Position HighlightsDepartment: Physical Rehab - OutpatientHours: 40 hours/weekShift: Days, 1st ShiftLocation: Cromwell, CT (New Location)Sign-on Bonus: up to $10,000.00Position Summary:The Outpatient Physical Therapist administers Physical Therapy services under medical prescription in accordance with Hospital regulation, State of Connecticut Practice Act and quality standards. Responsible for clinical oversight of PTAKey duties and Responsibilities:Develops a plan of care for each patient with the patient's input and agreement, which includes safety, educational, psychological and developmental needs of the patient.Interprets and assesses data about the patient as evidenced by appropriate goal setting and revision of goals throughout the plan care while explaining treatment goals, plans, techniques and outcomes to patient and or family.Displays expertise in recommending various therapeutic procedures and modalities.Complies with professional and departmental documentation standards.Addresses a home exercise program with each patientMaintains an adequate caseload, adhering to departmental productivity standards.Attends continuing education seminars as required by licensure and schedules and presents an educational program, including tests, to Rehab staff or other medical professionals.Communicates regularly with Rehabilitation Supervisor, other team members and referring physicians for patient care.All other job related duties as assignedMinimum Requirements:Graduate of an accredited School of Physical TherapyLicensed or eligible for licensure to practice in the State of ConnecticutPreferred Skills:Experience with electronic medical charting3-5 years clinical experienceFlexibility with schedulingComprehensive Benefits Offered:Competitive and affordable health benefits (total rewards package)403(b) retirement plan with company matchingPaid holidays, time off and sick timeWellness rewards programQuick commute access from I-84, I-91, Route 9 and surrounding areasFree parking with shuttle drop-off serviceand much more!About Middlesex HealthThe Smarter Choice for your Career!Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.

Physical Therapist Assistant - RehabWe are seeking a dedicated Physical Therapist Assistant to join our rehabilitation team. In this role, you will support physical therapists in providing treatments that help patients improve mobility, relieve pain, and regain independence.Key Responsibilities:Assist physical therapists in implementing treatment plans tailored to patients' needs.Instruct patients in exercises designed to improve strength, balance, or coordination under supervision.Monitor patients during therapy sessions and report progress or challenges to the supervising therapist.Maintain accurate documentation of treatments provided and patient responses.Ensure therapy equipment is clean, organized, and ready for use during sessions.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics under the supervision of licensed physical therapists.A collaborative environment focused on achieving optimal patient outcomes through teamwork.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth through training and certifications.A supportive workplace culture that values collaboration and innovation in patient care delivery.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Join us at Northeast Health Services, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Mental Health Therapists like you to make a difference in the field of behavioral health. We are committed to improving access to mental health care in our communities which means we are committed to being a great place to be a therapist. As a Therapist on our team, you will experience an environment where both you and your clients can thrive. Emerging, early career therapists appreciate a collaborative environment, where they are supported by a clinical team that prioritizes growth and development as they work to gain licensure. Our clinics provide a supportive space to practice therapeutic interventions and develop skills that impact our diverse local community. Licensed Therapists appreciate the ability to practice in a sustainable and personalized way, with the support of a clinical and administrative team. Leadership and supervision opportunities allow our Therapists to build a career that works for them while guiding the next generation of mental health providers. Key Responsibilities Conduct culturally sensitive, strength-based assessments for new clients and families, creating a welcoming and understanding environment for diverse backgrounds.Provide tailored outpatient individual and family therapy based on the unique needs and circumstances of each client, fostering a path to healing and resilience.Develop comprehensive crisis plans, safety plans, relapse prevention plans, and wellness plans, supporting the maintenance of stable functioning and empowering clients in their mental health journey.Actively participate in case consultations, agency meetings, and discharge planning, contributing your expertise to enhance client care.Ensure timely completion of billing, documentation, individualized treatment plans, and insurance authorization forms, upholding the highest standards of professional responsibility.Engage in collaborative care with our team of psychiatrists, nurse practitioners, dietitians, administrative staff, and fellow therapists, to provide a holistic approach to mental health care.Qualifications Possess a Master’s degree in Social Work, Counseling, Marriage and Family Counseling, or a related field.If required, provisional license per state regulation.Educational background that leads to or has resulted in professional licensing.Passionate about mental health and committed to providing high-quality care.Dedicated to ongoing professional development in mental health including free supervision and continuing education.Eager to collaborate with a multidisciplinary team to enhance client care.Strong commitment to ethical practice and maintaining confidentiality.Excellent communication skills and ability to build rapport with clients and families.Ability to manage time effectively and complete documentation and administrative tasks efficiently.Proficiency in Spanish or Portuguese is preferred.Explore the Advantages of Joining Our Team:Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize the care that clients receive.Embrace a journey of growth and development through continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.Play a pivotal role in reshaping how mental health care is perceived and delivered in your local community as well as on a national scale, with your efforts directly improving client lives.Deliver mental health care in a sustainable way, with the support and tools you need to thrive.Thrive in an environment that celebrates collaborative success, driven by effective communication, support, and unity.Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

$8,000 SIGN ON BONUS! We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care. What we offer: Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year! Sick Time on an accrual basis 401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit Options Tuition Reimbursement- eligible after 3 months of employment! Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lot Perk Spots (Discounts at local retailers, restaurants, travel, and childcare centers) Career Growth within the organization via career ladders, committee involvement, and more. POSITION SUMMARY: The Clinical Coordinator in her/his specialty will assess, plan, implement and evaluate care for a group of patients, guide and supervise assigned nursing personnel; collaborate with health care professionals, coordinate ancillary staff, and demonstrate professional growth and development. She/he will consistently demonstrate expert proficiency in working with complex patients according to the unit#s scope of practice, and will serve as a unit resource and teacher. The Clinical Coordinator will serve as an assistant to the Nurse Manager, mentoring and supporting newer staff and facilitating communication, assisting in the advancement of Nursing and organizational initiatives. He/she will serve as a role model for expert, contemporary, evidence based nursing practice. # EDUCATION/CERTIFICATION Masters preferred. BSN or actively matriculating for a BSN required. Professional certification is highly desirable. Current RN licensure in State of Connecticut EXPERIENCE ######## Three to five years of acute care experience required. # ######## Charge nurse/ leadership experience desired. # COMPETENCIES Assists the Nurse Manager in the operational activities of the patient care unit.# ######## Assists in planning and operationalizing the model of nursing care to be utilized on the unit in delivering safe, efficient, high quality patient care, ensuring an optimal patient/family experience. ######## Serves as the Charge Nurse on assigned shifts, coordinating the patient assignment and clinical care activities of the team for a particular day. ######## Participates in staffing and scheduling function to ensure adequate nursing resources for patient population within established census and budgetary guidelines. ######## Facilitates efficient Patient Flow through daily collaboration with MDs, clinical team and Patient Flow Facilitator. Ensures staff compliance with established processes. ######## Supports and advances the Service Excellence strategies on the unit. Rounds on patients, families and staff to assess satisfaction, provide feedback and intervene when necessary. # Assists the Nurse Manager in the development of the nursing staff on the unit. ######## Identifies knowledge or practice deficits among the staff through direct observation.# Works with Nurse Manager and the Education Department to provide individual or unit based educational programs to meet these needs. ######## Contributes to the goal of reducing staff turnover by supporting nurses. Serves as a clinical resource and mentor for novice nurses and provides coaching in critical or complex situations. ######## Works with educators and preceptors to provide orientation to new unit employees.# Evaluates progress weekly with appropriate documentation to support strengths and weaknesses. Participates in 30-60-90 day contacts as requested by manager. ######## Participates in annual performance review process for departmental staff as requested by Nurse Manager. # Supports the advancement of contemporary, safe, evidenced based nursing practice. Identifies and initiates opportunities to incorporate evidence based research into practice. Reviews performance and coaches staff on appropriate use of restraints, fall reduction strategies, compliance with skin protocols and reduction of medication errors and hospital acquired infections. Oversees documentation to assure compliance with Quality, Nursing and regulatory standards including JCAHO, DPH, CMS and publically reported Core Measures. Initiates patient care conferences with multidisciplinary team when appropriate. Supports staff participation in Shared Governance Councils to promote decision making at the bedside and serves on committees as requested. # ESSENTIAL DUTIES and RESPONSIBILITES: Effective team leader, comfortable in supervising nursing team. Approachable, objective, team builder. Able to establish effective, collaborative relationships with physicians and all levels of staff in multiple departments. Partners with the Nurse Manager for staffing, budgeting compliance and providing for staff educational needs.# Demonstrates service excellence and is a role model for staff. Must be flexible in schedule availablity to best meet the needs of the departmental staff on all shifts. Excellent communication skills are required to contribute to an open, supportive, professional climate. # #HPECHN

Position HighlightsDepartment: Physical Rehab - OutpatientHours: Full-Time/40 hoursShift: Days, 1st ShiftLocation: Portland, CTSign-on Bonus: up to $10,000Position Summary:The Certified Lymphedema Therapist (PT or OT) is responsible for the treatment of lymphedema. This position will administer therapy services under medical prescription in accordance with Hospital regulation, State of Connecticut Practice Act and quality standards.Minimum Qualifications:Graduate of an accredited School of Occupational Therapy or Physical TherapyLymphedema certification is requiredLicensed or eligible for licensure to practice in the State of ConnecticutPreferred Qualifications:Experience with electronic medical chartingPrevious lymphedema experience3-5 years’ clinical experienceFlexibility with schedulingComprehensive Benefits Offered:Competitive and affordable health benefits (total rewards package)403(b) retirement plan with company matchingPaid holidays, time off and sick timeWellness rewards programQuick commute access from I-84, I-91, Route 9 and surrounding areasFree parking with shuttle drop-off serviceand much more!About Middlesex HealthThe Smarter Choice for your Career!Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.

Occupational Therapist Join our team as an Occupational Therapist, where you will help individuals regain independence and improve their quality of life through customized therapeutic programs. This role is ideal for professionals passionate about empowering patients to overcome physical, emotional, or developmental challenges. Key Responsibilities: Evaluate patients' conditions and develop individualized treatment plans to address their needs.Plan and implement rehabilitative programs to improve daily living, vocational, and homemaking skills.Utilize therapeutic techniques, adapt environments, and modify tasks to overcome barriers to independence.Collaborate with patients, families, and other healthcare professionals to optimize care outcomes.Educate patients and caregivers on exercises, therapies, and strategies for continued progress outside the clinical setting.Document patient progress and adjust treatment plans as necessary. Work Environment: Work in diverse settings such as hospitals, outpatient clinics, schools, or patients' homes.Engage in a dynamic environment that may require standing for extended periods or assisting clients with mobility challenges. Benefits: Competitive salary with opportunities for professional growth.Comprehensive health, dental, and vision insurance plans.Retirement savings plan with employer contributions.Access to continuing education programs and certifications. Equal Opportunity Employer: We are committed to fostering a diverse and inclusive workplace where all employees feel valued and supported in their professional journey. *This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Join us at Northeast Health Services, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower Mental Health Therapists like you to make a difference in the field of behavioral health. We are committed to improving access to mental health care in our communities which means we are committed to being a great place to be a therapist. As a Therapist on our team, you will experience an environment where both you and your clients can thrive. Emerging, early career therapists appreciate a collaborative environment, where they are supported by a clinical team that prioritizes growth and development as they work to gain licensure. Our clinics provide a supportive space to practice therapeutic interventions and develop skills that impact our diverse local community. Licensed Therapists appreciate the ability to practice in a sustainable and personalized way, with the support of a clinical and administrative team. Leadership and supervision opportunities allow our Therapists to build a career that works for them while guiding the next generation of mental health providers. Key Responsibilities Conduct culturally sensitive, strength-based assessments for new clients and families, creating a welcoming and understanding environment for diverse backgrounds.Provide tailored outpatient individual and family therapy based on the unique needs and circumstances of each client, fostering a path to healing and resilience.Develop comprehensive crisis plans, safety plans, relapse prevention plans, and wellness plans, supporting the maintenance of stable functioning and empowering clients in their mental health journey.Actively participate in case consultations, agency meetings, and discharge planning, contributing your expertise to enhance client care.Ensure timely completion of billing, documentation, individualized treatment plans, and insurance authorization forms, upholding the highest standards of professional responsibility.Engage in collaborative care with our team of psychiatrists, nurse practitioners, dietitians, administrative staff, and fellow therapists, to provide a holistic approach to mental health care.Qualifications Possess a Master’s degree in Social Work, Counseling, Marriage and Family Counseling, or a related field.If required, provisional license per state regulation.Educational background that leads to or has resulted in professional licensing.Passionate about mental health and committed to providing high-quality care.Dedicated to ongoing professional development in mental health including free supervision and continuing education.Eager to collaborate with a multidisciplinary team to enhance client care.Strong commitment to ethical practice and maintaining confidentiality.Excellent communication skills and ability to build rapport with clients and families.Ability to manage time effectively and complete documentation and administrative tasks efficiently.Proficiency in Spanish or Portuguese is preferred.Explore the Advantages of Joining Our Team:Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize the care that clients receive.Embrace a journey of growth and development through continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.Play a pivotal role in reshaping how mental health care is perceived and delivered in your local community as well as on a national scale, with your efforts directly improving client lives.Deliver mental health care in a sustainable way, with the support and tools you need to thrive.Thrive in an environment that celebrates collaborative success, driven by effective communication, support, and unity.Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

$15,000 SIGN ON BONUS!We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care.What we offer:Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year!Sick Time on an accrual basis401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit OptionsTuition Reimbursement- eligible after 3 months of employment!Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lotPerk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)Career Growth within the organization via career ladders, committee involvement, and more.POSITION SUMMARY:Provides treatments to patients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must hold or a current Connecticut license in Physical Therapy. COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient’s symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department’s policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.

Respiratory Therapist - PEDSWe are seeking a compassionate Respiratory Therapist specializing in pediatric care to join our team. In this role, you will provide respiratory support for children with acute or chronic breathing issues, ensuring effective treatment plans tailored to their unique needs.Key Responsibilities:Assess pediatric patients' respiratory conditions and develop individualized treatment plans.Administer oxygen therapy, aerosol medications, ventilator support, or other treatments as prescribed by physicians.Perform diagnostic tests such as pulmonary function tests or blood gas analysis to monitor progress.Collaborate with pediatricians and other healthcare professionals to provide comprehensive care for children with respiratory conditions.Educate families on managing respiratory conditions at home, including the use of equipment like nebulizers or inhalers.Maintain accurate records of treatments provided and monitor patients' responses over time.Work Environment:Work in pediatric units within hospitals or specialized children's healthcare facilities equipped with advanced technology for young patients' needs.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

General Summary of Duties: The provision of physical therapy to patients in their homes under written orders from qualified physicians according to established Agency policies and procedures.Typical Physical Demands: Requires full range of body motion. Requires ability to perform heavy work*. Requires balance skills. Requires ability to ascend/descend stairs. Requires ability to perform floor-to-stand transfers. Requires ability to kneel and sit for extended periods. Requires ability to lift, transfer, and perform gait training on all surfaces with patients. Requires ability to lift and carry items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions. Requires limited exposure to communicable diseases.Typical Work Conditions: Work is performed in patients’ homes and in an office environment.1. C4, F4 Admits/readmits patients and provides physical therapy to patients in their homes in compliance with Agency policies and State and Federal Regulations, incorporating the following:a) A complete physical assessment.b) Develops and implements an appropriate care plan and therapeutic goals with the patient/family. Arranges for provision of assistive equipment.c) Evaluation of patient safety on a 24-hour basis.d) Exercises appropriate clinical judgment in coordination of patient care by all services involved.e) Ongoing evaluation of significant changes in the condition of the patient and of progress toward the therapeutic goals.f) Use of Agency and community consultants/resources.g) Instruction of patient/family in procedures or responsibilities they are assuming and optimum wellness practices.h)Planning for the patient’s discharge from service.2. C4, F4 Establishes and maintains case mix weight, utilization, patient satisfaction that aligns with industry standards and Agency operational objectives for quality care:a) OASIS documentation correlates with the Plan of Care.b) Uses recommended OASIS assessment techniques 100% of the time.c) OASIS, documentation, and Plan of Care correlate to 95%.3. C4, F4 Documents all services provided in the clinical record in accordance with State and Federal Regulations and Agency policy:a) Documentation, including activities and mileage, if appropriate, is exported within 36 hours of visit.b) Obtains physician verbal/written orders and complies with all reporting requirements.c) Participates in coordination of care with physicians and with other disciplines as appropriate.4. C4, F3 Manages work assignment in effective and efficient manner:a) Upon receipt of referral, makes phone contact with client and makes first home visit according to Agency policy.b) Remains flexible in daily planning allowing time for emergencies or unexpected visits.c) Reports any cases to Clinical Manager where goals cannot be met or at risk situations exist and responds appropriately.d)Maintains required productivity expectation as established by the Agency.e)Utilizes interdisciplinary approach, attending team meetings and informing primary nurse of client’s progress/status with therapy.f)Delegates appropriate tasks to Home Care Aide. Orients and supervises Home Care Aide in accordance with State and Federal regulations and Agency policy.g)Participates in the development of the interdisciplinary team Plan of Care on hospice patients, when appropriate.h)Utilizes payer sources correctly, reflecting changing levels of care.i)Delegates patient care responsibilities to Physical Therapy Assistant as appropriate.j)Demonstrates an understanding of the principles of case management.k)Demonstrates ability to manage cost and quality.5. C3, F1 Develops and maintains sufficient professional skills and credentials to meet the needs of patient care: a) Attends a minimum of 12 hours of in-service per year to include mandated annual in-services.b) Participates actively in self-appraisal and the formation of a plan of self-development.c) Adheres to Agency Corporate Compliance Plan and HIPAA Privacy Plan as per written agreement.d) Seeks appropriate clinical input to ensure appropriate patient care.e) Projects professional image through attitude and compliance with dress code.f) Capable of precepting new Therapists and students.g) Functions as a team member with consideration to all staff.h) Provides Agency with current copy of professional license.i) Maintains CPR certification.Knowledge, Skills and Requirements: Knowledge of current APTA guidelines and standards. Knowledge of Agency policy, regulations, and procedures to administer patient care. Knowledge of current modalities and medical equipment relevant to patient care. Skill in identifying patient problems and recommending solutions. Skill in documentation in clinical records. Skill in establishing and maintaining effective working relationships with patients/families, physicians, co-workers, and the community. Ability to communicate clearly. Possesses adequate transportation to carry out job requirements. Must show proof of satisfactory automobile insurance with minimum coverage to be determined by Agency policy when using automobile for transportation. Possession of an individual malpractice insurance policy. Willingness to provide service in any part of agency geographic area, according to agency need.Education: Bachelor of Science Degree in physical therapy from an APTA approved program.Experience: One year of acute care experience. Additional experience in home health care preferred.Certificate/License: Possession of a current license to practice as a physical therapist in the State of Connecticut.

Respiratory Therapist - NICUWe are seeking a skilled Respiratory Therapist to join our Neonatal Intensive Care Unit (NICU) team. In this role, you will provide specialized respiratory care to premature or critically ill newborns, ensuring their breathing needs are met with precision and compassion.Key Responsibilities:Administer oxygen therapy, ventilator support, and other respiratory treatments to neonates in the NICU.Monitor vital signs and adjust respiratory support based on the infant's condition.Collaborate with neonatologists and NICU staff to develop individualized care plans for each patient.Perform diagnostic tests such as blood gas analysis to evaluate lung function.Educate parents on respiratory equipment and techniques to prepare for discharge when appropriate.Maintain accurate documentation of treatments provided and patient progress.Work Environment:Work in a fast-paced NICU environment that requires critical thinking and attention to detail.Collaborate closely with a multidisciplinary team dedicated to neonatal care.Be prepared for rotating shifts, including nights, weekends, and holidays, as required in critical care settings.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications in neonatal respiratory care.A supportive workplace culture that values teamwork and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

$15,000 SIGN ON BONUS!We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care.What we offer:Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year!Sick Time on an accrual basis401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit OptionsTuition Reimbursement- eligible after 3 months of employment!Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lotPerk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)Career Growth within the organization via career ladders, committee involvement, and more.POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must hold a current Connecticut license in Physical Therapy. COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.Essential Duties and Responsibilities:Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient’s symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department’s policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.

Respiratory Therapist - PEDSWe are seeking a compassionate Respiratory Therapist specializing in pediatric care to join our team. In this role, you will provide respiratory support for children with acute or chronic breathing issues, ensuring effective treatment plans tailored to their unique needs.Key Responsibilities:Assess pediatric patients' respiratory conditions and develop individualized treatment plans.Administer oxygen therapy, aerosol medications, ventilator support, or other treatments as prescribed by physicians.Perform diagnostic tests such as pulmonary function tests or blood gas analysis to monitor progress.Collaborate with pediatricians and other healthcare professionals to provide comprehensive care for children with respiratory conditions.Educate families on managing respiratory conditions at home, including the use of equipment like nebulizers or inhalers.Maintain accurate records of treatments provided and monitor patients' responses over time.Work Environment:Work in pediatric units within hospitals or specialized children's healthcare facilities equipped with advanced technology for young patients' needs.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

$15,000 SIGN ON BONUS!We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care.What we offer:Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year!Sick Time on an accrual basis401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit OptionsTuition Reimbursement- eligible after 3 months of employment!Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lotPerk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)Career Growth within the organization via career ladders, committee involvement, and more.POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must hold a current Connecticut license in Physical Therapy. COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.Essential Duties and Responsibilities:Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient’s symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department’s policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.

Respiratory Therapist - NICUWe are seeking a skilled Respiratory Therapist to join our Neonatal Intensive Care Unit (NICU) team. In this role, you will provide specialized respiratory care to premature or critically ill newborns, ensuring their breathing needs are met with precision and compassion.Key Responsibilities:Administer oxygen therapy, ventilator support, and other respiratory treatments to neonates in the NICU.Monitor vital signs and adjust respiratory support based on the infant's condition.Collaborate with neonatologists and NICU staff to develop individualized care plans for each patient.Perform diagnostic tests such as blood gas analysis to evaluate lung function.Educate parents on respiratory equipment and techniques to prepare for discharge when appropriate.Maintain accurate documentation of treatments provided and patient progress.Work Environment:Work in a fast-paced NICU environment that requires critical thinking and attention to detail.Collaborate closely with a multidisciplinary team dedicated to neonatal care.Be prepared for rotating shifts, including nights, weekends, and holidays, as required in critical care settings.Benefits:A competitive salary with comprehensive benefits options available.A focus on professional growth through training opportunities and certifications in neonatal respiratory care.A supportive workplace culture that values teamwork and innovation in patient care delivery systems.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

$15,000 SIGN ON BONUS!We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care.What we offer:Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year!Sick Time on an accrual basis401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit OptionsTuition Reimbursement- eligible after 3 months of employment!Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lotPerk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)Career Growth within the organization via career ladders, committee involvement, and more.POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must hold a current Connecticut license in Physical Therapy. COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.Essential Duties and Responsibilities:Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient’s symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department’s policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.

Speech-Language Pathologist - RehabWe are seeking a dedicated Speech-Language Pathologist to join our rehabilitation team. In this role, you will assess and treat individuals with speech, language, voice, and fluency disorders, helping them regain essential communication skills and improve their quality of life.Key Responsibilities:Evaluate patients to determine the nature and extent of speech or language difficulties.Develop and implement individualized treatment plans to address specific disorders.Teach alternative communication methods as needed.Collaborate with other healthcare professionals to provide comprehensive care.Document patient progress and adjust therapy plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient facilities.Engage in a collaborative, team-based environment focused on patient outcomes.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional growth and continuing education.A supportive work environment that values collaboration and innovation.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

$15,000 SIGN ON BONUS!Why consider applying to Visiting Nurse & Health Services of CT Here are a few reasons:Small territories and manageable caseloads and flexible schedules for a better work-life balance.Front-loaded paid vacation time with 26 days offered if you work 40 hours a week, otherwise prorated based on hours worked.Tuition reimbursement to help you continue your education and career growth.Eligible after 3 months of employment!Medical/Dental/Vision/Voluntary Benefits/STD and moreFree parking and discounts offered through Perk Spots at local retailers, restaurants, and childcare centers.Join our team and enjoy these benefits while providing quality care to our patients. Apply now!Education: Bachelor of Science Degree in physical therapy from an APTA approved program.Experience: One year of acute care experience. Additional experience in home health care preferred.Certificate/License: Possession of a current license to practice as a physical therapist in the State of Connecticut.General Summary of Duties: The provision of physical therapy to patients in their homes under written orders from qualified physicians according to established Agency policies and procedures.Typical Physical Demands: Requires full range of body motion. Requires ability to perform heavy work. Requires balance skills. Requires ability to ascend/descend stairs. Requires ability to perform floor-to-stand transfers. Requires ability to kneel and sit for extended periods. Requires ability to lift, transfer, and perform gait training on all surfaces with patients. Requires ability to lift and carry items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions. Requires limited exposure to communicable diseases.Typical Work Conditions: Work is performed in patients’ homes and in an office environment.Knowledge, Skills and Requirements:Knowledge of current APTA guidelines and standards. Knowledge of Agency policy, regulations, and procedures to administer patient care. Knowledge of current modalities and medical equipment relevant to patient care. Skill in identifying patient problems and recommending solutions. Skill in documentation in clinical records. Skill in establishing and maintaining effective working relationships with patients/families, physicians, co-workers, and the community. Ability to communicate clearly. Possesses adequate transportation to carry out job requirements. Must show proof of satisfactory automobile insurance with minimum coverage to be determined by Agency policy when using automobile for transportation. Possession of an individual malpractice insurance policy. Willingness to provide service in any part of agency geographic area, according to agency need.#MPECHN

Occupational Therapist - RehabWe are seeking a compassionate and skilled Occupational Therapist to join our rehabilitation team. In this role, you will help individuals regain independence by developing and implementing customized programs to improve daily living and vocational skills.Key Responsibilities:Assess patients' needs and develop individualized treatment plans.Use therapeutic techniques to improve patients' abilities to perform daily tasks.Adapt environments and modify tasks to remove barriers for patients.Teach patients and caregivers strategies for improving functionality and independence.Document patient progress and adjust treatment plans as necessary.Work Environment:Work in rehabilitation centers, hospitals, or outpatient clinics.Collaborate with a multidisciplinary team focused on patient recovery.Benefits:Competitive salary and comprehensive benefits package.Opportunities for professional development and continuing education.A supportive work environment that values innovation and teamwork.*This information is based on the Bureau of Labor Statistics (BLS). Actual job responsibilities may vary by location.*

Flat rate: $55-$60 depending on experience.POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must holda current Connecticut license in Physical Therapy.COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient's symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department's policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program. #MPECHN

POSITION SUMMARY: Medical Assistants support providers in ECMPF medical office settings. They are multi-skilled, assume a wide range of roles and are viewed as vital partners in providing quality patient care and increasing medical office productivity.# Medical Assistants handle both administrative and clinical duties and must demonstrate acute attention to detail, accuracy, professional etiquette and superior customer service and clinical skills at all times.# EDUCATION/CERTIFICATION: Must have a high school diploma or equivalent, AND one of the following: Completed a Medical Assistant Program OR Certification/Registration as an MA OR 5+ years of experience as a Medical Assistant in lieu of being a Registered MA/ or attended an MA Program OR 5+ years of experience as a Nurse Assistant, or a Certified Nurse Assistant with at least 1 year of experience EXPERIENCE: Previous experience working in a medical facility is preferred. COMPETENCIES: Comfortable working in a fast-paced confidential medical environment. Must be team oriented with excellent written and verbal communication skills. Knowledge of common safety hazards and precautions to establish and maintain a safe work environment. Lifting physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, care, push and /or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination. Ability to maintain working relationships and interact with patients and employees on a daily basis. Reliable transportation and the ability to float to other offices when needed. Strong computer and keyboarding skills. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. Greet patients and prepare them for physician examination per established office protocol. Keep information in the patient#s chart current per established requirements. Documents all sample medication dispensed in the medical record. Provide oversight to vaccine programs following State guidelines. Checks and restocks rooms with necessary supplies and ensures exam rooms are prepared for the day. Keep inventory of medical supplies and report them to Office Coordinator/Practice Manager for reorder. Report malfunction of medical equipment to Office Coordinator/Practice Manager. Properly cleans and sterilizes equipment and prepares surgical trays as indicated by the physician. Assist physician/practitioner with office surgical procedures. Perform EKG and Spirometry as ordered. Report lab results to patients and follow through with any physician instructions to patients for follow up or change in medication, including scheduling appointment when necessary. Answer requests from pharmacies for prescription refills per office protocol. Prepare specimens and paperwork to submit to reference lab for testing as directed by#physician or midlevel#provider. Instruct patients on how to properly collect sterile urine specimens. On a monthly basis check all medications (including samples) and appropriately dispose of expired medications. Obtain pre-certifications for tests, procedures, treatments, medications, and hospitalizations as needed. Schedule and arrange referrals and outside testing for patients as directed by physician. Maintain work area in a neat and organized manner. Maintain appropriate documentation of compliance with CLIA regulations. Primary Care staff participates in Patient Centered Medical Home Care Team collaborations.# May be required to float to other offices and/or perform other duties as requested by Management. Maintain confidentiality and adhere to HIPAA requirements.

We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care. What we offer: Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year! Sick Time on an accrual basis 401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program Voluntary Benefit Options Tuition Reimbursement, Free Parking # Perk Spots (Discounts at local retailers, restaurants, travel, and childcare centers) Career Growth within the organization Schedule: M-F, 40 hours, no weekends. We offer 26 paid days off per fiscal year. Benefits, sick time, and offer tuition reimbursement. POSITION SUMMARY: Medical Assistants support providers in ECMPF medical office settings. They are multi-skilled, assume a wide range of roles and are viewed as vital partners in provider quality patient care and increasing medical office productivity.# Medical Assistants handle both administrative and clinical duties and must demonstrate acute attention to detail, accuracy, professional etiquette and superior customer service and clinical skills at all times.# EDUCATION/CERTIFICATION: EDUCATION/CERTIFICATION: Must have a high school diploma or equivalent,#AND#one of the following: Completed a Medical Assistant Program OR Certification/Registration as an MA OR 5+ years of experience as a Medical Assistant in lieu of being a Registered MA/ or attended an MA Program OR 5+ years of experience as a Nurse Assistant, or a Certified Nurse Assistant with at#least 1 year of experience EXPERIENCE: Previous experience working in a medical facility preferred. COMPETENCIES: Comfortable working in a fast-paced confidential medical environment. Must be team oriented with excellent written and verbal communication skills. Knowledge of common safety hazards and precautions to establish and maintain a safe work environment. Sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, care, push and /or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination. Ability to maintain working relationships and interact with patients and employees on a daily basis. Reliable transportation and the ability to float to other offices when needed. Strong computer and keyboarding skills. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. Greet patient and prepare them for physician examination per established office protocol. Keep information in the patient#s chart current per established requirements. Documents all sample medication dispensed in the medical record. Provide oversight to vaccine program following State guidelines. Checks and restocks rooms with necessary supplies and ensures exam rooms are prepared for the day. Keep inventory of medical supplies and reports them to Office Coordinator/Practice Manager for reorder. Report malfunction of medical equipment to Office Coordinator/Practice Manager. Properly cleans and sterilizes equipment and prepares surgical trays as indicated by the physician. Assist physician/practitioner with office surgical procedures. Perform EKG and Spirometry as ordered. Report lab results to patients and follow through with any physician instructions to patients for follow up or change in medication, including scheduling appointment when necessary. Answer requests from pharmacies for prescription refills per office protocol. Prepare specimens and paperwork to submit to reference lab for testing as directed my physician or midlevel. Instruct patients on how to proper collect sterile urine specimens. On a monthly basis check all medications (including samples) and appropriately dispose of expired medications. Obtain precertifications for tests, procedures, treatments, medications, and hospitalizations as needed. Schedule and arrange referrals and outside testing for patients as directed by physician. Maintain work area in a neat and organized manner. Maintain appropriate documentation of compliance with CLIA regulations. Primary Care staff participates in Patient Centered Medical Home Care Team collaborations.# May be required to float to other offices and/or perform other duties as requested by Management. Maintain confidentiality and adhere to HIPPA requirements.