Registered nurse med/surg jobs in New York - 21,753 jobs

*Employment Type:* Part time *Shift:* Day Shift *Description:* Currently offering up to $6,000 in recruitment bonuses for qualified energetic RN's who are passionate about our nursing profession. M-F, Day shift with NO call. Now is the time to join our exception team known for quality care and excellent outcomes. This exciting career offers a strong orientation program and opportunities for continued education and growth.Join the growing field of Electrophysiology and be on the cutting edge of treatment for cardiac arrhythmias in our Cardiovascular Institute. We invested in state-of-the-art technology consisting of 2 labs and 1 procedure room. The procedures include tilt table testing, implantation of loop recorders, pacemakers and internal cardiac defibrillators, electrophysiology studies with cryoablation and/or ablation utilizing different mapping systems. Working with a team of credentialed electrophysiologists, we provide inpatient and outpatient procedures Monday - Friday. Our highly trained nurses provide comprehensive interdisciplinary care for stable and critically ill patient populations. *Position Purpose: *The Registered Nurse participates in various roles to ensure quality patient care is provided with optimum outcomes. RN roles range from direct patient care to supervisory or consultative services in various settings within our network. Our dedicated nursing staff attend orientation classes that may include CORE EKG, end of life, respiratory care and many specialty classes depending on area of expertise. *Organization Highlights and Benefits:* * *Our Trinity Health Culture: *Our staff know, understand, incorporate & demonstrate our Trinity Health Mission, Values, Vision, through their actions, behaviors, practices & decisions. Our Unit practice counsels, and open-door guiding principle gives all our employees a voice. * *Professional Environment of Care:* Practice in an environmentally safe, professional & healthy atmosphere. Onsite parking for only $6/pay. * *Benefits:* Comprehensive benefit packages available through Trinity Health, including medical, dental, vision, paid time off, 403B, education assistance, onsite fitness center and option for daily pay. * *Professional Development: *Strong education program, generous tuition allowance and clinical ladder incentives. We encourage job share opportunities to enhance satisfaction and growth. We encourage participation and support community programs and outreach. * *Work/Life:* Scheduling options to balance work/life/school and recreational calendars. *What you will do*: * Responsible for collaboration, communication & facilitation of optimal provision of care through a computerized &/or digital platform supporting daily management of care. * Responsible for the assessment, planning, implementation, coordination, monitoring & evaluation of the patient's plan of care from admission to discharge. * Utilize clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the plan of care. * Monitor quality metrics specific to the department & ensure complete & accurate documentation in the patient record. * Ensures quality care is rendered to all patients in accordance with the New York Regulatory Agencies, National Standards of Practice, and Nursing and Clinical Service standards of care and practice. * Maintains current knowledge of basic health care economics, trends and reimbursements methodologies and applies knowledge to daily practice. Recognizes situations that require immediate intervention. Continues to develop professionally and apply knowledge and skills necessary to provide care appropriate to each patient. *Minimum Qualifications: ***GN's or RN's with < 1-year experience should apply to the Graduate Nurse Residency positions.* * Graduation from an accredited school of nursing and current licensure in the State of New York*. * * Baccalaureate Degree in the Science of Nursing (BSN) degree from an accredited school of nursing preferred, according to NYS requirements. * Specialty credentialing & educational degree according to clinical nursing practice specialty area preferred. * Maintains all licensures and certifications according to NYS regulations and specialty area requirements. * Participates in continuing education and updates and maintains knowledge and skills related to specific areas of expertise. *Ministry/Facility Information. * Located in the heart of central New York, St. Joseph's is one of America's 50 Best Hospitals for Cardiac Surgery and one of America's 100 Best for Spine Surgery and Coronary Intervention according to Healthgrades. It is ranked by Consumer Reports among the top 15 heart surgery centers in the country, a designated Stroke Center, a U.S. News “Best Regional Hospital” and “Best Maternity Hospital”. With a comprehensive range of primary-care practices, mental health services, women's and infants' care, and oncology services, St. Joesph's Health network offers a wide range of innovative, community-based health and wellness programs. Our high-quality specialty and mental health services aim to coordinate the continuum of care, as a compassionate healing presence to improve all aspects of health. Joining our team means becoming part of a nationally recognized, elite group of healthcare professionals who are passionate about patient care and supporting one another. The above statements are intended to describe the general nature & level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned. Pay Range: $38.75 - $54.85 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Duties Description The incumbent will provide nursing services and care to patients, including medication administration, specimen collection (blood and urine), assessment of patient needs, treatment planning, nurse teaching, building security, crisis intervention, and related documentation. The patients at the facility are emotionally complex with increasingly complicated medical conditions. Nurses provide 24-hour, across-shift communication and care consistent with licensing standards and NYS regulations. Minimum Qualifications Registered Nurse 1 Psychiatric: possession of a license and current registration to practice nursing in New York State. **Candidate must be eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare program. Failure to maintain licensure, certification and Medicaid/Medicare eligibility will result in the termination of employment. Additional Comments OASAS Addiction Treatment Centers (ATCs) are Tobacco Free Facilities. Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with Special Needs. Prospective employees whose names appear on the SEL as having been found responsible for serious or repeated acts of abuse or neglect will be barred from appointment and may have their names removed from the eligible list(s) for the title(s) if applicable. 2) Investigated through a Criminal Background Check (CBC) that includes State and federal Criminal History Record Checks. All convictions must be reported; conviction of a felony or misdemeanor, or any falsified or omitted information on the prospective appointee's employment application may bar appointment or result in removal after appointment. Each case will be determined on its own merits, consistent with the applicable provisions of State and federal laws, rules, and regulations. Prospective employees will be fingerprinted in order to obtain a record of their criminal history information, and may be required to pay any necessary fees. 3) Screened against the Statewide Central Register of Child Abuse and Maltreatment (SCR). Prospective employees may be required to pay any necessary fees. Additionally, prospective employees whose names are indicated on the SCR may be barred from appointment. OASAS recognizes the value that different people, perspectives and cultures bring to the agency. We strive to create an inclusive culture that uplifts and supports our staff, fostering a sense of belonging in the workplace. Individuals with lived substance use and/or gambling experience are encouraged to apply. New York State OASAS is an equal opportunity employer and provides opportunity for all regardless of race, gender, religion, national original, sexual orientation, gender identity, age, veteran status, ability, or any other protected class. OASAS encourages people with disabilities to apply. If you need a reasonable accommodation at any point in the application or hiring process, please reach out to Accessibility@oasas.ny.gov Some positions may require additional credentials or a background check to verify your identity. Name Office of Human Resources Management Telephone ************** Fax ************** Email Address ************************ Address Street NYS Office of Addiction Services and Supports City Albany State NY Zip Code 12203 Notes on Applying If interested, please send your resume to ************************ Please be sure to include reference code EM/RN1P/18984/CKPATC. Failure to include this code could result in a delay in processing your application.

Job Opportunity: Registered Nurse - School - RN Facility: Elmhurst School District No. 205 Employment Type: Education Shift: Day (5x7.5 Hours) 8:00 16:00 Job Duration: 12 weeks Compensation: Rate Type: Hourly Over Time: 40 total hours in 1 week: 1.5% Double Time: None On-Call: None Call Back: None Holiday Pay: None Additional Information: RN ASAP- 6/5/25 Hours: 7:45-3:45 (37.5) Licensure: IL RN license (no PEL) Caseload: Lincoln Elementary: RN with experience managing food allergies, seizure disorders, asthma, orthopedic concerns, special needs students and acute care/first aid in the school setting. BR: $85.00

Become a part of our caring community and help us put health first As a Home Health Registered Nurse, you will: Provide admission, case management, and follow-up skilled nursing visits for home health patients. Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment. Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation. Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers). Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility. Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation. Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes. Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care. Use your skills to make an impact Required Experience/Skills: Diploma, Associate or Bachelor Degree in Nursing Minimum of one year nursing experience preferred Strong med surg, ICU, ER, acute experience Home Health experience a plus Current and unrestricted Registered Nurse licensure Current CPR certification Strong organizational and communication skills Valid driver's license, auto insurance and reliable transportation. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $69,800 - $96,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

VNS Health Home Care RNs redefine the standard of patient-centered care for New Yorkers while keeping them out of the crowded hospital system so they can heal and age where they are most comfortable- in their homes and community. Our nurses provide the Future of Care by meeting patients where they are. We design and deliver individualized care plans and exceptional clinical outcomes to our neighbors most in need. Be part of our 130-year history and innovative Future of Care built by visiting nurses like you. What We Provide * Attractive sign-on bonus and referral bonus opportunities * Generous paid time off (PTO), starting at 31 days and 9 paid company holidays * No employee contribution cost or annual deductible for health insurance including Medical, Dental, and Vision for you and your loved ones w (Medical, Dental, Vision); Life and Disability Insurance * Training: 4-weeks paid clinical orientation, preceptorship, and ongoing skills labs * Tuition reimbursement following 6 months and CEU credits * Employer-matched retirement savings program * Personal and financial wellness programs * Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care * Opportunities to contribute to clinical research and other organizational projects What You Will Do * Practice independently in the community as part of an interdisciplinary care team. * Deliver personalized nursing and care management to patients in their home or care facilities. * Constantly evaluate evolving patient needs and respond with plan of care adjustments. Qualifications * Current license to practice as a Registered Nurse in New York State * Minimum of one year nursing experience in a medical/surgical environment * Valid driver's license or NYS Non-Driver photo ID card may be required * Wound Care Certification required or willingness to obtain within one year of hire preferred * Certification in Hospice and Palliative Care Nursing preferred Pay Range USD $112,209.00 - USD $138,409.00 /Yr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Level 3 RN_ER opening in Rochester, NY. Below is the estimated pay rate. Gross Pay Weekly: $2672 (Based on 36hrs) Weekly Taxable: $1188 ($33/hr x 36hrs) Stipends: $1484 RN staff 317-670 -9806

Job Details Client in NY seeking Registered Nurse for the following shift(s): Nights We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract/travel role. Contract/travel assignments are typically 13 weeks, with potential to extend. Help us continue our mission to connect people, improve lives, and give back to the community by joining the CoreMedical Group team. When you work with CoreMedical Group, we put you first and treat you like family, supporting you every step of the way. CoreMedical Group is one of the largest healthcare staffing agencies in the country, with travel and contract positions located across the United States. Our recruiters will help you find the perfect job, whether it's across the country or across the street. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! Weekly paychecks with competitive pay packages Matching 401(k) benefits to help you save for retirement Licensure assistance and reimbursement to set you up for success on your contract Travel reimbursement and dedicated housing support while on assignment Referral cash bonuses when you connect us with other clinicians CoreMedical Group also offers you a free, all-inclusive vacation each year as our way of saying "thank you" for your hard work. Join other healthcare professionals on the annual Club CoreMed retreat and you'll see why our contract and travel professionals come back to us year after year! Your career is too valuable to tackle on your own. Let CoreMedical Group help you with your healthcare journey! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company. Any benefits (medical/dental/vision) are in addition to the weekly pay. Please speak with your Recruiter for additional details. Estimated payments are subject to change until formal offer of assignment is made and accepted.

Facility: MVHS Inc., Utica, New York Requisition: MVHS Inc.-AN-1037 Schedule Type: Deferred Schedule Job Title: Registered Nurse - Medical / Surgical (Nursing) Specialty/Dept.: MVHS-Wynn-Nursing Med Surg 7th Floor 2000272 Facility Address: 111 Hospital Drive, Utica, New York, 13502 Shift Type: Day Pricing Negotiations Permitted : Yes Guaranteed Hours: 36 Weeks: 13 Requisition Start Date: 03/03/2025 Requisition End Date: 06/01/2025 Selected Contract Type: Daily OT after 24 hours [Based on multiplier] Weekly OT after 48 hours [Based on multiplier] OnCall: No Type: Travel Coordinator: Jesse Mierzejewski Description / Comment : Submission Requirements: WILL TAKES LOCALS - Local rate (less than 75 miles) Up to date resume that includes 2+ years of experience in MS STROKE STEPDOWN and documents travel experience. 2 recent MS Charge/Manager RN References Skills Checklist matching specialty Drivers licenses with address that matches demographics Current AHA BLS, NIHSS NURSYS Report Licenses verification with ACTIVE NY License & ALL active RN Licenses. RTO MUST be included at time of submission EMR Exp: EPIC Job Description: Unit: MS Stroke Stepdown Patients Shift: 6:30a-7p (Block Scheduling is never promised or guaranteed) Floating Required: Yes Scrub Color: Navy Blue Unit Specifics: Common Diagnosis - Stroke, altered mental status, renal, dialysis, COPD, CHF, isolation, general med surg, pneumonia, pulmonary issues. Specialty Equipment- IV pumps, N/G tubes, feeding tubes Patient Demographics: Adults Number of Beds in the Unit: 64 No schedule available

Attention all Registered Nurses, we are calling you to partner with us as independent contractors providing services to our Military Service members. We primarily work weekends, with some occasional weekdays under the Reserve Health Readiness Program (RHRP) in the State of New York on an "as needed basis". We provide health readiness services to meet the medical and dental requirements to maintain a deployable military force for the following: U.S. Army Reserve (USAR) Army National Guard (ARNG) U.S. Navy Reserve (USNR) U.S. Marine Forces Reserve (MARFORRES) U.S. Coast Guard Reserve (USCGR) Air National Guard (ANG) U.S. Air Force Reserve (USAFR) Responsibilities: Support Physical Health Assessments of military personnel. Review health history, service member medical records, and medical questionnaires. Interview military personnel to determine current and prior medical concerns. Identify any concerns that need to be addressed immediately, inclusive of Behavioral Health. Document interview results for readiness classification in the service member's medical record using the proprietary system. Requirements Completion of an Associate or Bachelor's degree from an accredited registered nursing program. Certification: Possess a minimum of CPR and BLS (Basic Life Support) certification. Experience: Minimum of 2 years of recent clinical experience as a Registered Nurse. State Licensure: Must hold an unrestricted license in a state, territory, or Commonwealth of the United States. Additional Requirements: Resilience: Capacity to handle high-stress situations and work effectively Communication: Excellent verbal and written communication skills to effectively interact with patients, team members, and the public. Team Player: Willingness to collaborate with multidisciplinary teams and demonstrate a positive and supportive attitude. With over three decades of experience, we are a trusted industry leader. Our experienced team of clinicians and logistics professionals are dedicated, and strive to do the right thing for our partners and their members every time. Because of this commitment, we've set a new standard of care delivery through our fixed-clinic, mobile treatment center, telemedicine, and portable deployment models. Join our team, and become a part of a bridge for better health. If you are made a conditional offer of employment, you will be required to undergo background check (including criminal record check) and drug screening. We use E-Verify in our hiring process. DOCS Health is committed to ensuring equal employment opportunity. All employment decisions, policies, and practices are in accordance with applicable federal, state, and local anti-discrimination laws. DOCS Health will not engage in or tolerate unlawful discrimination (including any form of unlawful harassment) on account of a person's sex (including pregnancy), age, race, color, religion, national origin, ancestry, citizenship, physical or mental disability, sexual orientation, gender nonconformity, status as a transgender individual, gender identity, genetic information, marital status, family responsibility, armed services, or any other status protected by law.

How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. What you'll be doing Patient care. You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. Teamwork. You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios. Safety & Quality. Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings. What we're looking for Current nursing license in the applicable state. Confirmation of ability to distinguish all primary colors. One or more years of current nursing experience preferred. Previous dialysis nursing experience preferred. Preferred * One or more years of current nursing experience preferred. * Previous dialysis nursing experience preferred. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care! Are you with US? Apply today!

At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn't just what we do, it's how we do it. Each decision we make is rooted in seven core values: Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren't empty words - they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you'll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here to learn more about our benefits. Your ideas should inspire change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA. Assess patient's preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient's cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia - general. Preparing for and managing patient recovery from anesthesia - monitored anesthesia care. Preparing for and managing patient recovery from anesthesia - regional. Preparing for and managing patient recovery from anesthesia - local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. Communicating the patient's current status throughout the perianesthesia continuum of care. Providing acute pain and comfort management as needed. Administering medications safely and correctly by using the 8-rights of safe medication administration. Performing interventions to maintain the integrity of the patient's wound and tissue perfusion at or above baseline levels. Performing interventions to maintain the status of the patient's genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. Performing interventions to protect patient from infection. Managing patient's other co-morbid conditions as applicable. Managing patient's fluid as prescribed. Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. Protecting patient's rights, dignity, and privacy. Providing age-specific, culturally competent, ethical care within legal standards of practice; and Providing consistent and comparable care regardless of the setting. Evaluate the patient's progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient's condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and s. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use problem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care. Actively participate in team meetings, trainings, and daily safety huddles. Demonstrate fiscal responsibility. Perform all other duties as assigned. Qualifications Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. USD $50.00/Hr. USD $55.00/Hr. Graduate of an Accredited School of Nursing. One year of Pre Operative or PACU experience required Medical / surgical nursing experience Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification. We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA. Assess patient's preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient's cardiovascular system, respiratory system and airway management needs, neurological system, hemodynamic stability, pain and comfort needs, and mental status. Interpret information accurately from various noninvasive and invasive monitors. Describe the underlying pathophysiology of commonly encountered disease processes. Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. Develop an individualized perianesthesia plan of care. Implement the plan of care including the following interventions: Preparing for and managing patient recovery from anesthesia - general. Preparing for and managing patient recovery from anesthesia - monitored anesthesia care. Preparing for and managing patient recovery from anesthesia - regional. Preparing for and managing patient recovery from anesthesia - local. Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. Communicating the patient's current status throughout the perianesthesia continuum of care. Providing acute pain and comfort management as needed. Administering medications safely and correctly by using the 8-rights of safe medication administration. Performing interventions to maintain the integrity of the patient's wound and tissue perfusion at or above baseline levels. Performing interventions to maintain the status of the patient's genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. Performing interventions to protect patient from infection. Managing patient's other co-morbid conditions as applicable. Managing patient's fluid as prescribed. Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. Protecting patient's rights, dignity, and privacy. Providing age-specific, culturally competent, ethical care within legal standards of practice; and Providing consistent and comparable care regardless of the setting. Evaluate the patient's progress toward attaining outcomes. Transfer care as needed. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient's condition and response to care. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions. Document nursing care completely, accurately, and legibly. Collaborate effectively with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance appraisal process. Use problem-solving and conflict resolution skills to foster effective work relationships with team members. Maintain required competencies. Pursue professional growth. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. Comply with all facility policies and procedures when providing patient care. Actively participate in team meetings, trainings, and daily safety huddles. Demonstrate fiscal responsibility. Perform all other duties as assigned.

As the health care system of the Medical University of South Carolina, MUSC Health is dedicated to delivering the highest-quality and safest patient care. Our Emergency Room at the Kiawah Partners Pavilion, located at 1857 Seabrook Island Road offers a seamless, patient-centered approach to care. From illnesses and injuries to more serious or life-threatening conditions, our world-class care team is fully equipped to provide the right care, in the right place, at the right time. Be a key player in providing critical care and shaping the future of healthcare. Join a creative, high-performing team committed to raising the standard of emergency care. Gain new perspectives as you acquire additional skill sets that will carry you far in your career and be entrusted to make critical decisions that require your valuable problem-solving skills. All this while working in a beautiful coastal setting! Under general supervision, the Registered Nurse II provides individualized, goal-directed patient care to families and patients at the competent level utilizing the principles and practices of the nursing process; delivers safe and effective care and interacts with other members of the health care team to achieve desired results. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type Regular Cost Center CC005431 CHS - Sea Island Medical Center Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours 24 Work Shift Day (United States of America) Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). Directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and practice. Provide patient/family centered care using the nursing process and focusing on the physical, emotional, spiritual, cultural, religious, and environmental needs. This includes providing for the assessment, development of nursing diagnoses, outcome identification, planning, implementation of interventions, coordination of care, health teaching and promotion and evaluation of goals and interventions consistent with the policies of MUSC. Maintains a safe, therapeutic, and healing environment through ensuring patient privacy and responsive, respectful, accepting, and professional behavior. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. This includes participating in shared governance, adherence to standards of care, participation in peer review and professional development promoting leadership and clinical excellence, effective team skills, autonomous practice and acknowledgment of accountability for actions and critical thinking. Coordinates the effective and efficient delivery of patient care services through the application of care management principles. Identifies clinical priorities and initiates action to improve patient outcomes. Demonstrates ability to function in a professional practice model through active participation in shared governance, promotion of a healthy work environment and acceptance of personal responsibility for professional growth. Additional Job Description Bachelor of Nursing degree preferred. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. A minimum of one year of work experience as a registered nurse required. Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required Minimum Training and Education: Bachelor of Nursing degree preferred. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. A minimum of one year of work experience as a registered nurse required. Required Licensure, Certifications, Registrations: Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required. Physical and Mental Requirements: Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that can not assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions) If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************

MedSurg Travel 1 Opening 13 weeks 12/07/25 to 03/07/26 3x12 nights The Gifted Healthcare Experience Gifted Healthcare is an award-winning travel nursing agency that offers nursing contracts at premier healthcare facilities across the United States. Gifted Healthcare believes in the power one person has to make a difference in a patient's care, inspiring Gifted's mission to help nurses thrive and advance their careers by providing exceptional job opportunities, day one benefits, and 24/7 support. Gifted Healthcare Top Perks Guaranteed Pay - With Guaranteed Pay, you'll never have to worry about not getting paid if your shift gets canceled for low census. Contact your recruiter for complete details. Premium Overtime - You will receive 2x your hourly rate on travel assignments for all overtime hours worked (excluding local, PRN, CA, Govt assignments). Weekly Pay - We pay you weekly so you can focus on your career and your life. Responsibilities MedSurg RNs provide bedside care for a variety of patients and execute individualized patient assessments to create an individualized plan of care. MedSurg RNs prepare equipment and assist physicians during examination and treatment of patients. MedSurg RN job responsibilities include, but are not limited to: MedSurg RNs prepare, administer, and record prescribed medications Initiate alternative action when adverse symptomology is displayed Change dressings, insert catheters, start IVs when necessary Benefits Competitive Pay Packages Career Flexibility Day One Medical, Dental, and Vision Plan from a National Provider Housing and Meal Stipend Contracts with Premier Facilities Referral Bonuses - Earn up to $2,000 for Each Friend you Refer to Gifted Healthcare 24/7 support with Career Specialist Access to Social Worker 24/7 Access to Chief Nursing Officer 24/7 Short- and Long-Term Disability AD&D Insurance Bonus Referral Earn $2,000 Per Referral with Gifted's Referral Bonus

Assist physicians with patient management. Identifies irregular telemetry readings and notify appropriate medical team members. Monitor and adjust specialized equipment used on patients and interpret and record electronic displays. Monitor electrocardiograms output. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology. Qualifications and Job Info: 2-3 years of recent Telemetry experience BLS, ACLS, and NIHSS certifications required Active state or Compact license Demonstrate the highest level of professionalism when interacting with patients, families, physicians, and hospital staff members. Benefits: Medical, dental, and vision on day one Weekly pay Direct deposit AmpVantage Awards Program (AVA) Earn money for referrals About Us: All Medical Personnel streamlines hiring to get you back to the work you love. Established in 1990, our staffing business lines place locum tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast-to-coast. We believe in focusing on and uplifting the hiring process, with a deep understanding of the unique challenges you face. We are here to ensure each experience with us is simplified, elevated, and impactful, for you and your patient. Visit us at https://allmedical.com/travel-nursing/ to learn more or view additional job openings. Listed pay packages are based on weekly gross amounts. Please reference Job number: 257350 Additional Information All Medical Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.About Us: All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Learn more about us at allmedical.com.

Title: Travel Registered Nurse - CVICU Shift: 3x12s Nights Weekly rate: $2,900 Seven Healthcare is excited to offer an exceptional travel opportunity for an experienced Cardiovascular Intensive Care Unit (CVICU) Registered Nurse in Albany, New York. This contract offers a competitive weekly rate of $2,900, based on three 12-hour night shifts, providing an excellent opportunity to advance your critical care expertise in a high-acuity cardiovascular ICU. Why Choose Seven Healthcare? At Seven Healthcare, we're committed to supporting your success and lifestyle as a traveling healthcare professional. You'll receive: • License reimbursement • Referral bonuses • Comprehensive health insurance • Certification reimbursement • Weekly pay • Sick pay • Travel reimbursement Key Responsibilities of the CVICU RN: • Provide advanced, evidence-based care to critically ill cardiovascular and post-operative cardiac surgery patients • Manage ventilators, invasive hemodynamic monitoring, chest tubes, and titratable cardiac drips • Monitor and interpret cardiac rhythms, labs, and hemodynamic data • Administer medications and therapies per CVICU protocols • Collaborate closely with cardiothoracic surgeons, intensivists, and multidisciplinary care teams • Respond rapidly to codes and changes in patient condition • Ensure accurate, timely documentation in the EMR Requirements of the CVICU RN: • Active NY RN license (or ability to obtain prior to start) • BLS and ACLS required • Minimum 2 years of recent CVICU experience • Strong cardiac assessment and critical thinking skills • Experience with post-CABG, valve replacement, and open-heart recovery preferred • Excellent communication and teamwork abilities Why Work in Albany, NY? Albany offers a blend of rich history, cultural attractions, and easy access to outdoor recreation. Location Benefits: • Work in a well-regarded hospital with a strong cardiovascular program • Enjoy vibrant neighborhoods, museums, cafes, and historic sites • Quick access to the Hudson Valley, Adirondacks, and scenic outdoor recreation • Affordable cost of living compared to major Northeast cities Why Work with Seven Healthcare? Seven Healthcare is a nationally recognized leader in travel nurse staffing, offering competitive pay, exclusive assignments, and dedicated recruiter support. With a 5-star Google rating, top Vivian reviews, and recognition as Best Travel Healthcare Company 2024 by BluePipes, we're a trusted partner for travel nurses nationwide.

Good Samaritan University Hospital is a 537- bed (including 100 nursing home beds) teaching hospital and a member of Catholic Health. With almost 900 physicians on staff, and a level I Trauma Center, we care for well over 100,000 patients annually across the south shore of Long Island. Our reputation for excellence is built on great choices and empowered leadership, and fosters a team that's focused on evidence based practice, continual learning and exceptional quality of care. Are you exceedingly driven, dedicated, and passionate about caring for your patients? Do you consistently create and nurture meaningful relationships with your team, your patients, and their loved ones. Can you strike the perfect balance of integrity, compassion, accountability, respect, and excellence? Then you have what it takes to be a Good Samaritan Nurse. You are at the heart of health. Job Details Good Samaritan University Hospital is a 537- bed (including 100 nursing home beds) teaching hospital and a member of Catholic Health. With almost 900 physicians on staff, and a level I Trauma Center, we care for well over 100,000 patients annually across the south shore of Long Island. Our reputation for excellence is built on great choices and empowered leadership, and fosters a team that's focused on evidence based practice, continual learning and exceptional quality of care. Are you exceedingly driven, dedicated, and passionate about caring for your patients? Do you consistently create and nurture meaningful relationships with your team, your patients, and their loved ones. Can you strike the perfect balance of integrity, compassion, accountability, respect, and excellence? Then you have what it takes to be a Good Samaritan Nurse. You are at the heart of health. Salary Range USD $54.48 - USD $74.72 /Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

Responsibilities Pediatric Intensive Care RNs (PICU RNs) provide age-appropriate care to pediatric patients and consult with health care team members to assess, plan, implement, and evaluate patient care plans. The PICU RN assists the physician during examination, treatment, and procedures, which can include life-saving situations. PICU RN job responsibilities include, but are not limited to: Monitor patient's vital signs, such as blood pressure, breathing, and heart rate Follow continuous cardiac and respiratory monitor readings, such as EKG tracings, O2 stats, CVP/arterial line waveforms Track urine output, change dressings, insert catheters, start IVs Administer infusion therapy, including IV fluids, antibiotics, antifungals, antivirals, electrolytes Assist with the insertion or discontinuation of CV catheters, arterial lines, external ventricular drains, epidural catheters, and endotracheal tubes, Foleys Shift: 3x12 Days

About the Role At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Benefits for Registered Nurses (RNs) Paid Time Off (PTO) and flexible schedule Medical, dental, and vision coverage 401(k) retirement plan Weekly pay and direct deposit Employee events Numerous Top Workplace awards 24/7 on-call for support Training opportunities Nurse Referral Bonus Competitive pay Responsibilities for Registered Nurses (RNs) Medication administration per physician orders Physician ordered treatments for: Nutrition via a feeding tube Tracheostomy care Suctioningnasal, oral and/or endotracheal Ventilation care Seizure assessment and treatment Requirements for Registered Nurses (RNs) Current, active Texas RNLlicense Current BLS CPR card (obtained in-person, not online) G-tube, trach, vent experience, or willing to train About Care Options for Kids Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you. With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services. *Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $2,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. Talk with your dedicated recruiter for more information. #APPNUTYL #RDNUTYL Salary: $35.00 - $36.00 / hour

Our client, a large nonprofit hospice and palliative care company is seeking a qualified candidate to join their team. In this role, we are looking for someone who is a Registered Nurse in the state of New York to work in the appeals and grievances department. This is a fantastic opportunity for a registered nurse to work for a nonprofit healthcare company Pay $56.00 per hour The job is a full time role with possibility of conversion in 2026. 4 days remote 1 day onsite Job responsibilities for the Registered Nurse: · Determines types of reconsiderations, redeterminations, action appeals, grievances, and grievance appeal · Investigation of Provider, Subscriber, Membership and Pharmacy Appeals to include: Reimbursement, Coding, Benefits, Pre-existing Conditions, Prior Approval, Medical Necessity, Precertification, Continued Stay, Reduction, Termination, and Suspension of services. · Investigate and respond to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS, and DOH regulations. · Documents all relevant information in the Appeals and Grievances determination process in the appropriate designated areas. · Tracks departments' compliance with requested action as a component of the Appeals and Grievance and determination process. · Presents cases to Appeals & Grievances File Review. · Attend and represent A&G at NYS Fair Hearings/OTDA/ALJ Hearing Qualifications needed for Registered Nurse: · Graduate of accredited nursing program. · BSN or equivalent experience required. · 2 years of managed care or hospital-based utilization/ case management experience · 2 years minimum of clinical experience · Licensed Registered Nurse in New York State · Must be proficient in MS Word, Excel and desktop software knowledge preferred.