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Healthcare Jobs
Full Time
8/1/2025
Kearney, NE 68847
(44.5 miles)
Job DescriptionNomad Health seeks an experienced Step-Down registered nurse for a travel assignment in NE.Take the next step in your healthcare career and join Nomad Health as a Step-Down travel nurse. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.QUALIFICATIONSMinimum one year of RN experienceOne yearStep-Down experience within the last two years as an RNHave an active RN license or be willing to obtain a Registered Nurse license in NERN degree from an accredited registered nurse programBLS and all relevant Step-Down/department-specific certifications requiredRegister for a Nomad Health account to view full job details and applyNOMAD BENEFITSMajor medical and dental plans available on your first day of work401(k) with employer matching availableReimbursement for travel to your assignmentHousing stipendWeekly deposits direct to your bank accountWe work with thousands of travel nurses all over the country, in a wide variety of specialties and disciplines. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Step-Down experience within the last two years. In addition, you must have a Bachelor’s or Associate degree in nursing from an accredited registered nursing program, as well as a Basic Life Support (BLS) and all other relevant specialty/department certifications.At Nomad, we want to give you the tools you need to succeed. Our Nomad Navigators are passionate about helping you get to the bedside as quickly and efficiently as possible. They can help you with your application, credentialing, and finding housing. Our Navigators have experience working with travel nurses and can even help with on-the-job concerns if any arise while on assignment, and can provide clinician-to-clinician support.In addition to real hands-on support, we have a benefits package that was explicitly built for traveling clinicians and includes a housing stipend, partial travel reimbursement, and major medical and dental plans available on your first day of work. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.With your Nomad Health account, you get access to our unique digital platform; a platform built to help you land your perfect assignment. Move your travel healthcare career forward and find your next job today.We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical NurseEmergency Room NurseStep-Down NurseTelemetry NurseICU NurseOperating Room NurseLabor and Delivery NurseCath Lab NursePsychiatric NurseAnd more travel RN jobs!
Full Time
8/1/2025
Blue Hill, NE 68930
(0.8 miles)
We are currently seeking home providers in: Kearney / Buffalo County, NE Are you looking for a meaningful work opportunity in your home Become a Host Home / Shared Living provider with Mosaic at Home®! Average annual income of $76,800 (federally tax-free) plus room & board. You must reside in the state of Nebraska (due to state funding) and own or rent your home. For nearly 40 years, Mosaic has provided improved quality of life, greater stability and increased community access for people with disabilities through our shared living service, which also offers a satisfying career option for home providers. As a home provider, you share your home with an individual with a disability. Your responsibility is to maintain a safe and healthy home environment for the individual and be a mentor while helping the person as needed with the tasks of daily living. In this role, you assist withcultivating life skills and fostering independence. We work to match interests and lifestyles between people. You will participate together in activities of daily living, both at home and in the community. Through the matching process, you are able to match with a person whose needs fit the support level you wish to offer. Duties vary for each individual from minimal support (i.e., budgeting, medication, transportation, activities of daily living) to full support (i.e., dressing, toileting, feeding, positive behavioral support, etc.), and the income is commensurate with the level of support provided. Responsibilities include: Provide support for tasks such as cooking, cleaning, laundry, budgeting, decision-making, etc.Skill acquisitionMedication administrationMedical appointmentsSupport with overall health and well-beingDaily documentation via web-based case management application (THERAP)Provide fun and leisure experiences to the individual by providing opportunities of community inclusion, integration and socializationCompliance with all state/agency policy and proceduresCommunicate effectively with team members as neededSupport physical needs of individual servedProvide transportation Possible responsibilities depending on your preference: Assistance with bathing, toileting, feeding, behavioral support, etc.Provide support for medical protocols, such as seizure, fall, feeding tube, etc.Care for someone with complex physical/medical needs (i.e., hearing impaired, vision impaired, non-ambulatory, etc.)Potential support of behavioral issues. #homehealth #RN #LPN #HomeAide #caregiver #fosterMust be a resident of the state in which you wish to provide contracted services inTransportation, valid driver's license, car insurance and current registrationActive home/renters insuranceOwn or rent your own home/apartment/condo/townhouseMust be at least 18 years of ageExperience preferred but not requiredReliable computer and internet accessComplete all state mandated trainingsEnvironmentally safe and clean residenceAbility to pass State/Federal and APS/CPS background check
Full Time
8/1/2025
Hastings, NE 68901
(21.1 miles)
COMPENSATION AND BENEFITS Emergency Medicine(EM) Competitive Annual Salary with 280 PTO hours$50,000 Sign on BonusStudent Loan Forgiveness: $100,000 over 5 years$15,000 Relocation AssistanceRetention Bonus is Available CME: $5,000 for 5days RESPONSIBILITIES AND FACILITY DETAILS Emergency Medicine(EM) Level-III Trauma Hospital with Helicopter SupportWork 12 x 12-hour shifts a monthAverage 40-60 Patients Per a Day for the entire EM DeptStaff: 6 EM Doctors with APP SupportMalpractice: Occurrence Base Coverage QUALIFICATIONS AND SKILLS Emergency Medicine(EM) New Graduates, &Experienced Candidates WelcomeABEM Board Certified or Board Eligible working toward the BoardsJ1 and H1B Visa Candidates Encouraged to ApplyEMR System is EPIC COMMUNITY Emergency Medicine(EM) Some providers live in Omaha, NE or Sioux Falls, IowaGood schools in town and Per Niche.com the school district gets an A- for DiversityAlmost 20% lower cost of living vs the US National AveragePer Bestplaces.net, a typical home costs $213,000 which is 37% less than the national averageHunting, Fishing, Golfing, Retail Shopping, Famer’s Market, Target, Walmart Supercenter, and grocery stores in town REFERENCE NUMBER: 206292ABOUT DELTA PHYSICIAN PLACEMENT Delta Physician Placement (DPP), the permanent staffing division of The Delta Companies, identifies qualified Physicians, Advanced Practitioners, Allied Health, and Therapist on behalf of healthcare facilities nationwide. A single point of contact assists you with coordinating communication with the hiring manager, negotiating contractual details, and coordinating any necessary travel.The company has been recognized with several Best of Staffing® Awards. Visit www.deltaplacement.comfor more information.
Full Time
8/1/2025
Blue Hill, NE 68930
(0.8 miles)
We are currently seeking home providers in: Grand Island / Hall County, NE Are you looking for a meaningful work opportunity in your home Become a Host Home / Shared Living provider with Mosaic at Home®! Average annual income of $76,800 (federally tax-free) plus room & board. You must reside in the state of Nebraska (due to state funding) and own or rent your home. For nearly 40 years, Mosaic has provided improved quality of life, greater stability and increased community access for people with disabilities through our shared living service, which also offers a satisfying career option for home providers. As a home provider, you share your home with an individual with a disability. Your responsibility is to maintain a safe and healthy home environment for the individual and be a mentor while helping the person as needed with the tasks of daily living. In this role, you assist withcultivating life skills and fostering independence. We work to match interests and lifestyles between people. You will participate together in activities of daily living, both at home and in the community. Through the matching process, you are able to match with a person whose needs fit the support level you wish to offer. Duties vary for each individual from minimal support (i.e., budgeting, medication, transportation, activities of daily living) to full support (i.e., dressing, toileting, feeding, positive behavioral support, etc.), and the income is commensurate with the level of support provided. Responsibilities include: Provide support for tasks such as cooking, cleaning, laundry, budgeting, decision-making, etc.Skill acquisitionMedication administrationMedical appointmentsSupport with overall health and well-beingDaily documentation via web-based case management application (THERAP)Provide fun and leisure experiences to the individual by providing opportunities of community inclusion, integration and socializationCompliance with all state/agency policy and proceduresCommunicate effectively with team members as neededSupport physical needs of individual servedProvide transportation Possible responsibilities depending on your preference: Assistance with bathing, toileting, feeding, behavioral support, etc.Provide support for medical protocols, such as seizure, fall, feeding tube, etc.Care for someone with complex physical/medical needs (i.e., hearing impaired, vision impaired, non-ambulatory, etc.)Potential support of behavioral issues. #homehealth #RN #LPN #HomeAide #caregiver #fosterMust be a resident of the state in which you wish to provide contracted services inTransportation, valid driver's license, car insurance and current registrationActive home/renters insuranceOwn or rent your own home/apartment/condo/townhouseMust be at least 18 years of ageExperience preferred but not requiredReliable computer and internet accessComplete all state mandated trainingsEnvironmentally safe and clean residenceAbility to pass State/Federal and APS/CPS background check
Full Time
8/1/2025
Hastings, NE 68901
(21.1 miles)
COMPENSATION AND BENEFITSCertified Registered Nurse Anesthetist (CRNA) $325,000Salary Guarantee$50,000 Sign on Bonus/Relocation Combined$ Comprehensive Benefits: 8weeks PTO,CME/$3,500, health, dental, vision, retirement, license, housing 3 month allowance Paid Malpractice including tail coverage Student loan and tuition reimbursement available RESPONSIBILITIES AND FACILITY DETAILSCertified Registered Nurse Anesthetist (CRNA) Employed Opportunity General B&B Practice: Lines, blocks, epidurals, GS, ortho, GI, Uro, OB, Cath-lab, Call 1:8 weekday and 1:10 weekend with Post Call Day Off Work with independent CRNA's; 4 MDA/6 CRNA ModelModern Hospital Opened in 2014 and 75 million expansion now QUALIFICATIONS AND SKILLSCertified Registered Nurse Anesthetist (CRNA) Independent practice setting with great support General Anesthesia; B&B, lines, blocks, epidurals Work Well in Team Environment; "Culture & Fit" key here Quality and Patient Care Focused COMMUNITYCertified Registered Nurse Anesthetist (CRNA) Very Appealing Nebraska University town Indoor sports arena and indoor pro tennis courts Great Schools withPublic and Private Options Very Affordable Housing Options/Low Cost-of-Living Lakes, hunting, fishing and lots of outdoor options Local Airport, Excellent restaurants, USHL Hockey, Coffee Shops, Breweries Dynamic Economy and White Collar Great Parks and Lots of Family Activities Culture and Music options too REFERENCE NUMBER: 198707 ABOUT DELTA PHYSICIAN PLACEMENT Delta Physician Placement (DPP), the permanent staffing division of The Delta Companies, identifies qualified Physicians, Advanced Practitioners, Allied Health, and Therapist on behalf of healthcare facilities nationwide. A single point of contact assists you with coordinating communication with the hiring manager, negotiating contractual details, and coordinating any necessary travel. The company has been recognized with several Best of Staffing® Awards. Visit www.deltaplacement.com for more information. #IH
Full Time
8/2/2025
Axtell, NE 68924
(39.3 miles)
We invite you to Walk-In on Wednesdays - A hiring event in Axtell. We are accepting walk-ins to apply, chat about our current openings, and we will be making offers to qualifying candidates!Date: Every Wednesday from 8am-4pm.Address: 1044 23rd Rd Axtell, NE 68924.Please go to the KIDRON Building, located east of the water tower on the north side of the campus. We are looking for: Full-Time Days and Evenings Part-Time Evenings and Overnights Oncall If making a positive impact in the lives of others is always on your to-do list -- you'll LOVE working with a team that puts people first. We're looking for a Certified Medication Specialist to join our team! As a Certified Medication Specialist, you'll be responsible for administering routine medications to the people we serve as directed by the prescribing physician and providing support as requested by the supervisor. Who will love this job: A proud advocate - you naturally stand up for people while remaining compassionate, responsive, inventive, and effective A go-getter - you're always looking for ways to add value, do better work, improve processes, build others up, and make the world a better place A collaborator - you naturally draw people together while remaining calm and focused, even in emotionally charged situations What you'll do: Administer proper medication as directed by prescribing physician and in accordance with state certification, company policy, and CMA standards.Document daily administration of medication and notify appropriate personnel of any medication errors.Monitor medication inventory by properly disposing of any expired medications, and logging in new and refilled meds to ensure proper medication counts.Monitor assigned home's inventory for proper labeling of medicationsDetect, document and address signs of illness or injury which warrant medical or nursing intervention and perform first aid according to approved training as needed. Commitment to Mosaic Values:At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the right thing to do.You should have: CMA Certification - 40 hour med aide license required.Valid driver's licensePrevious experience working with individuals with developmental disabilities is preferred Extras we think you'll love: Daily PayHealth InsuranceCompetitive PayProfessional & Personal Development OpportunitiesTuition ReimbursementPaid Time Off (you earn it from day one!)
Full Time
8/2/2025
Axtell, NE 68924
(39.3 miles)
We invite you to Walk-In on Wednesdays - A hiring event in Axtell. We are accepting walk-ins to apply, chat about our current openings, and we will be making offers to qualifying candidates!Date: Every Wednesday from 8am-4pm.Address: 1044 23rd Rd Axtell, NE 68924.Please go to the KIDRON Building, located east of the water tower on the north side of the campus.We are looking for:Full-Time Days and EveningsPart-Time Evenings and OvernightsOncall If making a positive impact in the lives of others is always on your to-do list -- you'll LOVE working with a team that puts people first. We're looking for Direct Support Professionals to join our team!As a DSP, you will provide support and guidance to people served as they learn and develop important daily living skills and life activities to live as independently as possible.You will love this job if you are:A natural helper - you possess the natural instinct to help people feel more relaxed, safe and confident;A top-notch listener - you hear the one-of-a-kind stories in every person you meet and naturally embrace each person's uniqueness;A dedicated teacher - you have a knack for sensing the emotions of others and enjoy helping others explore and learn;A proud advocate - you have an innate desire to stand up for people who need a voiceA born go-getter - you are always looking for ways to add value, improve processes, build others up, and make the world a better place.What you'll do in this role:Assist with the development of important daily living skills and life activities by creating an environment where people can learn, grow and discover;Help people identify and achieve the goals most important to them in order to live their best life possible;Monitor the comfort and safety of the people we serve while ensuring their medical, nutritional and personal care needs are being met; and,Demonstrate emotional support while assisting with general housekeeping, meal preparation and laundry duties.This job may be the perfect fit for you if...You have a passion for helping othersYou're an effective, clear communicator - both written and verbalYou're practically always on time (or early) and strive to exceed expectations whenever possibleYou have excellent time management skills and are able to juggle multiple responsibilities while communicating honestly about your timelines, challenges, and questions.You do whatever it takes and the phrase "That's not my job" is not a part of your vocabulary.When you hear the word inclusive or inclusion, you know that is you. People are people and you consider yourself a people person!Commitment to Mosaic Values:At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the right thing to do.Desire to make a positive difference in people's lives. No experience or educational requirements needed. We provide thorough training.Must be at least 18 years of age.Valid U.S. driver's license required, where applicable.Work requires frequent physical activity including extended periods of standing, walking, and bending with occasional periods of sitting, kneeling, climbing, stooping, crouching, squatting and balancing.Work also requires constant reaching between knee and shoulder level as well as frequent reaching below knee level and overhead.Work requires occasional independent lifting up to 25 pounds, frequent push/pull up to 40 pounds of force and the ability to safely transfer 50 pounds. #DSP1
Full Time
8/1/2025
Grand Island, NE 68801
(44.3 miles)
**FLEXIBLE NURSING OPPORTUNITY!!** **NO WEEKENDS, HOLIDAYS OR ONCALL, DAY HOURS** **GET PAID EVERY DAY** If making a positive impact in the lives of others is a constant on your to-do list you’ll LOVE working with a team that puts people first. Mosaic is looking for aRegistered Nurse (RN) Float Poolto join our team! In this role, you will provide health care to individuals receiving services in the homes by scheduling medical appointments, assessing condition, reviewing medications, completing any necessary medical forms and by updating medical records. Who will love this job: Athoughtful mediator- you’re receptive and remain authentic in all situationsAcollaborative teammate -you love working with others and rely on the strong relationships you build to achieve the best outcomes for the people you serveA natural advocate-you offer reassurance and support throughout day-to-day activities as the liaison between the people we serve and their care teams.A helper- you can easily mend fences and have a knack for winning hearts and minds. What YOU’LL will do: Provide nursing support and consultation with the state's Nurse Practice Act and physician orders.Provide ongoing nursing assessments, planning and monitoring health status of people served for best possible health.Provide health related education to those served and those who serve in the agency.Maintain and review electronic healthcare records to monitor pertinent health status, provide accurate and through documentation and update agency leaders as neededBuild effective relationships with colleagues, persons served and their providers and families/guardians. SCHEDULE:DAYS, 8 hour shifts, can work up to 24 hours a week - required to work at least 24 hours a quarter,NO HOLIDAY, or ONCALL, WEEKEND hours requirements,Travel to Axtell may be required - agency vehicle provided. Commitment to Inclusion, Diversity, Equity and Belonging: At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the right thing to do.What YOU’LL Need: State license required in nursing in good standing, AAN or BSN preferred or degree required to meet state regulations.A minimum of 1 year general nursing experience is required.Must be able to lift, push and pull at least 50 pounds.Valid Driver's license What YOU'LL Get: Daily Pay-GET PAID EVERY DAY-manage finances with a convenient way to get paid, financial flexibility and peace of mind.Professional & Personal Development OpportunitiesFlexible work hoursNo scrubs/uniforms requiredResidential, home atmosphere with smaller care ratio
Full Time
8/1/2025
Grand Island, NE 68801
(44.3 miles)
**FLEXIBLE NURSING OPPORTUNITY!!** **NO WEEKENDS OR ONCALL, DAY HOURS** **GET PAID EVERY DAY** If making a positive impact in the lives of others is a constant on your to-do list you’ll LOVE working with a team that puts people first. Mosaic is looking for aLicensed Practical Nurse (LPN) Float Poolto join our team! In this role, you will assist people with intellectual and/or developmental disabilities in achieving their best possible health. This may include advocacy with healthcare providers, administering medications and/or injections, observing and monitoring each persons health status and communication with support team on any changes. Who will love this job: Athoughtful mediator- you’re receptive and remain authentic in all situationsAcollaborative teammate -you love working with others and rely on the strong relationships you build to achieve the best outcomes for the people you serveA natural advocate-you offer reassurance and support throughout day-to-day activities as the liaison between the people we serve and their care teams.A helper- you can easily mend fences and have a knack for winning hearts and minds. What YOU’LL will do: Provide nursing support and consultation with the state's Nurse Practice Act and physician orders.Ensure individuals receive routine and preventative health services and medication administration is completed accurately according to regulations.Provide health related education to those served and those who serve in the agency.Maintain and review electronic healthcare records to monitor pertinent health status, provide accurate and through documentation and update agency leaders as neededBuild effective relationships with colleagues, persons served and their providers and families/guardians. SCHEDULE:DAYS, 8 hour shifts, can work up to 24 hours a week - required to work at least 24 hours a quarter,NO HOLIDAY or WEEKEND requirements, NO ON CALL, travel between Grand Island and Axtell may be required with an agency vehicle. Commitment to Inclusion, Diversity, Equity and Belonging: At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the rightthing to do.What YOU’LL Need: State license required in nursing in good standing, ASN requiredA minimum of 1 year general nursing or 3 years CNA/CMA experience is required.Must be able to lift, push and pull at least 50 pounds.Valid Driver's license What YOU'LL Get: Daily Pay-GET PAID EVERY DAY vs BIWEEKLY-manage finances with a convenient way to get paid, financial flexibility and peace of mind.Professional & Personal Development OpportunitiesNo UniformsSmall patient care loads in a home setting.
Full Time
8/1/2025
Grand Island, NE 68801
(44.3 miles)
If making a positive impact in the lives of others is a constant on your to-do list you’ll LOVE working with a team that puts people first. Mosaic is looking for aRegistered Nurse (RN) or Licensed Practical Nurse (LPN) to join our team! In this role, you will provide health care to individuals receiving services in the homes by scheduling medical appointments, assessing condition, reviewing medications, completing any necessary medical forms and by updating medical records. Who will love this job: A thoughtful mediator- you’re receptive and remain authentic in all situationsA collaborative teammate - you love working with others and rely on the strong relationships you build to achieve the best outcomes for the people you serveA natural advocate- you offer reassurance and support throughout day-to-day activities as the liaison between the people we serve and their care teams.A helper - you can easily mend fences and have a knack for winning hearts and minds. What YOU’LL will do: Coordinate physician and health care services for people servedConduct health care assessments and write health care plansFacility training and orientation of new staff regarding healthcare proceduresProvide on call assistance to staff as needed SCHEDULE: Days, 16 hrs/week, Part Time, other hours may be required based on needs of the nursing dept. Commitment to Mosaic Values: At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the right thing to do.What YOU’LL Need: Licensed Practical Nursing/Vocational Nursing certification in good standing, Associate Degree of NursingMinimum of one year of LPN experience or 3 years of CNA/CMA required. -NEW GRADUATES WELCOME!Must be able to lift, push and pull at least 50 pounds.Valid Driver's licenseCertified in CPR and First Aid (can be obtained after hire) What YOU'LL Get: Daily Pay- ACCESS YOUR PAY EVERY DAY vs waiting for biweekly -manage finances with a convenient way to get paid for your work every day, financial flexibility and peace of mind.Education Assistance to further your education or develop your careerHealth, Dental, Vision, Prescription options availableProfessional & Personal Development Opportunities403b Retirement PlanPaid Time Off that starts accruing your first day
Full Time
8/1/2025
Kearney, NE 68847
(44.5 miles)
**FLEXIBLE NURSING OPPORTUNITY!!** **NO WEEKENDS OR ONCALL, DAY HOURS** **GET PAID EVERY DAY** If making a positive impact in the lives of others is a constant on your to-do list you’ll LOVE working with a team that puts people first. Mosaic is looking for aLicensed Practical Nurse (LPN) Float Poolto join our team! In this role, you will assist people with intellectual and/or developmental disabilities in achieving their best possible health. This may include advocacy with healthcare providers, administering medications and/or injections, observing and monitoring each persons health status and communication with support team on any changes. Who will love this job: Athoughtful mediator- you’re receptive and remain authentic in all situationsAcollaborative teammate -you love working with others and rely on the strong relationships you build to achieve the best outcomes for the people you serveA natural advocate-you offer reassurance and support throughout day-to-day activities as the liaison between the people we serve and their care teams.A helper- you can easily mend fences and have a knack for winning hearts and minds. What YOU’LL will do: Provide nursing support and consultation with the state's Nurse Practice Act and physician orders.Ensure individuals receive routine and preventative health services and medication administration is completed accurately according to regulations.Provide health related education to those served and those who serve in the agency.Maintain and review electronic healthcare records to monitor pertinent health status, provide accurate and through documentation and update agency leaders as neededBuild effective relationships with colleagues, persons served and their providers and families/guardians. SCHEDULE:DAYS, 8 hour shifts, can work up to 24 hours a week - required to work at least 24 hours a quarter,NO HOLIDAY or WEEKEND requirements, NO ON CALL, travel between Grand Island and Axtell may be required with an agency vehicle. Commitment to Inclusion, Diversity, Equity and Belonging: At Mosaic, we believe in creating a workplace where everyone has the chance to contribute and succeed. This commitment is not just a policy, it's the way we work. It's good for the workforce, it's good for Mosaic, and it's the rightthing to do.What YOU’LL Need: State license required in nursing in good standing, ASN requiredA minimum of 1 year general nursing or 3 years CNA/CMA experience is required.Must be able to lift, push and pull at least 50 pounds.Valid Driver's license What YOU'LL Get: Daily Pay-GET PAID EVERY DAY vs BIWEEKLY-manage finances with a convenient way to get paid, financial flexibility and peace of mind.Professional & Personal Development OpportunitiesNo UniformsSmall patient care loads in a home setting.
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