10 Patient Care jobs in Pikeville
Physician / Internal Medicine / Kentucky / Permanent / Gastroenterology Physician Job
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Job Description
Job No Longer Available
This position is no longer listed on WhatJobs. The employer may be reviewing applications, filled the role, or has removed the listing.
However, we have similar jobs available for you below.
Patient Service Representative PRN - Irvine Primary Care
Posted 2 days ago
Job Viewed
Job Description
**JOB SUMMARY:**
The Patient Services Representative will serve as the main point of contact for all patients and the community. This position will receive and process patient referral, patient registration, verifying demographics, obtaining insurance cards and identification, and updating medical records accurately and efficiently. In addition, the Patient Services Representative responsibilities will include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently.
**ESSENTIAL FUNCTIONS:**
+ Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner
+ Process admission paperwork and basic insurance verification, ensuring accurate patient identity for hospital billing systems
+ Ability to answer internal and external calls in a friendly and helpful manner
+ Must possess the ability to troubleshoot and resolve problems promptly
+ Ensures patient flow is maintained and informs Supervisor of any department and patient issues immediately
+ Coordinates and prioritizes bed placement needs to ensure prompt and appropriate placement of patients
+ Other duties as assigned
**EDUCATION:**
+ High School Degree or GED
**EXPERIENCE:**
+ Prior experience in the healthcare field or a related area is preferred but not required
+ Knowledge of medical terminology preferred but not required
+ Knowledge in Microsoft Office, Cadence, and Connect care preferred but not required
**SKILLS & ABILITIES:**
+ Possesses problem-solving skills, basic computer skills, 40 WPM typing skills with excellent communication and interpersonal skills
+ Engage with staff and patients in a professional manner
+ Basic math skills
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
Registered Nurse RN Home Health
Posted today
Job Viewed
Job Description
Registered Nurse RN Home Health – AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Up to $1000 Sign On Bonus
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift : Days
Location: Home Health visits in Jackson or Clay County
The role you'll contribute:
Provides direct nursing care in accordance with established policies, procedures, and protocols of the healthcare organization. This role is accountable for engaging in professional nursing activities as identified and planned by the R.N. Case Manager in the Patient Care Plan, aiming to maximize function within the home environment, restore health, or assist in facilitating a peaceful death.
The value you'll bring to the team:
- Organize and implement individual patient care based on ongoing interpretation of physiological, psychological, sociological deficits affecting the state of health
The expertise and experiences you'll need to succeed:
Minimum qualifications:
- Associate's of Nursing
- Active American Heart Association BLS
- Valid in state Driver's License with current car insurance
- Registered Nurse – State Licensure and/or Compact State Licensure In Kentucky
Preferred qualifications:
- Bachelor's of Nursing
- 1 year acute care experience
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Home Care
Organization: AdventHealth Home Health and Hospice
Schedule: Full-time
Shift: 1 - Day
Req ID: 25011961
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Registered Nurse RN Home Health
Posted today
Job Viewed
Job Description
Registered Nurse RN Home Health – AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Up to $1000 Sign On Bonus
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift : Days
Location: Home Health visits in Jackson or Clay County
The role you'll contribute:
Provides direct nursing care in accordance with established policies, procedures, and protocols of the healthcare organization. This role is accountable for engaging in professional nursing activities as identified and planned by the R.N. Case Manager in the Patient Care Plan, aiming to maximize function within the home environment, restore health, or assist in facilitating a peaceful death.
The value you'll bring to the team:
- Organize and implement individual patient care based on ongoing interpretation of physiological, psychological, sociological deficits affecting the state of health
The expertise and experiences you'll need to succeed:
Minimum qualifications:
- Associate's of Nursing
- Active American Heart Association BLS
- Valid in state Driver's License with current car insurance
- Registered Nurse – State Licensure and/or Compact State Licensure In Kentucky
Preferred qualifications:
- Bachelor's of Nursing
- 1 year acute care experience
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Home Care
Organization: AdventHealth Home Health and Hospice
Schedule: Full-time
Shift: 1 - Day
Req ID: 25011961
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Speech Language Pathologist Care Manager PRN Home health
Posted today
Job Viewed
Job Description
Home Health Speech Language Pathologist Care Manager AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Per Diem
Shift : Day Shift 8am-4:30pm No Weekends on Call.
Location: Covering Clay and Jackson Counties.
The role youll contribute:
The Home Health ST Case Manager is a professional therapist who coordinates and directs the home health
patient's care based on individual patient needs. Case Manager is responsible for independent management of
the Home Health patient population requiring the use of advanced assessment, teaching and decision-making
skills. The therapist is responsible for ensuring that appropriate referrals to other services are made,
interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant
knowledge and experience is consistently applied to new patient populations. The Case Manager cares for a
caseload of home health patients by evaluating the patient for appropriateness of home health and developing
the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and
community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home
care plan, and monitoring patient/family's response to the plan to achieve patient/family goals and top decile
outcomes. The Case Manager also identifies performance improvement and home health standard of care
initiatives and assists to design or implement programs to address needed changes.
The value youll bring to the team:
- Performs an evaluation and utilizes the findings to determine diagnosis (for SLP services), prognosis and plan of care in consultation with the physician. Determines specific interventions, duration and frequency needed to achieve anticipated goals and outcomes.
- Observes and records activities and findings in the clinical record and reports to the physician and or primary Care Manager the patients reaction to treatment and any changes in patients condition, or when there are deviations from the plan of care.
- Instructs the patient and caregiver regarding the patients speech language improvement program including adaptive equipment and the home program.
- Instructs other health team personnel including, when appropriate, home health aides and caregivers in certain phases of speech therapy with which they may work with the patient.
- Selects, applies or modifies skilled intervention to the patient using various skilled interventions consistent with the state practice act to achieve the best outcome possible for the patient. Assesses patient response to interventions and performs reassessments as required.
- Documents in medical record, accurately reflecting treatment provided. Updates the care plan as needed including the aide care plan; writes modified orders for changes in the plan of care, performs and documents the aide supervision by the due date.
- Completes all documentation within the time frame required by the agency, including reassessments, discharge summaries and OASIS documents.
- Participates in clinical record review, agency staff meetings, therapy meetings and other activities as requested."
The expertise and experiences youll need to succeed :
Minimum qualifications:
- Master's in Speech Therapy
- 1 relevant clinical Speech therapy
- Speech Therapist Certified in State of Practice
- Valid in state Drivers License with current car insurance
Preferred qualifications:
- Recent, relevant experience in a Medicare-certified home health agency as a case-manager
- Certificate for OASIS Specialist Clinical
- Home Health Case-Manager Certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Home Care
Organization: AdventHealth Home Health and Hospice
Schedule: Per Diem
Shift: 1 - Day
Req ID: 25014331
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Speech Language Pathologist Care Manager PRN Home health
Posted today
Job Viewed
Job Description
Home Health Speech Language Pathologist Care Manager AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Per Diem
Shift : Day Shift 8am-4:30pm No Weekends on Call.
Location: Covering Clay and Jackson Counties.
The role youll contribute:
The Home Health ST Case Manager is a professional therapist who coordinates and directs the home health
patient's care based on individual patient needs. Case Manager is responsible for independent management of
the Home Health patient population requiring the use of advanced assessment, teaching and decision-making
skills. The therapist is responsible for ensuring that appropriate referrals to other services are made,
interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant
knowledge and experience is consistently applied to new patient populations. The Case Manager cares for a
caseload of home health patients by evaluating the patient for appropriateness of home health and developing
the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and
community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home
care plan, and monitoring patient/family's response to the plan to achieve patient/family goals and top decile
outcomes. The Case Manager also identifies performance improvement and home health standard of care
initiatives and assists to design or implement programs to address needed changes.
The value youll bring to the team:
- Performs an evaluation and utilizes the findings to determine diagnosis (for SLP services), prognosis and plan of care in consultation with the physician. Determines specific interventions, duration and frequency needed to achieve anticipated goals and outcomes.
- Observes and records activities and findings in the clinical record and reports to the physician and or primary Care Manager the patients reaction to treatment and any changes in patients condition, or when there are deviations from the plan of care.
- Instructs the patient and caregiver regarding the patients speech language improvement program including adaptive equipment and the home program.
- Instructs other health team personnel including, when appropriate, home health aides and caregivers in certain phases of speech therapy with which they may work with the patient.
- Selects, applies or modifies skilled intervention to the patient using various skilled interventions consistent with the state practice act to achieve the best outcome possible for the patient. Assesses patient response to interventions and performs reassessments as required.
- Documents in medical record, accurately reflecting treatment provided. Updates the care plan as needed including the aide care plan; writes modified orders for changes in the plan of care, performs and documents the aide supervision by the due date.
- Completes all documentation within the time frame required by the agency, including reassessments, discharge summaries and OASIS documents.
- Participates in clinical record review, agency staff meetings, therapy meetings and other activities as requested."
The expertise and experiences youll need to succeed :
Minimum qualifications:
- Master's in Speech Therapy
- 1 relevant clinical Speech therapy
- Speech Therapist Certified in State of Practice
- Valid in state Drivers License with current car insurance
Preferred qualifications:
- Recent, relevant experience in a Medicare-certified home health agency as a case-manager
- Certificate for OASIS Specialist Clinical
- Home Health Case-Manager Certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Home Care
Organization: AdventHealth Home Health and Hospice
Schedule: Per Diem
Shift: 1 - Day
Req ID: 25014331
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Speech Language Pathologist Care Manager PRN Home health
Posted today
Job Viewed
Job Description
Home Health Speech Language Pathologist Care Manager AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Per Diem
Shift : Day Shift 8am-4:30pm No Weekends on Call.
Location: Covering Clay and Jackson Counties.
The role youll contribute:
The Home Health ST Case Manager is a professional therapist who coordinates and directs the home health
patient's care based on individual patient needs. Case Manager is responsible for independent management of
the Home Health patient population requiring the use of advanced assessment, teaching and decision-making
skills. The therapist is responsible for ensuring that appropriate referrals to other services are made,
interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant
knowledge and experience is consistently applied to new patient populations. The Case Manager cares for a
caseload of home health patients by evaluating the patient for appropriateness of home health and developing
the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and
community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home
care plan, and monitoring patient/family's response to the plan to achieve patient/family goals and top decile
outcomes. The Case Manager also identifies performance improvement and home health standard of care
initiatives and assists to design or implement programs to address needed changes.
The value youll bring to the team:
- Performs an evaluation and utilizes the findings to determine diagnosis (for SLP services), prognosis and plan of care in consultation with the physician. Determines specific interventions, duration and frequency needed to achieve anticipated goals and outcomes.
- Observes and records activities and findings in the clinical record and reports to the physician and or primary Care Manager the patients reaction to treatment and any changes in patients condition, or when there are deviations from the plan of care.
- Instructs the patient and caregiver regarding the patients speech language improvement program including adaptive equipment and the home program.
- Instructs other health team personnel including, when appropriate, home health aides and caregivers in certain phases of speech therapy with which they may work with the patient.
- Selects, applies or modifies skilled intervention to the patient using various skilled interventions consistent with the state practice act to achieve the best outcome possible for the patient. Assesses patient response to interventions and performs reassessments as required.
- Documents in medical record, accurately reflecting treatment provided. Updates the care plan as needed including the aide care plan; writes modified orders for changes in the plan of care, performs and documents the aide supervision by the due date.
- Completes all documentation within the time frame required by the agency, including reassessments, discharge summaries and OASIS documents.
- Participates in clinical record review, agency staff meetings, therapy meetings and other activities as requested."
The expertise and experiences youll need to succeed :
Minimum qualifications:
- Master's in Speech Therapy
- 1 relevant clinical Speech therapy
- Speech Therapist Certified in State of Practice
- Valid in state Drivers License with current car insurance
Preferred qualifications:
- Recent, relevant experience in a Medicare-certified home health agency as a case-manager
- Certificate for OASIS Specialist Clinical
- Home Health Case-Manager Certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Home Care
Organization: AdventHealth Home Health and Hospice
Schedule: Per Diem
Shift: 1 - Day
Req ID: 25014331
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Speech Language Pathologist Care Manager PRN Home health
Posted today
Job Viewed
Job Description
Home Health Speech Language Pathologist Care Manager AdventHealth Home Health
All the benefits and perks you need for you and your family:
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Per Diem
Shift : Day Shift 8am-4:30pm No Weekends on Call.
Location: Covering Clay and Jackson Counties.
The role youll contribute:
The Home Health ST Case Manager is a professional therapist who coordinates and directs the home health
patient's care based on individual patient needs. Case Manager is responsible for independent management of
the Home Health patient population requiring the use of advanced assessment, teaching and decision-making
skills. The therapist is responsible for ensuring that appropriate referrals to other services are made,
interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant
knowledge and experience is consistently applied to new patient populations. The Case Manager cares for a
caseload of home health patients by evaluating the patient for appropriateness of home health and developing
the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and
community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home
care plan, and monitoring patient/family's response to the plan to achieve patient/family goals and top decile
outcomes. The Case Manager also identifies performance improvement and home health standard of care
initiatives and assists to design or implement programs to address needed changes.
The value youll bring to the team:
- Performs an evaluation and utilizes the findings to determine diagnosis (for SLP services), prognosis and plan of care in consultation with the physician. Determines specific interventions, duration and frequency needed to achieve anticipated goals and outcomes.
- Observes and records activities and findings in the clinical record and reports to the physician and or primary Care Manager the patients reaction to treatment and any changes in patients condition, or when there are deviations from the plan of care.
- Instructs the patient and caregiver regarding the patients speech language improvement program including adaptive equipment and the home program.
- Instructs other health team personnel including, when appropriate, home health aides and caregivers in certain phases of speech therapy with which they may work with the patient.
- Selects, applies or modifies skilled intervention to the patient using various skilled interventions consistent with the state practice act to achieve the best outcome possible for the patient. Assesses patient response to interventions and performs reassessments as required.
- Documents in medical record, accurately reflecting treatment provided. Updates the care plan as needed including the aide care plan; writes modified orders for changes in the plan of care, performs and documents the aide supervision by the due date.
- Completes all documentation within the time frame required by the agency, including reassessments, discharge summaries and OASIS documents.
- Participates in clinical record review, agency staff meetings, therapy meetings and other activities as requested."
The expertise and experiences youll need to succeed :
Minimum qualifications:
- Master's in Speech Therapy
- 1 relevant clinical Speech therapy
- Speech Therapist Certified in State of Practice
- Valid in state Drivers License with current car insurance
Preferred qualifications:
- Recent, relevant experience in a Medicare-certified home health agency as a case-manager
- Certificate for OASIS Specialist Clinical
- Home Health Case-Manager Certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Home Care
Organization: AdventHealth Home Health and Hospice
Schedule: Per Diem
Shift: 1 - Day
Req ID: 25014331
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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Certified Nursing Assistant-Nursing Float Pool-PRN
Posted today
Job Viewed
Job Description
Summary:
Under the direct supervision of a Registered Nurse/licensed Nurse, this position will assist with routine and repetitive patient care activities in a nursing unit. This position also performs specific clerical, organizational, and patient-focused activities. The patient-focused tasks will be supportive in nature.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- ssists with the admission, transfer, and discharge of patients.
- Completes pertinent documents.
- Prepares rooms for admission by setting up IV pots, and adjusting bed to the appropriate level.
- Assures that all patient belongings accompany the patient to the new unit or home at time of discharge.
- Safely transports stable patients as required.
- Maintains security/confidentiality when transporting patients and interacting with family and visitors.
- Cleans, procures and returns equipment and supplies.
- Run errands for the unit as required.
- Assist Licensed personnel in providing a safe and comfortable environment at all times; replenish patient room with water, linen, and towels, as appropriate.
- Perform unit-specific patient care tasks in accordance with the skills checklist and documents on the flowsheet.
- Identify obvious changes in the patient's condition and take responsibility for reporting those changes promptly to the nurse in charge.
- Assist with the ordering and maintenance of stock items according to established inventory when needed.
- Keeps unit supplies in an organized and orderly fashion.
- Respond appropriately to emergencies.
- Communicate effectively with other team members during and between shifts.
- Responds to phone calls and patient call lights.
- Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each patient served.
- Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department.
Job Requirements:
Education/Skills
High School Diploma or equivalent preferred.
Experience
Patient care experience in an acute care setting is preferred.
Licenses, Registrations, or Certifications
- CNA License in state of employment required.
- BLS required.
Work Schedule:
7AM - 7PM
Work Type:
Per Diem As Needed
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