Description Job Summary We are seeking an experienced Nurse Practitioner or Physician Assistant to join our pulmonary care team in Texarkana, TX. The ideal candidate will provide compassionate, patient-centered care for individuals with respiratory and pulmonary conditions in both outpatient and inpatient settings.
$27k-32k yearly est. 1d ago
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Certified Nurse Aide PRN
Kinder Hearts Home Health and Hospice
Certified nurses' aide job in Wichita Falls, TX
The Home Health Aide (HHA) is a paraprofessional member of the home care team who works under the supervision of a registered nurse or therapist and performs various personal
care services as necessary to meet the patient's needs. The home health aide is responsible for observing patients, reporting these observations and documenting observations and care performed. The home health aide will be assigned in a manner that promotes quality, continuity and safety of a patient's care, and only after successful completion of a competency evaluation program. HHA is also a part of the interdisciplinary team.
DUTIES & RESPONSIBILITIES
Responsibilities of the home health aide include, but are not limited to, the following:
Providing personal care including:
Baths
Back rubs
Oral hygiene
Shampoos
Changing bed linen
Assisting patients with dressing and undressing
Nail & Skin care to prevent breakdown
Assisting the patient with toileting activities
Keeping patient's living area clean and orderly, as appropriate
Planning and preparing nutritious meals.
Assisting in feeding the patient, if necessary.
Taking and recording oral, rectal and axillary temperatures, pulse, respiration and blood pressure when ordered (with appropriate completed/demonstrated skills competency).
Assisting in ambulation and exercise according to the plan of care.
Performing range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency).
Assisting patient in the self-administration of medication.
Doing patient's laundry, as appropriate.
Meeting safety needs of patients and using equipment safely and properly (foot stools, side rails, etc.).
Reporting on patient's condition and significant changes to the assigned nurse.
Adhering to the Organization's documentation and care procedures and standards of personal and professional conduct.
Attend 12 clock hours of in-service training annually during a 12-month period.
As part of the Interdisciplinary Group (IDG), attend scheduled Case Conference meetings to discuss patients in which you are involved in.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job related tasks other than those stated in this description.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
Must have successfully completed a training and competency evaluation program that is approved by the respective state as meeting all requirements and listed in good standing in the state nurse registry. (
Note: Home health aide or nurseaide will not be considered completed in a program if there has been a continuous 24 months or greater period-of-time where the described aide services have not been provided. For lapses of this time-period or greater, the individual must complete another training and competency program prior to delivering any services
.)
At least 18 years of age.
Ability to read and follow written instructions and document care given.
Self-directing with the ability to work with little direct supervision.
Empathy for the needs of the ill, injured, frail and the impaired.
Possess and maintains current CPR certification.
Demonstrates tact, patience and good personal hygiene.
Licensed driver with automobile that is insured in accordance with Organization requirements and is in good working order.
All Kinder Hearts employees must be fully vaccinated against COVID-19 in accordance with federal law. Employees may request an accommodation due to medical or religious reasons and forms for doing so will be provided upon request. Employees must be fully vaccinated or
have an approved exemption by the first day of work. The home health aide will not function
in any manner viewed as the practice of nursing according to the State'sNurse Practice Act. Specifically, the home health aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a nurse, such as sterile techniques.
Work schedule
Monday to Friday
Benefits
Flexible schedule
Paid time off
Health insurance
Dental insurance
Vision insurance
Life insurance
Disability insurance
401(k)
401(k) matching
Paid training
Mileage reimbursement
$23k-33k yearly est. 60d+ ago
Advanced Certified Medication Aide - Nights
Oklahoma State Government
Certified nurses' aide job in Lawton, OK
Job Posting Title
Advanced Certified Medication Aide - Nights
Agency
650 DEPARTMENT OF VETERANS AFFAIRS
Supervisory Organization
Lawton/Ft. Sill Veterans Home
Job Posting End Date
Refer to the date listed at the top of this posting, if available. Continuous if date is blank.
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
- $25.00/hr
- Shift Differential: + $.87/hr
Job Description
Basic Purpose
Positions in this job family are assigned responsibilities for providing direct and indirect non-professional nursing care or outreach services in a clinic, hospital, institution, or home setting under nursing or medical supervision. This includes performing duties such as taking vital signs, obtaining lab specimens, charting, escorting patients, assisting with activities of daily living, and ordering and receiving supplies.
Typical Functions
Performs direct nursing tasks including taking vital signs, assisting with activities of daily living and hygiene needs, and obtaining certain lab specimens.
Charts observations and activities, reporting pertinent changes in the patient's condition.
Performs delegated or other specialized functions as educationally prepared.
Escorts patients to and from various destinations.
Assists in maintaining and providing a clean, safe environment.
Orders, receives and stores supplies and performs basic clerical functions.
Participates in follow-up activities and tracking clients, schedules appointments and performs other related tasks.
Provides case finding and recruitment of at risk persons for comprehensive health services.
Level Descriptor
This is the specialist level of this job family where employees are assigned responsibility for providing more complex patient care tasks and performs more advanced duties.
Knowledge, Skills, Abilities and Competencies
Knowledge, Skills and Abilities required at this level include knowledge of the English language to communicate effectively, both orally and in writing; of public health services available to the community; of record keeping; of the techniques of interviewing, of basic nursing practices and techniques; of basic methods of sanitation and personal hygiene; and of medical terminology. Ability is required to record observations and activities, to follow oral and written directions; to establish and maintain effective working relationships with others; to apply basic nursing techniques; and to judge a situation accurately and adopt an effective course of action.
Education and Experience
Education and Experience required at this level consists of two years of experience in providing patient care. Must have current Long-Term Care (CNA) certification and Certified Medication Aidecertification with the four advancements (Gastro, Respiratory, Glucose and Insulin).
Special Requirements
Some positions may require the possession of a valid Oklahoma driver's license and/or possession of a Class C (CDL) Commercial Driver's License at the time of appointment. The Department of Veterans Affairs requires current certification in good standing by the Oklahoma State Department of Health as a (CNA) CertifiedNursingAide for Level I and II. Level III requires certification as a (CMA-A) Certified Medication Aide Advanced by the Oklahoma State Department of Health.
Some agencies may have determined positions in this job family to be safety sensitive as defined by 63 O.S. ยง 427.8.
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:
Agency Contact
$25 hourly Auto-Apply 60d+ ago
Certified Medication Aide - Landing at Watermere Woodland Lakes
Integrated Real Estate Group
Certified nurses' aide job in Vernon, TX
Job Description
Integrated Real Estate Group
Join our family-owned company with 20 years of expertise in property development, senior housing, multi-family projects, and construction. We prioritize quality, community, and excellence in all our endeavors. Be part of a team committed to building thriving spaces and enhancing lives. Apply now to contribute to our legacy of success and innovation.
Landing at Watermere Woodland Lakes
Landing at Watermere Woodland Lakes is a brand-new resort-style assisted living community in the heart of Conroe, Texas.
Get paid DAILY with ZayZoon! Quick access up to 50% of your earned wages!
We are accepting resumes for experienced, dependable Medication Aide to join our thriving community.
Certified Medication Aide
Become part of a team that is committed to providing the highest quality care to our residents in a clean, comfortable, luxury setting.
Under the supervision and direction of a Licensed Nurse, the Medication Aide is responsible for care and assistance of memory care residents as well as proper administration of medications and treatments.
Performs skills to meet the activities of daily living (ADLs).
Assists the resident in maintaining a safe and clean environment
Ensures that adequate nutritional and fluid intake is provided. Assist Residents as needed.
Reports promptly any change of patient condition or other concerns to appropriate Supervisor.
Utilizes standard precautions and infection control procedures
Prepares resident progress notes and submits in a timely manner
Requirements:
CMAs must have current state registration
Utilizes basic knowledge of communication techniques, infection control, safety, body mechanics, and age-related differences when providing care.
Prefer a high school diploma or GED
Able to read, write and comprehend English
Must complete an annual training
One year experience preferred.
Must be 18 years old.
Benefits (Full Time Employees Only):
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability
Critical Illness & Accident Coverage
Legal & ID Theft
Referral Programs - employees and residents
Competitive Wages
ZayZoon - access 50% earned wages anytime
Integrated Real Estate Group is an Equal Opportunity Employer.
Integrated Real Estate Group participates in e-verify for employment authorization verification.
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$25k-34k yearly est. 6d ago
Certified Medication Aide
Morada Lawton
Certified nurses' aide job in Lawton, OK
About Morada Senior Living:
Morada Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, which was built on our โPillars of Excellence,โ employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent care for our residents.
Morada Senior Living is hiring Care/Medication Technicians for our community Morada Lawton.
We offer rewarding career opportunities that include:
Competitive wages
Access to wages before payday
Flexible scheduling options with full-time and part-time hours
Paid time off and Holidays (full-time)
Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time)
401(K) with employer matching
Paid training
Opportunities for advancement
Meals and uniforms
Employee Assistance Program
The Care Giver/Med Tech role includes providing hands-on care, physical and emotional support to each resident while maintaining a safe and comfortable home-like environment.
Responsibilities:
Care Giver:
Responsible for a designated group of residents during the shift; knows where their residents are and physically checks on them throughout the shift.
Observes, reports and documents symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, dietary and participation in activities.
Responds to security system and resident call bells promptly.
Notifies supervisor and/or Health Care Coordinator if a resident has increased care needs.
Assists with continence management and disposes of all continence products properly to ensure sanitation of resident suite and community restrooms.
Serves and collects food trays and assists as needed; reports refusal of meals or loss of appetite.
Maintains cleanliness of resident's room and work areas.
Practices good standard care precautions of cleanliness, hygiene and health.
Helps residents maintain independence, promotes dignity and physical safety of each resident.
Actively participates/leads and assists residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed.
Engages residents in life skills and other life enrichment activities.
Greets and assists all internal and external customers, guests, family members, residents, vendors and team members.
Does resident laundry as assigned and needed.
Medication Tech duties:
Reviews service plan to learn pertinent information about residents.
Assists/observes medications and treatments for each resident using the medication observation record and the Six Rights of Medication Pass.
Documents and initials form as medications are given including appropriate documentation for refusal or missed doses.
Maintains confidentiality of all resident information including resident medication.
Reports all resident concerns made while assisting resident with the medication to the Nurse and/or Health Care Coordinator (HCC).
Restocks medication cart after all medication passes.
Assists in checking medication regardless of packaging system.
Counts all narcotics with another Medication Care Manager or Nurse each shift.
Maintains and cleans the Medication Room, med charts, treatment carts for neatness cleanliness, availability of medications and expired medications.
Follows re-fill process for medications.
Participates in the development of the Service Plan and monthly updates.
Takes and records temperature, blood pressure, weight, pulse and respiration rates.
Reports occupational exposures to blood, body fluids, infectious materials, sharp sticks and hazardous chemicals immediately.
Other duties as assigned by the Supervisor.
Qualifications:
CertifiedNurse'sAidcertification preferred.
High School diploma/GED
Must be 18 years of age.
CPR Certification preferred
First AidCertification preferred
Previous experience working with seniors preferred.
If having a direct impact on the lives of others is appealing to you, apply today and join our team!
EOE D/V
JOB CODE: 1004134
$27k-37k yearly est. 53d ago
Advanced Certified Medication Aide (ACMA) With Insulin
Brentwood Senior Living
Certified nurses' aide job in Lawton, OK
We'reCertified as a GREAT PLACE TO WORK! At The Brentwood Senior Living, we believe in creating a workplace where people feel valued, supported, and inspired to make a difference every day. Join our team and discover how rewarding your career can be!
Now Hiring: Advanced Certified Medication Aide (ACMA)
About the Role:
As a ACMA, you'll play a crucial role in our residents' health and well-being. You'll administer medications and treatments while supporting our caregiving team to ensure residents remain safe, comfortable, and well cared for.
Key Responsibilities:
Administer medications safely and accurately within your scope of practice
Monitor medication dosages and maintain appropriate storage practices
Assist residents with activities of daily living
Check and record vital signs and weights to maintain resident stability
Provide personal hygiene care with respect and compassion
Respond promptly to resident call lights and requests
Ensure residents' comfort using available resources and materials
Transport residents as needed
Communicate observations and concerns to the nursing supervisor
Benefits We Offer:
Competitive Pay
Shift Differentials for select shifts and positions
Paycheck Advances
Paid sick leave and vacation
Paid Holidays
Medical, dental and vision insurance
Health and Dependent Care FSA
Company paid Basic Life Insurance
Voluntary benefits: Life, AD&D, Short-Term Disability, Critical Care & Accident Insurance
Employee Assistance Program (EAP)
401K Plan
Employee Discount Program
Paid Mentorship and professional growth opportunities
Employee Referral Bonus Program
Requirements
Active and valid Med Tech Certification
High school diploma or equivalent preferred
Pay Rate:
Apply Today!
Ready to join our team? Apply now and contact us today to schedule your interview.
Application Deadline:
Equal Opportunity Employer
We are an Equal Opportunity Employer. We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.
$27k-37k yearly est. 6d ago
Certified Medication Aide
Morada Senior Living
Certified nurses' aide job in Lawton, OK
Morada Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, which was built on our "Pillars of Excellence," employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent care for our residents.
Morada Senior Living is hiring Care/Medication Technicians for our community Morada Lawton.
We offer rewarding career opportunities that include:
* Competitive wages
* Access to wages before payday
* Flexible scheduling options with full-time and part-time hours
* Paid time off and Holidays (full-time)
* Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time)
* 401(K) with employer matching
* Paid training
* Opportunities for advancement
* Meals and uniforms
* Employee Assistance Program
The Care Giver/Med Tech role includes providing hands-on care, physical and emotional support to each resident while maintaining a safe and comfortable home-like environment.
Responsibilities:
Care Giver:
* Responsible for a designated group of residents during the shift; knows where their residents are and physically checks on them throughout the shift.
* Observes, reports and documents symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, dietary and participation in activities.
* Responds to security system and resident call bells promptly.
* Notifies supervisor and/or Health Care Coordinator if a resident has increased care needs.
* Assists with continence management and disposes of all continence products properly to ensure sanitation of resident suite and community restrooms.
* Serves and collects food trays and assists as needed; reports refusal of meals or loss of appetite.
* Maintains cleanliness of resident's room and work areas.
* Practices good standard care precautions of cleanliness, hygiene and health.
* Helps residents maintain independence, promotes dignity and physical safety of each resident.
* Actively participates/leads and assists residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed.
* Engages residents in life skills and other life enrichment activities.
* Greets and assists all internal and external customers, guests, family members, residents, vendors and team members.
* Does resident laundry as assigned and needed.
Medication Tech duties:
* Reviews service plan to learn pertinent information about residents.
* Assists/observes medications and treatments for each resident using the medication observation record and the Six Rights of Medication Pass.
* Documents and initials form as medications are given including appropriate documentation for refusal or missed doses.
* Maintains confidentiality of all resident information including resident medication.
* Reports all resident concerns made while assisting resident with the medication to the Nurse and/or Health Care Coordinator (HCC).
* Restocks medication cart after all medication passes.
* Assists in checking medication regardless of packaging system.
* Counts all narcotics with another Medication Care Manager or Nurse each shift.
* Maintains and cleans the Medication Room, med charts, treatment carts for neatness cleanliness, availability of medications and expired medications.
* Follows re-fill process for medications.
* Participates in the development of the Service Plan and monthly updates.
* Takes and records temperature, blood pressure, weight, pulse and respiration rates.
* Reports occupational exposures to blood, body fluids, infectious materials, sharp sticks and hazardous chemicals immediately.
* Other duties as assigned by the Supervisor.
Qualifications:
* CertifiedNurse'sAidcertification preferred.
* High School diploma/GED
* Must be 18 years of age.
* CPR Certification preferred
* First AidCertification preferred
* Previous experience working with seniors preferred.
If having a direct impact on the lives of others is appealing to you, apply today and join our team!
EOE D/V
JOB CODE: 1004134
$27k-37k yearly est. 54d ago
Advanced Certified Medication Aide - Nights
State of Oklahoma
Certified nurses' aide job in Comanche, OK
Job Posting Title Advanced Certified Medication Aide - Nights Agency 650 DEPARTMENT OF VETERANS AFFAIRS Supervisory Organization Lawton/Ft. Sill Veterans Home Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank.
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
* $25.00/hr
* Shift Differential: + $.87/hr
Job Description
Basic Purpose
Positions in this job family are assigned responsibilities for providing direct and indirect non-professional nursing care or outreach services in a clinic, hospital, institution, or home setting under nursing or medical supervision. This includes performing duties such as taking vital signs, obtaining lab specimens, charting, escorting patients, assisting with activities of daily living, and ordering and receiving supplies.
Typical Functions
* Performs direct nursing tasks including taking vital signs, assisting with activities of daily living and hygiene needs, and obtaining certain lab specimens.
* Charts observations and activities, reporting pertinent changes in the patient's condition.
* Performs delegated or other specialized functions as educationally prepared.
* Escorts patients to and from various destinations.
* Assists in maintaining and providing a clean, safe environment.
* Orders, receives and stores supplies and performs basic clerical functions.
* Participates in follow-up activities and tracking clients, schedules appointments and performs other related tasks.
* Provides case finding and recruitment of at risk persons for comprehensive health services.
Level Descriptor
This is the specialist level of this job family where employees are assigned responsibility for providing more complex patient care tasks and performs more advanced duties.
Knowledge, Skills, Abilities and Competencies
Knowledge, Skills and Abilities required at this level include knowledge of the English language to communicate effectively, both orally and in writing; of public health services available to the community; of record keeping; of the techniques of interviewing, of basic nursing practices and techniques; of basic methods of sanitation and personal hygiene; and of medical terminology. Ability is required to record observations and activities, to follow oral and written directions; to establish and maintain effective working relationships with others; to apply basic nursing techniques; and to judge a situation accurately and adopt an effective course of action.
Education and Experience
Education and Experience required at this level consists of two years of experience in providing patient care. Must have current Long-Term Care (CNA) certification and Certified Medication Aidecertification with the four advancements (Gastro, Respiratory, Glucose and Insulin).
Special Requirements
Some positions may require the possession of a valid Oklahoma driver's license and/or possession of a Class C (CDL) Commercial Driver's License at the time of appointment. The Department of Veterans Affairs requires current certification in good standing by the Oklahoma State Department of Health as a (CNA) CertifiedNursingAide for Level I and II. Level III requires certification as a (CMA-A) Certified Medication Aide Advanced by the Oklahoma State Department of Health.
Some agencies may have determined positions in this job family to be safety sensitive as defined by 63 O.S. ยง 427.8.
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:
Agency Contact
$25 hourly Auto-Apply 60d+ ago
CNA
Rapinno Tech
Certified nurses' aide job in Lawton, OK
CNA - responsible for providing Direct ADL Care, dressing, feeding, grooming, showering, etc. to residents in our Skilled Nursing Facility. Applicants will be required to document their work in our Electronic Health Record (PCC). Will be working on 25 - 30 bed units with other CNAs, CMA,s and LPN,s to care for our residents.
Specialty: Nursing
Sub Specialty(s): CNA LTC
Additional Information And Terms
No Additional Info And Terms Available
Facility Information
Client Name: Comanche County Memorial Hospital
Bed Size: 50-149
Facility Name: McMahon Tomlinson Nursing and Rehabilitation Center
Trauma Level: N/A
Facility Address:
2007 NW 52nd Street
Lawton, OK 73505
Facility Profile:
Contact Information
Account Executive(s) (for sales related inquiries): John Johnston
Account Manager(s) (for support related inquiries): Stacy Stessman
Job Details
Job Start Date: 5/19/2022
Number of Positions: 7
Number of Weeks: 13
Maximum Submissions Per Job: 6
Shift Information: 12 hours 7p-7a
State License Details: Must Be Currently Active
Bilingual: No
Holiday Coverage Required: No
EMR Used: Point Click
Minimum Years of Experience: 2
Specialty and Certification Information Specialty Information
Specialty Type: Nursing
Sub Specialties: CNA LTC
Certifications/Requirements
General Certifications
BLS/BCLS
Budget Information Rates
Rate Type: All Inclusive
Position Urgency: Quick Start
Charge Rate Differential: + N/A
Shift Rate Differential: + N/A
Guaranteed Hours: 36
Overtime Type: By The Week
Overtime Starts After: 40
Overtime Rate: All Inclusive Rate
On Call Rate: No Call
Call Back Minimum (Hrs): 0 Hour Minimum
Call Back Rate: N/A
Holiday Rate: All Inclusive Rate
24Hr On Call Rate: N/A
$24k-33k yearly est. 60d+ ago
CNA
Southwest LTC
Certified nurses' aide job in Lawton, OK
The CertifiedNursingAide (CNA) is responsible for the care of the residents in a designated area of the facility. CNAs are knowledgeable of the information as outlined on the interdisciplinary Care Plan and follows the plan. Provides information to keep the care plan current with the resident's needs. Provides restorative care for each resident in the assigned group keeping the resident well-groomed, clean and assists to meet the psychosocial needs. Assists to keep the resident care areas clean, in good working order, and a home like atmosphere for the resident. Communicates with the Licensed Staff and other department heads of the resident's needs. He/She reports all relevant observations to the Licensed Staff assigned to the unit in a timely manner. Documents information timely and daily on the Nursing Flow Record and other records as indicated. He/she attends in-services and staff meetings as required. The CertifiedNursingAide is responsible to the Licensed Staff assigned to the specific unit.
EDUCATION
Must be able to read, write, and follow oral instructions. High school education or equivalent is preferred. Must be at least enrolled in a certification program before employment begins and completion of the certification process is preferred prior to employment. Certification process must be completed within state designated deadlines.
Must have and maintain a C.N.A. certification accordingly. Must continue to maintain background checks in good standing according to the requirements of Texas Department of Aging & Disability Services (DADS).
Qualifications
1. Has the ability to organize, plan and supervise care of a group of resident assuring quality is provided at all time for this group as well as others in the facility.
2. Maintains effective interpersonal relationships.
3. Is of good emotional, mental and physical health having sound judgment and high standards.
4. Is willing and capable of providing emergency care as needed for any resident in the facility.
5. Is courteous in working with residents, families, and employees.
6. Maintains a neat, well groomed appearance at all times. Keeps personal appearance appropriate for resident care.
7. Has a desire to work with the geriatric resident and their current and prospective needs.
8. Must be in the facility ready to begin assigned duties on time and as scheduled.
9. Must be willing to work preferred shifts as scheduled and assist on other shifts as needed to assure adequate staffing to meet the needs of each resident.
10. Must have the ability to provide the care as outlined on the interdisciplinary Care Plan and other assignments for each resident in assigned group.
11. Must demonstrate ability to function as a cooperative team member with each member of the Nursing Department and other departments.
12. Must have ability to provide related bedside resident care services as per facility policy and procedures.
13. Must display ability to adapt to on-the-job training and adhere to standards of the facility providing personal care services, assisting residents, caring for equipment and supplies and developing good understanding of basis of aseptic and sterile techniques.
14. Must be able and willing to function appropriately in a disaster or evacuation of the facility.
15. Must demonstrate ability to follow direction of supervising staff.
16. Must have a pre-employment and an annual Tuberculosis screening examination.
RESPONSIBILITIES
It is to be understood that the Nursing Assistant works by general, consistent, prearranged "Primary" group assignments as the basis of the activity for the shift, but must be able to accept changes and adapt to added assignment as the need arises. Also, each Nursing Assistant must work with each other to assure safe practices for each resident and staff are followed.
1. Signs in on Unit Assignment Sheet.
2. Reviews any changes on Group Assignment Sheets. Receives report from Licensed Staff assigned to the unit updating Group Assignment sheet as indicated.
3. Checks residents and makes rounds on assigned group noting significant issues for intervention. Begin planning time to assure all resident's needs are met throughout the shift.
4. Assists residents as indicated to provide A.M., P.M. and daily care to assure residents are clean, dry, toileted, continent, well-groomed and cared for in the manner they deserve. Follows restorative plan as outlined on the Interdisciplinary Care Plan. Provides for privacy and dignity at all times.
5. Assists residents to meals. Assists residents to toilet prior to meals. Assists resident to wash hands and face, brush teeth, put on glasses, get to dining room and in good position prior to meal.
6. Provides assistance and restorative eating as indicated. For those residents who are the most debilitated, consider their weakness in planning time for the whole group of residents.
7. After meal, assist resident to wash hands and faced, return to their room and toilet as needed.
8. Assists in dining areas as assigned. Offers assistance to residents as needed. Offers substitutions for items not eaten well by any resident. Promotes atmosphere conducive to an increased nutritional intake for each resident in the dining room.
9. For those residents unable to go to the dining room, assists in service, assisting and supervising meal service as assigned.
10. Assists in transporting used trays to the kitchen following appropriate infection control policies and procedures.
11. Assists residents to plan their time to enable them to be well cared for as well as attend their desired functions during the shift (i.e. activities, visits with each other and their families, outings, meals, quiet times, etc.)
12. Answers call lights timely assisting with care as indicated. Keeps call lights available for the residents.
13. Encourages and motivates residents to participate in recreational activity of body and mind.
14. Provides and keeps fresh water and fluids available for the residents at all times. Offers fluids at least every 2 hours or each time in the room when appropriate.
15. Timely serves and provides assistance with between meal nourishments as indicated.
16. Follows bath and whirlpool schedules as outlined for each resident. Do nail care, wash hair, save, etc. to assure personal hygiene practices are always followed.
17. Checks all residents frequently and at least every 2 hours assuring the resident is repositioned, turned, toileted, clean safe, etc. Provides intervention as needed to provide a safe clean environment.
18. Checks each resident who is being physically restrained releasing the restraint and assisting the resident to toilet at least every 2 hours.
19. Checks all residents daily for condition of skin, reporting findings to Licensed Staff assigned to unit.
20. Assists licensed staff when needed to position residents in need of treatments.
21. Keeps hand rolls and positioning devices in place as needed and as indicated for each resident.
22. Assists residents to bed for naps or night sleep as needed. Provides a quiet restful and safe atmosphere when residents are resting.
23. Takes and records vital parameters as assigned. Assists with weekly and monthly weights as assigned.
24. Cleans and properly arranges all bedroom furniture to include keeping the residents orderly, clean, and following infection control guidelines.
25. Assists the residents in keeping closets clean, clothing clean and in good repair, marked with their name, etc.
26. Assists residents to keep bathrooms clean, following infection control and privacy practices.
27. Changes residents bed clothing to assure the bedding is clean, not wrinkled, and promotes good hygiene and care practices.
28. Follows appropriate infection control practices in working with the residents and equipment.
29. Keeps accurate records of intake and outputs and procedures throughout the shift for those residents who require such.
30. Records information on the Nursing Care Records timely.
31. Keeps Licensed Staff informed of pertinent information timely. Writes pertinent information on the Group Assignment Sheet and Communication Books.
32. Provides information accurately and timely for information to be added to the residents Interdisciplinary Care Plan.
33. Cleans ancillary rooms and equipment as assigned. Assists other members of the staff to keep each area of the facility clean, orderly, safe, and a homelike atmosphere for the residents.
34. Assists other staff members as needed throughout the shift. Cooperates with other personnel to be sure residents are of prime importance to all members of the staff;
35. Assists new staff members in orientation as needed throughout the shift.
36. Maintains safe environment at all times, wiping up spills, working with housekeeping staff when available picking up articles as noted, etc.
37. Gives report to Licensed Staff and turn in completed Group Assignment sheet prior to leaving the unit to go off duty.
38. Performs any other tasks as assigned by the Licensed Staff, Director of Nursing or Assistant Director of Nursing.
$24k-33k yearly est. 12d ago
Certified Nursing Assistant (CNA)
Carpenter Health Network 3.5
Certified nurses' aide job in Wichita Falls, TX
Job Description
Now hiring for Fulltime CertifiedNursing Assistants (CNA) in Wichita Falls, TX!
Be a part of something exciting at Swan Health - the newest member of The Carpenter Health Network! Make a real impact where compassionate care and career growth go hand in hand.
Essential duties:
Provide compassionate patient care
Assist with all patients needs to include vital signs, meal preparation, personal hygiene and required documentation.
Requirements:
Current TexasCertifiedNursing Assistant registration
Have dependable transportation, driver's license, and car insurance
Patient care oriented
Excellent written and verbal communication skills
Make a difference in the lives of others - and your own - with SWAN Health. Apply today!
$21k-28k yearly est. 4d ago
CNA 6am to 6pm
Texhoma Christian Care Center 4.2
Certified nurses' aide job in Wichita Falls, TX
Basic Function: Responsible for performing nursing procedures and patient care tasks. Responsible for assisting residents/patients with activities of daily living.
$23k-27k yearly est. 4d ago
Transport Aide
Electra Hospital District
Certified nurses' aide job in Electra, TX
Responsible for assisting in the safe and timely transportation of residents to various appointments, activities, and other destinations within or outside of the facility. Works closely with nursing staff and other healthcare professionals to support the overall well-being of the residents.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Assist residents during transport.
Accompany residents to and from medical appointments, therapy sessions, activities, and other scheduled destinations.
Assist residents getting into and out of vehicles or transport equipment, ensuring that they are secure and comfortable during transit.
Observe residents for any signs of distress or discomfort during transport and promptly report any concerns to medical staff.
Assist with an ensure the proper use of mobility aids.
Adhere to all safety and infection control protocols, including the use of personal protective equipment when necessary.
Record pertinent details related to each transport, including times, routes, and any incidents that occur during transit.
Work alongside nurses and other healthcare professionals to ensure the transportation needs of each resident are met with proper care and professionalism.
OTHER SIGNIFICANT REQUIREMENTS:
Maintain confidentiality on a daily basis.
Work well with other employees.
Perform other functions and tasks as assigned.
WHY EHD?
PEOPLE FIRST
Our staff is our most valued asset. Electra Hospital District operates eleven businesses that work as a team to provide complete continuity of care for our patients. We know that people make the difference and consider our team members the best in the business.
BENEFITS & COMPENSATION
It takes the best of the best to provide superior patient care. Our employees make a difference in our quality care, and we reward them for their dedication. We offer competitive, market-driven compensation and benefit plans.
CULTURE & SUPPORT
We believe that the best patient care comes from happy employees. At Electra Hospital District, we strive to create a family culture with open lines of communication. A dedicated employee appreciation committee provides year-round fun at all our locations.
Qualifications
EDUCATION: High school diploma or equivalent preferred.
EXPERIENCE: One year experience in medical field preferred.
PERSONAL JOB-RELATED SKILLS: Knowledge of patient care services. Effective written and oral communication skills. Familiar with operating computers and the ability to utilize computer systems.
PHYSICAL AND MENTAL REQUIREMENTS: Duties of the position require moderate periods of walking and standing. Pushing, pulling, reaching, and bending, when involved in patient care. Lifting up to 52 pounds and occasional heavy lifting in supporting patients that may suddenly become weak or helpless. The ability to comprehend and follow written and verbal instructions.
$23k-29k yearly est. 4d ago
Certified Medication Aide
Morada Lawton
Certified nurses' aide job in Lawton, OK
Job Description
About Morada Senior Living:
Morada Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages care- and lifestyle-focused senior living communities in Texas, Oklahoma, New Mexico, and Colorado. Our company, which was built on our โPillars of Excellence,โ employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent care for our residents.
Morada Senior Living is hiring Care/Medication Technicians for our community Morada Lawton.
We offer rewarding career opportunities that include:
Competitive wages
Access to wages before payday
Flexible scheduling options with full-time and part-time hours
Paid time off and Holidays (full-time)
Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time)
401(K) with employer matching
Paid training
Opportunities for advancement
Meals and uniforms
Employee Assistance Program
The Care Giver/Med Tech role includes providing hands-on care, physical and emotional support to each resident while maintaining a safe and comfortable home-like environment.
Responsibilities:
Care Giver:
Responsible for a designated group of residents during the shift; knows where their residents are and physically checks on them throughout the shift.
Observes, reports and documents symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, dietary and participation in activities.
Responds to security system and resident call bells promptly.
Notifies supervisor and/or Health Care Coordinator if a resident has increased care needs.
Assists with continence management and disposes of all continence products properly to ensure sanitation of resident suite and community restrooms.
Serves and collects food trays and assists as needed; reports refusal of meals or loss of appetite.
Maintains cleanliness of resident's room and work areas.
Practices good standard care precautions of cleanliness, hygiene and health.
Helps residents maintain independence, promotes dignity and physical safety of each resident.
Actively participates/leads and assists residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed.
Engages residents in life skills and other life enrichment activities.
Greets and assists all internal and external customers, guests, family members, residents, vendors and team members.
Does resident laundry as assigned and needed.
Medication Tech duties:
Reviews service plan to learn pertinent information about residents.
Assists/observes medications and treatments for each resident using the medication observation record and the Six Rights of Medication Pass.
Documents and initials form as medications are given including appropriate documentation for refusal or missed doses.
Maintains confidentiality of all resident information including resident medication.
Reports all resident concerns made while assisting resident with the medication to the Nurse and/or Health Care Coordinator (HCC).
Restocks medication cart after all medication passes.
Assists in checking medication regardless of packaging system.
Counts all narcotics with another Medication Care Manager or Nurse each shift.
Maintains and cleans the Medication Room, med charts, treatment carts for neatness cleanliness, availability of medications and expired medications.
Follows re-fill process for medications.
Participates in the development of the Service Plan and monthly updates.
Takes and records temperature, blood pressure, weight, pulse and respiration rates.
Reports occupational exposures to blood, body fluids, infectious materials, sharp sticks and hazardous chemicals immediately.
Other duties as assigned by the Supervisor.
Qualifications:
CertifiedNurse'sAidcertification preferred.
High School diploma/GED
Must be 18 years of age.
CPR Certification preferred
First AidCertification preferred
Previous experience working with seniors preferred.
If having a direct impact on the lives of others is appealing to you, apply today and join our team!
EOE D/V
$27k-37k yearly est. 25d ago
Advanced Certified Medication Aide (ACMA) With Insulin
Brentwood Senior Living
Certified nurses' aide job in Lawton, OK
Job DescriptionDescription:
We'reCertified as a GREAT PLACE TO WORK! At The Brentwood Senior Living, we believe in creating a workplace where people feel valued, supported, and inspired to make a difference every day. Join our team and discover how rewarding your career can be!
Now Hiring: Advanced Certified Medication Aide (ACMA)
About the Role:
As a ACMA, you'll play a crucial role in our residents' health and well-being. You'll administer medications and treatments while supporting our caregiving team to ensure residents remain safe, comfortable, and well cared for.
Key Responsibilities:
Administer medications safely and accurately within your scope of practice
Monitor medication dosages and maintain appropriate storage practices
Assist residents with activities of daily living
Check and record vital signs and weights to maintain resident stability
Provide personal hygiene care with respect and compassion
Respond promptly to resident call lights and requests
Ensure residents' comfort using available resources and materials
Transport residents as needed
Communicate observations and concerns to the nursing supervisor
Benefits We Offer:
Competitive Pay
Shift Differentials for select shifts and positions
Paycheck Advances
Paid sick leave and vacation
Paid Holidays
Medical, dental and vision insurance
Health and Dependent Care FSA
Company paid Basic Life Insurance
Voluntary benefits: Life, AD&D, Short-Term Disability, Critical Care & Accident Insurance
Employee Assistance Program (EAP)
401K Plan
Employee Discount Program
Paid Mentorship and professional growth opportunities
Employee Referral Bonus Program
Requirements:
Active and valid Med Tech Certification
High school diploma or equivalent preferred
Pay Rate:
Apply Today!
Ready to join our team? Apply now and contact us today to schedule your interview.
Application Deadline:
Equal Opportunity Employer
We are an Equal Opportunity Employer. We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.
$27k-37k yearly est. 3d ago
CNA
Rapinno Tech
Certified nurses' aide job in Lawton, OK
CNA - responsible for providing Direct ADL Care, dressing, feeding, grooming, showering, etc. to residents in our Skilled Nursing Facility. Applicants will be required to document their work in our Electronic Health Record (PCC). Will be working on 25 - 30 bed units with other CNAs, CMA,s and LPN,s to care for our residents.
Specialty:
Nursing
Sub Specialty(s):
CNA LTC
Additional Information And Terms
No Additional Info And Terms Available
Facility Information
Client Name:
Comanche County Memorial Hospital
Bed Size:
50-149
Facility Name:
McMahon Tomlinson Nursing and Rehabilitation Center
Trauma Level:
N/A
Facility Address:
2007 NW 52nd Street
Lawton, OK 73505
Facility Profile:
Job Details
Job Start Date:5/19/2022
Number of Positions:7
Number of Weeks:13
Maximum Submissions Per Job:6
Shift Information:12 hours 7p-7a
State License Details: Must Be Currently Active
Bilingual: No
Holiday Coverage Required: No
EMR Used: Point Click
Minimum Years of Experience:2
Specialty Information
Specialty Type: Nursing
Sub Specialties LTC
Certifications/Requirements
General Certifications/BCLS
Budget Information Rates
Rate Type: All Inclusive
Position Urgency: Quick Start
Charge Rate Differential:+ N/A
Shift Rate Differential:+ N/A
Guaranteed Hours:36
Overtime Type: By The Week
Overtime Starts After:40
Overtime Rate: All Inclusive Rate
On Call Rate: No Call
Call Back Minimum (Hrs):0 Hour Minimum
Call Back Rate:N/A
Holiday Rate:All Inclusive Rate
24Hr On Call Rate:N/A
$24k-33k yearly est. 60d+ ago
Certified Nursing Assistant (CNA)
Carpenter Health Network 3.5
Certified nurses' aide job in Wichita Falls, TX
Now
hiring
for
Fulltime
CertifiedNursing
Assistants
CNA
in
Wichita
Falls
TX
Be
a
part
of
something
exciting
at
Swan
Health
the
newest
member
of
The
Carpenter
Health
Network
Make
a
real
impact
where
compassionate
care
and
career
growth
go
hand
in
hand
Essential
Provide
compassionate
patient
care Assist with all patients needs to include vital signs meal preparation personal hygiene and required documentation Requirements Current TexasCertifiedNursing Assistant registration Have dependable transportation drivers license and car insurance Patient care oriented Excellent written and verbal communication skills Make a difference in the lives of others and your own with SWAN Health Apply today
$21k-28k yearly est. 6d ago
Certified Medication Aide
State of Oklahoma
Certified nurses' aide job in Comanche, OK
Job Posting Title Certified Medication Aide Agency 131 DEPARTMENT OF CORRECTIONS Supervisory Organization DOC Medical/RRCC Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.
Estimated Appointment End Date (Continuous if Blank)
Full/Part-Time
Full time
Job Type
Regular
Compensation
Level I: $41,600.00
Level II: $45,760.00
REQUIRED: Please upload your Certified Medication Aide license.
Basic Purpose:
Positions in this job family are assigned responsibilities for providing direct and indirect non-professional nursing care or outreach services in a clinic, hospital, institution, or home setting under nursing or medical supervision. This includes performing duties such as taking vital signs, transporting lab specimens, charting, escorting patients, assisting with activities of daily living, delivering medications, and ordering or receiving supplies.
Typical Functions:
* Performs direct nursing tasks including taking vital signs, assisting with activities of daily living and hygiene needs, and obtaining certain lab specimens.
* Charts observations and activities, reporting pertinent changes in the patient's condition.
* Performs delegated or other specialized functions as educationally prepared.
* Escorts patients to and from various destinations.
* Assists in maintaining and providing a clean, safe environment.
* Orders, receives and stores supplies and performs basic clerical functions.
* Participates in follow-up activities and tracking clients and performs other related tasks.
* Tracks and orders patient medications.
Level Descriptor:
Level I
This is the basic level where employees function as Certified Medication Aides and provide care or services to patients or clients. In this role they will primarily assist other patient care staff in performing various functions and work under close supervision.
Level II
Positions in this job family are assigned responsibilities for providing direct and indirect non-professional nursing care or outreach services in a clinic, hospital, institutional or home setting under nursing or medical supervision. This includes performing duties such
as taking vital signs, obtaining lab specimens, charting, escorting patients, assisting with activities of daily living, and ordering and receiving supplies.
Knowledge, Skills, Abilities, and Competencies:
Level I
Knowledge, skills and abilities required at this level include knowledge of the English language in order to communicate effectively, both orally and in writing. Ability is required to record observations and activities; to follow oral and written directions; and establish and maintain effective working relationships with others.
Level II
Knowledge, skills and abilities required at this level include knowledge of the English language in order to communicate effectively, both orally and in writing; of public health services available to the community; of record keeping; of the techniques of interviewing; of basic nursing practices and techniques; of basic methods of sanitation and personal hygiene; and of medical terminology. Ability is required to record observations and activities; to follow oral and written directions; to establish and maintain effective working
relationships with others; and to apply basic nursing techniques.
Education and Experience:
Level I
Education and experience required at this level is Certified Medication Aide licensure.
Level II
Education and experience required at this level consists of one year of experience in providing patient care and Certified Medication Aide licensure.
Special Requirements:
The Department of Corrections has determined that some positions in this job family are safety sensitive as defined by 63 O.S. ยง 427.8.
Additional Job Description:
Red Rock Correctional Center/Medical
This is not a remote position.
Equal Opportunity Employment
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.
Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.
If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:
Agency Contact
$41.6k-45.8k yearly Auto-Apply 1d ago
CNA 6pm to 6am
Texhoma Christian Care Center 4.2
Certified nurses' aide job in Wichita Falls, TX
Basic Function: Responsible for performing nursing procedures and patient care tasks. Responsible for assisting residents/patients with activities of daily living.
$23k-27k yearly est. 4d ago
Certified Medication Aide - FT Days & Nights
Electra Hospital District
Certified nurses' aide job in Electra, TX
Under the supervision of nursing staff members, assists in providing nursing resident care, prepares records, and maintains a clean and safe environment. Responsible for safely administering medication to residents in accordance with their prescribed treatment plans and ensuring compliance with state regulations.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Provide nursing resident care and medication administering services for the facility
Safely administer prescribed medications to residents in accordance with their medication orders and protocols.
Accurately document medication administration in the resident's medical records, ensuring that all required information is recorded and updated.
Observe residents for side effects, adverse reactions, or changes in health status after medication administration and report to the charge nurse.
Assist with medication storage, ensuring medications are kept in proper conditions, and track medication usage to prevent errors.
Receive staff report on residents during shift change and review completion of report and throughout assigned shift, noting changes or addition of resident assignments.
Provide personal, physical and nutritional care according to requirements of the residents and document appropriately.
Answer call lights in a timely manner.
Perform the cleaning and sterilization of equipment, resident rooms, and work areas.
Perform procedures and treatments designed to prevent physical deterioration and as assigned and document appropriately.
Communicate and treat residents in a professional, honest, fair, and respectful manner at all times.
Provide care appropriate for the residents served based on demonstrated knowledge of the principles of growth and development over the life span.
Assess and interpret data on the residents' status to identify residents' requirements relative to their age-specific needs and provides care needed as stipulated in departmental policy.
Total intake and output, chart vital signs, foley catheter care, meal and snacks percentages all within an hour of shift change.
Observe resident every hour and report unusual conditions to the charge nurse on duty.
Obtain vital signs and document appropriately on each resident every shift and report abnormalities to the charge nurse on duty.
Assist the charge nurse in resident care activities.
Restock chart forms, care plans, and other required paperwork.
Gather and provide information as directed.
Ensure inventory at nurses' station and other areas are adequately stocked with supplies necessary for efficient operation.
Transport residents to and from designated areas and assigned rooms in a safe manner and notify appropriate personnel.
Replace sharp containers and disposable glove boxes when needed.
Empty trash receptacles at nurses' station and in residents' rooms at end of shift.
OTHER SIGNIFICANT REQUIREMENTS:
Work well with other employees.
Maintain confidentiality on a daily basis.
Perform other functions and tasks as assigned.
Follow standard precautions when providing direct patient care or handling potentially infectious materials.
WHY EHD?
PEOPLE FIRST
Our staff is our most valued asset. Electra Hospital District operates eleven businesses that work as a team to provide complete continuity of care for our patients. We know that people make the difference and consider our team members the best in the business.
BENEFITS & COMPENSATION
It takes the best of the best to provide superior patient care. Our employees make a difference in our quality care, and we reward them for their dedication. We offer competitive, market-driven compensation and benefit plans.
CULTURE & SUPPORT
We believe that the best patient care comes from happy employees. At Electra Hospital District, we strive to create a family culture with open lines of communication. A dedicated employee appreciation committee provides year-round fun at all our locations.
Qualifications
EDUCATION: High school diploma or equivalent required.
EXPERIENCE: One year experience in a medical setting or skilled nursing facility preferred.
PERSONAL JOB-RELATED SKILLS: Knowledge of resident care and medication administration services. Strong attention to detail. Effective written and oral communication skills. Familiar with operating computers and the ability to utilize computer systems.
LICENSURE, REGISTRY, CERTIFICATIONS: Current Certified Medication Aidecertification required. Current CPR certification required.
PHYSICAL AND MENTAL REQUIREMENTS: Duties of the position require moderate periods of walking and standing. Pushing, pulling, reaching, and bending when involved in patient care. Lifting up to 52 pounds and occasional heavy lifting in supporting or moving patients that may suddenly become weak or helpless. The ability to comprehend and follow written and verbal instructions.
How much does a certified nurses' aide earn in Wichita Falls, TX?
The average certified nurses' aide in Wichita Falls, TX earns between $20,000 and $38,000 annually. This compares to the national average certified nurses' aide range of $24,000 to $42,000.
Average certified nurses' aide salary in Wichita Falls, TX
$27,000
What are the biggest employers of Certified Nurses' Aides in Wichita Falls, TX?
The biggest employers of Certified Nurses' Aides in Wichita Falls, TX are: