Emergency Department Registered Nurse jobs at Munson Healthcare

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life Provide compassionate, patient-centered care as part of a collaborative nursing team Assess, monitor, and stabilize paients in emegrent situations Administer medications and treatments according to care plans Communicate effectively with patients, families, and team members Support quality improvement initiatives and adherence to safety standards Qualifications What's Required Licensed RN in the State of Michigan Experience in ER preferred Additional Information This position is eligible for a $10,000 sign-on bonus with 2-year employment commitment to Munson Healthcare! Terms and conditions apply. Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Union: RN / RPh Status: Full time Schedule: 7:00 p.m.-7:30 a.m. Every Other Weekend FTE: 1.0 Has authority and responsibility for the management of Nursing care and services for a specified group of patients. Performs with professional judgment the on-going observations, assessments, and Nursing actions in relation to identified patient needs. Complies with all appropriate safety and infection control standards. Participates in quality assessment and continuous quality improvement activities. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the direct supervision of a Manager or designee who assigns areas of responsibility and reviews results for compliance with established standards. May direct and coordinate the work of professional and ancillary personnel providing Nursing care to patients. Responsibilities Completes initial Nursing assessment per hospital policy; plans and implements written individual Nursing care plans based on assessments; updates and maintains care plans as appropriate. Provides or directs performance of nursing techniques for patient comfort and well-being, including bathing, feeding, and oral hygiene. Instructs patients regarding various aspects of treatment plans in order to minimize apprehension associated with hospitalization, as well as to educate patient on steps necessary to achieve and maintain optimal health levels. Makes regular rounds of assigned patients, observing, recording, evaluating and reporting patient symptoms, vital signs, responses to treatment or medications. Follows through with appropriate action. Maintains accurate accountability of all narcotic administration records; gives intravenous and other medications and blood transfusions. Assists in planning for patient disposition, i.e., discharge planning, patient/family training. Takes an active role in maintaining professional skills related to area of practice. Assesses patient for ongoing continuum of care needs. Assists in orientation of unit personnel and students. Participates in policy and procedure interpretation, implementation, and evaluation regarding delivery of patient care and unit operations. Utilizes computer/information systems for input or retrieval of information. Practices within Michigan State Nurse Practice Act. Demonstrates effective judgment and ability to understand, react competently, and treat (if appropriate) the unique needs of patient age groups served. Performs other related duties as required. Utilizes new improvements and/or technology that relate to job assignment. Qualifications Graduation from an accredited school of Nursing. Must obtain BLS certification upon start of position and must maintain certification per AHA guidelines. Knowledge of professional Nursing theory and practice. Clinical competence in applying Nursing techniques to specific needs. Preferred experience in site area. Ability to establish and maintain an effective and harmonious working relationship with patients, family, team members, physicians, and support staff. NECESSARY SPECIAL QUALIFICATIONS: Current Michigan licensure as a Registered Nurse.

GENERAL SUMMARY: Assumes a direct role in assessing, educating, evaluating and planning diabetes self-management education for patients, family and significant others. Collaborates with nursing departments, Registered Dietitians and other health care personnel in diabetes education and treatment options. Provides nursing consultation for other HMC departments as it relates to diabetes and diabetes education. Collaborates with community agencies and performs related work as requested. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. SUPERVISION RECEIVED: Works under the general direction of the Director for Ambulatory Operations, or designee, who reviews work primarily through conferences and reports. Position requires a self-directed approach to performing responsibilities and duties. RESPONSIBILITIES AND DUTIES: Develop and deliver individualized education plans for diabetes and pregnancy, encompassing nutrition, blood glucose monitoring, medication management including insulin initiation and pump therapy to minimize diabetes-related complications during pregnancy and the postpartum period. Collaborate with perinatologists and perinatal Advanced practitioners to develop and implement care plans. Explain the potential risks and complications associated with gestational diabetes and uncontrolled blood sugar during pregnancy for both mother and baby. Provides patient/family education in either the classroom or individual setting based on identified needs. Refers patients/families to appropriate community agencies and other resources based on evidenced needs. Provides in-depth instruction on using diabetes devices, such as insulin meters and pumps. Documents education based on hospital standards and in accordance with regulatory agencies for quality diabetes self-management education. Evaluates diabetes education and patient level of education, along with behavioral goal attainment. Communicates effectively with staff, patients, family, physicians and others in person, in writing, on the phone and electronically. Presents, when asked, to support groups and other interested community organizations and professional organizations. May be asked to coordinate the support group schedule and presentations. Participates in health fairs as needed. Identifies, to the Director, needed changes in curriculum, teaching plans, handouts and educational manuals and any other areas related to diabetes education. Meets with sales representatives as needed to maintain updated information related to diabetes education, medications, blood glucose meters, technology and other areas that may impact patients with diabetes. Aids to to ensure a smooth transition of care for postpartum handover to endocrinologist or primary care physician. Works to book appointments in conjunction with the secretary. Demonstrates effective judgment and ability to understand, react competently, and treat (if appropriate) the unique needs of patient age groups served. Is responsible to maintain and update own knowledge base related to diabetes and diabetes education by reading the circulated professional magazines, going on line to research areas of need and obtaining yearly CEU's Serves as role model demonstrating high level of knowledge regarding diabetes treatment, care and education. Performs other related duties as required, including new improvements and/or technology that relate to job assignment. Agrees to scheduling flexibility; based on the needs of the MFM department and the community. MINIMUM ENTRANCE REQUIREMENTS: Current Michigan licensure as a Registered Nurse Bachelor's degree in health care education, health care administration or other management related field from an accredited college or university; preferred. Two (2) years of professional clinical experience as a Registered Nurse; preferred candidates will have at least two (2) years of diabetes education experience. Certified BLS provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) or American Red Cross obtained within 18 months prior to hire date or job transfer date or Certified Instructor. Ability to work independently, set priorities and organize work while maintaining flexibility. Ability to establish and maintain effective, harmonious working relationships with patients and their families, physicians and staff, external agencies and the public. NECESSARY SPECIAL REQUIREMENT: Preferred applicants will already have certification as a Diabetes Educator by the National Certification Board for Diabetes Educators. Applicants not already certified must become board-eligible as a Diabetes Educator by the National Certification Board for Diabetes Educators within three (3) years from date of appointment to classification. Failure to become certified within the specific time period may result in the employee's termination.

Registered Nurse (RN) Emergency Department Find more than your next nursing job. Find your community. * We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. * After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as an ED Nurse at Munson Healthcare? * Teamwork and support - our multidisciplinary teams include experienced and new graduate RNs, providers, clinicians and support staff who will help you transition to your new role. * Nationally-recognized care - Top 100 hospitals, Level II and IV EDs located throughout norther Michigan with more than 140,000 visits a year, Certified Stroke Center and stroke robots in community hospitals, Trauma Acute Care Surgery team and specialized behavioral health care. * Commitment to growth and development - we offer an RN Residency Program, thousands of educational offerings, leadership development, simulation education and tuition reimbursement Why Choose Munson Healthcare: * Balance - Get out on the water, in the woods, on the trails or around town * Opportunity - Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system * Flexibility - A career that can change as your life changes * Teamwork - Our people make Munson Healthcare a great place to work! What's Required: * Active Registered Nurse license in the State of Michigan * Graduate nurses and new RNs are accepted * One year of recent ER RN experience preferred The Benefits of Working at Munson: * Sign-On Bonus up to $10,000* * Competitive salaries * Full benefits, paid holidays, and paid time off (up to 19 days your first year) * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans, an employee assistance program and employee discounts * Terms and conditions apply About Traverse City, Michigan Traverse City is an official "Coast Guard City" and sits at the base of twin bays. We have award-winning schools, a community college, year-round recreation, as well as vibrant cultural and social opportunities often found in much larger cities.

Find more than your next nursing job. Find collaboration. At Munson Healthcare, nurses are respected clinical experts, mentors, advocates, leaders in practice and central to improving our patients' lives. Are you ready to finally work with an employer who values your contribution? What makes Dialysis Nursing different at Munson Healthcare? * Teamwork and support - multidisciplinary teams include experienced and new graduate RNs, providers, clinicians and support staff who will help you transition to your new role * Nationally-recognized care - our dialysis centers has been recognized by the Centers for Medicare and Medicaid Services (CMS) for providing some of the highest quality care in the nation * Close-knit communities - our patients are our neighbors and we are a big part of our communities * Work-life balance - get out on the water, in the woods, on the trails or around town after work * Commitment to growth and development - thousands of educational offerings, leadership development, simulation education and tuition reimbursement What's Required: * An active Registered Nurse license in the State of Michigan * Certification in the specialty area of practice is strongly encouraged * A comfort level providing direction to and supervision of LPNs, Techs, Clerks, Nursing Assistants, and other unit team members * Being a self-directed professional with the ability to make independent judgments directing patient care * The ability to work collaboratively and effectively with all members of the Patient Care Team * Graduate nurses and new RNs are also accepted Experience the Total Rewards at Munson: * Competitive starting salaries * Full medical, dental and optical * Healthcare and dependent care flex spending account * Paid holidays and paid time off (up to 19 days your first year) * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans and discounted gym memberships * Employee assistance program * Optional financial security benefits to support you and your family * Terms and conditions apply Whether you're ready to apply now or want to ask some additional questions, click the "Apply" button and complete a short application form. One of our RN recruiters will contact you to talk more about your interest and becoming part of the Munson Healthcare team.

Registered Nurse - PACU Find more than your next job. Find your community. * We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. * After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a RN in PACU at Munson Healthcare? * Teamwork and support- our multidisciplinary teams include experienced and new graduate RNs, providers, clinicians and support staff who will help you transition to your new role. * Provides and pre and post anesthesia care for surgical and procedural patients * Works collaboratively with anesthesia providers * Perform outpatient and inpatient surgeries, 60-70 cases/day * PACU Residency Program (12 months) * Commitment to growth and development - thousands of educational offerings, leadership development, simulation education and tuition reimbursement. Why Choose Munson Healthcare: * Balance- Get out on the water, in the woods, on the trails or around town * Opportunity- Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system * Flexibility- A career that can change as your life changes * Teamwork - Our people make Munson Healthcare a great place to work! What's Required: * Active Registered Nurse license in the State of Michigan * Experience caring for adult surgical patients within the last 3 years preferred. * BCLS, and ACLS, required upon hire, PALS within 6 months of hire. The Benefits of Working at Munson: * Sign-On Bonus up to $10,000* * Competitive salaries * Full benefits, paid holidays, and paid time off (up to 19 days your first year) * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans, an employee assistance program and employee discounts * Terms and conditions apply About Traverse City, Michigan Traverse City is an official "Coast Guard City" and sits at the base of twin bays. We have award-winning schools, a community college, year-round recreation, as well as vibrant cultural and social opportunities often found in much larger cities.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life Provide compassionate, patient-centered care as part of a collaborative nursing team Observe, assess, monitor, and document patient conditions and progress Administer medications and treatments according to care plans Communicate effectively with patients, families, and team members Support quality improvement initiatives and adherence to safety standards Qualifications What's Required Licensed RN in the State of Michigan Experience in PACU, surgical services, or critical care preferred Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A4 is a 38 bed Cardiac Telemetry unit, that serves a variety of patients requiring cardiac services for: CHF, chest pain, pacemakers, post procedure recovery for cardiac cath lab procedures, bedside cardioversions and cardiac research patients. Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Cardiac Tele Nurse at Munson Healthcare? Be part of a team that nurtures a culture of caring every day. Our nurses work in positive, supportive and compassionate environments built on our organizational values. We employ more than 1,000 nurses who practice in nearly every acute-care specialty. Our nurses are respected clinical experts and valued partners in care. They are recognized as mentors, educators and strong health care advocates. Professional nursing practice is emphasized and nurses participate in clinical decision-making and improve the quality of their work life. Our dynamic work environment includes many opportunities for growth and development. Why Choose Munson Healthcare: Balance - Get out on the water, in the woods, on the trails or around town Opportunity - Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system Flexibility - A career that can change as your life changes Teamwork - Our people make Munson Healthcare a great place to work! What's Required: Active Registered Nurse license in the State of Michigan Graduate nurses and new RNs are accepted The Benefits of Working at Munson: Sign-On Bonus up to $10,000* Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts *Terms and conditions apply Qualifications What's Required Adjust and add bullet points as needed. Licensed RN in the State of Michigan Experience in [specific clinical area, e.g., Med/Surg, ICU, OB, etc.] preferred Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A4 is a 38 bed Cardiac Telemetry unit, that serves a variety of patients requiring cardiac services for: CHF, chest pain, pacemakers, post procedure recovery for cardiac cath lab procedures, bedside cardioversions and cardiac research patients. Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Cardiac Tele Nurse at Munson Healthcare? Be part of a team that nurtures a culture of caring every day. Our nurses work in positive, supportive and compassionate environments built on our organizational values. We employ more than 1,000 nurses who practice in nearly every acute-care specialty. Our nurses are respected clinical experts and valued partners in care. They are recognized as mentors, educators and strong health care advocates. Professional nursing practice is emphasized and nurses participate in clinical decision-making and improve the quality of their work life. Our dynamic work environment includes many opportunities for growth and development. Why Choose Munson Healthcare: Balance - Get out on the water, in the woods, on the trails or around town Opportunity - Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system Flexibility - A career that can change as your life changes Teamwork - Our people make Munson Healthcare a great place to work! What's Required: Active Registered Nurse license in the State of Michigan Graduate nurses and new RNs are accepted The Benefits of Working at Munson: Sign-On Bonus up to $10,000* Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts Qualifications What's Required Adjust and add bullet points as needed. Licensed RN in the State of Michigan Experience in [specific clinical area, e.g., Med/Surg, ICU, OB, etc.] preferred Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description Registered Nurse - Surgical Telemetry Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Surgical Telemetry Nurse at Munson Healthcare? Be part of a team that nurtures a culture of caring every day in a family oriented environment. Our nurses work in positive, supportive and compassionate environments built on our organizational values. Our dynamic work environment includes many opportunities for growth and development, whether you are a new or experienced RN. Our Nurse Residency Program helps support new RNs flourish in their new role while providing an environment with a broad range of diverse patient population. Why Choose Munson Healthcare: Balance - Get out on the water, in the woods, on the trails or around town Opportunity - Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system Flexibility - A career that can change as your life changes Teamwork - Our people make Munson Healthcare a great place to work! What's Required: Active Registered Nurse license in the State of Michigan Graduate nurses and new RNs are accepted The Benefits of Working at Munson: Sign-On Bonus up to $10,000* Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts *Terms and conditions apply Can include in postings if it is a national publication or you need to explain where we are located. About Traverse City, Michigan Traverse City is an official “Coast Guard City” and sits at the base of twin bays. We have award-winning schools, a community college, year-round recreation, as well as vibrant cultural and social opportunities often found in much larger cities. Qualifications What's Required Adjust and add bullet points as needed. Licensed RN in the State of Michigan Experience in [specific clinical area, e.g., Med/Surg, ICU, OB, etc.] preferred Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A4 is a 38 bed Cardiac Telemetry unit, that serves a variety of patients requiring cardiac services for: CHF, chest pain, pacemakers, post procedure recovery for cardiac cath lab procedures, bedside cardioversions and cardiac research patients. Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Cardiac Tele Nurse at Munson Healthcare? Be part of a team that nurtures a culture of caring every day. Our nurses work in positive, supportive and compassionate environments built on our organizational values. We employ more than 1,000 nurses who practice in nearly every acute-care specialty. Our nurses are respected clinical experts and valued partners in care. They are recognized as mentors, educators and strong health care advocates. Professional nursing practice is emphasized and nurses participate in clinical decision-making and improve the quality of their work life. Our dynamic work environment includes many opportunities for growth and development. Why Choose Munson Healthcare: Balance - Get out on the water, in the woods, on the trails or around town Opportunity - Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system Flexibility - A career that can change as your life changes Teamwork - Our people make Munson Healthcare a great place to work! What's Required: Active Registered Nurse license in the State of Michigan Graduate nurses and new RNs are accepted The Benefits of Working at Munson: Sign-On Bonus up to $10,000* Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts *Terms and conditions apply Qualifications What's Required Adjust and add bullet points as needed. Licensed RN in the State of Michigan Experience in [specific clinical area, e.g., Med/Surg, ICU, OB, etc.] preferred Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Pool RN III B- Critical Care, Telemetry and Med/Surg * Critical Care Pool will cover ICU, A2, A3, A6 Recovery and Emergency Department * Telemetry Pool will cover A4, A6 Recovery, A7, C2, C4 * Med-Surg Pool will cover B3, B4, C3 (Adult), D4, D5, D6, Rehab Find more than your next nursing job. Find your community. * We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. * After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Pool Nurse at Munson Healthcare? * Teamwork and support- our multidisciplinary teams include experienced and new graduate RNs, providers, clinicians and support staff who will help you transition to your new role. * Expanded knowledge - rotation of each pool nurse through the units worked will continue to ensure competency in each area * Flexible scheduling - 2 holidays per year, every 3rd weekend, significant differentials * Commitment to growth and development - we offer an RN Residency Program, thousands of educational offerings, leadership development, simulation education and tuition reimbursement * An opportunity for individuals who love independency, critical thinking, and variety, plus the benefits of premium pay on top of base salary Why Choose Munson Healthcare: * Balance- Get out on the water, in the woods, on the trails or around town * Opportunity- Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system * Flexibility- A career that can change as your life changes * Teamwork - Our people make Munson Healthcare a great place to work! What's Required: * Active Registered Nurse license in the State of Michigan * Minimum 2 years previous Critical Care experience required The Benefits of Working at Munson: * Sign-On Bonus up to $10,000* * Competitive salaries * Full benefits, paid holidays, and paid time off (up to 19 days your first year) * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans, an employee assistance program and employee discounts * Terms and conditions apply About Traverse City, Michigan Traverse City is an official "Coast Guard City" and sits at the base of twin bays. We have award-winning schools, a community college, year-round recreation, as well as vibrant cultural and social opportunities often found in much larger cities.

Registered Nurse (RN) - NICU NICU is a 26 bed unit. NICU cares for premature and sick neonates. NICU provides special procedures such as lumbar punctures, endotracheal intubation, umbilical vessel catheterization, thoracentesis, partial and double volume exchange transfusions and phototherapy. Find more than your next job. Find your community. * We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan by Forbes (American's Best Employers by State 2022), we're committed to your ongoing growth and development. * After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a NICU Nurse at Munson Healthcare? * Teamwork and support- our multidisciplinary teams include experienced RNs, providers, clinicians and support staff who will help you transition to your new role. * Nationally-recognized care - Top 100 hospitals, Level III, northern Michigan's only NICU, specialized NICU transport teams and the latest technology to support our clinicians. * Our Healthcare Team consists of board-certified neonatologists, neonatal nurse practitioners, and specially trained neonatal nurses for NICU services. * Our dynamic work environment includes many opportunities for growth and development, including an RN Residency Program, thousands of educational offerings, leadership development, simulation education and tuition reimbursement. Why Choose Munson Healthcare: * Balance- Get out on the water, in the woods, on the trails or around town * Opportunity- Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system * Flexibility- A career that can change as your life changes * Teamwork - Our people make Munson Healthcare a great place to work! What's Required: * Active Registered Nurse license in the State of Michigan * Minimum of 1 years of relevant experience The Benefits of Working at Munson: * Sign-On Bonus up to $10,000* * Competitive salaries * Full benefits, paid holidays, and paid time off (up to 19 days your first year) * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans, an employee assistance program and employee discounts * Terms and conditions apply About Traverse City, Michigan Traverse City is an official "Coast Guard City" and sits at the base of twin bays. We have award-winning schools, a community college, year-round recreation, as well as vibrant cultural and social opportunities often found in much larger cities.

TRAVERSE CITY, MI Do You Encompass These Traits? * Compassion * Communication * Attention To Detail * Patience Becoming a nurse in our orthopedic department is a fulfilling and demanding career that allows you to care for patients in all stages of life. Our orthopedic department gives you the unique opportunity to work alongside the top orthopedic experts in the region. No leading-edge orthopedic team is complete without next-generation technology. For instance, you will have the opportunity to meet ROSA, our robotic surgical assistant! Members of the care team must be flexible, demonstrate openness toward diverse lifestyles, and have a passion for helping people. They must be prepared to meet the complex needs of their patients and maintain a calm, caring demeanor in an environment that can at times be unpredictable. You will get to witness first-hand the dramatic recovery patients endure, and play a huge part in the healing process. D4 Orthopedics is a 24-bed inpatient unit - that primarily cares for adults who have undergone total hip, knee, or shoulder replacements. Other patient populations include stable trauma patients, joint revisions, and fractures. WHAT WE WOULD LIKE TO OFFER YOU: * Accidental death and dismemberment insurance * Bereavement pay * Competitive starting salaries * Employee assistance program * Employee wellness programs * Financial planning * Full medical, dental, and optical insurance * Healthcare and dependent care flex spending account * Legal plan * Life insurance for employee and family * Long-term disability insurance * Paid holidays and paid time off * Retirement savings plan * Tuition reimbursement Click here for details about Munson Healthcare benefits! Requirements * Must hold a current Registered Nurse license in the State of Michigan. * 2 Years Relevant Experience * Diploma/ADN + BSN in 5 years Essential Duties * * Maintains and evaluates patient and staff data collection systems and processes to support the practice of nursing and delivery of patient care within their defined areas/s of responsibility. * Evaluates assessment practices to assure timely, reliable, valid and comprehensive data collection. * Diagnosis/Problem Identification * Fosters and evaluates an environment that empowers and supports staff, including the professional nurse in analysis of assessment data and in decisions to determine relevant diagnoses. * Identification of Outcomes * Maintains and evaluates processes that promote RBC and desired patient-centered outcomes that are culturally sensitive and inclusive of patient/family needs according to accepted standards of clinical nursing practice. * Promotes the integration of clinical and human resource data to support decision-making, which maximizes resource utilization. * Facilitates and empowers registered nurses to assume accountability for patient outcomes in their area of responsibility. * Planning * Supports organizational and RBC Unit Action Council plans related to the delivery of unit based nursing services and patient care. * Oversees and assists with evaluation of plan of care with the patient, family and other health care providers that prescribe interventions to attain expected outcomes. * Facilitates patient flow on unit as it relates to admissions and discharges. * Implementation * Assures the plan of care is safe, timely and appropriate. * Coordinates resources for maximum utilization of daily systems. * Evaluation * Evaluates patient care in relation to expected outcomes. * Participates in the evaluation of programs, processes and desired patient-centered outcomes. * Quality of Care and Leadership Practice * Embraces and supports Relationship Based Care and the Performance Improvement philosophy of Munson Medical Center. * Assists with evaluation of the quality and effectiveness of nursing practice. * Provides leadership in establishing a culture of safety. * Supports a shared governance philosophy. * Performance * Assists manager/director to evaluate staff performance based on professional practice standards, relevant statues and regulations, and organizational criteria, and RBC philosophy. * Assists manager / director through participation in the Annual Discussion process of same shift staff as well as providing assistance and feedback with the corrective action process as needed by unit. * Mentors and coaches staff to attain optimal performance. * Education * Seeks additional knowledge and skills appropriate to the practice setting by participating in educational programs and activities, conferences, workshops and self-directed learning. * Supports staff in meeting their educational needs. * Supports and assists in maintaining a healthy learning environment for staff and students if applicable. * Professional Environment * Fosters a professional environment. * Role models collaborative relationships between nursing, medicine and other disciplines. * Supports a climate of effective communication by role modeling Commitment to Co-workers. * Ethics * Bases actions and decisions on ethical principles. * Utilizes the Code of Ethics for Nurses to guide practice. * Fosters a non-discriminatory climate in which care is delivered in a manner sensitive to sociocultural diversity. * Collaboration * Collaborates with staff, providers and other disciplines and departments for provision of seamless delivery of services. * Research * Utilizes current research findings and current practice guidelines to strengthen patient care. * Supports and facilitates the involvement of nursing staff in evaluation and integration of research into the delivery of nursing care. * Resource Utilization * Assigns patient care consistent with organizational policies, primary nursing model of care, procedures, legal, and regulatory requirements, according to the knowledge and skills of the designated caregiver as per unit standards. * Maximizes utilization of scarce resources.

TRAVERSE CITY, MI Do You Encompass These Traits? * Compassion * Communication * Attention To Detail * Patience Becoming a nurse in our orthopedic department is a fulfilling and demanding career that allows you to care for patients in all stages of life. Our orthopedic department gives you the unique opportunity to work alongside the top orthopedic experts in the region. No leading-edge orthopedic team is complete without next-generation technology. For instance, you will have the opportunity to meet ROSA, our robotic surgical assistant! Members of the care team must be flexible, demonstrate openness toward diverse lifestyles, and have a passion for helping people. They must be prepared to meet the complex needs of their patients and maintain a calm, caring demeanor in an environment that can at times be unpredictable. You will get to witness first-hand the dramatic recovery patients endure, and play a huge part in the healing process. D4 Orthopedics is a 24-bed inpatient unit - that primarily cares for adults who have undergone total hip, knee, or shoulder replacements. Other patient populations include stable trauma patients, joint revisions, and fractures. WHAT WE WOULD LIKE TO OFFER YOU: * Accidental death and dismemberment insurance * Bereavement pay * Competitive starting salaries * Employee assistance program * Employee wellness programs * Financial planning * Full medical, dental, and optical insurance * Healthcare and dependent care flex spending account * Legal plan * Life insurance for employee and family * Long-term disability insurance * Paid holidays and paid time off * Retirement savings plan * Tuition reimbursement Click here for details about Munson Healthcare benefits! Requirements * Must hold a current Registered Nurse license in the State of Michigan. * 2 Years Relevant Experience * Diploma/ADN + BSN in 5 years Essential Duties * * Maintains and evaluates patient and staff data collection systems and processes to support the practice of nursing and delivery of patient care within their defined areas/s of responsibility. * Evaluates assessment practices to assure timely, reliable, valid and comprehensive data collection. * Diagnosis/Problem Identification * Fosters and evaluates an environment that empowers and supports staff, including the professional nurse in analysis of assessment data and in decisions to determine relevant diagnoses. * Identification of Outcomes * Maintains and evaluates processes that promote RBC and desired patient-centered outcomes that are culturally sensitive and inclusive of patient/family needs according to accepted standards of clinical nursing practice. * Promotes the integration of clinical and human resource data to support decision-making, which maximizes resource utilization. * Facilitates and empowers registered nurses to assume accountability for patient outcomes in their area of responsibility. * Planning * Supports organizational and RBC Unit Action Council plans related to the delivery of unit based nursing services and patient care. * Oversees and assists with evaluation of plan of care with the patient, family and other health care providers that prescribe interventions to attain expected outcomes. * Facilitates patient flow on unit as it relates to admissions and discharges. * Implementation * Assures the plan of care is safe, timely and appropriate. * Coordinates resources for maximum utilization of daily systems. * Evaluation * Evaluates patient care in relation to expected outcomes. * Participates in the evaluation of programs, processes and desired patient-centered outcomes. * Quality of Care and Leadership Practice * Embraces and supports Relationship Based Care and the Performance Improvement philosophy of Munson Medical Center. * Assists with evaluation of the quality and effectiveness of nursing practice. * Provides leadership in establishing a culture of safety. * Supports a shared governance philosophy. * Performance * Assists manager/director to evaluate staff performance based on professional practice standards, relevant statues and regulations, and organizational criteria, and RBC philosophy. * Assists manager / director through participation in the Annual Discussion process of same shift staff as well as providing assistance and feedback with the corrective action process as needed by unit. * Mentors and coaches staff to attain optimal performance. * Education * Seeks additional knowledge and skills appropriate to the practice setting by participating in educational programs and activities, conferences, workshops and self-directed learning. * Supports staff in meeting their educational needs. * Supports and assists in maintaining a healthy learning environment for staff and students if applicable. * Professional Environment * Fosters a professional environment. * Role models collaborative relationships between nursing, medicine and other disciplines. * Supports a climate of effective communication by role modeling Commitment to Co-workers. * Ethics * Bases actions and decisions on ethical principles. * Utilizes the Code of Ethics for Nurses to guide practice. * Fosters a non-discriminatory climate in which care is delivered in a manner sensitive to sociocultural diversity. * Collaboration * Collaborates with staff, providers and other disciplines and departments for provision of seamless delivery of services. * Research * Utilizes current research findings and current practice guidelines to strengthen patient care. * Supports and facilitates the involvement of nursing staff in evaluation and integration of research into the delivery of nursing care. * Resource Utilization * Assigns patient care consistent with organizational policies, primary nursing model of care, procedures, legal, and regulatory requirements, according to the knowledge and skills of the designated caregiver as per unit standards. * Maximizes utilization of scarce resources.

Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and we are deeply rooted in the communities we serve. That means that our patients are often our family, friends and neighbors - and it's special to be able to care for them. And as one of the top healthcare systems to work for in Michigan, we're committed to your ongoing growth and development. After work, you'll find things to do in every season - beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. The Preadmission Planner is a Registered Nurse (RN) who obtains medication and health history information from patients over the phone scheduled for surgery or a procedure. The RN has job responsibilities in care coordination, patient and family education, and ensuring the chart contains the necessary information and documentation. Responsibilities include ordering labs and testing per anesthesia guidelines/physician order, reviewing labs/testing results, and working with office staff, physicians, and Chart Prep staff. Why work as an Ambulatory RN at Munson Healthcare? * Be part of a team that nurtures a culture of caring every day. * Work in a positive, supportive and compassionate environments built on our organizational values. * Our nurses are respected clinical experts and valued partners in care. They are recognized as mentors, educators and strong health care advocates. Professional nursing practice is emphasized, and nurses participate in clinical decision-making and improve the quality of their work life. * Our dynamic work environment includes many opportunities for growth and development. * Most Ambulatory Clinics have Monday - Friday Business Hours Why Choose Munson Healthcare: * Balance - Get out on the water, in the woods, on the trails or around town. * Opportunity - Be a part of northern Michigan's leading healthcare team with opportunities for personal and professional growth throughout the healthcare system. * Flexibility - A career that can change as your life changes. * Teamwork - Our people make Munson Healthcare a great place to work! What's Required: * Bachelor of Science in Nursing degree required. * Project leadership experience required. * Previous Preadmission Planning Preferred * Experience caring for adult surgical patients within the last 5 years required. Examples include, but are not limited to: Surgical Unit, OR, Perianesthesia Unit or Ambulatory Surgery. * Experience caring for pediatric patients preferred. Examples include, but are not limited to: Pediatric Unit, OR, Perianesthesia Unit, Urgent Care, and Emergency Department. The Benefits of Working at Munson: * Competitive salaries * Full benefits: Medical, Dental & Vison * Paid time off (up to 19 days your first year) * Paid holidays and off at most clinic locations * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans, an employee assistance program and employee discounts * Terms and conditions apply

Embarking on a career in behavioral health nursing is both rewarding and challenging, demanding a deep well of compassion, sensitivity, and outstanding communication abilities. You will engage with patients across all age groups, assisting them in navigating intricate emotional and physical challenges. Essential Career Attributes * Soft Skills * Empathy * Effective Communication * Team Collaboration D6 Inpatient Behavioral Health is a 17-bed unit dedicated to adult patients facing various mental health conditions, including schizophrenia, bipolar disorder, and depression. This unit boasts a multidisciplinary team comprising psychiatric providers, nurses, clinicians, and behavioral health technicians. To excel, behavioral health clinicians must possess remarkable communication and interpersonal skills, enabling them to set boundaries while fostering trust. Mastery of therapeutic communication is vital for empowering patients and enhancing their mental well-being. Psychiatric mental health nurses must not only know what to convey but also how to deliver their messages with the appropriate tone, volume, and body language. Moreover, care team members should exhibit flexibility, embrace diverse lifestyles, and have a solid grounding in both behavioral and medical sciences. They must be equipped to address the multifaceted needs of their patients while maintaining a calm and compassionate presence, even in unpredictable situations. Discover more about the benefits offered by Munson Healthcare! Requirements: Must hold a current Registered Nurse license in the State of Michigan.

Traverse City Acute Inpatient Dialysis Nurse Experienced dialysis nurse preferred, will train based on nursing experience/skill level. Position requires independent work at times. Department uses B Braun hemodialysis machines, Continuous Renal Replacement (CRRT) and plasmapheresis using the NxStage machines. Peritoneal dialysis treatments are performed using Baxter equipment. Nurses interested without previous CRRT and plasmapheresis experience will receive onsite training. The position requires 4-5 days of call per month. Find more than your next nursing job. Find collaboration. At Munson Healthcare, nurses are respected clinical experts, mentors, advocates, leaders in practice and central to improving our patients' lives. Are you ready to finally work with an employer who values your contribution? What makes Dialysis Nursing different at Munson Healthcare? * Teamwork and support - multidisciplinary teams include experienced and new graduate RNs, providers, clinicians and support staff who will help you transition to your new role * Nationally-recognized care - our dialysis centers has been recognized by the Centers for Medicare and Medicaid Services (CMS) for providing some of the highest quality care in the nation * Close-knit communities - our patients are our neighbors and we are a big part of our communities * Work-life balance - get out on the water, in the woods, on the trails or around town after work * Commitment to growth and development - thousands of educational offerings, leadership development, simulation education and tuition reimbursement What's Required: * An active Registered Nurse license in the State of Michigan * Certification in the specialty area of practice is strongly encouraged * A comfort level providing direction to and supervision of LPNs, Techs, Clerks, Nursing Assistants, and other unit team members * Being a self-directed professional with the ability to make independent judgments directing patient care * The ability to work collaboratively and effectively with all members of the Patient Care Team * Graduate nurses and new RNs are also accepted Experience the Total Rewards at Munson: * Sign-on Bonus of up to $10,000* * Competitive starting salaries * Full medical, dental and optical * Healthcare and dependent care flex spending account * Paid holidays and paid time off (up to 19 days your first year) * Tuition reimbursement and ongoing educational opportunities * Retirement savings plan with employer match and personal consulting * Wellness plans and discounted gym memberships * Employee assistance program * Optional financial security benefits to support you and your family * Terms and conditions apply Whether you're ready to apply now or want to ask some additional questions, click the "Apply" button and complete a short application form. One of our RN recruiters will contact you to talk more about your interest and becoming part of the Munson Healthcare team.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description Munson Medical Center is pleased to announce our 2026 Summer Nurse Externship in Traverse City for nursing students looking to enhance their academic knowledge and further develop their clinical skills through a hands-on experience with a nurse preceptor. The Nurse Extern will be paired up with a Nurse Preceptor for this 10-week program beginning June 2026, working (3) 12-hour shifts per week. Working day or night shift on Med/Surg and Telemetry units. We are happy to be able to provide student housing during the externship period. Qualifications What's Required To be considered for this program you must be enrolled and attending an accredited school of nursing who has completed his/her junior year of a bachelor's degree in nursing curriculum (BSN) with a GPA of 3.0 or higher. Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.