Registered Nurse 2 (RN2)

Work type: Permanent Full Time
Location: Bellingham, WA
Categories: Enrollment & Student Services

Position Title Registered Nurse 2 (RN2)
About the University Western Washington University, with over 15,000 students in seven colleges and the graduate school, is nationally recognized for its educational programs, students and faculty. The campus is located in Bellingham, Washington, a coastal community of 83,000 overlooking Bellingham Bay, the San Juan Islands and the North Cascades Mountain range. The city lies 90 miles north of Seattle and 60 miles south of Vancouver, British Columbia. Western is the highest-ranking public, master’s-granting university in the Pacific Northwest, according to the 2017 U.S. News & World Report rankings.
About the Department The Student Health Center supports Western’s mission, which states that together with our students, staff, and faculty, we are committed to making a positive impact in the state and the world with a shared focus on academic excellence and inclusive achievement. We encourage applications from women, people of color, people with disabilities, veterans, and other candidates from underrepresented backgrounds and with diverse experiences interested in this opportunity.
About the Position
Under the direction of the Nurse Practitioner (ARNP) or Physician, as our Registered Nurse 2, you will provide safe therapeutic care for a diverse population of university-age patients in a university setting.

Your responsibilities will include:

Direct Patient Care
Observe and record the current and patient history of physical and mental conditions – noticing physical and/or behavioral changes and the effects of drugs and incidents
Reconcile medications and prepare the patient and electronic health record for the visit
Administer medications and vaccinations
Collect patient specimens
Start and maintain IVs
Triage by taking a history and doing a physical assessment to determine a patient’s need for medical care, and treat based on nursing protocols and procedures
Direct patients in emergency and complex situations
Assist Providers
Assist the physician or ARNP with physical examinations, techniques, and procedures, and other aspects of patient care
Policy/Procedure Maintenance
Develop, maintain and apply appropriate policies, procedures, protocols, and standards of practice for performance of clinical duties and evaluating own practice in relation to these
Miscellaneous Duties as Assigned
Wash and sterilize instruments, laundry, stock exam rooms, maintain laboratory equipment, perform maintenance testing and controls on test supplies used and other tasks assigned by supervisor
Teaching/Communicating
Use multiple forms of communication to:
Care for and teach/counsel patients
Provide for the safety, comfort and protection of patients
Encourage healthy mental attitudes and new behavior patterns
Respond to patient’s needs
Provide triage of incoming patient communication
Required Qualifications
Registered Nurse with BS degree in Nursing or related field
Eligible for Washington State RN License at the time of hire
Strong written and verbal communication skills
2 years of RN experience providing healthcare in an ambulatory/outpatient clinic, college/school and/or urgent care clinic setting
Experience working with diverse and/or minority populations
BCLS Certification
Preferred Qualifications
Telephone or in-person triage nursing experience
Experience administering immunizations
Experience drawing blood
Experience performing lab tests in a CLIA-waived lab setting (rapid tests, dipstick tests; as well as preparing specimens for submission to an outside lab)
College health nursing experience
Experience providing mental healthcare
Competency in IV start and maintenance
Experience with Practice Partner electronic medical record
Salary New hires typically start at $5343/month depending on years of experience; includes an excellent benefits package
Bargaining Unit This position is part of bargaining unit PTE and is covered by the collective bargaining agreement with the Public School Employees of WWU.
Application Instructions
A cover letter and resume are required and should address your experience related to the position responsibilities and the required and preferred qualifications.

Please include the names and contact information of three professional references.

Closing Date Notes Position closes 11/20/2018
Western Washington University (WWU) is an equal opportunity and affirmative action employer committed to assembling a diverse, broadly trained faculty and staff. Women, minorities, people with disabilities and veterans are strongly encouraged to apply. In compliance with applicable laws and in furtherance of its commitment to fostering an environment that welcomes and embraces diversity, WWU does not discriminate on the basis of race, color, creed, religion, national origin, sex (including pregnancy and parenting status), disability, age, veteran status, sexual orientation, gender identity or expression, marital status or genetic information in its programs or activities, including employment, admissions, and educational programs. See WWU’s Policy on Ensuring Equal Opportunity and Prohibiting Discrimination and Retaliation. Inquiries may be directed to the Vice Provost for Equal Opportunity and Employment Diversity, Title IX and ADA Coordinator, Equal Opportunity Office, Western Washington University, Old Main 345 (MS 9021), 516 High Street, Bellingham, WA 98225; 360.650.3307 (voice) or 711 (Washington Relay); eoo@wwu.edu

WWU is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request an accommodation, please contact Human Resources Disability Services, 360.650.3774 or 711 (Washington Relay).

Annual Security and Fire Safety Report: This report is provided pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act (“The Clery Act”). It includes statistics for the previous three calendar years concerning reported crimes that occurred on Western’s campus; in certain off-campus buildings or property owned or controlled by Western; and on public property within, or immediately adjacent to and accessible from, the campus. The report also includes institutional policies concerning campus security, such as policies concerning alcohol and drug use, crime prevention, the reporting of crimes, sexual assault, and other matters. You can obtain a copy of this report in printed or alternate formats by contacting the office of the Vice President for enrollment and Student Services. The report can be found at http://www.wwu.edu/vpess/annualsafetyreport.shtml.

All new employees must comply with the immunization policy and show employment eligibility verification as required by the U.S. Citizen and Immigration Service before beginning work at WWU. A thorough background check will be conducted on all new hires.

Job no: 496278
Advertised: Nov 06 2018 09:00 Pacific Standard Time
Applications close: Nov 20 2018 23:55 Pacific Standard Time

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Nurse, RN – On Call

Job position / title
Nurse, RN – On Call

Name of business / employer
Christian Health Care Center

Job description / duties
Shifts that work for you!

On-call nursing roles at CHCC are perfectly flexible; working on call at our Lynden healthcare center allows you to live a family-first lifestyle or continue your education while also caring for elders in our community in meaningful ways.

Responsibilities
On-call nurses at CHCC are important members of the healthcare team. They work to assure that each patient’s care plan is carried out. Staff nurses also are tasked with assessing patient conditions, performing treatments, distributing medications, and monitoring the effects of treatments and medications. As an on-call nurse at CHCC, you’ll work closely with our unit coordinator to communicate with families and doctors. You’ll also provide leadership to peers and nursing assistants.

Qualifications
A Washington state RN license is required. Long-term care experience is always valued, welcome and appreciated. We will also mentor, coach and train recent nursing program graduates to work in our long-term care setting.

Application deadline / closing date
12/05/2018

Salary / rate of pay
$ 28.25 for new RN grads. Experienced nurses, DOE. 25 cents per hour differential for evening shifts. $4 per hour differential for night shifts.

Days and hours of employment
Part-time. On call work based on our need and your availability. Day, evening, night or weekend shifts may be available.

Flexible schedule?
(○) Yes

Person or department to contact
Kari Heeringa, HR Manager

Business address
855 Aaron Drive Lynden, WA 98264

Email
hr@chcclynden.org

Phone
360.354.4434

How to apply
Apply on Indeed:
https://www.indeed.com/jobs?q=Christian+Health+Care+Center&l=Lynden%2C+WA&ts=1541625933015&rbc=Christian+Health+Care+Center&jcid=189da6066f749e5b&rs=1

Applications should include
[×] Resume

Vaccine Coordinator LPN / RN

Job position / title
Vaccine Coordinator LPN / RN

Name of business / employer
Family Care Network

Job description / duties
Lynden Family Medicine is seeking an experienced LPN/RN to coordinate the clinic’s Vaccine for Children Program. This position works as part of a team with the Practice Manager, Clinical Lead and Physician partner. This position is Full-time, non-exempt (hourly). The position will be responsible for monthly online reporting to WAIIS, accurate reports to Whatcom and Skagit Counties, as well as monitoring inventory, managing vaccine storage and correcting errors in WAIIS.

The LPN/RN Vaccine Coordinator position also provides clinical support for Family Care Network’s physicians, patients and staff. We are looking for a qualified, motivated individual with a passion for family medicine who can:

Communicate effectively
Provide excellent customer service
Effectively manage patient flow
Utilize clinical knowledge and critical thinking skills to deliver safe, effective and therapeutic patient care
Respond to patient phone messages and answer questions within appropriate scope of practice and/or as directed by provider
Process requests, refills and referrals in a timely manner
Accurately enter and review patient data in the EMR
Prioritize and multitask on multiple projects with frequent interruptions

Essential Knowledge, Skills and Abilities:

Demonstrated knowledge of clinical and medical office practices
Ability to establish lasting and effective employee relationships in a team environment
Proficiency using standard computer and office equipment
Good spelling, grammar, typing, data entry, and phone skills
Ability to maintain patient privacy and confidentiality
Ability to adapt to process and procedure changes
Ability to thrive and grow in a learning environment
Previous medical office experience
Phone triage experience a plus

Family Care Network is a Drug-Free, Equal Opportunity Employer.

Qualifications
Required Education: Completion of accredited LPN or RN program.

Required Licensure: Current Washington State Certification as a LPN or RN.

Physical Requirements: While performing the duties of this job, the employee is required to stand, walk, sit, use hand to finger coordination, handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, and listen attentively. The employee must occasionally lift and/or move up to 30 pounds.

Immunization Requirements: All FCN employees must adhere to the company immunization policy. Immunizations required: Influenza, HepB, Tdap, MMR, varicella or a verified history of chicken pox disease, PPD and any additional immunizations determined necessary for the protection of staff and patients. Family Care Network will cover the cost of required immunizations for Family Care Network employees; immunizations will be administered by FCN staff.

Application deadline / closing date
11/30/2018

Salary / rate of pay
DOE

Days and hours of employment
Full-Time

Pay period
(○) Bi-weekly

Person or department to contact
Renee Hall

Business address
709 W Orchard Dr, Ste 4

Work location (if different from above)
Bellingham

Email
srhall@fcn.net

Phone
360.318.8800

How to apply
Apply online at https://familycarenetwork.com/careers/current-openings#op-288738-vaccine-coordinator-lpn–rn-20188425

Applications should include
[×] Resume
[×] Cover letter

Certified Medical Assistant

Certified Medical Assistant
We are an ARNP family practice and dermatology office looking for a very motivated, friendly and efficient medical assistant to join our team, for three 10 hour days per week, on Tuesday, Thursdays and Fridays.
Full time benefits are covered for 30hr/wk with 2 weeks of PTO, 6 major holidays off/paid and licences covered yearly.
Duties would include checking patients in, vitals, ECG, assist with procedures such as IUDs, biopsies, VFC vaccines, Spirometry, referrals, etc.
Compensation: Depends upon experience ($14-20/hr)
Visit our website to learn more about our clinic: http://www.mtshuksanfamilymedicine.com
Please email your resume to our clinic email on our website, or drop off in person at our office during regular business hours. We are looking for excellent work related references.
We look forward to hearing from you,
Mt. ShuksanFamily Medicine & Dermatology

Clinical Assistant, MA-C/LPN

Job position / title
Clinical Assistant, MA-C/LPN

Name of business / employer
Ms.

Job description / duties
Essential Functions: The Medical Assistant, Certified/LPN position provides clinical support for Family Care Network’s physicians, patients and staff. We are looking for a qualified, motivated individual with a passion for family medicine who can:

Communicate effectively
Provide excellent customer service
Effectively manage patient flow
Utilize clinical knowledge and critical thinking skills to deliver safe, effective and therapeutic patient care
Respond to patient phone messages and answer questions within appropriate scope of practice and/or as directed by provider
Process requests, refills and referrals in a timely manner
Accurately enter and review patient data in the EMR
Prioritize and multitask on multiple projects with frequent interruptions

Required Education: Completion of accredited Medical Assistant/ LPN program.

Required Licensure: Current Washington State Certification as a Medical Assistant (MA-C)or LPN

Physical Requirements: While performing the duties of this job, the employee is required to stand, walk, sit, use hand to finger coordination, handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, and listen attentively. The employee must occasionally lift and/or move up to 30 pounds.

Immunization Requirements: All FCN employees must adhere to the company immunization policy. Immunizations required: Influenza, HepB, Tdap, MMR, varicella or a verified history of chicken pox disease, PPD and any additional immunizations determined necessary for the protection of staff and patients. Family Care Network will cover the cost of required immunizations for Family Care Network employees; immunizations will be administered by FCN staff.

Family Care Network is a Drug-Free, Equal Opportunity Employer.

Qualifications
Essential Knowledge, Skills and Abilities:

Demonstrated knowledge of clinical and medical office practices
Ability to establish lasting and effective employee relationships in a team environment
Proficiency using standard computer and office equipment
Good spelling, grammar, typing, data entry, and phone skills
Ability to maintain patient privacy and confidentiality
Ability to adapt to process and procedure changes
Ability to thrive and grow in a learning environment
Previous medical office experience
Phone triage experience a plus

Application deadline / closing date
11/16/2018

Salary / rate of pay
DOE

Days and hours of employment
Varies

Person or department to contact
Human Resources

Business address
709 W Orchard Dr, Ste 4

Work location (if different from above)
Bellingham

Email
srhall@fcn.net

Phone
360.318.8800

How to apply
https://familycarenetwork.com/careers/current-openings

Applications should include
[×] Resume
[×] Cover letter

Clinical Assistant, MA-C/LPN

Job position / title
Clinical Assistant, MA-C/LPN

Name of business / employer
Family Care Network

Job description / duties
Essential Functions: The Medical Assistant, Certified/LPN position provides clinical support for Family Care Network’s physicians, patients and staff. We are looking for a qualified, motivated individual with a passion for family medicine who can:

Communicate effectively
Provide excellent customer service
Effectively manage patient flow
Utilize clinical knowledge and critical thinking skills to deliver safe, effective and therapeutic patient care
Respond to patient phone messages and answer questions within appropriate scope of practice and/or as directed by provider
Process requests, refills and referrals in a timely manner
Accurately enter and review patient data in the EMR
Prioritize and multitask on multiple projects with frequent interruptions

Essential Knowledge, Skills and Abilities:

Demonstrated knowledge of clinical and medical office practices
Ability to establish lasting and effective employee relationships in a team environment
Proficiency using standard computer and office equipment
Good spelling, grammar, typing, data entry, and phone skills
Ability to maintain patient privacy and confidentiality
Ability to adapt to process and procedure changes
Ability to thrive and grow in a learning environment
Previous medical office experience
Phone triage experience a plus

Physical Requirements: While performing the duties of this job, the employee is required to stand, walk, sit, use hand to finger coordination, handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, and listen attentively. The employee must occasionally lift and/or move up to 30 pounds.

Immunization Requirements: All FCN employees must adhere to the company immunization policy. Immunizations required: Influenza, HepB, Tdap, MMR, varicella or a verified history of chicken pox disease, PPD and any additional immunizations determined necessary for the protection of staff and patients. Family Care Network will cover the cost of required immunizations for Family Care Network employees; immunizations will be administered by FCN staff.

Family Care Network is a Drug-Free, Equal Opportunity Employer.

Qualifications
Required Education: Completion of accredited Medical Assistant/ LPN program.

Required Licensure: Current Washington State Certification as a Medical Assistant (MA-C)or LPN

Application deadline / closing date
10/31/2018

Salary / rate of pay
DOE

Days and hours of employment
Varies

Flexible schedule?
(○) Negotiable

Travel required?
(○) No

Pay period
(○) Bi-weekly

Person or department to contact
Family Care Network

Business address
709 W Orchard Dr, Ste 4

Work location (if different from above)
Bellingham

Email
jobs@fcn.net

Phone
360.318.8800

How to apply
https://familycarenetwork.com/careers/current-openings

Applications should include
[×] Resume
[×] Cover letter

Nursing Assistant Certified (NAC)

Job position / title
Nursing Assistant Certified (NAC)

Name of business / employer
Christian Health Care Center

Job description / duties
Compassionate, dedicated, angels on earth, empathetic. These are words people use to describe nursing assistants at Christian Health Care Center. We install and value a culture of care. Do people use these same words to describe you? If so, join us!

https://chcclynden.org/careers/nursing-assistant-certified-nac/
Facebook: facebook.com/christianhealthcare/

The nursing assistant functions as a member of the health care team under the direct supervision of the Team Leader and Unit Coordinator. The nursing assistant assures that the resident’s plan of care is carried out, including assisting all patients in performing activities of daily living (ADLs), mobility, eating, toileting, range of motion, bathing, grooming, positioning, and basic skin care. Provides care consistent with our mission (compassion and love in Christ’s name).

Base Salary
$ 14.50 for new NAC grads. Experienced NACs, DOE. 25 cents per hour differential for evening shifts. $2 per hour differential for night shifts.

Employment Type
Full-time

Working Hours
NACs at CHCC work full-time, 40 hours per week with a four day on, two days off rotation. Day, evening or night shifts may be available. Let us know what shifts work best for you!

Job Benefits
As a full-time employee, you will receive a competitive salary and access to generous benefits including comprehensive insurance (medical, dental, vision, short-term/long-term disability), paid vacation, holiday pay/sick time, access to an employee assistance program, a flexible spending account, Homestead Fitness Center discounts, and the possibility of tuition reimbursement for qualified employees. You are also eligible to save for retirement through a 403 (b) account.

Qualifications
Nursing Assistant (NAC, CNA) licensing is required.

Application deadline / closing date
10/31/2018

Salary / rate of pay
$ 14.50 for new NAC grads. Experienced NACs, DOE. 25 cents per hour differential for evening shifts. $2 per hour differential for night shifts.

Days and hours of employment
40 hours per week, flexible shifts
Person or department to contact
Kari Heeringa, HR Manager

Business address
855 Aaron Drive, 98264, Lynden, WA

Email
hr@chcclynden.org

Phone
360.354.4434

How to apply
Please apply through Indeed: https://www.indeedjobs.com/christian-health-care-center/_hl/en_US?cpref=JXWAtnzf3XW5aRnY2g_zohRSoEeMyZTodrjnIPNs7BY

Applications should include
[×] Resume

Caregiving in a relaxed, home setting

Job position / title
Caregiving in a relaxed, home setting

Name of business / employer
Take My Hand At-Home Care

Job description / duties
Requirement: Home care aide certification or nursing assistant license
Wage: $13 per hour, DOE, plus sick time accrual
Shifts: Flexible
Note: Take My Hand At-Home Care carefully screens all caregivers. Applicants must pass background and drug tests prior to employment.

Caregiving in a relaxed, home setting:
Picture working as a home care aid (HCA) or nursing assistant (NAC) without the endless pressure of call lights. Imagine working in a home setting where you are only responsible for the care and well-being of one or two people, not a dozen or more. Think of how wonderful it would be to be able to give elderly clients the time and attention they deserve, to provide care and companionship at their pace and according to their personal wishes.

A healthier environment for nursing assistants:
Working for an at-home caregiving company provides all those things to home care aides and licensed nursing assistants! It’s a completely different work experience; it’s better (we believe!) for the health and well-being of caregivers like you.

Take My Hand At-Home Care provides non-medical companion and homemaker services to seniors who are returning home after hospital stays, recovering from injury or illness, or needing long-term care in their Whatcom County home.

What does a home care aide do?
Here are some of the tasks our at-home caregivers perform: http://www.takemyhandathome.com/services/

As an at-home caregiver, you could be part of helping local families manage assisted living, long-term care and even hospice at home, where seniors are most comfortable. You would be providing personalized care that helps families in our community during an important life transition.

Qualifications
HCA and CNA caregivers needed near Bellingham, WA

Our Lynden-based caregiver service is seeking qualified HCA and CNA team members for a variety of shifts. Full-time and part-time options may be available. Please share your scheduling needs when applying.

Application deadline / closing date
10/16/2018

Salary / rate of pay
$13 per hour, DOE, plus sick time accrual

Days and hours of employment
Flexible

Person or department to contact
Sue Sorensen

Business address
Lynden, WA

Email
sue@takemyhandathome.com

Phone
360.543.5777

How to apply
How to apply for a caregiver job
Interested in trying a slower-paced, less stressful job that also allows you more time to truly connect and build a relationship with those under your care? Visit http://www.takemyhandathome.com/employment/ to learn about our company and APPLY ONLINE via Indeed: https://www.indeedjobs.com/take-my-hand-at-home-care/_hl/en_US

Thank you so much for your interest in providing home care to senior citizens in our community. We look forward to hearing from you.

Applications should include
[×] Resume

Certified Nursing Assistant

Job position / title
Certified Nursing Assistant

Name of business / employer
Mt. Baker Care Center

Job description / duties
Join a great team of committed caregivers at the best facility in town! NACs provide direct care to our residents by assisting them with the activities of daily living, including bathing, dressing, eating, and exercise. If you have earned your NAC license you could not find a better group of people to work with, or a better place to come to work! We have the best staffing ratios (1:9) and we have a lot of fun in this friendly, family-oriented environment.

We are currently hiring for evening shift (2:30-10:30pm) for both full time and part time positions, and the starting wage for CNAs is $15/hr with a .50 shift differential and potential for a 5% annual pay increase! We have great incentives for being a reliable and team-oriented individual. Since we have a lot of students on our staff, we understand how important it is to work with your schedule and keep things flexible. We want you to be happy because we know you do your best work then and our residents deserve the best! It is important to have a good balance between work, school, and your life.

Qualifications
You must have completed a nursing assistant training course and obtained your Nursing Assistant Registered (within the last 120 days) OR have a valid and current Nursing Assistant Certified license in the state of Washington.

You must be able to submit and pass a background check.

You must be eligible for employment in the United States.

Application deadline / closing date
10/31/2018

Salary / rate of pay
$15.00-20.00

Days and hours of employment
2:30-10:30 pm all days

Flexible schedule?
(○) Yes

Travel required?
(○) No

Pay period
(○) Bi-weekly

Person or department to contact
Caitlin Thompson

Business address
2905 Connelly Ave

Work location (if different from above)
Bellingham

Email
sdc@mtbakercarecenter.com

Phone
360.734.4181

How to apply
Please come to the facility to complete an application, take a tour, and talk with us! If you would like to fill out an application in advance please call or email and let us know where to send the application to.

Thanks for your interest!

Applications should include
[×] References

Medical Assistant Certified

Job position / title
Medical Assistant Certified

Name of business / employer
Family Care Network

Job description / duties
Essential Functions: The Medical Assistant, Certified/LPN position provides clinical support for Family Care Network’s physicians, patients and staff. We are looking for a qualified, motivated individual with a passion for family medicine who can:

Communicate effectively
Provide excellent customer service
Effectively manage patient flow
Utilize clinical knowledge and critical thinking skills to deliver safe, effective and therapeutic patient care
Respond to patient phone messages and answer questions within appropriate scope of practice and/or as directed by provider
Process requests, refills and referrals in a timely manner
Accurately enter and review patient data in the EMR
Prioritize and multitask on multiple projects with frequent interruptions

Family Care Network is a Drug-Free, Equal Opportunity Employer.

Qualifications
Essential Knowledge, Skills and Abilities:

Demonstrated knowledge of clinical and medical office practices
Ability to establish lasting and effective employee relationships in a team environment
Proficiency using standard computer and office equipment
Good spelling, grammar, typing, data entry, and phone skills
Ability to maintain patient privacy and confidentiality
Ability to adapt to process and procedure changes
Ability to thrive and grow in a learning environment
Previous medical office experience
Phone triage experience a plus
Required Education: Completion of accredited Medical Assistant/ LPN program.

Required Licensure: Current Washington State Certification as a Medical Assistant (MA-C)or LPN

Physical Requirements: While performing the duties of this job, the employee is required to stand, walk, sit, use hand to finger coordination, handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, and listen attentively. The employee must occasionally lift and/or move up to 30 pounds.

Immunization Requirements: All FCN employees must adhere to the company immunization policy. Immunizations required: Influenza, HepB, Tdap, MMR, varicella or a verified history of chicken pox disease, PPD and any additional immunizations determined necessary for the protection of staff and patients. Family Care Network will cover the cost of required immunizations for Family Care Network employees; immunizations will be administered by FCN staff.

Application deadline / closing date
10/31/2018

Salary / rate of pay
DOE

Days and hours of employment
Varies

Person or department to contact
Renee Hall

Business address
709 W Orchard Dr, Ste 4

Work location (if different from above)
Bellingham

Email
jobs@fcn.net

Phone
360.318.8800

How to apply
https://familycarenetwork.com/careers

Applications should include
[×] Resume
[×] Cover letter