6 Scotland Health Care System jobs in Laurinburg
Patient Care Technician
Posted 7 days ago
Job Viewed
Job Description
Posting Date05/22/2025251 West Kings Hwy, Eden, North Carolina, 27288, United States of AmericaPAID TRAINING-NO PREVIOUS DIAYLSIS REQUIRED AMAZING BENEFITS / 401K BRIDGE TO YOUR DREAMS PROGRAM GROWTH OPPORTUNITIESNO OVERNIGHTS! NO SUNDAYS!DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be?If you haven't considered Nephrology before, read on as we think that you should.Joining DaVita as Patient Care Technician (PCT) is an exciting opportunity to jump start your career in the health care industry! With paid, extensive training, you will gain the skills needed to care for our patients and build a network of other health care professionals across the geography where you live. Once you have successfully completed training, you will join a holistic team of care professionals - including nurses, dietitian, social workers, and other experienced PCTs - to care for our patients. It's not a job, it's giving life and a career based on passion and purpose.DaVita - which is Italian for "giving life" - is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.Our PCTs also find DaVita professionally fulfilling. To help advance your career, we offer clear paths to higher levels of responsibility and compensation through our Clinical Ladders program. Through DaVita's Bridge to your Dreams program, teammates who have been in their role for six consecutive months and in good standing, are eligible to receive tuition assistance up front to pursue their dream of becoming a DaVita RN and getting their Associates Degree in Nursing. We also have dedicated training to become a Facility Administrator, and training to become a Regional Operations Director. Your success is driven by your performance and desire.Some details about this position:No Dialysis experience is required.Training may take place in a facility or a training clinic other than your assigned home clinicPotential to float to various clinics during and after your trainingYou must have a flexible schedule and be able to work mornings, evenings, weekends, and holidaysWhat you can expect:Direct Patient Care. Spend the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.Our PCTs care for multiple patients.Technician Duties. To monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. Please note you will have exposure to blood and needles.Building long-term relationships with your patients who are suffering from end stage renal disease and are receiving treatment on average 3 times/week. You will also be responsible for educating patients on Kidney Dialysis related topics.Team. Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN.What we'll provide:DaVita Rewards package connects teammates to what matters most including:Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash outSupport for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and morePaid trainingRequirements:Desire to enter the health care field to care for other people in needHigh school diploma or equivalentMust be comfortable working around blood and needlesMust be comfortable mixing acid or bicarbPhysical and mental ability to work long hours (some shifts are 12+ hours) on your feet so wear comfortable shoes! Our work ends when it's safe for our patients.Willingness to train and work across multiple clinics within the territory as needed.Health care experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification.DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.Ready to make a difference in the lives of patients? Take the first step and apply now.#LI-JC4At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.This position will be open for a minimum of three days.Salary/ Wage RangeFor location-specific minimum wage details, see the following link: DaVita.jobs/WageRatesCompensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
Patient Care Technician - PCT
Posted 4 days ago
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Job Description
**How you grow or advance:** Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.
**Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.
**Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.
+ Sets up, tests, and operates hemodialysis machines for patient treatments.
+ Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
+ Evaluates vascular access pre-treatment and performs vascular access cannulation.
+ Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
+ Monitors patients' response to dialysis therapy.
+ Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
+ Reports any significant information and/or change in patient condition directly to supervisor.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
+ Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Assists other healthcare members in providing patient education.
+ Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
**EDUCATION AND LICENSES** **:**
+ High school diploma or G.E.D. required.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
+ Previous patient care experience in a hospital setting or a related facility (preferred but not required).
+ Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
The physical demands and 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.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. We will consider whether reasonable accommodations can be made.
+ Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, business unit and corporate meetings may be required.
+ The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist" devices for the heavier items.
**_EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity_**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Patient Care Technician - PCT
Posted 6 days ago
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Job Description
About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your fellow care team members. You will build deep relationships with patients when they come into our clinic.
How you grow or advance: Previous healthcare experience is not required to join us as a PCT. Passion for helping others, teamwork, and a desire to learn and grow are what you need to be successful. We will provide robust training and support as you kick off your career, and we will introduce you to career path options as you grow with us either as a PCT or venture into a new role such as Registered Nurse or a leadership role.
Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, scholarships to family members, relief when natural disasters strike, and financial support when personal hardship hits; we take care of our people.
Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
As a member of the nephrology healthcare team, you will provide safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse.
- Sets up, tests, and operates hemodialysis machines for patient treatments.
- Obtains and documents necessary pre- and post-treatment vital signs and weight for each patient.
- Evaluates vascular access pre-treatment and performs vascular access cannulation.
- Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
- Monitors patients’ response to dialysis therapy.
- Evaluates patient prior to termination of venous access and discontinues dialysis treatment according to established procedures.
- Reports any significant information and/or change in patient condition directly to supervisor.
- Enters all treatment data into the designated clinical application in an accurate and timely manner.
- Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
- Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
- Assists other healthcare members in providing patient education.
- Prepares, organizes, and efficiently uses supplies and equipment to prevent waste.
EDUCATION AND LICENSES :
- High school diploma or G.E.D. required.
EXPERIENCE AND REQUIRED SKILLS :
- Qualities and traits: dependable, compassionate, caring, supportive, collaborative, reliable.
- Previous patient care experience in a hospital setting or a related facility (preferred but not required).
- Continued employment is dependent on successful completion of the Fresenius Medical Care dialysis training program and successful completion of CPR certification.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and 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.
- Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. We will consider whether reasonable accommodations can be made.
- Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, business unit and corporate meetings may be required.
- The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
- The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional basis lift up to 40 lbs., as high as 5 feet. There is a 2-person assist program and "material assist” devices for the heavier items.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veteransRN Care Manager - Behavioral Health
Posted 1 day ago
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Job Description
JOB DESCRIPTION
Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South Carolina. Case Manager will be required to communicate telephonically and complete Face to Face meetings. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.
TRAVEL (up to 60%) in the field to do member visits in the surrounding areas will be required. (Looking for candidates North South Carolina)
Home office with internet connectivity of high speed required.
Schedule: Monday thru Friday 8:00AM to 5:00PM EST. - No weekends or Holiday
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
- Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
- Conducts face-to-face or home visits as required.
- Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Maintains ongoing member case load for regular outreach and management.
- Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.
- Facilitates interdisciplinary care team meetings and informal ICT collaboration.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- 25- 40% local travel required.
- RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
- RNs are assigned cases with members who have complex medical conditions and medication regimens
- RNs conduct medication reconciliation when needed.
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, Association
Active, unrestricted State Registered Nursing (RN) license in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Bachelor's Degree in Nursing
Preferred Experience
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Active, unrestricted Certified Case Manager (CCM)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHS3
#LI-AC1
#HTF
Pay Range: $25.08 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN Care Manager - Behavioral Health

Posted 15 days ago
Job Viewed
Job Description
Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South Carolina. Case Manager will be required to communicate telephonically and complete Face to Face meetings. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.
TRAVEL (up to 60%) in the field to do member visits in the surrounding areas will be required. (Looking for candidates North South Carolina)
Home office with internet connectivity of high speed required.
Schedule: Monday thru Friday 8:00AM to 5:00PM EST. - No weekends or Holiday
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
+ Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Conducts face-to-face or home visits as required.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Maintains ongoing member case load for regular outreach and management.
+ Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.
+ Facilitates interdisciplinary care team meetings and informal ICT collaboration.
+ Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
+ Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
+ 25- 40% local travel required.
+ RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
+ RNs are assigned cases with members who have complex medical conditions and medication regimens
+ RNs conduct medication reconciliation when needed.
**JOB QUALIFICATIONS**
**Required Education**
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
**Required Experience**
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
**Required License, Certification, Association**
Active, unrestricted State Registered Nursing (RN) license in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**Preferred Education**
Bachelor's Degree in Nursing
**Preferred Experience**
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Active, unrestricted Certified Case Manager (CCM)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHS3
#LI-AC1
#HTF
Pay Range: $25.08 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Personal Care Aide- Home Health Rockingham
Posted 21 days ago
Job Viewed
Job Description
Avid Health delivers exceptional personalized in-home care services by hiring compassionate people who believe in taking care of our clients, fellow employees, and the communities we serve.
We believe in Access, Value-Based Care, Innovation, and Dedication to Quality!
JOIN OUR TEAM!
Avid is hiring Caregivers - CNAs and PCAs as paraprofessional members of our client care team to provide selected personal care services and limited related household tasks as part of the client's plan of care.
**Specifically seeking Caregivers in Rockingham, NC for Day/Night shift Monday Through Sunday ***
We serve clients in 20+ counties, including, but not limited to: Wake, Brunswick, New Hanover, Onslow, Cumberland, Columbus, Carteret, Guilford, Pender, Sampson, and Duplin.
We have a stable client census with consistent assignments and hours, offering you the ability to work one on one with patients and their caregivers long-term.
Employee Role: Personal Care Aide (PCA)
The Personal Care Aide (PCA) is a paraprofessional member of the client care team who works under the scheduling supervisions of the Client Care Coordinator and clinical supervision of a registered nurse, Clinical Manager, by providing selected personal care services and limited related household tasks. These activities will be part of the client's plan of care and must be provided under a physician's order.
Reporting To: Clinical Manager
Wage/Hour Classification: Non-Exempt
Essential Job Responsibilities:
- Implements and provides day-to-day Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) support to clients within their home as ordered by the physician's plan of treatment and client's plan of care.
- Appropriately assist clients with activities of daily living and personal care in accordance with the care plan including:
- Assisting or performing personal care including: Baths (tub, shower, bed). Mouth care, denture care, skin care, foot care (no toenail cutting). Grooming (shampoo, comb hair, shave, file nails). Dressing and undressing activities.
- Elimination (toilet, commode, urinal, bedpan).
- Transfers.
- Assisting with ambulation with or without mechanical aids.
- Assisting the client with therapy exercises under the direction of a Registered Therapist
- Appropriately assist with household tasks directly related to the client's health and in accordance with the care plan:
- Maintenance of a clean, safe, and healthy environment.
- Planning and preparing meals according to specific dietary requirements of the client, and if necessary, feeding the client.
- Light housekeeping of client's immediate environment.
- Laundry of clients bedding and clothing.
- Assistance in completing activities such as shopping/grocery, errands, and appointments outside of the home.
- Providing companionship and stimulation for the client including reading, walks, etc.; and accompanying the client to doctors or other appointments.
- Utilize equipment in an appropriate and safe manner.
- Remind client for self-administration of medication.
- Do Not Administer Medications. Medications include eye drops, ear drops, ointments, pills, suppositories, injections, herbal remedies, and over-the-counter medications such as Tylenol, Aspirin, vitamins, and minerals.
- Accurately documents shift details and services accurately within established time parameters.
- Ensures the safety of clients and self. Follows Universal Precautions and demonstrates safe hand washing techniques.
- Observes the client's general physical, emotional, and mental status, and report all changes in the client's conditions, family situation, or incidents during shift immediately to agency coordinator, supervisor, and client's designated representative (as instructed by employer).
- Maintain and improve skills through attendance with staff development programs and inservice education requirements.
- Maintain Confidentiality in all professional areas and consider the needs of clients and their families, other employees, physicians, visitors, and all members of the community in an informative, courteous, and compassionate manner.
- Ensure all HIPAA regulations are adhered to.
- Follow all agency policies and procedures.
- All other duties as assigned.
- Routinely required to sit, stand, and walk in variable surfaces, including occasional climbing of ramps or stairs or the use of foot controls.
- Routinely required to use hands for various tasks, including hand controls, gripping, and handling of objects.
- At times, will be required to reach beyond mid-line of body, reach overhead or at chest level.
- There are specific vision abilities required to perform this job, which include close, distance and peripheral vision, depth perception and ability to adjust focus.
- All employees will be required to use universal safety precautions when performing their assigned tasks.
- Employee must have the ability to lift, push, pull and carry a minimum of 25 pounds.
- Employee must have the ability to stoop and bend up to 2.5 hours per 8-hour shift.
Qualifications:
- Licensure/Certification: Current certification/registration with the North Carolina Board of Nursing
- Current PCA certification.
- Be in compliance with all existing regulations and company policies.
- CPR preferred and may be required for some clients.
- Must meet transportation, language, and cultural requirements specific to branch needs.
- PCAs are required to possess a sympathetic attitude toward the care of the sick, ability to read, write and carry out directions and maturity to deal effectively with the demands of the job.
- Other Hours of Work: Varies on a case-by-case basis, variable hour employee.
Additional Requirements: Bi-lingual - English/Spanish a plus.
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