Nurse Manager jobs at BJC HealthCare - 305 jobs

The Registered Nurse (RN) for the Transitional Care Unit provides direct patient care and supports boarding patients in the emergency department while they await inpatient beds. Responsibilities include developing and implementing individualized care plans, patient and family education, and promoting patient safety and quality standards. The position encourages professional development and offers comprehensive benefits, sign-on bonuses, and career advancement opportunities within BJC HealthCare. BJC HealthCare is seeking a Registered Nurse (RN) Transitional Care Unit for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Transitional Care Unit Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role This is an exciting opportunity to support our new Transitional Care Unit. This TCU will focus on supporting boarding patients in the ED while they await inpatient beds. 3x12's; every 3rd weekend Additional PTO (Experienced RNs only) Enhanced Sign-On Bonus $20,000 OR $15,000 Sign-On Bonus plus $15,000 Loan Repayment (Experienced RNs only) $5.00 Med/Surg Differential per hour on eligible shifts Additional Preferred Requirements • ED and/or Inpatient experience helpful CAREER LADDER: The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Overview Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education • Nursing Diploma/Associate's - Nursing Experience • No Experience Supervisor Experience • No Experience Licenses & Certifications • RN Preferred Requirements Education • Bachelor's Degree - Nursing Experience • Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #98740. Posted job title: Nurse Transitional Care Unit About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Benefits • Sign-On bonus Keywords: Registered Nurse, Transitional Care Unit, Patient Care, Emergency Department, Nursing, Healthcare, Patient Education, BJC HealthCare, Sign-On Bonus, Nursing Career Ladder

The Registered Nurse (RN) - Manager, Hospice role at BJC HealthCare involves managing hospice care programs, overseeing staff, and ensuring strategic growth and high-quality patient services. The position requires leadership in a multidisciplinary clinical setting focused on compassionate end-of-life care, regulatory compliance, and team performance. The manager also handles budgetary responsibilities and fosters alignment with physicians and hospitals to enhance patient and family support. BJC HealthCare is seeking a Registered Nurse (RN) Manager, Hospice for a nursing job in Valley Park, Missouri. Job Description & Requirements Specialty: Hospice Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role Exciting Registered Nurse Management Opportunity for our hospice team! Join us at BJC Hospice for a Program Manager Clinical Service Line role where you will be instrumental in cultivating a culture of servant leadership, devising growth strategies, and efficiently managing multiple high-priority tasks. At BJC Hospice, we offer unique care options for patients and families in challenging situations. We are in search of a dedicated individual with a profound passion for hospice care, expertise in strategic program expansion, strong supervisory abilities, and some background in hospice outpatient settings. The ideal candidate excels in a dynamic setting, demonstrating flexibility as responsibilities may entail early mornings and occasional Saturday shifts. If you are prepared to make a significant difference in the lives of patients and families, this opportunity is tailor-made for you. Come be a part of our commitment to delivering exceptional care and assistance to those in need. *Position requires registration with the Family Care Safety registery #LI-TP1 Overview BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs. BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country. Hospice, the final stage of BJC's continuum of care, is a special kind of caring for patients with a life-limiting illness. Services are provided in the comfort of the patient's home or skilled nursing facility. The Hospice staff are sensitive to the physical, psychosocial, emotional and spiritual needs of terminally ill adult and pediatric patients and their families. We provide a multi-disciplinary team of healthcare professionals and volunteers, specially trained in symptom management, pain control, counseling and bereavement services for the dying. Our Hospice services include alternative therapies such as music, art and massage therapy. Our Hospice programs provide palliative care by helping patients manage their pain and symptoms while living their lives with daily peace and dignity. Preferred Qualifications Role Purpose The Program Manager is responsible for the development, implementation and sustainment of the overall strategic plan to the department to ensure achievement of service line objectives for growth, physician and hospital alignment and patient satisfaction. Responsibilities Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership. Manages patient flow within department. Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals. Develops, implements and sustains the overall strategic plan for the department to ensure achievement of service line objectives for growth, physician and hospital alignment and patient satisfaction. Monitors and improves the performance of the department including financial outcomes, patient, employee and physician satisfaction, clinical quality and efficiency. Maintains knowledge of hospital and outpatient, cancer, nursing and clinical professional accreditation & certification requirements and standards, plus regulatory requirements regarding clinical licensure. Ensures that regulatory rules and regulations are followed. Minimum Requirements Education • Bachelor's Degree - Nursing/Healthcare related Experience • 5-10 years Supervisor Experience • 2-5 years Licenses & Certifications • Cert/Lic in Area of Expertise Preferred Requirements Education • Master's Degree - Bus/HC Admin/Nursing/related Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #98976. Posted job title: RN Hospice Service Line Manager About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Keywords: Registered Nurse, Hospice Manager, Nursing Leadership, End-of-Life Care, Patient Care Management, Clinical Program Management, Hospice Nursing, Healthcare Administration, Regulatory Compliance, Healthcare Strategy

This role is for a Registered Nurse (RN) specializing in the Operating Room (OR) who also serves as a Clinical Education Specialist responsible for developing and managing education programs for clinical staff. The position involves coordinating house-wide training, curriculum development, and ensuring continuing education standards are met to improve patient care. It requires a master's degree, RN licensure, and experience in ICU or PCU settings, with a focus on enhancing clinical education and staff development within a large healthcare organization. BJC HealthCare is seeking a Registered Nurse (RN) OR - Operating Room for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: OR - Operating Room Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role 4900 is a specialized short stay unit located on the 4th floor of the Schoenberg Pavilion on the North Campus. Care is provided for pre- and post-surgical patients and direct admissions from all over the world. We care for a variety of surgical patients including breast, plastic reconstructive, bariatric, general, orthopedic, ophthalmology, and ENT among others. The Clinical Education Specalist will be responsible for the development, implementation and evaluation of education and practice programs for clinical staff that promote the provision of a superior patient experience for patients and their families. Coordinates and manages house wide educational programs and resources that support clinical educators and leaders at the unit/department level. Ideal candidates will have a Masters Degree with RN experience in ICU or PCU setting. Day Shift 4-10s or 5-8s Overview Preferred Qualifications Role Purpose Responsible for the development, implementation and evaluation of education and practice programs for clinical staff that promote the provision of a superior patient experience for patients and their families. Coordinates and manages house wide educational programs and resources that support clinical educators and leaders at the unit/department level. Responsibilities Manages key house-wide or multidepartmental programs to support education needs of clinical staff. Develops, implements and evaluates continuing education programs, curriculums for orientation and ongoing professional development of clinical staff that meet and/or exceed national standards for continuing education requirements. Collaborates with administration, patient care services, leadership, shared leadership councils, staff and key department and BJC system personnel to develop education plans and implementation patient care and regulatory requirements. Analyzes developmental and educational needs and evaluates effectiveness of educational activities. Designs educational programs that are cost-effective, meet the needs of adult learners, and are based upon sound educational principles. Minimum Requirements Education • Master's Degree Experience • 2-5 years Supervisor Experience • No Experience Licenses & Certifications • RN or RRT Preferred Requirements Education • Master's Degree Experience • 5-10 years Licenses & Certifications • Cert/Lic in Area of Expertise Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #99542. Posted job title: Education Specialist Minimally Invasive Surgery RN About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Keywords: Registered Nurse, Operating Room Nurse, Clinical Education Specialist, Nursing Education, Surgical Nursing, ICU Experience, Patient Care, Healthcare Training, Continuing Education, BJC HealthCare

The Registered Nurse Educator develops and implements educational programs to improve staff knowledge and patient care outcomes at Christian Hospital in Saint Louis, Missouri. This role involves assessing educational needs, collaborating with staff and leadership, and promoting continuous professional development among clinical and non-clinical employees. The position requires a Bachelor's Degree in Nursing, an RN license, and preferably 2+ years of critical care experience. BJC HealthCare is seeking a Registered Nurse (RN) Educator for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Educator Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role • onboarding and educating staff at Christian Hospital Additional Preferred Requirements • 2+ years of critical care experience Overview Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, which puts us in the top 6% of all hospitals in the state! The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions. Christian was nationally ranked as "high performing" in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services. The Education Department provides state of the art, comprehensive, continuing education for all employees. To facilitate innovative, progressive, lifelong opportunities for all employees and the community we serve. The Education Department promotes a culture of continuous learning through the sharing of information to promote opportunities for personal and professional growth for all employees within the organization. Preferred Qualifications Role Purpose Creates and implement staff education and professional development activities and programs that optimize patient outcomes. Responsibilities Assesses, plans, implements, and evaluates ongoing educational and professional development activities and programs for clinical and non-clinical areas. Collaborates with staff and representatives of other organizations to develop, present and or evaluate clinically focused training, continuing education and or professional development opportunities. Participates in activities that promote safety, quality and regulatory compliance. Collaborates with leadership to assess the educational needs of the staff and develops appropriate education plan. Participates in professional development and life long learning. Minimum Requirements Education Bachelor's Degree - Nursing/Healthcare related Bachelor's Degree - Nursing/Healthcare related Experience • 2-5 years Supervisor Experience • No Experience Licenses & Certifications • RN Preferred Requirements Education • Master's Degree - Nursing Experience • 5-10 years Licenses & Certifications • Basic Cardiovascular Life Sup Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #92674. Posted job title: Nurse Educator-Stepdown Unit (Christian Hospital) About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Keywords: Registered Nurse, Nurse Educator, Patient Care, Staff Training, Professional Development, Critical Care Nursing, Healthcare Education, Continuing Education, Clinical Training, BJC HealthCare

Registered Nurse (RN) in the Cardiovascular Unit providing direct patient care including assessment, diagnosis, planning, implementation, and evaluation of nursing care. Supports patient and family-centered care, educates on illness management, and collaborates with interdisciplinary teams to ensure quality and safety. Participates in professional development and career advancement within a renowned healthcare organization. BJC HealthCare is seeking a Registered Nurse (RN) CVU - Cardiovascular Unit for a nursing job in Saint Louis, Missouri. & Requirements Specialty: CVU - Cardiovascular Unit Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role The BJC Registerd Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description. Benefits include but not limited to Medical, Dental, Vision, 401K with Match, Tuition Assistance Additional Preferred Requirements Overview Christian Hospital has been serving St. Louis and the surrounding metro areas since 1903. U.S. News & World Report ranks Christian Hospital No. 5 in St. Louis for overall clinical excellence and No. 9 in Missouri, which puts us in the top 6% of all hospitals in the state! The U.S. News adult methodology ranks clinical specialties and rates common care procedures and conditions. Christian was nationally ranked as "high performing" in the clinical specialty of geriatrics and in the following seven of 21 common procedures and conditions: heart attack, heart failure, kidney failure, diabetes, COPD, pneumonia and stroke. High performing in a specialty means we were in the top 10% nationally of all evaluated hospitals for that specialty or procedure and condition. Northwest HealthCare, six miles west of Christian, offers 24- hour emergency care, the Sleep Disorders Center and a variety of outpatient diagnostic and imaging services. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education • Nursing Diploma/Associate's - Nursing Experience • No Experience Supervisor Experience • No Experience Licenses & Certifications • RN Preferred Requirements Education • Bachelor's Degree - Nursing Experience • Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #93362. Posted job title: CVU Nurse About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Keywords: Registered Nurse, Cardiovascular Unit, Patient Care, Nursing, Healthcare, Clinical Assessment, Patient Education, Care Coordination, Quality Improvement, Hospitals

Registered Nurse in the Progressive Care Unit providing direct patient care including assessment, diagnosis, planning, implementation, and evaluation. Promotes patient and family-centered care, educates on illness management and medication administration, and participates in quality and safety initiatives. Collaborates with healthcare teams to develop individualized care plans ensuring continuity across the care continuum. BJC HealthCare is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in West Alton, Missouri. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role Additional Preferred Requirements Overview Since 1937, Alton Memorial Hospital has cared for residents in Alton, Illinois, and the surrounding communities in a five-county area. Starting as a land gift to the community from the Smith family, Alton Memorial today is a full-service acute care hospital. Alton Memorial offers patients a variety of inpatient and outpatient services, including surgery services, medical imaging, interventional and diagnostic heart services, cancer care, rehabilitation, 24-hour emergency care, ambulance services and more. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care. Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education • Nursing Diploma/Associate's - Nursing Experience • No Experience Supervisor Experience • No Experience Licenses & Certifications • RN Preferred Requirements Education • Bachelor's Degree - Nursing Experience • Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #96433. Posted job title: Nurse- ICU Stepdown- Nights About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Keywords: Registered Nurse, Progressive Care Unit, Patient care, Nursing assessment, Patient education, Care planning, Healthcare collaboration, Medical care, Quality compliance, Family-centered care

Registered Nurse in Neurosurgery providing specialized care for patients undergoing cranial and spinal procedures, strokes, and neurological conditions. Responsibilities include patient assessment, care planning, education, and collaboration with healthcare teams to promote patient safety and recovery. Employed at Barnes-Jewish Hospital, a leading medical center with advanced technology and supportive professional development opportunities. BJC HealthCare is seeking a Registered Nurse (RN) Neurosurgery for a nursing job in Valley Park, Missouri. & Requirements Specialty: Neurosurgery Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role Up to $20,000 Sign-On Bonus $5/hr Barnes-Jewish Hospital Med/Surg Nurse Differential Eligible hires will receive a one-time deposit of an additional 36 hours of PTO, 90 days after their start date Student Loan Forgiveness hr shifts Work Every 3rd Weekend Flexible Scheduling Incredible Staff Morale and Management on the UnitBarnes Jewish Hospital - Plaza TowerNeurosurgeryth Floor) A phenomenal opportunity to hone your skills,Neurosurgery is a 21-bed unit that primarily cares for patients who have undergone cranial procedures. We also are a prime choice for patients who have had spinal surgery, have been affected by a stroke, or have other neurological deficits or diseases. Our unit is mostly private rooms with advanced technology, dedicated leadership support, and skilled preceptors who want to help develop you into the nurse you have the potential to be.BJC Registered Nurse Career Ladder: The BJC RN Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area. This is a tool to empower nurses to work at the top of their license and own their career progression. The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description. Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center. Preferred Qualifications Role Purpose The Graduate Nurse provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care after completing a nursing program and before licensure. Will be required to obtain licensure within 90 days of graduation from an accredited school of nursing to remain employed in a HSO in the state of Missouri. Responsibilities Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration. Uses critical nursing skills to assess and evaluate patient's physical, psychosocial and emotional needs. Develops and implements individual plans of care in collaboration with other members of the healthcare team in accordance with the established guidelines and standards of nursing care. Evaluates patient's response and modifies plan of care accordingly throughout the patient's stay. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Minimum Requirements Education • Nursing Diploma/Associate's - Nursing Experience • No Experience Supervisor Experience • No Experience Preferred Requirements Education • Bachelor's Degree - Nursing Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #94152. Posted job title: Nurse - Neurosurgery Unit - Day Shift About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Benefits • Sign-On bonus Keywords: registered nurse, neurosurgery nursing, patient care, cranial surgery, spinal surgery, neurological nursing, critical care, clinical assessment, care planning, patient education

This position is for a Registered Nurse (RN) specializing in the Operating Room (OR) who is responsible for developing, implementing, and evaluating education and practice programs for clinical staff to enhance patient care. The role involves managing house-wide educational initiatives and coordinating with leadership to meet clinical and regulatory requirements. The ideal candidate holds a Master's degree, has RN experience in ICU or PCU settings, and is focused on staff development and superior patient experience in a healthcare system. BJC HealthCare is seeking a Registered Nurse (RN) OR - Operating Room for a nursing job in Valley Park, Missouri. Job Description & Requirements Specialty: OR - Operating Room Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success. Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role 4900 is a specialized short stay unit located on the 4th floor of the Schoenberg Pavilion on the North Campus. Care is provided for pre- and post-surgical patients and direct admissions from all over the world. We care for a variety of surgical patients including breast, plastic reconstructive, bariatric, general, orthopedic, ophthalmology, and ENT among others. The Clinical Education Specalist will be responsible for the development, implementation and evaluation of education and practice programs for clinical staff that promote the provision of a superior patient experience for patients and their families. Coordinates and manages house wide educational programs and resources that support clinical educators and leaders at the unit/department level. Ideal candidates will have a Masters Degree with RN experience in ICU or PCU setting. Day Shift 4-10s or 5-8s Overview Preferred Qualifications Role Purpose Responsible for the development, implementation and evaluation of education and practice programs for clinical staff that promote the provision of a superior patient experience for patients and their families. Coordinates and manages house wide educational programs and resources that support clinical educators and leaders at the unit/department level. Responsibilities Manages key house-wide or multidepartmental programs to support education needs of clinical staff. Develops, implements and evaluates continuing education programs, curriculums for orientation and ongoing professional development of clinical staff that meet and/or exceed national standards for continuing education requirements. Collaborates with administration, patient care services, leadership, shared leadership councils, staff and key department and BJC system personnel to develop education plans and implementation patient care and regulatory requirements. Analyzes developmental and educational needs and evaluates effectiveness of educational activities. Designs educational programs that are cost-effective, meet the needs of adult learners, and are based upon sound educational principles. Minimum Requirements Education • Master's Degree Experience • 2-5 years Supervisor Experience • No Experience Licenses & Certifications • RN or RRT Preferred Requirements Education • Master's Degree Experience • 5-10 years Licenses & Certifications • Cert/Lic in Area of Expertise Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer BJC HealthCare Job ID #99542. Posted job title: Education Specialist Minimally Invasive Surgery RN About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. Keywords: Registered Nurse, Operating Room, OR Nurse, Clinical Education, Patient Care, Nursing Education, Surgical Nursing, Healthcare Staff Development, Master's Degree RN, BJC HealthCare

Job Title: Nurse Care Manager Department: Healthcare Home Nursing Employment Type: Full-time Join our compassionate and collaborative team as a Nurse Care Manager, where you will play a vital role in supporting clients with complex medical conditions. You will have the opportunity to make a meaningful difference in the lives of those at risk, providing education and support tailored to their needs. We are looking for a dedicated professional who is knowledgeable in chronic disease processes, possesses excellent communication skills, and is committed to innovative healthcare solutions. Your expertise will help foster wellness and prevention initiatives, ensuring our clients receive the best care possible. In this role, you will work closely with both internal and external treatment team members to develop and implement effective treatment plans for clients enrolled in our Healthcare Home program. Your contributions will be essential in facilitating health education groups and monitoring client progress through sophisticated information systems. This position offers… * Employee Assistance Program - 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost * Mileage Reimbursement - Company paid for work functions requiring travel * Employee Discounts - Hotels, Theme Parks & Attractions, College Tuition * Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce * Additional Perks & Benefits - Scroll down to bottom of this post to learn more Key Responsibilities: * Collaborate with treatment team members to develop and implement healthcare goals for individuals with co-occurring chronic diseases. * Facilitate health education groups utilizing advanced knowledge of complex medical conditions. * Manage the process of hospital and medical provider admissions and discharges for Healthcare Home clients. * Train patients on complex health conditions regarding medical diagnosis, treatment, and medications. * Monitor and report performance measures and outcomes using sophisticated information systems developed for nurses. * Participate in the initial treatment plan development for all Healthcare Home enrollees. * Develop wellness and prevention initiatives to enhance client care. * Access emergency services to provide rapid aid in case of emotional crisis. * Ensure compliance with Quality Assurance procedures and cooperate with utilization review processes. * Education, Experience, and/or Credential Qualifications: * Current licensure as a Licensed Practical Nurse (LPN), or Registered Nurse (RN) in the state of practice. * Graduation from an accredited practical nurse program. Additional Qualifications: * Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint check. * Completion of New Hire Orientation at the beginning of employment. * All training requirements including Relias at the beginning of employment and annually thereafter. * Current driver's license, acceptable driving record, and current auto insurance. Physical Requirements: * 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 the essential functions. * While performing the duties of this job, the associate is frequently required to sit and stand for extended periods (2-4 hours); walking may be required for short periods when conducting field-based activities. * This role must frequently use hands and fingers to write, type, operate a mouse, file documents, and otherwise handle documents. The position must occasionally lift and/or move up to 50 pounds. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness. Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Burrell Behavioral Health is a Smoke and Tobacco Free Workplace.

Zack Group is currently seeking MS RN's for positions in Columbia, Missouri. The ideal candidate will possess a current state or equivalent compact license. This is a 4x12 Nights, 19:00:00-07:00:00, 12.00-4 position in the MS. Must have an active License in hand and have at least 2 years of recent MS experience as a RN . Requirements • Current Resume • Active License as an MS • Current BLS and/or ACLS and/or Specialty Certifications for MS • 2 current leadership references • Must be able to pass background/urine drug screening Compensation and Benefits We offer: • Highly competitive pay rates • Meals & Housing - Highest non-taxed available • Day 1 Health Benefits package • Weekly Pay • Teladoc, 401k and HRA/HSA • Refer a friend and earn extra cash! At Zack Group, we have your future in mind. It's our priority! Please call or text us Today! Our Healthcare recruiters are standing by! Opt In: By providing your phone number and engaging with Lynn Care, LLC (also known as Zack Group), its affiliates, and contracted partners-including via text message, phone call, AI-generated call, AI-generated text, or email-you consent to receive communications regarding job opportunities. Message frequency may vary based on your engagement. By texting Zack Group or any associated entity, you agree to our Privacy Policy and Terms of Use (******************************************* You can reply STOP to cancel and HELP for help)

Registered Nurse - PCU TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking an experienced and detail-oriented Registered Nurse - Progressive Care Unit (PCU) to deliver high-quality nursing care to patients who are transitioning from critical care but still require close monitoring. The ideal candidate will have strong assessment skills and clinical judgment to support patients with complex medical needs. Job Responsibilities Monitor patients with moderate to high acuity needs, including cardiac, respiratory, and post-surgical conditions. Interpret cardiac rhythms and telemetry readings and respond appropriately to changes. Administer medications, fluids, and treatments as ordered by physicians. Coordinate patient care with the interdisciplinary team, ensuring effective communication and continuity of care. Document patient assessments, interventions, responses, and care plans accurately and timely. Educate patients and families on treatment plans, medications, and discharge instructions. Assist in the implementation of emergency interventions and respond promptly to deteriorating conditions. Qualifications Active RN license in good standing. Associate's or Bachelor's degree in Nursing (BSN preferred). Minimum 1-2 years of experience in PCU, telemetry, or acute care nursing. Current BLS and ACLS certifications required. Strong clinical assessment, communication, and critical thinking skills. Familiarity with telemetry equipment and intermediate-level patient care protocols. Benefits Competitive compensation and full benefits package. Collaborative and supportive clinical environment. Continuing education and specialty training opportunities. Health, dental, and vision insurance options. Access to leadership support and mentorship programs. If you are a proactive and compassionate PCU RN looking to make a meaningful impact in progressive care, apply now to join TLC Nursing Associates.

Cure Healthcare is seeking a RN - PCU for positions in Columbia, Missouri. Current Missouri license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 3x12 Nights. Required: 2 years of recent experience in PCU. Please inquire for specific job details and confirm shift required by facility.

GetMed Staffing is searching for a strong PCU RN to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. Gain experience that matters.

Client only does virtual interviews. Be on lookout for link and complete within 24hrs of submittal. Notify recruiter once complete or flip status to interview. 2 years of exp required

GetMed Staffing is searching for a strong MedSurg RN to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. Gain experience that matters.

Join the Medical Talent Team! Join our dynamic team and embark on a rewarding journey with us! We are Joint Commission certified and known for our commitment to excellence and ethical practices in the industry. Offering some of the most competitive pay packages available, we prioritize the well-being and flexibility of our travelers! As a Traveler with Medical Talent, you`ll have the opportunity to work in diverse settings, expand your skill set, and make a difference in the lives of patients across various locations. We are seeking dedicated individuals who are passionate about delivering high-quality care and are adaptable to new environments. Requirements for submission: 1. Active license in the state(s) of practice 2. Minimum of 1 year of recent experience in a clinical setting 3. BLS/CPR certification (additional certifications may be required based on specialty) 4. Strong communication and interpersonal skills 5. Ability to adapt to different healthcare settings and work collaboratively in a team environment 6. Flexibility to travel and work varying shifts, including weekends and holidays 7. Commitment to providing compassionate care and upholding ethical standards Being a Women-owned, Veteran-operated company, we take pride in supporting the individuals who work selflessly to help those in need. We will continue to make a difference by providing opportunities to advance careers and strengthen the healthcare workforce. As our team continues to grow, our mission will always stay the same: Strengthening the Future of Healthcare.

MedSource Travelers offers assignments nationwide and is currently seeking a qualified RN PCU with 1-2 year's experience for a travel assignment in Columbia, Missouri. Please have resume, skills checklist and 2-3 references within the last 12 months. Contact us today about job details. The benefits of MedSource Travelers include, Weekly Pay Holiday Pay Continuing Education Referral Bonus Medical Benefits Dental Benefits Vision Benefits Let's get started!

Client only does virtual interviews. Be on lookout for link and complete within 24hrs of submittal. Notify recruiter once complete or flip status to interview. IV pumps; PCA pumps; general equipment 32 bed fast paced unit. Nurse Patient Ratio: 1:6; may go up to 1:8. Nurses must be willing to take 8 when needed. Must be willing to float Patient Age Groups: Adults, Geriatric, Outpatient Top 10 Diagnosis/Procedures: Total knee replacement, Total hip replacement, Total ankle replacement, Total shoulder replacement, fracture repair, spine surgeries including XLIF, ALIF, TDLF, ACDF, PCDF, microdisc, lamis. Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments. Educates patients on surgical procedures.

Operating Room Nurses Responsible for planning, executing, directing and evaluating, direct and indirect nursing care given to the surgical patient. The nursing activities may include preoperative, intra-operative and postoperative evaluation. Operating Room Nurses may be employed in several roles including scrub, circulating or function in both roles.