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At Elderwood, our Mission is People Caring for People. Our values of Integrity, Collaboration, Accountability, Respect & Excellence are at the core of everything we do. We strive to not only be the partner of choice for our residents, their families and community players – but also for our valued employees.   Elderwood is seeking a compassionate Registered Nurses (RNs) to be on the front lines, making the difference in the lives of our residents and their families.    Additional Elderwood Benefits for RNs:  - EARN 16% more with our Pay in Lieu of Benefits Program (higher base pay) - Shift Differentials for evenings, nights & weekends - Tuition Reimbursement Programs  - Employee Referral Bonus - UP TO $2,000 - 401K with Employer Matching - PTO & Holiday Package  - Full Suite of Health Benefits - Medical, Dental, Vision RN - Registered Nurse Position Overview: - Registered Nurse (RN) Team Leader team members assist in the ensuring the general health and well-being of our residents by providing direct nursing care. - This position is responsible for the direct nursing care of residents which encompasses planning, developing, organizing, implementing, and evaluating the care of residents to ensure that the highest degree of quality care and regulatory compliance is maintained at all times.

APPLY HERE FOR FULL TIME & PART TIME CONSIDERATION (RN) RN COMPENSATION PACKAGE:  - RN Team Leader BONUS: $15,000 for Full Time & $7,500 for Part Time - Up to $46.00 / hour (based on experience) - EARN 16% more with our Pay in Lieu of Benefits Program. Apply today to learn more - Shift Differentials up to $3.00 / Hour Elderwood at Hamburg is seeking high quality, compassionate Registered Nurses (RNs) to be on the front lines, making the difference in the lives of our residents and their families.    Additional Elderwood Benefits for RNs:  - Weekly pay schedule - Robust Tuition Assistance - Seeking BSN or MSN? - Employee Referral Program - Generous PTO - 401K PLUS Employer Matching Registered Nurse (RN) Position Overview: - Registered Nurse (RN) Team Leader team members assist in the ensuring the general health and well-being of our residents by providing direct nursing care. This position is responsible for the direct nursing care of residents which encompasses planning, developing, organizing, implementing, and evaluating the care of residents to ensure that the highest degree of quality care and regulatory compliance is maintained at all times. 8 Hour Shift Options (12's available as well!): - Days: 7a-3p - Evenings: 3p-11p - Nights: 11p-7a           All shifts include an every other weekend requirement

APPLY HERE FOR FULL TIME & PART TIME CONSIDERATION (LPN)   LPN COMPENSATION PACKAGE (NEW STARTING RATE): - LPN Rate Range: $25.00 - $34.00 / hour (with benefits) OR $29.00 -  $39.44 / Hour (without Benefits) - LPN BONUS: $12,000 for Full Time & $6,000 for Part Time - Shift Differentials for evenings, nights & weekends: up to $3.00 / Hour  - EARN 16% more with our Pay in Lieu of Benefits Program Elderwood at Hamburg is seeking collaborative & compassionate Licensed Practical Nurses (LPNs) to join our clinical team.    Elderwood at Hamburg Benefits: - NEW LEADERSHIP - Increased Shift Differentials  - Tuition Assistance Program for Clinical Tracks - Full Benefits Package, including 401K PLUS EMPLOYER MATCHING  - Weekly Pay Schedule - Pay In Lieu of Benefits Program We have availability LPNs on the following shifts (shifts include an every other weekend requirement):  - Days: 7a-3p - Evenings: 3p-11p - Nights: 11p-7a - 12 Hour Overnight Option: 6p-6a   About Elderwood at Hamburg: - Convenient to lakeshore and southtowns communities, Elderwood at Hamburg provides quality subacute rehab services, skilled nursing, and memory care in a bright and welcoming facility. For those on the path to recovery from surgery, illness, or injury, Elderwood offers exceptional physical, occupational and speech therapy in a modern, well-equipped rehab suite.

APPLY HERE FOR FULL TIME & PART TIME CERTIFIED NURSING ASSISTANT (CNA) OPPORTUNITES: Must be CNA Certified! CNA Competitive Compensation Package: - CNA Rate Range: $16.50 - $23.00 / hour - CNA Active Bonus: $5,000 (Full Time), $2,500 (Part Time)  - Shift Differentials up to $3.00/hour (varies by shift & day)  - EARN 16% more with our Pay in Lieu of Benefits Program - Trasportation Available!  At Elderwood at Hamburg, we are seeking kind, collaborative and dedicated Certified Nursing Assistants (CNAs) to join our clinical network.   Additional Elderwood Benefits for CNAs at Elderwood at Hamburg: - New Leadership  - Tuition Reimbursement Program for Clinical Tracks  - Shift Differentials for Evening, Night & Weekend Shifts - Full Medical Benefits Package - 401K PLUS EMPLOYER MATCHING  - Weekly Pay Schedule Certified Nursing Assistants (CNA) Position Overview: - Certified Nursing Assistants (CNA) provide personal and nursing care to meet the physical and emotional needs of residents in our skilled nursing facility. They are under the direction of a licensed nurse. State specific certification is required. CNA Shift Details: We have opportunities on the following 8 Hour Shifts: - Days: 7a-3p - Evenings: 3p-11p - Nights: 11p-7a PT (4 days) FT( 5 days)   About Elderwood at Hamburg: - Convenient to lakeshore and southtowns communities, Elderwood at Hamburg provides quality subacute rehab services, skilled nursing, and memory care in a bright and welcoming facility. For those on the path to recovery from surgery, illness, or injury, Elderwood offers exceptional physical, occupational and speech therapy in a modern, well-equipped rehab suite.

$7500 sign on bonus!   Lead Resident Care Supervisor (LPN) Overview   The Lead Resident Care Supervisor (LPN) supports and ensures the health and well-being of our residents by assisting the DON with overall staffing, staff training and development, and management of personnel in the Nursing department. The incumbent shall assess residents, perform audit measures, and follow state, local and federal regulations and best practices within his or her scope of practice.

Elderwood is in growth mode and currently looking for a Medication Technician to join our team!   Medication Technician Position Overview:   Medication Technician team members assist with ensuring the health and well-being of our residents by providing personal care to meet the physical and emotional needs of residents. Team members also assist residents with self-administration of medication (excluding injectable medications). Hourly range is B.O.E.

RN Rate Range : $40.80 - $55.24 / hour (Earn more with experience) RN Per Diem Pay Rate: $45.60  RN Sign-on Bonus: $13,000 (Full time), $6,500 (Part-time) EARN 16% more with our Pay in Lieu of Benefits Program. Apply today to learn more. NEW, Gas Allowance Benefit for Full and Part-time positions!   Our valued staff and residents deserve leadership that will provide passion, consistency, trust and vision.    As we work to build our team - Elderwood at Burlington is seeking collaborative & compassionate Registered Nurse Team Leaders (RNs) to join our clinical team and make a difference in the lives of our residents and their families.  We are looking to fill our Full-time, Part-time and Per Diem positions.   Elderwood at Burlington Benefits: - Gas Allowance Stipend - 8 & 12 Hour shifts across day, evening & overnight opportunities for Full Time, Part Time & Per Diem Statuses. - Shift Differentials - Tuition Assistance Program for nursing aspirations - Ferry Reimbursement - Robust Employee Referral Bonuses - 401K Plus EMPLOYER MATCHING  - Free Uniforms - Full suite of health benefits   Registered Nurse (RN) Team Leader Position Overview: - Registered Nurse (RN) Team Leader team members assist in the ensuring the general health and well-being of our residents by providing direct nursing care. This position is responsible for the direct nursing care of residents which encompasses planning, developing, organizing, implementing, and evaluating the care of residents to ensure that the highest degree of quality care and regulatory compliance is maintained at all times.

$7500 sign on bonus for full time LPNs - $3750 for part time!   Full Time evenings available - $2.00 shift differential!    We also have part-time all shifts - days or evenings.   NEW! Full time staff are eligible to opt out of certain elected benefit options in exchange for up to 16% in additional pay!   Elderwood is in growth mode and currently looking for a Full Time Resident Care Supervisor / Licensed Practical Nurse (LPN) to join our team! Assisted living settings are an excellent starting point for new graduate nurses! Our Licensed Practical Nurses assist in ensuring the general health and well-being of our residents by providing nursing care. This position is responsible for assisting with medications and monitoring the personal care services provided by Resident Assistants; and reporting care and change in condition of residents to staff of next shift and Director of Nursing.  

Assistant to Director of Nursing Rate Range : $84,240 - $121,680 / year  Assistant Director of Nursing Sign-on BONUS $13,000.00 Ask us about our NEW, Gas Allowance Stipend! EARN 16% more with our Pay in Lieu of Benefits Program. Apply today to learn more.   At Elderwood at Burlington, we believe our valued staff and residents deserve leadership that will provide passion, consistency, trust and vision.    As we work to build our team - Elderwood at Burlington is seeking collaborative & compassionate RN who will take on the role of Assistant to the Director of Nursing (ADON) to join our clinical team and make a difference in the lives of our residents and their families.  Must be an active licensed RN in the state of Vermont.     Elderwood at Burlington Benefits: - Gas Allowance Stipend - 8 & 12 Hour shifts across day, evening & overnight opportunities for Full Time, Part Time & Per Diem Statuses. - Shift Differentials - Tuition Assistance Program for nursing aspirations - Ferry Reimbursement - Robust Employee Referral Bonuses - 401K Plus EMPLOYER MATCHING  - Free Uniforms - Full suite of health benefits     Assistant Director of Nursing (ADON) Position Overview:   To assist the Director of Nursing in planning, organizing, developing and directing the day-to-day functions of the Nursing Service Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility, and as may be directed by the Administrator, the Medical Director, and/or Director of Nursing, to ensure that the highest degree of quality care is maintained at all times.  

$5000 sign on bonus for Full Time CNAs and $2500 for Part Time! CNA starting rate: $16.50 - $24.00  / hour (Earn more with experience)    Including additional Shift Differentials!   Full Time and Part Time Positions Available!   Shifts Options for CNAs (all shifts include every other weekend requirements): - Days: 6a-2p - Evenings: 2p-10p - Overnights: 10p-6a At Elderwood, we are seeking kind, collaborative and dedicated Certified Nursing Assistants (CNAs) to join our clinical network.  Certified Nursing Assistant (CNA) - Position Overview: - Certified Nursing Assistants (CNA) provide personal and nursing care to meet the physical and emotional needs of residents in Elderwood skilled nursing facilities (SNF). They are under the direction of a licensed nurse. State specific certification is required.

$10,000 sign on bonus for full time RNs! And $5,000 for part time!   Full Time, Part Time, and Per Diem positions Available!   Elgible employees can opt out of certain benefits for a 16% increase in base pay!   8 or 12 hour shifts available!   Shift differentials available where applicable Registered Nurse (RN) Team Leader team members - Assist in the ensuring the general health and well-being of our residents by providing direct nursing care. This position is responsible for the direct nursing care of residents which encompasses planning, developing, organizing, implementing, and evaluating the care of residents to ensure that the highest degree of quality care and regulatory compliance is maintained at all times.

$7500 sign on bonus for full-time RNs - $3750 for part-time!   Come and join our fast-growing team here at Elderwood of Scallop Shell!!    Registered Nurse Team Leader:    Registered Nurse-RN team members assist in the ensuring the general health and well-being of our residents by providing direct nursing care. This position is responsible for the direct nursing care of residents which encompasses planning, developing, organizing, implementing, and evaluating the care of residents to ensure that the highest degree of quality care and regulatory compliance is maintained at all times.   - Weekend and shift differentials provided - $2.00 for weekend days and weekday evenings, $4.00 for weekend evenings.  - NEW!  Clinical staff are eligible to opt out of certain elected benefit options in exchange for up to 16% in additional pay!   The Company: Elderwood is a strong and growing company that is truly invested in its employees. We just recently increased our wages and offer an excellent benefits package, including health, dental and vision coverage, paid vacations and holidays, an Education and Tuition Assistance Program and much more.      About Elderwood of Scallop Shell at Wakefield - Located in the Wakefield-Peace Dale area just a few miles west of Narragansett, RI, you’ll find Elderwood of Scallop Shell at Wakefield, a cozy community offering subacute rehab, skilled nursing and memory care. Nationally recognized for quality short-term rehabilitation services, Elderwood of Scallop Shell at Wakefield provides physical, occupational and speech therapy in a spacious therapy suite on its dedicated rehab unit. Residents with dementia benefit from Elderwood’s Seasons Memory Care program.  

LPN Sign on bonus - $7500 full-time, $3750 part-time!   Elderwood is in growth mode and currently looking for a Resident Care Supervisor / Licensed Practical Nurse (LPN) to join our team! Assisted living settings are an excellent starting point for new graduate nurses! Our Licensed Practical Nurse's assist in ensuring the general health and well-being of our residents by providing nursing care. This position is responsible for assisting with medications and monitoring the personal care services provided by Resident Assistants; and reporting care and change in condition of residents to staff of next shift and Director of Nursing.  

Apply Here for Full-Time and Part-Time and Weekend Only Certified Nursing Assistants (CNA) Opportunities with Elderwood at Hornell ACTIVE CNA BONUS: $5,000 (Full Time) ACTIVE CNA BONUS: $2,500 (Part Time) At Elderwood, we are seeking kind, collaborative and dedicated Certified Nursing Assistants (CNAs) to join our clinical network.  Certified Nursing Assistant (CNA) - Position Overview: - Certified Nursing Assistants (CNA) provide personal and nursing care to meet the physical and emotional needs of residents in Elderwood skilled nursing facilities (SNF). They are under the direction of a licensed nurse. State specific certification is required. Elderwood Benefits as a CNA (must qualify): - Tuition Reimbursement Programs  - Employee Referral Bonus - 401K with Employer Matching - PTO & Holiday Package  - Full Suite of Health Benefits - Medical, Dental, Vision - Shift Differentials - Other Compensation Programs!  Elderwood at Hornell: - Nestled among the foothills of the Allegheny Mountains along the Canisteo River in Steuben County, you’ll find Elderwood at Hornell. The skilled nursing facility, just 55 miles south of Rochester, NY, offers an experienced and dedicated staff that cares for residents who need long-term nursing home and memory care. Comprehensive physical, occupational and speech therapy are provided in an updated therapy suite. Elderwood at Hornell also provides Adult Medical Day Services to members of the community.

LPN Per Diem Rate: $27.83 / hour plus EARN more with experience! Elderwood at Ticonderoga is now accepting LPN PER DIEM applications. Minimum requirement includes two (2) shifts per month with one of those shifts being a weekend pick-up.    Don't Look For Job, Find a Career...    Apply today!  Elderwood at Ticonderoga at Benefits: - NEW, Gas Allowance for FT and PT positions - Pay in Lieu of Benefits for our part-time clinical staff - Increased Tuition Assistance Program for Clinical Tracks - ask HR about our School Partners that provide the most reimbursement & assistance - Shift Differentials - Full Benefits Package, including 401k with Employer match - Employee referral program This position is located in Ticonderoga, NY. in the heart of the Adirondacks.   Elderwood at Ticonderoga is seeking high quality, compassionate Licensed Practical Nurses (LPNs) to be on the front lines, making the difference in the lives of our residents and their families. We are looking to fill our PER DIEM positions.   Licensed Practical Nurse (LPN) Position Overview: The Licensed Practical Nurse (LPN) is assigned to a team of Nursing Assistants and is responsible for skilled treatments, passing of medications and monitoring the personal care services provided by Nursing Assistants; LPNs are also responsible for reporting care and unusual symptoms of residents to supervisor and staff of next shift.   Shift Options: Day Evening Nights    

$5000 sign on bonus for full-time LPNs - $2500 for part-time!   - NEW!  Clinical staff are eligible to opt out of certain elected benefit options in exchange for up to 16% in additional pay! Come and join our fast-growing team here at Elderwood of Scallop Shell! - Weekend and shift differentials provided - $2 night shift for weekdays, $4 night shift for weekends. - Elderwood of Scallop Shell at Wakefield is seeking a collaborative & compassionate Licensed Practical Nurse (LPN) to join out team for a full-time or part-time  LPN position! Be where you are needed and appreciated, finding true balance between work and home life! Licensed Practical Nurse (LPN) Position Overview: - The Licensed Practical Nurse (LPN) is assigned to a team of Nursing Assistants and is responsible for skilled treatments, passing of medications and monitoring the personal care services provided by Nursing Assistants; LPNs are also responsible for reporting care and unusual symptoms of residents to supervisor and staff of next shift.   About Elderwood of Scallop Shell at Wakefield - Located in the Wakefield-Peace Dale area just a few miles west of Narragansett, RI, you’ll find Elderwood of Scallop Shell at Wakefield, a cozy community offering subacute rehab, skilled nursing and memory care. Nationally recognized for quality short-term rehabilitation services, Elderwood of Scallop Shell at Wakefield provides physical, occupational and speech therapy in a spacious therapy suite on its dedicated rehab unit. Residents with dementia benefit from Elderwood’s Seasons Memory Care program.      

  Come and join our fast-growing team here at Elderwood of Scallop Shell!   $3,000.00 sign-on bonus for new full-time CNA's- $1,500.00 sign-on bonus for new part-time CNA's!!    Certified Nursing Assistant: - Full-time or Part-time positions are available- various shifts. Apply today!  - NEW!  Clinical staff are eligible to opt out of certain elected benefit options in exchange for up to 16% in additional pay! - Shift and weekend differentials provided!   - Weekday 2nd shift: $2.00  - Weekday 3rd shift: $3.50  - Weekend 2nd shift: $2.00  - Weekend 3rd shift: $4.00  Available CNA positions/shifts:   Per Diem: All Shifts Available! 2 shift per month requirement- one shift being a weekend day.    1st (7:00am- 3:00pm), 2nd shift (3:00pm-11:00am), 3rd shift (11:00pm- 7:00am)   Part-time : All Shifts Available! Every other weekend requirement.     1st (7:00am- 3:00pm), 2nd shift (3:00pm-11:00am), 3rd shift (11:00pm- 7:00am)   Full-time: All Shifts Available! Every other weekend requirement.     1st (7:00am- 3:00pm), 2nd shift (3:00pm-11:00am), 3rd shift (11:00pm- 7:00am)     Certified Nursing Assistants (CNA) Position Overview: Certified Nursing Assistants (CNA) provide personal and nursing care to meet the physical and emotional needs of residents in Elderwood skilled nursing facilities (SNF). They are under the direction of a licensed nurse. State specific certification is required.     About Elderwood of Scallop Shell at Wakefield - Located in the Wakefield-Peace Dale area just a few miles west of Narragansett, RI, you’ll find Elderwood of Scallop Shell at Wakefield, a cozy community offering subacute rehab, skilled nursing and memory care. Nationally recognized for quality short-term rehabilitation services, Elderwood of Scallop Shell at Wakefield provides physical, occupational and speech therapy in a spacious therapy suite on its dedicated rehab unit. Residents with dementia benefit from Elderwood’s Seasons Memory Care program.        

NEW SHIFT PREMIUM FOR 12-HOUR NIGHTS (FULL-TIME & PART-TIME ELIGIBILITY): UP TO AN ADDITIONAL $5.00/HOUR ON BASE RATE (Shift Premium for WEEKEND DAYS, Saturday & Sunday, is $3.00/Hour)   Pediatric Specialty Care (PSC) in Point Pleasant, PA has a rewarding opportunity for Pediatric Registered Nurses (RNs) on NIGHT SHIFT (6:45pm-7:15am) and DAY SHIFT (6:45am-7:15pm).   The total compensation package for Registered Nurses (RN) includes (For Full-time and Part-time, Per Diem not eligible): - Base Rate = $38.00 - $53.20 / hour (based on experience)            PLUS - Shift Premium = $3.00 - $5.00 / hour (for applicable shifts)            PLUS - Sign On Bonus = $10,000 ($5,000 for part time) Pediatric Specialty Care Overview: - At Pediatric Specialty Care, we are dedicated to providing the best possible long term, short term and transitional care available for technology-dependent and medically fragile infants, children and young adults. Pediatric Specialty Care is dedicated to meeting the unique needs of medically complex and technology dependent individuals ranging from birth to 21 years of age. Our goal is to enable children with special needs to realize their fullest potential in a nurturing and supportive environment. It is evident to our residents and their families that whether we are helping to transition a child back to their family’s home or celebrating a resident’s small, yet miraculous achievement, we are deeply committed to their physical, psychological and spiritual well-being every step of the way. RN - Registered Nurse (Pediatrics) Position Overview: - The Registered Nurse (RN) assists in ensuring the general health and well-being of assigned individuals by providing direct nursing care. Direct nursing care of residents encompasses planning, developing, organizing, implementing assessing, and evaluating the care of individuals to ensure that the highest degree of quality care and regulatory compliance is maintained at all times. RN’s monitor the performance of non-licensed personnel and assist in modifying treatment regimens to meet the physical, psychosocial and developmental needs of the individual in accordance with established nursing practices and the requirements of the policies and procedures of the organization in accordance with current federal, state, and local standards governing the facility. PSC Point Pleasant is proud to advertise optimal nurse to patient ratios.    Registered Nurses (RN) Shift Options (12-hour shifts): - Dayshift (6:45am-7:15pm) - weekend shift differential of up to $3.00/hr - Nightshift (6:45pm-7:15am) - shift differential of up to to $5.00/hr In addition to a competitive pay package that includes our NEW SHIFT PREMIUM, we offer: - Optimal Nurse to Patent Ratios - Mentorship & Training – WE WELCOME & SUPPORT NEW NURSES! - Health benefits including Medical, Dental, Vision, Life Insurance - 401K  - PTO & Holiday Pay - Tuition Reimbursement Pediatric Specialty Care in Point Pleasant, PA is located at: 90 Cafferty Road, Point Pleasant, PA 18950.

NEW SHIFT PREMIUM FOR 12-HOUR  (Shift Premium for WEEKEND DAYS, Saturday & Sunday, is $3.00/Hour)   REGISTERED NURSE (RN) COMPENSATION PACKAGE: - RN Rate Range: $38.00 - $53.20 / hour (Earn More with More Experience)   RN - Registered Nurse (Pediatrics) Position Overview: Pediatric Specialty Care in Doylestown, PA (Bucks County) is seeking dedicated and compassionate Registered Nurse (RNs) to join our Dayshift team. The Registered Nurse (RN) assists in ensuring the general health and well-being of assigned individuals by providing direct nursing care. Direct nursing care of residents encompasses planning, developing, organizing, implementing assessing, and evaluating the care of individuals to ensure that the highest degree of quality care and regulatory compliance is maintained at all times. RN’s monitor the performance of non-licensed personnel and assist in modifying treatment regimens to meet the physical, psychosocial and developmental needs of the individual in accordance with established nursing practices and the requirements of the policies and procedures of the organization in accordance with current federal, state, and local standards governing the facility. PSC Doylestown is proud to advertise optimal nurse to patient ratios.    Pediatric Specialty Care Overview: - At Pediatric Specialty Care, we are dedicated to providing the best possible long term, short term and transitional care available for technology-dependent and medically fragile infants, children and young adults. Pediatric Specialty Care is dedicated to meeting the unique needs of medically complex and technology dependent individuals ranging from birth to 21 years of age. Our goal is to enable children with special needs to realize their fullest potential in a nurturing and supportive environment. It is evident to our residents and their families that whether we are helping to transition a child back to their family’s home or celebrating a resident’s small, yet miraculous achievement, we are deeply committed to their physical, psychological and spiritual well-being every step of the way.   Registered Nurse (RN) Shift Options (12-hour shifts): - Day Shift (6:45am-7:15pm) - seeking to fill an every other weekend opening Registered Nurse (RN) Status Options Defined: - Part-time: 1-12 hour shift per week, every other weekend availability, not benefit eligible.  Pediatric Specialty Care in Doylestown, PA is located at: 3938 Glen Drive Doylestown PA 18902. Apply to our RN Part-time Dayshift position today!  

Elderwood is in growth mode and currently looking for a Resident Care Aide - Home Health Aide (HHA) to join our team!   Must have a valid HHA certification.    New: eligible employees can opt out of elective benefits including medical and PTO to earn and additional 16% on top of your base rate!   Are you looking to further your career with a company that cares about YOU? Are you a highly motivated individual that can create a supportive and nurturing environment for our Seniors? We are looking for a compassionate and qualified Resident Care Aide - Home Health Aide (HHA) who has a passion for caring about our Residents. Does this sound like the perfect fit? You're in the right place! It's time for you to love your job and work for a company that cares about you! Resident Care Aide - Home Health Aide (HHA) assist with ensuring the health and well-being of our residents by providing personal care support. Resident Care Aide - Home Health Aide (HHA) ensure that the highest degree of quality resident care is maintained at all times.    RCA/HHA team members will assist with ensuring the health and well-being of our residents by providing personal care support. This position is responsible for meeting the physical and emotional needs of residents under the direct supervision of a licensed nurse ensuring that the highest degree of quality resident care is maintained at all times.