire. (Note this applies to team members hired on or after February 2025). Note: Advanced masters degree in nursing programs satisfy the BSN requirement (ie Associates to MSN).
3. Minimum 3 years recent nursing experience in respective specialty or equivalent. Exceptions may be made for internal candidates on a case by case basis (i.e. the candidate has a history of hospital administration education/experience).
4. The ability to learn quickly and adapt to changing patient needs, a strong sense of accountability for improving the lives of our patients and their caregivers, an exceptional focus on teamwork, dedication to ongoing education and the ability and passion to deliver the highest quality of care based on a strong sense of patient focus are all required.
Education, Knowledge, Skills and Abilities Preferred:
1. MSN.
2. Supervisory or charge nurse experience.
Licenses and Certifications Required:
1. NJ State Professional Registered Nurse License.
2. AHA Basic Health Care Life Support HCP Certification.
3. National Certification acceptable to the Magnet Recognition Program and appropriate to your current specialty (within two years of hire)
Licenses and Certifications Preferred:
1. Not Applicable

Minimum rate of $126,464.00 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
+ Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
+ Experience: Years of relevant work experience.
+ Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
+ Skills: Demonstrated proficiency in relevant skills and competencies.
+ Geographic Location: Cost of living and market rates for the specific location.
+ Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
+ Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
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Psychiatric Nurse Practitioner

Posted 1 day ago

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contract
Headway, a pioneering leader in mental health services, is seeking a dedicated Licensed Psychiatric Nurse Practitioner to join our team. Our mission is to enhance the bridge between patients and high-quality mental health care by making it more accessible through insurance. At Headway, you will have the opportunity to collaborate with an innovative team that values your expertise in psychiatric care, offering a platform where your skills in mental health are utilized to improve patient outcomes.
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