Healthcare jobs in Lowell, Massachusetts - Page 20Create job alerts

Job Description Cook A commitment to care. A legacy of compassion. This is D'Youville. Since 1960, D’Youville Life & Wellness Community has provided Greater Lowell and surrounding communities with Faith-Based, Nonprofit, Short-Term Rehabilitation and Skilled Geriatric Care earning the respect of its peers and the trust of the community at large. We are looking for an experienced Cook to join our dynamic team. • High School diploma or equivalent., • One year of related experience and/ or training or experience of equivalent combination of education or experience., • Knowledge and understanding of special diets required., • Prepare and cook meals for the community., • Maintain standards of kitchen cleanliness. We aim to create a supportive workplace where you are valued, compensated fairly and provided the tools to thrive! D’Youville Life and Wellness Community can offer you: • Competitive Compensation, • Next-Day Pay Option, • Health (Aetna), Dental, Vision, HSA with employer contribution, • Student Loan Forgiveness Guidance, • Flexible Spending Account, • Benefits available 1st of the mo. following 30 days, • Company paid life insurance, • Short Term, Long Term, Accident Disability insurance, • Retirement plan with employer match, • Employee Assistance Program with Discount marketplace, • Tuition Reimbursement, • Clean and Compassionate environment D’Youville Life and Wellness Community is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status, or any other legally protected class. #DYOU2024

Job Description Bridgewell strengthens communities by providing an unmatched range of social and human services that empower people with disabilities and other life challenges to live safe, self-directed, and productive lives. Bridgewell delivers support through community housing, day programs, outpatient treatment, recovery services, education, and employment training. We're committed to helping people in need, from those with autism to people with substance use disorders, become engaged members of their communities. Bridgewell is also the industry leader in developing innovative offerings responding to unmet or emerging needs. Our employees take pride in making every day count to its fullest. They are committed to adding value to the lives of the people we support, and they bring energy, ideas, and a passion for service. Does this describe you? Then please consider joining our incredible team! Bridgewell Mission: "Connecting People with Possibilities" Bridgewell inspires hope and empowers people experiencing life challenges to achieve their fullest potential. Summary: Oversee the clinical and administrative functions of Bridgewell's outpatient behavioral health clinic. Ensure the provision of quality services in accordance with contractual, regulatory and organizational standards and requirements. Provide leadership oversight to clinical staff and support their growth and development by also ensuring productivity and quality services are provided. Schedule: Monday-Friday 9:00am-5:00pm (40 hours per week) Essential Duties & Responsibilities: • Hire, train, supervise and provide leadership to all clinical staff., • Work with Human Resources and management on employee concerns that arise, determining mentoring/training needs, developmental opportunities and disciplinary action as needed., • Create an environment that fosters employee engagement through regular recognition, employee appreciation and people development., • Ensure all employees – including self- maintain their core training certifications including FA/CPR, PABC and MAP and all other mandatory trainings based on Bridgewell's policies and procedures and are in compliance with all additional required training and certifications as required by their programs., • Create an environment that supports Diversity, Equity, Inclusion and Belonging based on Bridgewell's DEIB statement and initiatives., • Give regular constructive feedback and recognition to direct reports to further develop their skills and capabilities and foster an environment which promotes growth and development., • Conduct timely Performance Evaluation meetings and ensure performance standards are met; proactively address performance concerns, working with program management and Human Resources, as appropriate., • Role models the core philosophy of universal supports and promotes Bridgewell's values: dignity, respect, caring, integrity, safety and wellness across their teams., • Provide on-site support for clinic administrative staff., • Build, manage and monitor clinic budget on an annual basis. Participate in monthly clinic review meetings as required., • Ensure continued fiscal stability of the clinic through close oversight of clinician productivity and ongoing focus on identification of new referral resources., • Ensure compliance with Bridgewell's policies and procedures in all aspects of the provision of care to clinic clients., • Ensure that the clinic environment and all services it provides, consistently meets the regulations put forth by the Department of Public Health, the Department of Public Safety, the Commission of Accredited Rehabilitation Facilities, Medicaid, Medicare, BSAS, all private insurances, and other applicable regulatory standards., • Maintain and monitor client records according to regulatory standards, through routine checks conducted by a multidisciplinary team as part of a Utilization Review process., • Provide oversight and support to the Behavioral Health Urgent Outpatient Program including managing scheduling, being available to fill shifts as needed and ensuring overall success of the program., • Provide on-call support to the clinic by evaluating and triaging emergency calls received after hours at night or on weekends or holidays., • Build and maintain positive relationships with funding and other referral sources., • Maintain an active and long-established internship program., • Oversee overall maintenance of the clinic site., • Other duties as assigned. Required Education/Experience: • Minimum of Master's degree in related field, • Current MA license as a Clinical Psychologist - PsyD or PhD, Social Worker - LICSW, or Mental Health Counselor - LMHC., • At least five (5) years of full-time, supervised clinical experience subsequent to obtaining a master's degree, two years of which must have been in an administrative capacity. Required Skills/Knowledge: • Strong clinical skills., • Strong leadership, problem-solving and conflict resolution skills, • Demonstrated ability to develop and foster positive relationships with funding sources and area health care providers., • Strong verbal and written communication, presentation and public speaking skills., • Demonstrated ability to effectively manage an operating budget., • Strong problem-solving, leadership, planning and organization skills, including the ability to manage multiple tasks, work under pressure and meet deadlines., • Strong coaching and mentoring skills., • Strong change management skills and ability to influence others in understanding and implementing work/business plans., • Proficiency in Microsoft Office and related products, • Competent in technology including the ability to use proficiently different EMR systems., • Must have a current US driver's license and one year of driving experience. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. While performing the duties of this job, the employee: • Prolonged periods sitting at a desk and working on a computer., • May occasionally climb stairs and lift up to 25 pounds., • The employee must be able to travel off-site to program locations if needed., • Excellent health benefits-medical, dental, vision. We believe our benefits package is one of the most competitive., • Generous paid time off includes your birthday (that's right, we even give you your birthday off!), • A collaborative work environment that values new insight and personal contributions, • With over one hundred programs in the North Shore, Lowell, and Merrimack Valley we provide excellent opportunities for training and development., • Additional compensation for on-call rotations Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. Requires acceptable CORI results according to Bridgewell policy. Bridgewell is committed to creating a diverse environment and is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Job Description Make a real difference in the lives of families as a Bilingual Therapeutic Training and Support Worker (TT&S) here at NFS — while enjoying the flexibility of a 4 or 5-day work week, great pay, and a supportive team! The Bilingual Therapeutic Training and Support Worker (TT&S) will work under the supervision of a licensed Clinician. You will support the implementation of the Clinician’s treatment plan and work with clients and their family/caregivers to support in-home therapy goals to treat behavioral needs and improve the family/caregivers’ ability to provide effective support for the clients successful functioning in the home and community. Check out our new higher rates! Earn what you're worth, doing what you love! Qualifications: * Bachelor’s degree in a Human Services field: Required * Fluent in Spanish and/or Portuguese-Required * Experience working with children diagnosed with behavioral-emotional disorders or children with autism spectrum disorder (ASD) * Valid driver’s license with reliable and consistent access to a car Compensation: * Fee for Service Rate: $25 - $40 / hour If you’re ready to grow your career, help children and families thrive, and be part of a supportive, mission-driven organization — we’d love to meet you. Apply today and join a team that values you as much as you value your work.

Job Description Bridgewell strengthens communities by providing an unmatched range of social and human services that empower people with disabilities and other life challenges to live safe, self-directed, and productive lives. Bridgewell delivers support through community housing, day programs, outpatient treatment, recovery services, education, and employment training. We're committed to helping people in need, from those with autism to people with substance use disorders, become engaged members of their communities. Bridgewell is also the industry leader in developing innovative offerings responding to unmet or emerging needs. Our employees take pride in making every day count to its fullest. They are committed to adding value to the lives of the people we support, and they bring energy, ideas, and a passion for service. Does this describe you? Then please consider joining our incredible team! Connecting People with Possibilities Mission: Bridgewell inspires hope and empowers people experiencing life challenges to achieve their fullest potential. Summary: The Patient Care Coordinator is responsible for all administrative support to Bridgewell Clinic clients. Schedule: Monday - Friday 9:00am-5:00pm (40 Hours) Essential Duties & Responsibilities: • Greet and assist visitors and direct all phone calls to the appropriate personnel., • Schedule all intake and follow-up appointments in the Electronic Health Record (EHR) for all prescribers., • Schedule new intakes in the EHR as applicable for salaried clinicians., • Support Intake/Registration Coordinator with all new referrals by ensuring that a copy of the patient's insurance card(s) is scanned into the EHR., • Collect current information such as address, phone number, emergency contacts, insurance coverage, and other key data at the time of scheduled appointments, and ensure updates are entered as necessary in the EHR., • Support optimal functioning of the clinic by sorting and distributing incoming mail, scanning all client documents into the EHR, and ensuring that refills are processed daily. Lab results should be reviewed by the prescribers each day and should be prioritized for scanning., • Maintain updated releases of information, annual "Know Your Rights" forms, and patient and contact information in the EHR, and handled requests for information (subpoenas and client requests) as needed. This may include obtaining records from off-site facilities., • Maintain organized reception, conference room, kitchen, and waiting room areas and ordered office and cleaning supplies as needed. Report any facilities-related issues to the landlord and/or the main office as needed., • Collect co-pays as applicable and record them in the EHR., • Prepare documents for the monthly Utilization Review process., • Obtain, monitor, and renew PT-1s (Prescriptions for Transportation)., • Rotate to provide coverage in Bridgewell's other Outpatient Behavioral Health Clinics as needed., • Process inactive/terminated clinic cases, and maintain an annual list of client deaths., • High School diploma required., • Experience with medical records, confidentiality regulations, and medical office operations., • Formal certification or education in any of these areas is preferred., • Candidate should demonstrate the ability to act as a team player and communicate effectively with a multi-disciplinary team., • Candidates must demonstrate excellent written and oral communication skills., • Ability to problem solve effectively and possess excellent organizational skills., • Strong working knowledge and experience with Microsoft Word, and Excel, are required., • Excellent organizational skills and the ability to multi-task, • Must be detail-orientated The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. • While performing the duties of this job, the employee is frequently required to climb stairs., • The employee must be able to lift and/or move up to 20 pounds., • Excellent health benefits-medical, dental, vision. We believe our benefits package is one of the most competitive., • Generous paid time off includes your birthday (that's right, we even give you your birthday off!), • A collaborative work environment that values new insight and personal contributions, • With over one hundred programs in the North Shore, Lowell, and Merrimack Valley we provide excellent opportunities for training and development., • Additional compensation for on-call rotations Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. Requires acceptable CORI results according to Bridgewell policy. Bridgewell is committed to creating a diverse environment and is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. The pay range listed for this position is the hourly rate range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, or other applicable factors permissible by law.

Job Description Looking to level up your career and boost your income? At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. Let your next adventure start with us! Position: Therapist-SLP-Speech Language Pathologist (Travel/Contract) We're hiring experienced Therapist-SLP-Speech Language Pathologist for a 13-week contract in — earn up to ($2295 - $2416 per week) while providing essential care at a leading facility. Most candidates will need to have at least 2 years of recent experience in the specialty. Apply & Call us today at 800-798-6035 for details on this opportunity. Position Details Specialty: Therapist-SLP-Speech Language Pathologist Location: Employment Type: Travel/Contract Pay: $2295 - $2416 per week Shift: Days Start Date: ASAP Contract Length: 13-week

Job Description The Wellness Nurse coordinates the service plan to meet the health needs of the residents and promote wellness through the delivery of high-quality services in a manner that is consistent with the company Mission, Vision and Philosophy and complies with applicable state laws and regulations. The Wellness Nurse assists the Resident Care Director in the direction and supervision of the Resident Care Aides. Benefits • PTO, • Health and Dental Insurance, • Life insurance, • Short and Long Term Disability Insurance, • Health Care FSA, • Dependent Care FSA, • Paid Holidays/Floating Holiday, • Pet Health Insurance Programs, • Employee Assistance Plans, • Retirement Account Assistance, • Assist in leading and guiding the RCA’s in the implementation of the company mission, vision, goals, and objectives, • Assist with all aspects of maintaining compliance with applicable state and federal guidelines., • Ensure exceptional quality of resident care is provided., • Assess and evaluate resident issues and medical concerns as needed and coordinates with other service providers to ensure proper care, • Maintain accurate, detailed reports, data, and records, • Accurately assess, observe, document, and report any significant changes in resident behavior and health to the Resident Care Director, family/designated representative, PCP, PA’s, NP’s, RCA’s, ancillary services, and Executive Director, • Serve as a liaison to families/designated representatives, health care agencies, emergency response teams, hospitals, and rehabilitation centers, • Direct, supervise, mentor, and guide the daily work assignments of the RCA, • Provide first aid as required, • Collaborates with other team members to ensure quality of care and services to all residents Must have a current, valid Registered or Practical Nursing License (in the state in which you are applying) along with knowledge of aging and disability issues. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job DescriptionBenefits: • 401(k) matching, • Competitive salary, • Dental insurance, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development We are looking for a team of RNs to help care for a male in his home. He needs help Mon/Fri/Sat/Sun 7am-7pm. Join the dedicated team at BrightStar Care, a recognized leader in home health services, and help us provide exceptional care that makes a meaningful difference in the lives of our patients and their families. Why BrightStar Care? • Quality Driven: Proud to be a Joint Commission Accredited organization and a recipient of the Enterprise Champion for Quality award, reflecting our commitment to the highest standards of care., • Empowering Environment: We offer a supportive and collaborative work environment that encourages professional growth and development., • Flexible Scheduling: Tailor your work schedule to meet your lifestyle needs with our flexible shift options., • Rewarding Benefits: Enjoy rewards like performance bonuses, professional development opportunities, and wellness programs, designed to keep you at your best both professionally and personally.Job Responsibilities:, • Assess, plan, implement, and evaluate nursing care for patients in accordance with professional standards., • Collaborate with multidisciplinary team members to optimize patient care and outcomes., • Educate patients and their families on health maintenance and disease prevention., • Ensure accurate documentation and compliance with all regulatory guidelines.Requirements:, • Active RN license in the state of practice., • Previous experience in a home health or acute care setting is advantageous., • Exceptional interpersonal and communication skills., • Committed to delivering high-quality, patient-centered care. At BrightStar Care, we recognize the hard work and dedication of our nurses and provide them with the resources and support they need to succeed. We are passionate about patient care and value the knowledge and skills that you can bring to our team. Embrace the opportunity to grow professionally and make a lasting impact at BrightStar Care!

Job DescriptionBenefits: • Referral Bonus, • Mileage Reimbursement, • Bonus based on performance, • Company parties, • Competitive salary, • Donation matching, • Employee discounts, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Profit sharing, • Signing bonus Locations: Woburn, Concord, Waltham, Lincoln, Maynard, Lowell and other surrounding areas! Salary $50-60 depending upon the experience and qualifications. Multiple Positions: Part Time, Per-Diem, Full Time, Flexible Hours Come join the dedicated team at BrightStar Care of Concord, Lexington & Woburn a recognized leader in home health services, and help us provide exceptional care that makes a meaningful difference in the lives of our patients and their families. Why BrightStar Care of Concord, Lexington and Woburn? • Quality Driven: Proud to be a part of BrightStar Care franchise system with over 95% Joint Commission Accredited locations and a recipient of the Enterprise Champion for Quality award, reflecting our commitment to the highest standards of care., • Empowering Environment: We offer a supportive and collaborative work environment that encourages professional growth and development., • Flexible Scheduling: Tailor your work schedule to meet your lifestyle needs with our flexible shift options., • Rewarding Benefits: Enjoy rewards like performance bonuses, professional development opportunities, and wellness programs, designed to keep you at your best both professionally and personally.Registered Nurse (RN) Job Responsibilities:, • Develop and implement patient care plans in collaboration with physicians and other healthcare providers., • Conduct in-home assessments and ensure that patient care meets regulatory and company standards., • Oversee compliance with state and federal home health regulations, including documentation and reporting requirements., • Supervise and manage the home care nursing team, including hiring, training, and evaluating staff performance., • Provide guidance and support to nurses and caregivers to ensure the highest level of patient care., • Required: Active Registered Nurse (RN) License Must hold a valid and unrestricted Registered Nurse (RN) license in the state of operation., • Required: CPR Certification, • Preferred: Reliable Car, Driver's License and Auto Insurance, • Clinical Experience At least 2-3 years of experience in home health, hospice, or skilled nursing., • IV Infusion Therapy Expertise Proficient in administering and overseeing IV infusions, including medications, hydration, and TPN (total parenteral nutrition), • Wound Care - Provide wound care including dressing changes, infection prevention, and Negative Pressure Wound Therapy (NPWT/Wound VAC management)., • Sales & Business Development Mindset Ability to attract and retain clients and collaborate with referral partners, • Leadership & Management Strong ability to supervise, train, and mentor nurses, aides, and caregivers., • Care Plan Development Skilled in creating and overseeing patient care plans, ensuring high-quality outcomes., • Quality Assurance & Risk Management Experience in auditing, incident reporting, and maintaining compliance with policies., • Problem-Solving & Decision-Making Ability to handle staffing issues, patient concerns, and operational challenges quickly and efficiently., • Flexibility & Availability Comfortable with on-call responsibilities and responding to emergenciesNice to Have:, • Home Health or Private Duty Nursing Experience Familiarity with BrightStar Cares business model is a plusAs the Home Care Registered Nurse (RN), you will play a crucial role in managing the clinical operations of our home care services. The right candidate will be part of our Rockstar Care Team and will be provided opportunity and full support to grow in their career. Flexible work from home options available.

Job DescriptionAre you passionate about cardiovascular care and ready to take your career to the next level? Our cutting-edge healthcare team is seeking a dedicated Cath Lab RN to join us in delivering exceptional patient-centered care. Position: Travel Registered Nurse Location: Memphis, Tennessee Schedule: Day 5x8-Hour (06:30 17:00) Duration: 13 Week Contract Unit: Cath Lab What You'll Do: As a Cath Lab RN with us, you will play a crucial role in the diagnosis and treatment of cardiovascular conditions. Your responsibilities will include assisting in procedures, monitoring patient vital signs, and providing compassionate care throughout the patient’s journey. Requirements: • 2 years Cath Lab experience with travel or 3 years Cath Lab experience with no travel, • Compact or TN License at time of submittal, • Must live at least 100 miles from facility, • COVID-19 Vaccine, • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Adventurous Opportunities: As a Travel Registered Nurse, you will have the chance to explore diverse locations across the United States. Expand your professional horizons while enjoying the adventure of new environments., • Intra-Procedure Assistance, • Pre-Procedure Preparation, • Post-Procedure Care, • Providing patient education on post-procedure care and medications, • Team Collaboration, • Patient Advocacy, • Quality Assurance and Safety Requisition #clz77vespej4g0pqug7fgqxao

Job Description Do you bring a collaborative spirit and a can-do attitude to the table? We understand that, as a dental hygienist, your focus is delivering exceptional patient care. That's precisely why we hold you in the same regard as our dentists. We are committed to supporting you in providing top-notch care while fostering a positive and inclusive work environment. Benefits: * Dental benefits * Flexible work hours * Consistent flow of patients * AWESOME team environment with tenured staff, no DRAMA

Job Description Weekend Nurse Supervisor (RN) Danvers, MA (Just 30 minutes north of Boston) Ready to love nursing again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why Join? We’re a premier skilled nursing facility offering long- and short-term care, rehabilitation, and respiratory services. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. What We Offer • Competitive Pay: Earn up to $58/hour PLUS:, • Sign-On Bonus, • Health Insurance: Several Options to choose from, • Weekly Pay, • • Supervise nursing care in accordance with rules, regulations & guidelines governing long-term care. • Ensure all nursing personnel assigned to you comply with written policies and procedures., • Ensure that all nursing personnel comply with procedures set forth by the organization., • Assure the implementation of resident care plans., • Conduct assessments and care plans appropriate for residents admitted to the facility., • Communicate pertinent information and interpret facility policies to residents, staff, families and visitors., • Communicate effectively will all disciplines., • Keep DON informed of information of any changes in resident condition., • Review, investigate and document properly all incidents/accidents., • Coordinate orientation for new nursing staff., • Implement progressive discipline when appropriate., • Evaluate emergency situations and take appropriate action., • Participate in facility surveys made by authorized agencies., • Admit, transfer, and discharge residents as required., • Perform administrative duties such as completing medical forms, reports, evaluations, charting, etc., as necessary., • Complete and file required record keeping forms/charts upon the resident’s admission, transfer, and or discharge., • Receive phone orders from physicians and record on the Physician’s Order Form., • Chart all reports of accidents/incidents involving residents. Follow established procedures., • Prepare and administer medications as ordered by the physician., • Verify the identity of the resident after administering the medication/treatment., • Ensure adequate medications, supplies, and equipment are available. Report needs to DON., • Ensure narcotic records are accurate for your shift., • Notify DON of all drug and narcotic discrepancies., • Performs all job responsibilities in accordance with safety and infection control policies and procedures, including thorough hand washing, use of disposable gloves where indicated and proper disposal of soiled materials., • Follow established policies concerning exposure to blood/body fluids. • Registered Nurse in the State of Massachusetts, • Previous experience in a Skilled Nursing or Long-Term Care facility preferred, • Strong organizational skills; detail oriented, • Exceptional critical thinking skills, • High level of professionalism and confidentiality in compliance with HIPAA standards

Job Description Director of Nursing - DON - Registered Nurse - RN A commitment to care. A legacy of compassion. This is D'Youville. Since 1960, D’Youville Life & Wellness Community has provided Greater Lowell and surrounding communities with Faith-Based, Nonprofit, Short-Term Rehabilitation and Skilled Geriatric Care earning the respect of its peers and the trust of the community at large. Have you been waiting for the right opportunity to grow your career by joining a stable leadership team? D’Youville Life and Wellness Community is seeking to hire a Director of Nursing for our D'Youville Center for Advanced Therapy. This community is our busy 33-bed short-stay advanced therapy center. Please consider joining our dynamic team! • Graduate of an accredited School of Nursing and currently licensed as an RN – Registered Nurse in Massachusetts., • Two years Director of Nursing - DON experience. The Director of Nursing – DON plans, organizes, develops and directs the overall operation of the Nursing department. Director of Nursing - DON - Registered Nurse - RN Job Summary: • Responsible for the development of nursing objectives and performance standards., • Responsible for nursing service compliance to federal, state and local regulations., • Direct, evaluate and supervise all resident care and initiate corrective action as necessary., • Assess resident care needs and assist in the development of individualized care plans., • Report problems to Administrator, Medical Director and conduct daily resident rounds., • Direct and supervise scheduling of employees., • Assist in recruiting, counseling interviews and disciplinary action as necessary., • Direct and implement nursing service educational programs., • Participate in the planning and implementation of the nursing service budget., • Direct allocation of nursing service equipment and supplies., • Take inquiries for resident placement as assigned by the Admissions Office., • Coordinate resident admissions, transfers and discharges. We aim to create a supportive workplace where you are valued, compensated fairly and provided the tools to thrive! D’Youville Life and Wellness Community can offer you • Competitive Compensation, • Next-Day Pay Option, • Student Loan Forgiveness Guidance, • Health (Aetna), Dental, Vision, HSA with employer contribution, • Flexible Spending Account, • Benefits available 1st of the mo. following 30 days, • Fully paid Life Insurance, • Short-term disability insurance, • Retirement Plan, • Employee Assistance Program with Discount marketplace, • Compassionate environment D’Youville Life and Wellness Community is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status, or any other legally protected class. #DYOU2024

Job Description Overview: This role is generally responsible for assisting physician leadership with patient care and serves as a patient advocate while facilitating a cooperative and collaborative environment among all providers. The Clinic Nurse will work with other nursing staff to assure quality service for patients and will always act within scope of practice and under the authority of the physician leadership. This role will perform all responsibilities and duties within the limits established by the physician staff and consistent with the statutes of the Massachusetts Board of Nursing. This role will report to the Lead Clinic Nurse for clinical matters and to the Office Manager for operational matters. The role is non-exempt. Responsibilities: Responsibilities in clinic, in regards to direct patient care, will include, but are not limited to: • Oversee patient experience while patient in clinic., • Advocate for optimal patient care; make recommendations as appropriate., • Provide patient and caregivers with education on patient's care, treatment and future prevention., • Administer wound care per MD/NP orders., • Ensure medical records are comprehensive, accurate and follow HIPAA guidelines., • Assess vital signs, use clinical judgement and nursing assessment., • Provide MD/NP with pertinent information needed for visit. Assure any diagnostic testing and/or medical records available for provider as needed., • Regulate flow of patients as they enter clinic until they are discharged. Ensure patient safety., • Assist patient with transfers using appropriate ergonomics and safety guidelines., • Communicate with patient's care team; VNA, outside providers, supply companies, etc., • Ensure care team is prepared prior to patient arrival. Review chart, have appropriate supplies ready for MD/NP to provide optimal care/assessment., • Oversee appropriate infection control practices; handwashing, donning appropriate PPE, disinfecting of equipment and sterilizing tools between each patient per CDC recommendations., • Disinfect exam rooms between each patient., • Ensure exam rooms are stocked with necessary supplies., • Return phone calls in timely manner; to patients, providers, supply companies, etc. Complete necessary documentation of phone calls., • Ensure safety standards are maintained throughout the clinic., • Maintain patient logs; Tissue applications, procedure complications., • Ensure future surgical patients are prepared; diagnostic testing completed and in chart, education complete, Pre-Op notes complete for providers at least 72 hours from procedure., • Ensure timely follow up on any tests ordered; labs, wound cultures, biopsy results, radiology results., • Ensure MD/NP aware of results and that they are available for review., • Minimum of ADN/LPN. BSN preferred., • Current license, in good standing, as RN/LPN/MA in Massachusetts., • Current BLS/CPR certification., • Wound care and vascular surgery experience preferred., • Able to work as member of team and work collaboratively with other clinicians., • Willing to be available for local and/or regional assignments as needed $38/hour - $47/hour. Negotiable based on skills and experience. #Lowell

Job DescriptionAre you ready to make a difference in critical moments? Join our dynamic team as an Emergency Room Registered Nurse (ER RN) and play a vital role in providing compassionate and expert care to patients during their most urgent healthcare needs. Position: Travel Registered NurseLocation: Memphis, TennesseeSchedule: Night 4x12-Hour (19:00 - 07:00)Duration: 13 Week ContractUnit: Emergency Room (ER) What You'll Do:As an integral member of our Emergency Department (ED), you will collaborate with a diverse team of healthcare professionals to assess, stabilize, and treat patients across a wide range of medical emergencies. Your clinical expertise, quick decision-making skills, and ability to thrive in a fast-paced environment will contribute to our mission of delivering exceptional care 24/7. If you are passionate about emergency nursing and dedicated to delivering high-quality patient care, we invite you to explore this exciting opportunity with us. Requirements: • 2 years’ experience with travel or 3 years’ experience with no travel, • Compact or TN License at time of submittal, • Must live at least 100 miles from facility, • COVID-19 Vaccine, • Flu VaccineWhy Join Us:, • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Adventurous Opportunities: As a Travel Registered Nurse, you will have the chance to explore diverse locations across the United States. Expand your professional horizons while enjoying the adventure of new environments. Patient Assessment and Triage * Emergency Care * Monitoring and Observation * Collaboration with Healthcare Team * Patient Education * Documentation and Charting * Emergency Preparedness Requirements Authorized to work in the US without sponsorship Do you have your RN License in the State of Assignment or a Compact License? Do you have a min of 2 years experience as a travel nurse or a min of 3 yrs exp. in nursing? This is a travel RN Contract. Confirm you live at least 100 miles from the facility located in 38116 Equal Opportunity Employer Hire Energy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Requisition #clz77b3pqeitr0pquq6pbow1d

Job Description Nurse Unit Manager - $10k Sign on Bonus Danvers, MA (Just 30 minutes north of Boston) Ready to love nursing again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why Join? We’re a premier skilled nursing facility offering long- and short-term care, rehabilitation, and respiratory services. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. What We Offer • Competitive Pay: PLUS:, • Sign-On Bonus:, • Full-Time RN Unit Manager: $10,000, • Full-Time LPN Unit Manager: $8,000, • Health Insurance: Several Option to choose from., • Weekly Pay, • Supervise nursing care in accordance with rules, regulations & guidelines governing long-term care., • Ensure all nursing personnel assigned to you comply with written policies and procedures established by this organization., • Ensure that all nursing personnel comply with procedures set forth by the organization., • Assure the implementation of resident care plans., • Conduct assessments and care plans appropriate for residents admitted to the facility., • Communicate pertinent information and interpret facility policies to residents, staff, families an visitors., • Communicate effectively will all disciplines., • Keep DON informed of information of any changes in resident condition., • Licensed Nurse in the State of Massachusetts, • Nurse management/supervisor/charge nurse experience, • Previous experience in a Skilled Nursing or Long-Term Care facility preferred, • Strong organizational skills; detail oriented, • Exceptional critical thinking skills, • High level of professionalism and confidentiality in compliance with HIPAA standards

Job DescriptionBenefits: • Flexible schedule, • Free uniforms Key Responsibilities • Conduct initial and follow-up assessments in accordance with physician orders and clinical guidelines, • Evaluate patient functional abilities and determine care needs, • Establish plan of care and provide appropriate clinical recommendations, • Educate patients and caregivers on safety, mobility, and home exercise strategies, • Complete timely and accurate documentation in compliance with state and regulatory standards, • Collaborate with nursing and care teams to support optimal patient outcomes Qualifications • Graduate of an accredited Physical Therapy or Occupational Therapy program, • Active MA PT or OT license (or license-eligible), • Experience in home health, skilled nursing, or sub-acute rehab preferred, not required, • Strong clinical judgment, documentation accuracy, and communication skills, • Ability to work independently and travel within the local service area Schedule & Compensation • Per Diem / Flexible hours ($65 to $90 per visit to client, based on experience), • You choose your availability (weekdays and/or weekends), • Competitive visit-based compensation, • Why Join BrightStar Care?, • Supportive and clinician-led leadership team, • Flexible scheduling & trainings.

Job DescriptionAre you an experienced Medical-Surgical Registered Nurse (RN) looking for the excitement and flexibility of travel nursing? We are seeking dedicated and skilled Travel Medical-Surgical RNs to join our team and provide exceptional patient care. This is a fantastic opportunity to broaden your clinical experience, work in diverse healthcare settings, and enjoy the benefits of travel nursing. Position: Travel Registered Nurse Location: Memphis, Tennessee Schedule: Day (4x12 Hours) 7:00 19:00 / Night (4x12) 19:00 7:00 Duration: 13-Week Contract Unit: Medical Surgical What You'll Do: As a Travel Medical-Surgical Registered Nurse, you will deliver high-quality nursing care to patients with a wide range of medical conditions. You will play a critical role in assessing patient needs, developing and implementing care plans, and collaborating with multidisciplinary teams to ensure optimal patient outcomes. Your expertise and adaptability will be key to providing excellent care in different healthcare environments. Requirements: • RN license in State of Assignment or compact license, • 2 years of experience as a traveler 3 years with no travel, • Covid Vaccine, • Flu VaccineWhy join us:, • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Commitment to Excellence: Join a team that is committed to providing the highest standard of patient care. We prioritize excellence in healthcare delivery and continuous improvement in our practices., • Conduct comprehensive patient assessments and develop individualized care plans., • Administer medications, IV fluids, and treatments as prescribed by physicians., • Monitor patient conditions and report any changes to the appropriate healthcare provider., • Provide wound care, catheterizations, and other nursing procedures as required., • Assist patients with daily living activities and ensure their comfort and safety., • Educate patients and their families about their conditions and post-discharge care., • Collaborate with healthcare teams to deliver coordinated and effective patient care., • Maintain accurate and detailed patient records and documentation. Requisition #clz33zo8kd7960qt9jxu6tpv0

Job Description Come join this collaborative and innovated team. At Integritus Healthcare you will enjoy WEEKLY pay, generous time off, exceptional health insurance and the ability to grow in your career. Registered Nurse (RN) Ready to love nursing again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. Why choose Integritus Healthcare - Pilgrim Rehabilitation and Skilled Nursing Center for a Registered Nurse (RN) position: • Competitive Compensation, • Employee Satisfaction, • Growth and Career Advancement, • Cookouts and Luncheon’s, • Culture of Respect and Empowerment, • Celebrating Individuality, • Paid time off (vacation, sick, holiday), • Medical Insurance, • FSA, • Dental, • Vision, • Life Insurance, • Long-term disability Insurance, • HRA

Job Description Who You Are: You are a compassionate Certified Home Health Aide or Certified Nursing Assistant caregiver who is looking to join a caregiver company who cares for them and their clients. You are driven by making an impact and contributing to a better quality of life for the aging population. You want to show up and make a difference each day. Our caregivers and staff are treated with respect in an inclusive environment. Come join us and make a difference in a Senior’s life! Who We Are: As a leading senior care provider, Senior Helpers is the first national in-home care company to be recognized as a GREAT PLACE TO WORK 4 years in a row! Senior Helpers culture is based on strong core values, recognition of achievements, and respect. What's in it for you? • Quarterly Bonus Program, • Regular caregiver events and raffles, • Employee Discount Program, • Work close to home, • Clearly defined job tasks, • Outstanding 24/7 support, • Access to Relias for training and certification opportunities, • Differential Rate for designated short shifts, • Paid Sick Time, • Employee Assistance Program, • Delivering exceptional care to the client in their home, • Complete all daily tasks in a safe and professional manner (ADLs), • Supply personal companionship, remaining actively engaged with each client and their families, • Assist with personal care activities to include personal hygiene, mobility assistance, incontinence care, light housekeeping, feeding and meal preparation, • Fill out our quick and easy online application!, • Our recruiter will reach out to you ASAP (usually within a day), • Speak with our recruiter to schedule an interview, • Complete orientation

Job DescriptionAre you a compassionate and highly skilled Registered Nurse (RN) with a passion for critical care? Join our dynamic team as an Intensive Care Unit (ICU) RN, where you'll play a vital role in providing life-saving care to patients with severe and complex medical conditions. This is an excellent opportunity for nurses who thrive in a fast-paced, high-acuity environment and are dedicated to making a significant impact on patient outcomes. Position: ICU Travel Registered Nurse Location: Knoxville, Tennessee Schedule: Day (3x12) 7:00 19:00 Night (3x12 Hours) 19:00 7:00 Unit: ICU What You'll Do: As an Intensive Care Unit (ICU) Registered Nurse (RN), you will be responsible for delivering advanced and comprehensive nursing care to critically ill patients. You will work closely with a multidisciplinary team to monitor and manage patients with life-threatening conditions, using your expertise to provide the highest standard of care. Your ability to think critically, respond swiftly, and provide compassionate care will be essential in this role. Requirements: • 2 years’ experience with travel or 3 years’ experience with no travel, • Compact or TN License at time of submittal, • COVID-19 Vaccine, • Flu VaccineWhy Join Us:, • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Adventurous Opportunities: As a Travel Registered Nurse, you will have the chance to explore diverse locations across the United States. Expand your professional horizons while enjoying the adventure of new environments., • Patient Monitoring: Continuously monitor and assess critically ill patients, utilizing advanced technology and clinical skills to detect changes in condition and respond appropriately., • Critical Care Delivery: Administer medications, treatments, and interventions as prescribed, including life-support measures, while adhering to ICU protocols and standards., • Collaborative Care: Work closely with physicians, respiratory therapists, and other healthcare professionals to develop and implement individualized care plans that address the unique needs of each patient., • Patient Advocacy: Serve as an advocate for patients and their families, ensuring their needs and concerns are addressed with sensitivity and respect., • Emergency Response: Respond rapidly and effectively to emergencies, such as cardiac arrest or respiratory failure, using advanced critical thinking and clinical skills to stabilize patients., • Patient Education: Provide education and support to patients and their families regarding the patient’s condition, treatment plan, and what to expect during the ICU stay. Requisition #clztyctwnlzrp0qt9qvneu7oe

Job DescriptionBenefits: • Competitive salary, • Flexible schedule, • Opportunity for advancement Position Summary: A Per Diem Physical Therapist (PT/RPT) position is now available to support our skilled nursing and sub-acute rehab partners within the BrightStar Care Home Healthcare company located in Tewksbury MA (serving Lowell, Chelmsford, Westford, Acton, Billerica, Tewksbury, Andover& surrounding areas) This role offers the flexibility of per diem work with the opportunity to join additional PRN rosters across our local care network. Key Responsibilities: • Provide comprehensive and compassionate physical therapy services in accordance with physician orders, • Assess patients functional abilities and develop individualized treatment plans to improve mobility, strength, and quality of life, • Deliver skilled interventions, therapeutic exercises, and education to patients and caregivers, • Document patient progress accurately and timely in accordance with company and regulatory standards, • Collaborate with nursing staff, caregivers, and interdisciplinary teams to ensure cohesive and effective care, • Graduate of an accredited Physical Therapy program, • Possess a current Physical Therapist (PT/RPT) license in Massachusetts, • Prior experience in skilled nursing or sub-acute rehab settings is preferred but not required, • Strong communication, interpersonal, and documentation skills, • Flexible schedule as per your availability.

Job DescriptionAre you ready to make a difference in critical moments? Join our dynamic team as an Emergency Room Registered Nurse (ER RN) and play a vital role in providing compassionate and expert care to patients during their most urgent healthcare needs. Position: Travel Registered NurseLocation: Knoxville, TennesseeSchedule: Night 3x12-Hour (19:00 - 07:00)Duration: 13 Week ContractUnit: Emergency Room (ER) What You'll Do:As an integral member of our Emergency Department (ED), you will collaborate with a diverse team of healthcare professionals to assess, stabilize, and treat patients across a wide range of medical emergencies. Your clinical expertise, quick decision-making skills, and ability to thrive in a fast-paced environment will contribute to our mission of delivering exceptional care 24/7. If you are passionate about emergency nursing and dedicated to delivering high-quality patient care, we invite you to explore this exciting opportunity with us. Requirements: • 2 years’ experience with travel or 3 years’ experience with no travel, • Compact or TN License at time of submittal, • COVID-19 Vaccine, • Flu VaccineWhy Join Us:, • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Adventurous Opportunities: As a Travel Registered Nurse, you will have the chance to explore diverse locations across the United States. Expand your professional horizons while enjoying the adventure of new environments. Patient Assessment and Triage * Emergency Care * Monitoring and Observation * Collaboration with Healthcare Team * Patient Education * Documentation and Charting * Emergency Preparedness Requirements Authorized to work in the US without sponsorship Do you have your RN License in the State of Assignment or a Compact License? Do you have a min of 2 years experience as a travel nurse or a min of 3 yrs exp. in nursing? Equal Opportunity Employer Hire Energy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Requisition #clztxrhrflzjj0qt9eecq6vvt

Supplemental Health Care has been named Best in Staffing based on real feedback from our working healthcare professionals, Supplemental Health Care is proud to be a partner to every person we work with. At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to

Travel Nurse, Progressive Care Unit, PCU, Nursing Jobs, Healthcare Staffing, Talented Nurses, Contract Nursing, Registered Nurse, Nashua NH Nursing, Ardor Health Solutions. Ardor Health Solutions is a fun, energetic, and passionate group of healthcare staffing professionals. Ardor Health Solutions i

Named Best in Staffing based on real feedback from our working nurses and healthcare professionals, Supplemental Health Care is proud to be a partner to every nurse and healthcare professional we work with. At Supplemental Health Care, a simple belief in the power of caring guides a unique commitmen

PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations. PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. Pride

As a member of the Patient Care Services team, the Critical Care Registered Nurse provides advanced care to patients in an intensive care unit (ICU), emergency room (ER), cardiac care unit, or progressive care unit. Integrates best practices and current evidence-based practices for delivery of optim

ICU experience, nursing jobs, healthcare recruitment, Burlington MA, EPIC healthcare, nurse benefits, nursing travel assignments. PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. PRIDE Health will allow you

BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Hudson, New Hampshire. As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. Advance your career with specially designed career tracks.

Posted job title: RN - Home Health About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We’ve got your back! Travel Happy With Host Healthcare We offer the best pay for our travelers Day one med

BAYADA Home Health Care, Registered Nurse, part-time healthcare, skilled nursing, patient care, senior living communities, home care, nursing jobs, rehabilitative care. As a home health nurse, you will be an integral member of a multi-disciplinary health care team that provides skilled nursing and r

At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to world-class service in healthcare staffing. Supplemental Health Care is seeking Physical Therapists in Massachusetts for a contract assignment at a partnering Occupational Health Center. To learn more a

Health Advocates Network was founded on the basis of a shared aspiration, to improve the way healthcare staffing is done. Health Advocates Network-Nursing is seeking a travel nurse RN CCU - Coronary Care for a travel nursing job in Burlington, Massachusetts. Health Advocates Network is urgently hir

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. The RN develops an overall view of patients, families and caregivers, and establishes strong partnerships to deliver optimal care. Renders professional nursing care to patients w

At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to world-class service in healthcare staffing. Supplemental Health Care is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Burlington, Massachusetts. For a copy of the Suppl

BAYADA Home Health Care is seeking a Home Health Physical Therapist for a job in Tewksbury, Massachusetts. As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. Educate and instruct clients, family members or other client repre

Travel Nurse, Labor and Delivery, Registered Nurse, Healthcare Staffing, Nursing Jobs, Massachusetts Nursing, Travel Nursing, Patient Care, Healthcare Professional, Nurse Staffing. Supplemental Health Care supports healthcare professionals in finding ideal assignments that match their skills and car

Registered Nurse, Home Health Care, Patient Care, Nursing Jobs, Home Visits, Flexible Schedule, Healthcare Employment, Geriatric Care, Clinical Experience, Compassionate Nursing. BAYADA Home Health Care is seeking dedicated Registered Nurses (RNs) for home health visits in Chelmsford, Massachusetts,

Registered Nurse, Progressive Care, Compassionate Nursing, Patient Care Services, Critical Care, Healthcare, Nursing Care, Patient Safety, Medical-Surgical Nursing, Healthcare Staffing. As a member of the Patient Care Services team, the 4-West Progressive Care RN provides comprehensive and compassio

Registered Nurse, Home Health, Nursing Jobs, Patient Care, Healthcare, BAYADA, Flexible Schedules, Clinical Experience, 1:1 Care, Nashua NH. BAYADA Home Health Care is hiring a Registered Nurse (RN) for home health services in Nashua, New Hampshire, offering flexible schedules and 1:1 patient care.

At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to world-class service in healthcare staffing. With a focus on providing nurses with flexible job options, Supplemental Health Care supports professionals at every step of their career. For 40 years, we’

BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Westford, Massachusetts. We believe our clients and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our core values, affording them the opp

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. The RN develops an overall view of patients, families and caregivers, and establishes strong partnerships to deliver optimal care. Renders professional nursing care to patients w

The Staff Registered Nurse: Tertiary Care provides care directly to patients and in collaboration with other health care team members. The Staff Registered Nurse: Tertiary Care is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and

BAYADA Home Health Care is seeking a Home Health Physical Therapist for a job in Wilmington, Massachusetts. Educate and instruct clients, family members or other client representatives, in rehabilitative care and activities necessary to promote the client's health, safety and independent living. Adv

PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations. PRIDE

Educates patient on self-management activities, medications, nutrition, health, and wellness based on the plan of care designed collaboratively with Provider(s). Collaborate to design and implement a plan of care with the interdisciplinary team including Physicians, Physician Assistants, and other h

At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to world-class service in healthcare staffing. Supplemental Health Care will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable