Nurse Practitioner Family Medicine
Auburn, ME jobs
Experienced Family Nurse Practitioner [2+ years] to join a growing Primary Care practice in Auburn, Maine. Provide quality care for all aged patients; to include management of acute and chronic disease, preventive care, gynecological exams, minor office procedures and phlebotomy.
Enjoy to reward of patience centered model to easily focus on care plans and good quality care with the patient at the center of everything! Work life balance with flexible schedules, Paid time off (Open Choice Time - 7 Weeks)
Excellent annual compensation and comprehensive benefits package including Medical, Dental, Vision, Retirement, Malpractice and Tail coverage, etc.
Generous Sign-on Bonus program
Relocation Assistance
Tuition Loan Reimbursement: $25,000
Continuing Medical Education - 5 paid CME days and $3,000 for CME activities
Professional opportunities for mentorship, growth and advancement US HealthCare Careers ~ 408-686-9450 ~ gretchen@ushealthcarecareers.biz
Per Diem Pediatric Endocrinology Physician Associate or Pediatric/Family Nurse Practitioner
Bangor, ME jobs
Northern Light Eastern Maine Medical Center is seeking a per diem Physician Associate or Nurse Practitioner to join our hospital employed, outpatient Pediatric Endocrinology practice in Bangor, Maine. * Per diem role with flexible schedules for exceptional work/life balance
* Manage patients with obesity, metabolic syndrome, acquired hypothyroidism, type 1, type 2 and monogenic type diabetes mellitus
* Potential to advance education into other areas of pediatric endocrinology
* Work alongside two endocrinologists, one certified diabetes educator, two registered dietitians, one certified medical assistant and one licensed practical nurse
* Partner with an embedded pediatric psychologist who helps address the behavioral, mental and lifestyle impacts of chronic and complex diseases for pediatric patients
* Work directly with genetic counselors when obtaining testing for evaluation of genetic type diabetes mellitus
Qualifications:
* Board certification or eligibility
* Eligible for a Maine license
* Excellent communication skills
* Desire to become part of a multidisciplinary pediatric care team
* Commitment to collaboratively build pediatric endocrinology care practice expertise with dynamic on-site mentors
Northern Light Eastern Maine Medical Center is a 411-bed regional tertiary care center and an ACS-verified level II trauma center with academic affiliations. We offer dedicated neonatal (Level 3) and pediatric/PICU transport while serving as a base hospital for LifeFlight of Maine, a critical care air transport service flying nearly 900 missions per year. We serve as the Regional Pediatric Specialty Center and have forged strong relationships with regional hospitals and providers as part of our tertiary pediatric care mission. Pediatric sub-specialty support includes gastroenterology, neurology, cardiology, hematology-oncology, developmental pediatrics, genetics, ophthalmology, surgery, orthopedics, neonatology, critical care, and hospital medicine.
Bangor is a vibrant small city within a close commute to miles of beautiful coastline. You'll enjoy easy access to lakes, mountains and many state parks including Acadia National Park. Public schools rank among New England's best with the flagship campus of the University of Maine located in the neighboring town of Orono, home to the Black Bears ice hockey team. Bangor serves as the regional hub for medicine, commerce and the arts. Enjoy our talented Bangor Symphony Orchestra, one of the oldest continuous operating orchestras in the US and a rich production repertoire from our historic Penobscot Theater Company, among many other themed festivals and local arts displays. Bangor International Airport offers direct and one-stop service to most major destinations.
For more information, contact:
Amanda Lewis, CPRP, Provider Recruiter
*********************************
Phone: ************
Easy ApplyPediatric Endocrinology Physician Associate or Pediatric/Family Nurse Practitioner
Bangor, ME jobs
Northern Light Eastern Maine Medical Center is seeking a Physician Associate or Nurse Practitioner to join our hospital employed, outpatient Pediatric Endocrinology practice in Bangor, Maine. * Full-time role with flexible schedules for exceptional work/life balance
* Manage patients with obesity, metabolic syndrome, acquired hypothyroidism, type 1, type 2 and monogenic type diabetes mellitus
* Potential to advance education into other areas of pediatric endocrinology
* Work alongside two endocrinologists, one certified diabetes educator, two registered dietitians, one certified medical assistant and one licensed practical nurse
* Partner with an embedded pediatric psychologist who helps address the behavioral, mental and lifestyle impacts of chronic and complex diseases for pediatric patients
* Work directly with genetic counselors when obtaining testing for evaluation of genetic type diabetes mellitus
You will enjoy:
* A robust compensation and benefits package including generous paid time off and CME allowance
* Best-in-class student loan reimbursement program
* Relocation and sign-on bonuses
* Teaching and research opportunities; if desired
Qualifications:
* Board certification or eligibility
* Eligible for a Maine license
* Excellent communication skills
* Desire to become part of a multidisciplinary pediatric care team
* Commitment to collaboratively build pediatric endocrinology care practice expertise with dynamic on-site mentors
Northern Light Eastern Maine Medical Center is a 411-bed regional tertiary care center and an ACS-verified level II trauma center with academic affiliations. We offer dedicated neonatal (Level 3) and pediatric/PICU transport while serving as a base hospital for LifeFlight of Maine, a critical care air transport service flying nearly 900 missions per year. We serve as the Regional Pediatric Specialty Center and have forged strong relationships with regional hospitals and providers as part of our tertiary pediatric care mission. Pediatric sub-specialty support includes gastroenterology, neurology, cardiology, hematology-oncology, developmental pediatrics, genetics, ophthalmology, surgery, orthopedics, neonatology, critical care, and hospital medicine.
Bangor is a vibrant small city within a close commute to miles of beautiful coastline. You'll enjoy easy access to lakes, mountains and many state parks including Acadia National Park. Public schools rank among New England's best with the flagship campus of the University of Maine located in the neighboring town of Orono, home to the Black Bears ice hockey team. Bangor serves as the regional hub for medicine, commerce and the arts. Enjoy our talented Bangor Symphony Orchestra, one of the oldest continuous operating orchestras in the US and a rich production repertoire from our historic Penobscot Theater Company, among many other themed festivals and local arts displays. Bangor International Airport offers direct and one-stop service to most major destinations.
For more information, contact:
Amanda Lewis, CPRP, Provider Recruiter
*********************************
Phone: ************
Easy ApplyFamily Medicine Nurse Practitioner at Behavioral Health Center in Bangor, Maine
Bangor, ME jobs
Northern Light Acadia Hospital is seeking a board-certified/board-eligible Family Medicine Nurse Practitioner to provide compassionate medical care to psychiatric patients on our adult and pediatric inpatient units on our campus in Bangor, Maine. Details:
* 30 hours per week (0.75 FTE)
* Work closely with inpatient psychiatric nurse practitioners and supervising psychiatrists
* Complete initial admission, history, physical, and orders; address any follow-up medical care needs
* Respond to emergency medical needs throughout the hospital
Why Northern Light Acadia Hospital?
* Competitive compensation and benefits package including generous paid time off, retirement plan with employer matching, continuing medical education (CME) allowance, and much more
* Top tier student loan reimbursement program
* Sign-on bonus and relocation assistance
* Flexible schedules to promote an exceptional work/life balance - venture out and enjoy Vacationland!
Northern Light Acadia Hospital is a regional, acute care psychiatric teaching hospital that is the hub of a comprehensive Behavioral Health service line within the Northern Light Health system. We provide inpatient and outpatient behavioral healthcare for children, teens, and adults in communities throughout the state while specializing in the treatment of mental illness and substance use disorders. Additionally, we offer innovative programming in the form of behavioral health home, integrated behavioral healthcare in primary care practices, general hospital psychiatry, and an extensive telepsychiatry network. We are proud to be the only New England partner for the Hazelden Betty Ford Foundation. Please visit Northern Light Acadia Hospital - About Us to learn more!
For more information, please contact:
Kayla Rodriguez, CPRP
*********************************
Call ************** or text Acadia FNP to **************
Easy ApplyNurse Practitioner Family $110K -$115K
Maine jobs
Nurse Practitioner Family $110K -$115K - Topsham, ME
Private Practice
Amazing Doctor and Staff!
Home Visits
Monday - Friday 9am - 7pm
Benefit Package
Please Apply By CV or Resume
Nurse Practitioner - IHA
Skowhegan, ME jobs
Emcara Health is reimagining how healthcare is delivered. We provide exceptional care to complex and underserved patients, regardless of physical limitations, social barriers, or the places they call home. Job Description
Per Diem Nurse Practitioner or Physician Assistant
Job Status:
Per Diem
Compensation:
Rate:
$150 per completed assessment
Performance Bonus:
$1,000 payable in 2 installments ($500 after 15 completed assessments, $500 after 50 completed assessments)
Schedule:
Flexible (Sunday-Saturday)
No Barriers. Just Great Care.
With an innovative model that brings
annual health risk assessments
to the home, we're looking to serve more patients in the
Skowhegan, Maine
area. Join a team that's breaking down boundaries to deliver proactive, preventative screenings at no cost to the patient.
What You Will Do
You'll provide
annual in-home assessments (IHA) for members of Medicare, Medicaid, and Affordable Care Act plans. These 90-minute visits identify care gaps, health risks, and social determinants of health to help PCPs and health plans promote better outcomes. You will collect patient histories, document patient concerns, and provide health education. You are not responsible for lab tests, blood work, or treatment. You will be asked to:
Perform high quality assessments to meet patient needs and health plan expectations.
Document and submit chart notes within 24 hours of the visit.
Address charting queries within 48 hours of receipt.
Attend periodic training sessions and meetings pertinent to the position.
Why Our Patients Need You:
Our patients need someone who'll go the distance for them, literally and figuratively. Many of our patients have physical limitations and social barriers that restrict their access to quality care. It's a vicious cycle that leads to frequent hospitalizations and higher healthcare costs. The solution starts with accurate, complete documentation!
In-home assessments help identify the social determinants of health that you can't see from a doctor's office. They also give patients the time they need for meaningful conversations, ensuring their questions are thoroughly addressed.
Qualifications
Our Ideal Candidate
Demonstrates empathy in every patient interaction.
Can make critical decisions while following Emcara Health policies and procedures.
Has an advanced understanding of risk adjustment models (or is curious to learn).
Is proficient with electronic medical records (EMR).
Is comfortable entering new homes and engaging with new patients.
As an IHA provider, you will be required to travel up to a 50-mile radius within your hired area.You are reimbursed for mileage greater than 30 miles in one day at the current government rate. Member outreach works to cluster your appointments in one geographical area as much as possible.
Can sign up for a minimum of 30 appointment slots or more per month.
General Physical Demands:
Ability to lift 20 lbs.
Ability to bend or kneel for extended periods of time if needed while performing assessments.
Education and Experience:
Master's or Doctorate degree from an accredited NP or PA program.
Home health experience (Preferred)
1 year of in-home assessment experience (Preferred)
Certification and Licensure:
Current RN and NP or PA licensure in the present state of practice.
Board certifications accepted: FNP, ANP, AGNP, ACNP, AGACNP, and AGPCNP.
Current BLS certification
Valid unencumbered state driver's license
Valid proof of sufficient car insurance coverage for the state appointments are scheduled to be completed in.
About Emcara Health:
Emcara Health is reimagining how healthcare is delivered. We provide exceptional care to complex and underserved patients, regardless of physical limitations, social barriers, or the places they call home.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Nurse Practitioner - Primary Care
Gorham, ME jobs
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.
Position Summary
Job Description
Position Summary:
Nurse Practitioners work collaboratively with all members of the care team providing world class service to both the patients and staff of Martin's Point. Nurse Practitioners (NP) with current license and DEA#, and who are granted clinical privileges, are expected to provide the medical services necessary to attend to the medical needs of each patient. The NP may perform those diagnostic and therapeutic procedures for which he or she had been granted privileges by the Medical Executive Committee, under the guidance of the Practice Medical Director and/or primary supervising physician, though the primary supervising physician need not necessarily be present at the time the procedures are performed. The NP will communicate directly with his or her supervising physicians, medical staff members, nursing staff and other members of the health care team to coordinate patient care requirements.
Key Outcomes:
The Nurse Practitioner generally does the following; within the scope of his/her supervisory/alternative supervisory physician:
* Elicits a detailed and accurate history, performs an appropriate physician examination, identifies problems, and records and presents pertinent data in a meaningful manner. Creates a treatment plan and implements components including prescribing of medication.
* Performs or interprets, within their scope of training, routine diagnostic studies, including routine laboratory procedures, common radiologic studies, and electrocardiographic tracings.
* Within the limits of professional training and approved privileges, performs therapeutic procedures, including, but not limited to, injections, immunizations, wound care, incision and drainage of superficial infections, treatment of verrucae, follow-up of simple fractures, removal of splinters and simple laceration repairs.
* Instructs, counsels, and prescribes for patients regarding physical and mental health, including proper diet, disease prevention, therapy, normal growth and development, family planning, situational adjustment reactions, and other health care matters.
* Within the scope of approved privileges, and in consultation with the primary supervising physician, may assist in inpatient settings by performing patient rounds, recording patients' progress notes, determining and implementing therapeutic plans with the supervising or alternative supervising physician, and compiling and recording pertinent case summaries.
* Assists in the delivery of services to patients requiring continuing care in homes, nursing homes, and extended-care facilities, including reviewing and monitoring treatment and therapy plans.
* Performs independent evaluation and therapeutic procedures essential for appropriate response to life-threatening situations.
* Facilitates the appropriate referral of patients and maintains awareness of the community's health facilities, agencies and resources.
* Prescriptive practice for NPs under medical delegation includes prescribing and dispensing schedules II, III, IIIN, IV, and V substances and all legend drugs.
* As assigned, provides care to patients in all Martin's Point Health Care facilities and After Hours Clinic per most current contract agreements.
* Collaborate with physician supervisor to work within the appropriate delegation of medical tasks established in MPHC's Plan of Supervision.
* Document capability and continued competency for privileges granted by the Medical Executive Committee.
* Participates in daily huddles and regular team meetings to improve workflows and contribute to improving patient population outcomes.
* Performs other duties as requested or required by the Practice Medical Director.
Education/Experience:
* Two years of experience in a paneled Primary Care Provider role.
* Graduate of an accredited school of nursing.
* Successful completion of an approved Nurse Practitioner program.
Required License(s) and/or Certification(s) :
* State Registered Nurse
* Advanced Practice Registered Nurse license
* ANA Board certification (ANCC or AANP)
* BLS Certified
* DEA License
Skills/Knowledge/Competencies (Behaviors):
* Knowledge of professional nursing theory, practice and medical care to give and evaluate patient care.
* Knowledge of medical equipment and instruments to administer patient care.
* Skill in applying and modifying the principles, methods and techniques of nurse practitioners to provide ongoing patient care.
* Skill in taking medical history to assess medical condition and interpret findings.
* Skill in preparing and maintaining records, writing reports, and responding to correspondence.
* Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public.
* Ability to maintain quality control standards.
* Ability to react calmly and effectively in emergency situations.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
Auto-ApplyNurse Practitioner - Health Care for the Homeless Clinics
Portland, ME jobs
GPH's Health Care for the Homeless team is seeking a part time (24 hours/week) NP to join our highly collaborative and integrated team. Our program provides medical, behavioral health, and substance use treatment on the street, in shelters, at housing first locations, and in a traditional medical clinic. One nuance of our program, compared to other HCH sites, is that in addition to serving the needs of the traditionally (episodically or chronically) homeless we also provide care to many patients who might have never received any prior health care. To make sure we meet the changing needs of our patient populations our team has needed to be flexible in how and where we provide care. Our philosophy is grounded in trauma-informed care and harm reduction principles.
Requirements:
Graduate of an accredited Nurse Practitioner Program with a Maine State license to practice medicine and have a valid DEA number required.
At least two years' experience as a Nurse Practitioner strongly preferred.
Board Certification by the American Academy of Nurse Practitioners or American College of Nurse Practitioners upon graduation.
Be able to be credentialed at assigned hospitals and contractible on Greater Portland Health insurance plans.
Must not be excluded from participation in federal health care programs
Generous Benefits Package:
Organization-wide bonus incentive plan of up to 5% of annual base salary!
Dental, Vision Insurance (Employer - Employee shared)
Flexible Spending Accounts
Employer paid Life insurance, Short-term, and Long-term Disability
403(b) employer match up to 3%
Generous PTO package, including paid Personal Days, holidays, volunteer time
Bereavement and Military Leave
Paid Parental Leave (1 week)
CME hours and reimbursements
Gym membership reimbursement up to $300
Auto-ApplyFamily Nurse Practitioner Resident - PGY 1
Bangor, ME jobs
Join us in transforming the primary care workforce! Penobscot Community Health Care is pleased to announce we are now accepting applications for our one-year (PGY1), full-time Nurse Practitioner Residency Program, now entering its 7th year of training excellence. The program is fully accredited by the Consortium for Advanced Practice Providers, making it one of only a select group of programs nationwide to receive this distinction.
As a Resident, you will gain advanced training in primary care within a Federally Qualified Health Center (FQHC) setting, serving patients across the lifespan in an integrated, team-based environment. The program offers:
Structured mentorship and preceptorship from experienced providers.
Cohort model promotes shared learning and collaboration, emotional and professional support, diverse perspectives, and a community of belonging
Interdisciplinary training with medical, pharmacy, dental, and behavioral health teams.
Diverse clinical rotations to support primary care clinical experiences
A chance to make a meaningful impact in caring for underserved and rural populations in Maine.
Penobscot Community Health Care's (PCHC) Nurse Practitioner Residency's mission is to provide recent family nurse practitioner graduates with a positive and supportive transition from education to practice. In alignment with the organization's mission to improve the health and well-being of Maine communities, particularly in underserved and rural areas, the program focuses on enhancing clinical, team-based, and trauma-informed care in safety-net settings. By fostering provider wellness and resilience, the residency prepares primary care providers for long-term professional careers delivering integrated, patient-centered care that meets the diverse needs of our communities.
OVERVIEW
The NP Resident will:
Deliver medical care to a wide variety of patients and will be responsible for maintaining accurate and current patient records as well as scheduling and administering follow up appointments for patients as required.
Work effectively with other members of the team to deliver the best primary care to our patients and perform selective medical services under the direction of supervising physicians and providers.
Salaried position: Work week approximately 40 hours, with 32 hours of patient contact. No nights, weekends, with one week of call near the end of the year.
Have an opportunity to experience internal rotations such as Community Care and Geriatrics, Transitions of Care, Women's Health, Recovery Services Care, School-Based Healthcare, Homeless Healthcare, and much more.
BENEFITS
Slower paced schedule and a smaller panel of patients while learning to be a primary care provider
Residents will be provided the same clinical and administrative support as our current providers
Collaborating with an interdisciplinary team
Weekly didactic sessions covering a variety of topics relevant to family practice, journal club, book club and case study reviews
Annual Salary of $100,000 / Housing Stipend of $5,000
Generous paid time off - accrue Earned Paid Leave plus Earned Time Off, plus 11 recognized Holidays (when recognized holiday falls during regularly scheduled work)
403(b) Retirement
Health benefits including medical, dental, and vision options
Voluntary Short Term Disability Insurance
Long Term Disability Insurance
Basic Life and AD&D Insurance
Malpractice coverage through the Federal Tort Claims Act (FTCA)
Maine Nurse Practitioner Association Membership
Maine Nurse Practitioner Association Fall and Spring Conference attendance and associated expenses
Seamless transition upon completion of residency - apply for PCHC opportunities being already familiar with the programs, facilities, and teams!
EDUCATION AND EXPERIENCE REQUIRED
Graduate of an Accredited Nurse Practitioner Program within the last 18 months
Board Certified/Board Eligible Nurse Practitioner
Eligible for application of license to practice medicine as a Nurse Practitioner in the State of Maine
Current/Eligible for application of DEA license
Stated commitment to a career in primary care in a Federally Qualified Health Center (FQHC)
Will have to obtain up-to-date training and certification in Basic Life Support issued by American Heart Association, American Red Cross, or American Health & Safety Institute. NP Resident must obtain within two weeks of hire, if not current at hire.
APPLICATION REQUIREMENTS
Current CV
Un-Official Transcript (Official Transcript must be submitted once educational program is complete)
3 Professional References - received within one week of coordination of interview with leadership team
Why Penobscot Community Health Care? Governed by a board of community volunteers, PCHC is a Federally Qualified Health Center comprised of seventeen practices and program service sites in Bangor, Brewer, Old Town, Winterport, Belfast, and Jackman. As an organization PCHC offers a wide range of fully integrated primary care services for the whole person: family medicine, geriatrics, pediatrics, dental, mental health, speech and hearing, nutrition, substance use disorder treatment, podiatry and chiropractic medicine, primary care pharmacy, shelter and healthcare for those experiencing homelessness, and more!
PCHC providers rely on highly innovative, creative, and dynamic programs and care models
Engaged, supportive patient population with demonstrated need
Collegial professional atmosphere with informed and accessible leadership
Flexible schedules supportive of work/life balance
Competitive compensation and generous benefits
Student loan repayment deferment, CME allowance, relocation stipend
PCHC supports and empowers people to advocate for their personal goals and needs and connect with community-based resources. Our success is measured when the health of our community encompasses physical and emotional wellness, personal dignity, and a sense of belonging.
Bangor, Maine: Live and work in a historic, riverside city just half an hour from Maine's gorgeous Acadia National Park and Maine's storied mid-coast region. Enjoy the amenities of a good-sized metro without the hassle - and be inspired by all of Maine's natural beauty and resources at your doorstep! Bangor is Maine's third largest city, with its own international airport. It's a short drive to Boston (3 hrs.) or Portland's quaint Old Port (2 hrs.). Limitless four-season outdoor recreational opportunities, a wide variety of arts, cultural and entertainment venues coupled with great family-centered neighborhoods and excellent public, and private educational opportunities make the Greater Bangor Region highly desirable for professional families.
Curious, or interested to learn more? Apply today! You can request a full copy of the detailed job description by emailing ********************.
We are hiring! What's it like to work at PCHC?
Find out in these two videos:
Celebrating Providers
Why Choose PCHC?
Contact: Brittany Hill, Provider Recruiter
************ / ********************
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or any other characteristic protected by law.
Easy ApplyWound Care Nurse Practitioner - Saco, ME
Yarmouth, ME jobs
Job Details Saco, ME Full Time $110000.00 - $200000.00 Base+Commission/month Up to 50% Description
Impact Health is looking for a
Nurse Practitioner specializing in Wound Care
To help cover our territory in: Yarmouth, ME & Dover New Hampshire
(Must have license in both Maine & New Hampshire)
Impact Health PC is a leading advanced practitioner group in skilled nursing facilities across the Northeast, that is dedicated to prioritizing patient care. We specialize in Medical, Psychiatric, Wound Care and Palliative Care.
Are you looking to thrive in a collaborative environment that values your expertise and independence? Do you want to enjoy the freedom of a flexible Monday through Friday schedule with no nights, weekends, or holidays?
If you're an experienced NP or PA seeking a flexible, well-supported role-we want to hear from you. Join Impact Health PC, where your expertise is valued, and you can make a meaningful impact.
Compensation and Benefits:
Earning potential: $110,000-$200,000 (salary based on experience + easily achieved monthly bonuses)
Flexible Schedule: Monday - Friday. No on-call, weekends, or holidays.
Generous Paid Time Off
401(k)
Comprehensive Health Benefits
Malpractice insurance provided
License reimbursement and CEU support
Paid training and onboarding
Ongoing education and clinical support, including physician-level consult access
Autonomy with Support to deliver independent care with access to physician-level consults.
Key Responsibilities
Deliver person-centered care using evidence-based practices
Collaborate with interdisciplinary facility teams
Perform comprehensive wound assessments and develop individualized treatment plans
Provide advanced wound care services, including debridement, dressing selection, and infection management. Monitor healing progress and adjust treatment as needed.
Educate patients, families, and staff on wound management and prevention
Complete timely documentation (within 24 hours)
Compliance with facility, state and federal regulations/protocols.
Qualifications
Qualifications:
Active license as a Nurse Practitioner (NP) or Physician Assistant (PA)
Minimum 2 years of post-certification experience
Experience in Skilled Nursing Facilities (SNFs), Long-term care, acute care, or rehabilitation settings
Wound care and/or wound certification (WOCN, WCC, etc.)
Proficient with EHRs and clinical technology
Strong communicator with a collaborative mindset
#HP123
Nurse Practitioner
Bangor, ME jobs
MFP is seeking a Nurse Practitioner to work full-time in our Bangor clinic. This position covers our Dexter clinic on Wednesdays.
The Nurse Practitioner works collaboratively with clinical staff to provide healthcare with an emphasis on quality family planning services. As required by the State of Maine, the Nurse Practitioner is responsible for the supervision of unlicensed clinical staff and ensures that clinical services are performed safely and correctly. This position requires travel.
In addition, the Nurse Practitioner:
Is responsible for ensuring that clinical services are provided in a manner that is patient-centered and non-judgmental.
Collaborates with patients to help them meet individual healthcare and reproductive goals.
Demonstrates an advanced level of clinical knowledge and practices evidence-based medicine.
Provides assessment, diagnosis, treatment, management, education, health promotion, and care coordination.
Follows Maine Family Planning policies and clinical protocols.
Promotes the mission of Maine Family Planning.
Adheres to Maine State Laws, Rules and Regulations and provides care within the established scope of practice.
QUALIFICATIONS:
Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.
3-5 years of experience as a Nurse Practitioner
National Certification as a Nurse Practitioner unless approved as an NP in Maine prior to January 1, 1996) is required, and evidence of valid certification must be submitted to
MFP off
prior to employment. All clinicians must maintain continuous certification, and evidence of valid certification/recertification must be submitted to
MFP
on or before the certification expiration date. A valid certification is required for this position.
A valid DEA registration is required for this position.
Clinicians must obtain a National Provider Identifier (NPI) number as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Ability to communicate in English, both verbally and in writing.
Basic computer knowledge.
Benefits include- health, dental, vision, life, short and long-term disability, 403(b) retirement, sick, holiday and vacation pay.
MFP is an E.O.E.
It is MFPs policy to ensure equal employment opportunities without discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, pregnancy, sexual orientation, gender identity or expression, age, disability, citizenship, genetic information, whistleblower status, military/veteran status, or any other characteristic protected by law.
Nurse Practitioner
Bangor, ME jobs
MFP is seeking a Nurse Practitioner to work full-time in our Bangor clinic. This position covers our Dexter clinic on Wednesdays.
The Nurse Practitioner works collaboratively with clinical staff to provide healthcare with an emphasis on quality family planning services. As required by the State of Maine, the Nurse Practitioner is responsible for the supervision of unlicensed clinical staff and ensures that clinical services are performed safely and correctly. This position requires travel.
In addition, the Nurse Practitioner:
Is responsible for ensuring that clinical services are provided in a manner that is patient-centered and non-judgmental.
Collaborates with patients to help them meet individual healthcare and reproductive goals.
Demonstrates an advanced level of clinical knowledge and practices evidence-based medicine.
Provides assessment, diagnosis, treatment, management, education, health promotion, and care coordination.
Follows Maine Family Planning policies and clinical protocols.
Promotes the mission of Maine Family Planning.
Adheres to Maine State Laws, Rules and Regulations and provides care within the established scope of practice.
QUALIFICATIONS:
Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.
3-5 years of experience as a Nurse Practitioner
National Certification as a Nurse Practitioner unless approved as an NP in Maine prior to January 1, 1996) is required, and evidence of valid certification must be submitted to
MFP off
prior to employment. All clinicians must maintain continuous certification, and evidence of valid certification/recertification must be submitted to
MFP
on or before the certification expiration date. A valid certification is required for this position.
A valid DEA registration is required for this position.
Clinicians must obtain a National Provider Identifier (NPI) number as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Ability to communicate in English, both verbally and in writing.
Basic computer knowledge.
Benefits include- health, dental, vision, life, short and long-term disability, 403(b) retirement, sick, holiday and vacation pay.
MFP is an E.O.E.
It is MFP's policy to ensure equal employment opportunities without discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, pregnancy, sexual orientation, gender identity or expression, age, disability, citizenship, genetic information, whistleblower status, military/veteran status, or any other characteristic protected by law.
NP- Family Medicine
Newport, ME jobs
Primary Care NP/PA (Desktop) in Central Maine Northern Light Sebasticook Valley Hospital is seeking a motivated, experienced Family Nurse Practitioner or Physician Assistant to support our Primary Care practices in the Central Maine area. The successful candidate will be a vital resource for the continuity of care for patients, by covering other provider's desktops and panels when they are out of the office.
Position Highlights:
* Monday-Friday schedule
* Very limited call
* Mostly remote as a combination of direct patient care, transitions of care, annual wellness, high-need and telephonic visits
Why choose Northern Light Sebasticook Valley Hospital?
* Robust compensation and benefits package
* Student loan reimbursement program
* Relocation and sign-on bonuses
* Generous paid time off
If you are seeking beautiful country living with all close amenities, unique dining experiences and a variety of cultural and recreational options, Maine is the place to be. The Central Maine area has easy access to premier skiing, walking/biking trails, unique restaurants and shopping, not to mention Maine's breathtaking Atlantic shoreline. Here you can experience all the beauty of four seasons and truly have the work/life balance you deserve.
Northern Light Sebasticook Valley Hospital (SVH) is a 25-bed, regional Critical Access Hospital for the more than 30,000 residents living in our footprint. Our neighbors count on us as a resource for healthcare and health information. SVH is part of Northern Light Health, an integrated health system serving the great state of Maine.
For confidential consideration, please contact:
MaryKate Friend, CPRP, Provider Recruiter
Email: ******************************
Phone: ************
Easy ApplyCardiology Acute Care Nurse Practitioner or Physician Associate
Bangor, ME jobs
Northern Light Eastern Maine Medical Center in Bangor, Maine is seeking an acute care nurse practitioner or physician associate to join our busy, dynamic team that is the center for cardiac care in our region. Details: * Responsibilities: inpatient service rotations and outpatient clinic coverage including but not limited to admissions, discharges, consultations, and occasional telemedicine
* Practice team structure includes 25 physicians, 23 advanced practitioners, and great support staff
* Specialty services include cath lab procedures, EP, CHF, and structural heart
* Collaboration with entire Cardiovascular Service Line: cardiology, structural heart, and cardiothoracic surgery
Why Northern Light Cardiology?
* Competitive compensation and benefits package including generous paid time off, retirement plan with employer matching, continuing medical education allowance, and much more
* Top tier student loan reimbursement program
* Quality bonus incentive
* Sign-on bonus and relocation assistance
* Flexible schedules to promote an exceptional work/life balance
* On-site specialty support
Northern Light Eastern Maine Medical Center is a 411- bed, regional tertiary care and ACS-verified level II trauma center serving a patient population of approximately 500,000 in the northern two-thirds of the state. The hospital is a base for LifeFlight of Maine, a critical care air transportation service flying nearly 900 missions per year. We are a member of Northern Light Health, the most expansive integrated health delivery system in Maine. Northern Light Health offers a broad range of providers and services, including ten hospitals, primary care and specialty physician practices, long-term care, home health and hospice agencies, and emergency ground and air transport.
Bangor, Maine is a vibrant small city with easy access to Maine's spectacular coast, mountains, and lakes. Schools rank among New England's best with the flagship campus of the University of Maine located in the neighboring town of Orono. Bangor serves as the regional hub for medicine, the arts, and commerce. Bangor International Airport offers direct and one-stop service to most major destinations.
For more information, please contact:
Kayla Rodriguez, CPRP
*********************************
Call ************ or text Cardio APP to ************
Easy ApplyFamily Medicine - Nurse Practitioner or Physician Associate
Caribou, ME jobs
Family Medicine - NP/PA Join us in Northern Maine where Advanced Practitioners enjoy a lifestyle like no other! Work, live, and thrive in a safe community with lower-than average cost of living, friendly neighbors, excellent schools, and endless outdoor recreational fun all year round.
Northern Light A.R. Gould Hospital seeks the full-time employment of an experienced, BC/BE Family Medicine Nurse Practitioner or Physician Associate to join our outpatient Primary Care practice in the charming community of Caribou, Maine.
Position Highlights:
* M-F schedule with no call requirements
* Hospital-employed position
* Exceptional leadership support at the local and system level
* 24/7 Hospitalist team available for all admissions
Offer Highlights:
* Competitive base salary plus productivity incentives
* 36 days of paid time off annually
* Relocation and sign-on bonuses
* Generous educational loan reimbursement program, with no maximum
* Annual CME allotment
Why You'll Want to Join A.R. Gould Hospital:
* Leading Provider of Healthcare Services: We are an 89-bed acute care hospital located near the Canadian border in Presque Isle, Maine. Northern Light A.R. Gould Hospital is Aroostook County's largest hospital and leading provider of healthcare services offering 24-hour emergency services, complete cancer care services, a day surgery center, the region's most comprehensive imaging center, and several specialty services.
* Small Town Charm: Presque Isle is the largest city and economic hub of Aroostook County. Aroostook meaning "Beautiful River" is rural, with traditions that are honest and hard-working, and a local economy that relies on agriculture, forestry, outdoor recreation, and education.
* Relaxed Lifestyle: Just outside your doorstep, a four-season recreational playground awaits. Adventure seekers enjoy hiking, skiing, boating, biking, snowmobiling and ATVing. Lakes, rivers and woodlands are legendary and well-known to hunters, anglers, and outdoor recreationalists. Experience year-round festivals, performing and visuals arts events, unique shopping and dining options, sports competitions, farmers markets, musical performances, golf courses, fitness centers, community center activities, and more!
* Family Friendly: Great school districts, safe communities, friendly neighbors and a lower-than-average cost of living are ideal for raising a family.
* Academic Enrichment: The University of Maine at Presque Isle, Northern Maine Community College, and Maine School of Math and Science provide an intellectual spirit and opportunities for continued learning.
* Well Connected: The local airport provides year-round access to daily commercial airline service to and from Boston, MA.
For confidential consideration:
Email: *********************************
Phone: ************
Text: "ARGH FM Caribou" to ************
Easy ApplyPalliative Nurse Practitioner - Per Diem - Rockport, ME
Yarmouth, ME jobs
Job Details Rockport, ME Per Diem $1.00 - $1.00 Salary Up to 25%Description
Impact Health is looking for a Palliative Care Nurse Practitioner (PRN) to assist in covering our
Rockport, ME Territory!!
Impact Health PC is a leading advanced practitioner group in skilled nursing facilities across the Northeast, that is dedicated to prioritizing patient care. We specialize in Medical, Psychiatric, Wound Care and Palliative Care.
Are you looking to thrive in a collaborative environment that values your expertise and independence? Do you want to enjoy the freedom of a flexible Monday through Friday schedule with no nights, weekends, or holidays?
If you're an experienced NP or PA seeking a flexible, well-supported role-we want to hear from you. Join Impact Health PC, where your expertise is valued, and you can make a meaningful impact.
Compensation and Benefits:
Earning potential: Per Diem Rates (salary based on experience + easily achieved monthly bonuses)
Flexible Schedule: Monday - Friday. No on-call, weekends, or holidays.
Generous Paid Time Off
401(k)
Comprehensive Health Benefits
Malpractice insurance provided
License reimbursement and CEU support
Paid training and onboarding
Ongoing education and clinical support, including physician-level consult access
Autonomy with Support to deliver independent care with access to physician-level consults.
Key Responsibilities
Deliver person-centered care using evidence-based practices
Collaborate with interdisciplinary facility teams
Conduct assessments, develop treatment plans, and manage follow-up care
Provide ongoing follow-up and chronic care management in Skilled Nursing Facilities (SNFs)
Educate patients, families, and staff
Complete timely documentation (within 24 hours)
Compliance with facility, state and federal regulations/protocols.
Qualifications
Qualifications:
Active license as a Nurse Practitioner (NP) or Physician Assistant (PA)
Minimum 2 years of post-certification experience
Experience in SNFs, hospitalist roles, emergency departments, or ICU preferred
Proficient with EHRs and clinical technology
Strong communicator with a collaborative mindset
#HP123
Nurse Practitioner
Presque Isle, ME jobs
Job DescriptionSalary: TBD
MFP is seeking a 3-4 day a week Nurse Practitioner to work at our Presque Isle and Houlton clinic.
The Nurse Practitioner works collaboratively with clinical staff to provide healthcare with an emphasis on quality family planning services. As required by the State of Maine, the Nurse Practitioner is responsible for the supervision of unlicensed clinical staff and ensures that clinical services are performed safely and correctly. This position requires travel.
In addition, the Nurse Practitioner:
Is responsible for ensuring that clinical services are provided in a manner that is patient-centered and non-judgmental.
Collaborates with patients to help them meet individual healthcare and reproductive goals.
Demonstrates an advanced level of clinical knowledge and practices evidence-based medicine.
Provides assessment, diagnosis, treatment, management, education, health promotion, and care coordination.
Follows Maine Family Planning policies and clinical protocols.
Promotes the mission of Maine Family Planning.
Adheres to Maine State Laws, Rules and Regulations and provides care within the established scope of practice.
QUALIFICATIONS:
Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.
3-5 years of experience as a Nurse Practitioner
National Certification as a Nurse Practitioner unless approved as an NP in Maine prior to January 1, 1996) is required, and evidence of valid certification must be submitted to
MFP off
prior to employment. All clinicians must maintain continuous certification, and evidence of valid certification/recertification must be submitted to
MFP
on or before the certification expiration date. A valid certification is required for this position.
A valid DEA registration is required for this position.
Clinicians must obtain a National Provider Identifier (NPI) number as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Ability to communicate in English, both verbally and in writing.
Basic computer knowledge.
Benefits may include- health, dental, vision, life, short and long-term disability, 403(b) retirement, sick, holiday and vacation pay.
Our Mission is to ensure that all people have access to high-quality, culturally relevant and affordable
sexual and reproductive health care services, comprehensive sexual health education, and the right to
control their sexual and reproductive lives.
MFP is an E.O.E.
It is MFPs policy to ensure equal employment opportunities without discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, pregnancy, sexual orientation, gender identity or expression, age, disability, citizenship, genetic information, whistleblower status, military/veteran status, or any other characteristic protected by law.
Nurse Practitioner
Presque Isle, ME jobs
MFP is seeking a 3-4 day a week Nurse Practitioner to work at our Presque Isle and Houlton clinic.
The Nurse Practitioner works collaboratively with clinical staff to provide healthcare with an emphasis on quality family planning services. As required by the State of Maine, the Nurse Practitioner is responsible for the supervision of unlicensed clinical staff and ensures that clinical services are performed safely and correctly. This position requires travel.
In addition, the Nurse Practitioner:
Is responsible for ensuring that clinical services are provided in a manner that is patient-centered and non-judgmental.
Collaborates with patients to help them meet individual healthcare and reproductive goals.
Demonstrates an advanced level of clinical knowledge and practices evidence-based medicine.
Provides assessment, diagnosis, treatment, management, education, health promotion, and care coordination.
Follows Maine Family Planning policies and clinical protocols.
Promotes the mission of Maine Family Planning.
Adheres to Maine State Laws, Rules and Regulations and provides care within the established scope of practice.
QUALIFICATIONS:
Current Registered Nurse and Advanced Practice Nurse License in the State of Maine.
3-5 years of experience as a Nurse Practitioner
National Certification as a Nurse Practitioner unless approved as an NP in Maine prior to January 1, 1996) is required, and evidence of valid certification must be submitted to
MFP off
prior to employment. All clinicians must maintain continuous certification, and evidence of valid certification/recertification must be submitted to
MFP
on or before the certification expiration date. A valid certification is required for this position.
A valid DEA registration is required for this position.
Clinicians must obtain a National Provider Identifier (NPI) number as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Ability to communicate in English, both verbally and in writing.
Basic computer knowledge.
Benefits may include- health, dental, vision, life, short and long-term disability, 403(b) retirement, sick, holiday and vacation pay.
Our Mission is to ensure that all people have access to high-quality, culturally relevant and affordable
sexual and reproductive health care services, comprehensive sexual health education, and the right to
control their sexual and reproductive lives.
MFP is an E.O.E.
It is MFP's policy to ensure equal employment opportunities without discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, pregnancy, sexual orientation, gender identity or expression, age, disability, citizenship, genetic information, whistleblower status, military/veteran status, or any other characteristic protected by law.
Nurse Practitioner
Bucksport, ME jobs
Requirements
1. Functions independently to perform age-appropriate history and physical for complex acute, critical and chronically ill patients. 2. Determines appropriate health care plans that may include administering medication doses, therapies and treatments, evaluation of test results and an evaluation of the plan's effectiveness.
3. Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.
4. Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
5. Provides medical assessment and interventions to patients as needed.
6. Monitors the effectiveness of interventions.
7. Facilitates the patient's transition within and between health care settings, e.g. admitting, transferring and discharging patients. 8. Collaborates with multidisciplinary team members by making appropriate referrals.
9. Documents care provided in the electronic health record of the patients cared for.
10. Ensures efficient, smooth and prompt delivery of health care services.
NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Performs other duties and tasks as assigned.
GENERAL EXPECTATIONS:
1. Be committed to the mission of the Bucksport Regional Health Center.
2. Work as a member of the medical team in the performance of duties.
3. Be punctual for scheduled work and use time appropriately.
4. Work in harmonious relationships with all staff, patients, vendors and others.
5. Perform duties in a conscientious, cooperative manner.
6. Perform required amount of work in a timely fashion with a minimum of errors.
7. Be neat and maintain a professional appearance.
8. Maintain confidentiality and protect the Center by keeping information concerning Operations, patients and employees confidential.
9. Assist in the care, observation, and the condition of patients including the execution of procedures prescribed for the direct treatment or therapy of patients.
10. Participation in community activities as a representative of Bucksport Regional Health Center.
PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by the Incumbent 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 employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel, including operation of a standard computer keyboard; reach with hands and arms and talk, see and hear. Eye hand coordination and manual dexterity required. The employee must regularly lift/move up to 25 pounds, including assist with moving patients, as well as bend, stoop, stretch or crouch. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed primarily in a typical physician's office environment. Noise level is usually quiet.
Potential exposure to hazardous and infectious materials, including blood borne pathogens.
QUALIFICATIONS AND EDUCATION NEEDED FOR POSITION:
Experience and Skill Requirements: The following experience and skills are considered essential:
At least five years of clinical experience or clinical perioperative required; a minimum of two years of experience in the Nurse Practitioner role is strongly preferred.
Computer experience using Microsoft Windows and Microsoft Office software products required.
Ability to establish priorities and coordinate work activities.
Detail-oriented.
Good management and leadership skills.
Empathy for patients and their families.
Ability to deal with stress.
Education Requirements: The following education requirements are considered essential:
Graduate of an accredited school or nursing.
Graduate of an accredited nurse practitioner program.
Current Advanced Practice Registered Nurse (APRN) Licensure in the state of Maine.
Current nurse practitioner certification in specialty area.
Current CNOR/CRNFA (if applicable) certification.
Current provider card in BLS and ACLS, PALS provider card as required by department and facility.
** All requirements and skills are considered to be essential, unless otherwise indicated. **
Nurse Practitioner
Bucksport, ME jobs
Job DescriptionDescription:
Welcome to our Community Health Center
At BRHC we are compassionate about our work and continually strive for excellence in every program we offer. We are committed to treating each patient and employee with respect and dignity. Our goal is to be our patient's partner in wellness and as such, we provide our patients with individualized education on prevention and treatments to meet specific health care needs. Become a member of our valuable team and join us in the rewards of working in our community health center.
Full time positions are open in our Bucksport and Ellsworth locations.
The Nurse Practitioner is a licensed independent practitioner who is responsible for managing health problems and coordinating health care for patients served by BRHC in accordance with State and Federal rules and regulations and the nursing standards of care. Clinical management and treatment of patient is conducted in collaboration with other health care team members.
Requirements:
1. Functions independently to perform age-appropriate history and physical for complex acute, critical and chronically ill patients. 2. Determines appropriate health care plans that may include administering medication doses, therapies and treatments, evaluation of test results and an evaluation of the plan's effectiveness.
3. Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.
4. Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
5. Provides medical assessment and interventions to patients as needed.
6. Monitors the effectiveness of interventions.
7. Facilitates the patient's transition within and between health care settings, e.g. admitting, transferring and discharging patients. 8. Collaborates with multidisciplinary team members by making appropriate referrals.
9. Documents care provided in the electronic health record of the patients cared for.
10. Ensures efficient, smooth and prompt delivery of health care services.
NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Performs other duties and tasks as assigned.
GENERAL EXPECTATIONS:
1. Be committed to the mission of the Bucksport Regional Health Center.
2. Work as a member of the medical team in the performance of duties.
3. Be punctual for scheduled work and use time appropriately.
4. Work in harmonious relationships with all staff, patients, vendors and others.
5. Perform duties in a conscientious, cooperative manner.
6. Perform required amount of work in a timely fashion with a minimum of errors.
7. Be neat and maintain a professional appearance.
8. Maintain confidentiality and protect the Center by keeping information concerning Operations, patients and employees confidential.
9. Assist in the care, observation, and the condition of patients including the execution of procedures prescribed for the direct treatment or therapy of patients.
10. Participation in community activities as a representative of Bucksport Regional Health Center.
PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by the Incumbent 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 employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel, including operation of a standard computer keyboard; reach with hands and arms and talk, see and hear. Eye hand coordination and manual dexterity required. The employee must regularly lift/move up to 25 pounds, including assist with moving patients, as well as bend, stoop, stretch or crouch. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed primarily in a typical physician's office environment. Noise level is usually quiet.
Potential exposure to hazardous and infectious materials, including blood borne pathogens.
QUALIFICATIONS AND EDUCATION NEEDED FOR POSITION:
Experience and Skill Requirements: The following experience and skills are considered essential:
At least five years of clinical experience or clinical perioperative required; a minimum of two years of experience in the Nurse Practitioner role is strongly preferred.
Computer experience using Microsoft Windows and Microsoft Office software products required.
Ability to establish priorities and coordinate work activities.
Detail-oriented.
Good management and leadership skills.
Empathy for patients and their families.
Ability to deal with stress.
Education Requirements: The following education requirements are considered essential:
Graduate of an accredited school or nursing.
Graduate of an accredited nurse practitioner program.
Current Advanced Practice Registered Nurse (APRN) Licensure in the state of Maine.
Current nurse practitioner certification in specialty area.
Current CNOR/CRNFA (if applicable) certification.
Current provider card in BLS and ACLS, PALS provider card as required by department and facility.
** All requirements and skills are considered to be essential, unless otherwise indicated. **