Full-time LPNCardiologyDays, Monday-FridayOverview:Provides professional nursing care to patients within the medical practice in support of, and as directed by, the physicians. Assists the physician in the treatment of patients and completes related clinical paperwork. The incumbent in this position shall carry out his or her responsibilities and integrate into his or her work ethic the Mercy Philosophy of caring for the sick and suffering, respect for human life and the dignity of each person, applying Christian values to all crucial human issues in the area over which he or she has responsibility. In communicating with patients, families, visitors and employees, a caring, friendly, personal and professional approach is expected. Performs related duties as assigned. All the duties, responsibilities and qualification documented in this job description are subject to reasonable accommodation. This job description is not to be construed as a detailed statement of duties, responsibilities or requirements.Qualifications:Education: Graduation from an accredited school of nursing. Knowledge of the principles and skills needed for nursing, care, examination, diagnostic and treatment room procedures.Knowledge of medications and their effects, patient education, principles to develop a self-care program, instruments and common safety practices.Licensure: Current valid state license.Certifications: CPR certification or obtain within 90 days of employment.Other: Skills, Knowledge, and Abilities:Skill in assisting and performing a variety of medical treatments and procedures. Ability to react calmly and effectively in emergency situations. Must be able to interpret, adapt and apply guidelines and policies. Must be able to communicate clearly and establish and maintain effective working relationships with patients, staff and the public. Basic computer terminal and keyboard skills, or the ability to learn these skills, in order to access information and enter clinical data. Equipment Used: Must be able to operate equipment normally related to the specialty of the clinic.What Makes You a Good Match for Mercy Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.EEO/AA/Minorities/Females/Disabled/Veterans LPN, Licenced practical nurse

$13,000 Sign On Bonus for RNs!$10,000 Sign on Bonus for GNs!Mercy Hospital WashingtonDepartment: Med/SurgStatus: Full Time (36 hrs/wk)Shift: Nights (7pm-7:30am)#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus $13,000 for select departmentsGraduate Nurse Sign on Bonus $10,000Stay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a 30-bed Medical/Surgical Unit. Our patient population includes GI, Oncology, UTI, Dehydration, Pneumonia, COPD, Wounds, and Post-Op care. Our nurse-to-patient ratio is 1:6 with Patient Care Associates on the floor to help. Our floor’s core values are teamwork and accountability and you will find a sense of belonging on our team. Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or acquisition of certification within department required timeframe.For additional information, please reach out to

$13,000 Sign On Bonus for RNs!$10,000 Sign on Bonus for GNs!Mercy Hospital WashingtonDepartment: Med/SurgStatus: Full Time (36 hrs/wk)Shift: Nights#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus $13,000 for select departmentsGraduate Nurse Sign on Bonus $10,000Stay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a 30-bed Medical/Surgical Unit. Our patient population includes GI, Oncology, UTI, Dehydration, Pneumonia, COPD, Wounds, and Post-Op care. Our nurse-to-patient ratio is 1:6 with Patient Care Associates on the floor to help. Our floor’s core values are teamwork and accountability and you will find a sense of belonging on our team. Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or acquisition of certification within department required timeframe.For additional information, please reach out to

Up to $10,000 Sign On Bonus for RNs!Mercy Hospital WashingtonDepartment: Med/SurgStatus: Full Time (36 hrs/wk)Shift: Weekend -Days(Fri, Sat, Sun)Pay: Base + $20 (Weekend Alt) + Shift Diffs**MUST have 1 year of hospital bedside experience**#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus up to $10,000 for select departmentsStay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a 30-bed Medical/Surgical Unit. Our patient population includes GI, Oncology, UTI, Dehydration, Pneumonia, COPD, Wounds, and Post-Op care. Our nurse-to-patient ratio is 1:6 with Patient Care Associates on the floor to help. Our floor’s core values are teamwork and accountability and you will find a sense of belonging on our team. Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or acquisition of certification within department required timeframe.For additional information, please reach out to

$13,000 Sign On Bonus for RNs!$10,000 Sign on Bonus for GNs!Mercy Hospital WashingtonDepartment/Position: RN -Cardiac TelemetryStatus: Full Time (36 hrs/wk)Shift: Days(Weekend & Holiday Rotation)#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus$13,000 for select departmentsGraduate Nurse Sign on Bonus $10,000Stay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a high paced 35-bed Cardiac Telemetry unit. Our patients range from STEMI’s, post Cardiac Catheterization care, CHF, Arrythmia and Blood pressure Management, Cardiac Catheterization, and Stroke management. Our nurse-to-patient ratio is 1:4 with Patient Care Associates on staff to assist as well. We strive to create an environment where clear communication, accountability, mutual respect and most importantly teamwork are utilized to provide our patient’s exceptional care.Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or or acquisition of certification within department required timeframe.For additional information, please reach out to

Mercy Hospital WashingtonDepartment: ICUStatus: PRNShift: Days#BeAMercyNurseOverview:We are a fast-paced, high-energy 19 bed floor comprised of a 13 bed Intensive Care Unit and 6 bed Transitional Care Unit (step-down). We function as one team with amazing teamwork to provided top quality care to our patients. We are a team of dedicated co-workers that work together to ensure patients receive the lifesaving care they need.We are a medical surgical ICU that sees a wide variety of patients and diagnosis. This diverse nature provides a lot of educational moments for coworkers. The TCU provides care to acutely ill patients that are not quite to the point of needing ICU or just removed from ICU status. The TCU is very fast paced and requires good critical thinking skills, which allows for a great learning environment for new nurses to our team. What ties us together so well is the great teamwork and multi-disciplinary collaboration. Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or or acquisition of certification within department required timeframe.For additional information, please reach out to

$13,000 Sign On Bonus for RNs!$10,000 Sign on Bonus for GNs!Mercy Hospital WashingtonDepartment/Position: RN -Cardiac TelemetryStatus: Full Time (36 hrs/wk)Shift: Nights (Weekend & Holiday Rotation)#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus$13,000 for select departmentsGraduate Nurse Sign on Bonus $10,000Stay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a high paced 35-bed Cardiac Telemetry unit. Our patients range from STEMI’s, post Cardiac Catheterization care, CHF, Arrythmia and Blood pressure Management, Cardiac Catheterization, and Stroke management. Our nurse-to-patient ratio is 1:4 with Patient Care Associates on staff to assist as well. We strive to create an environment where clear communication, accountability, mutual respect and most importantly teamwork are utilized to provide our patient’s exceptional care.Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or or acquisition of certification within department required timeframe.For additional information, please reach out to

Up to $10,000 Sign On Bonus for RNs!Mercy Hospital WashingtonDepartment/Position:RN Float PoolStatus: Full Time (36 hrs/wk)Shift: Days#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus up to $10,000 for select departmentStay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:If you love change and like to learn something new every day then the Float Pool is for you! Float Pool gives the opportunity to develop clinical assessment skills as well as sharpen skills in communication and teamwork.Health care workers who are compassionate, hard-working, and flexible will find working on this unit very rewarding!RN will float to the follow departments within hospital:Emergency DepartmentICUCardiac TelemetryMedical SurgicalMedical Surgical- Adults & PedsQualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Experience:1-year of RN experience preferredPhysical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hire. One more of the certifications below may be required based on the position/unit hired to, or acquisition of certification within department required timeframe:ACLS (Advanced Cardiac Life Support)PALS (Pediatric Advanced Life Support)For additional information, please reach out to

Up to $3,000 Sign On Bonus for LPNs!Up to a $2,000 Sign on Bonus for LPN-GNs!Mercy Hospital WashingtonDepartment: LPN- Cardiac TelemetryStatus: Full Time (36 hrs/wk)Shift: Nights (Weekend & Holiday Rotation)#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus up to $3,000 for select departmentsGraduate Nurse Sign on Bonus $2,000Stay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a high paced 35-bed Cardiac Telemetry unit. Our patients range from STEMI’s, post Cardiac Catheterization care, CHF, Arrythmia and Blood pressure Management, Cardiac Catheterization, and Stroke management. Our nurse-to-patient ratio is 1:4 with Patient Care Associates on staff to assist as well. We strive to create an environment where clear communication, accountability, mutual respect and most importantly teamwork are utilized to provide our patient’s exceptional care.Qualifications:Education: High school diploma or GED equivalentLicensure: Graduate of an accredited practical nursing program; Consideration will be given for comparable education experience and successful licensure. Is personally responsible for obtaining, and maintaining a current LPN license within the hiring state in which nursing duties are performed and must meet all State Board of Nursing requirementsPhysical Requirements/Demands: Stand/Walk most of the time on duty; significant amount of bending and stooping, as well as lifting and turning patients with assistance; push/pull/grip up to 50 poundsExperience: (can be new or experienced LPN)Certifications:Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hireLPN-IV Certification must be previously completed or successful completion of course within 3 months of hire (range from upon hire to within 1 year)NOTE: one or more of the certifications below may be required based on the position/unit hired to, or acquisition of certification within department required timeframe:ACLS (Advanced Cardiac Life Support)PALS (Pediatric Advanced Life Support)Other unit specific certifications as requiredFor additional information, please reach out to

Up to $10,000 Sign On Bonus for RNs!Mercy Hospital WashingtonDepartment: ICUStatus: Full Time (36 hrs/wk)Shift: Nights#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus up to $10,000 for select departmentsStay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a fast-paced, high-energy 19 bed floor comprised of a 13 bed Intensive Care Unit and 6 bed Transitional Care Unit (step-down). We function as one team with amazing teamwork to provided top quality care to our patients. We are a team of dedicated co-workers that work together to ensure patients receive the lifesaving care they need.We are a medical surgical ICU that sees a wide variety of patients and diagnosis. This diverse nature provides a lot of educational moments for coworkers. The TCU provides care to acutely ill patients that are not quite to the point of needing ICU or just removed from ICU status. The TCU is very fast paced and requires good critical thinking skills, which allows for a great learning environment for new nurses to our team. What ties us together so well is the great teamwork and multi-disciplinary collaboration. Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or or acquisition of certification within department required timeframe.For additional information, please reach out to

Up to $10,000 Sign On Bonus for RNs!Mercy Hospital WashingtonDepartment: ICUStatus: PartTime (24 hrs/wk)Shift: Nights#BeAMercyNurseIncentives:Experienced Nurse Sign on Bonus up to $10,000 for select departmentsStay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesTuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimeEmployer-Matched Retirement Funds Shift DifferentialsNew Increased Weekend Option Differential: $20 RN/$15 LPNOverview:We are a fast-paced, high-energy 19 bed floor comprised of a 13 bed Intensive Care Unit and 6 bed Transitional Care Unit (step-down). We function as one team with amazing teamwork to provided top quality care to our patients. We are a team of dedicated co-workers that work together to ensure patients receive the lifesaving care they need.We are a medical surgical ICU that sees a wide variety of patients and diagnosis. This diverse nature provides a lot of educational moments for coworkers. The TCU provides care to acutely ill patients that are not quite to the point of needing ICU or just removed from ICU status. The TCU is very fast paced and requires good critical thinking skills, which allows for a great learning environment for new nurses to our team. What ties us together so well is the great teamwork and multi-disciplinary collaboration. Qualifications:Education: Graduate of an accredited registered professional nursing programLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Physical requirements/demands: Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis. Position requires prolonged standing and walking each shift. Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform dutiesCertifications:ACLS (Advanced Cardiac Life Support)BLS (Basic Life Support) or successful completion of course within 30 days of hireOther unit specific certifications as required or or acquisition of certification within department required timeframe.For additional information, please reach out to

MERCY HOSPITAL WashingtonDepartment: GIGStatus: PRN/Per Diem/Flex/FloatShift: Various Shifts Available#BeAMercyNurseIncentives:$40/hour + Variable Shift IncentiveW-2 EmployeeMinimum 12 hours every 90 days4, 8, or 12 hour shifts availableVariable Shift IncentivesWork Where and When You Want!Overview:Are you seeking a flexible incentivized Registered Nurse position Ability to pick up day shift OR night shift- whatever works best for you! No weekend, holiday, or shift requirement. Participation in the Gig Nursing Program requires being responsible for scheduling a minimum number of hours, being available on short notice, being flexible and subject to last minute shift cancellation. The Gig Nursing Program does not offer guaranteed shift hours and will be the first for cancellation.The Registered Nurse - GIG will float between the designated Mercy Hospital facilities of their choice.Departments Utilizing GIG RNs:Behavioral Health (BH)Critical Care (Stepdown, ICU)Emergency Department (ED)Medical-Surgical (MS)Telemetry (Tele)Women's Health (L&D, M&B)Facilities/Locations:Mercy St. Louis - St.Louis, MOMercy Jefferson- Festus, MOMercy South- South St. Louis County, MOMercy Washington- Washington, MOMercy Lincoln- Troy, MOMercy Perry- Perryville, MOMercy Southeast- Cape Girardeau, MOMercy Stoddard- Dexter, MOQualifications:Required Education:Graduate of an accredited registered professional nursing programPreferred Education:BSNLicensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing requirements.Experience:One year of recent bed-side RN experience to work Med Surg. For all other specialties (ED, ICU, etc.) a minimum of two years of recent bed-side RN experience.Certifications:For Med Surg and Behavioral Health - BLSFor Women's Health - BLS & NRPFor Critical Care (CC) - BLS, ACLSFor Emergency Department (ED) - BLS, ACLS, & PALSPreferred Experience:Epic experiencePhysical requirements/demands:Position requires individuals to push, pull, and/or lift 50 pounds on a regular basisPosition requires prolonged standing and walking each shiftPosition requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties EEO/AA/Minorities/Females/Disabled/Veterans

Come join Mercy Hospital Washington!#BeaMercyNurseFull Time - Part Time - PRN - Weekend OptionIncentives:Experienced RN Sign on Bonus up to $13,000 for select departmentsGraduate Nurse Sign on Bonus up to $10,000Experienced LPN Sign on Bonus up to $3,000for select departmentsGraduate LPN Sign on Bonus up to $2,000Stay Premium Program- up to $8/hour based on years of Mercy serviceEducation AssistanceUp to $20,000 Loan Forgiveness for new grad nursesRN Loan Forgiveness Program to aide in paying off your RN student loan debt.Up to $370 per month directly towards loan payments ($20,000 cap)Must start with Mercy within 12-months of graduation.Tuition Reimbursement $2,000 per yearDay-One comprehensive medical, dental & vision insurancePTO/Vacation TimePTO Frontload (1+year RN experience- Full Time Night positions)Employer-Matched Retirement Funds Shift DifferentialsCompetitive SalariesPaid Parental LeaveTuition & Professional DevelopmentReimbursement ProgramsPublic Service Loan Forgiveness (PSLF)Student Loan Refinancing DiscountMercy Scholarships & GrantsFree parkingMy name is Jamie Blair- Senior Recruiter at Mercy Hospital Washington. If you have an interest in learning more about opportunities, please call me at or email me at .You may also complete this application and I will reach out to you!I would love to talk to you about our supportive work environment and how we canhelp youdo more of what you love! If you knowan someone who might be interested in learning more about Mercy please feel free to share this email or send them my contact information.Mercy is a faith-based ministry anda special place for those who feel called to help patients, families and each other. We work together to deliver a better health care experience, embracing new and innovative ways of providing care.Weinvest and encourageprofessional growth throughscholarships, loan reimbursement, referral bonuses, competitive salariesand benefits that start day one!Qualifications:Experience: Experienced or New GraduatesRequired Education: Nursing Degree from an accredited schoolLicense: Current RN or LPN license in our state Certifications: Basic Life Support certification through the American Heart Association Mercy has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.