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Nurse Practitioner - Triage at Care Partners
San Bernardino, California, United States - Full Time
Skills Needed
Triage, Advanced Clinical Support, Urgent Participant Concerns, Acute Condition Management, Care Coordination, Rapid Assessments, Physical Exams, Diagnostic Tests Interpretation, Treatment Planning, Medication Prescription, Immediate Interventions, Staff Education, Interdisciplinary Collaboration, Medical Documentation, Emergency Management, Geriatric Care
Specialization
Candidates must possess a current California State issued Nurse Practitioner license and an active DEA license. Required experience includes a minimum of 1 year as a practicing Nurse Practitioner and 5 years as a Registered Nurse, with experience in an elderly care or geriatric setting being necessary.
Experience Required
Minimum 5 year(s)
CMA or LPN - Clinical Nurse at Southeastern Gastroenterology Associates
Columbus, Ohio, United States - Full Time
Skills Needed
Patient Triage, Clinical Data Collection, Care Planning, Nursing Care Delivery, Record Review, Prior Authorizations, Medication Refills, Telephone Encounters, Emr Systems, Excel, Clinical Portals
Specialization
Candidates must possess current MA certification or an LPN license, along with current BLS certification. Proficiency in EMR systems, Excel, and web-based clinical portals is also required for this position.
Non-Oncology Infusion Nurse at Hematology Oncology Associates of CNY
East Syracuse, New York, United States - Full Time
Skills Needed
Registered Nurse, Infusion, Coordination, Compassionate Care, Acls Certification
Specialization
Applicants must be a graduate of an accredited school of nursing and possess a New York State Registered Nurse License. Professional nursing experience in a hospital setting or infusion center is preferred, and ACLS certification is recommended within one year of employment.
Experience Required
Minimum 2 year(s)
Nurse Extern - 2 North East at Marshall Health Network
Huntington, West Virginia, United States - Full Time
Skills Needed
Clinical Experience, Patient Care, Cpr Certification
Specialization
Applicants must be a Sophomore level or higher Professional Nursing student currently enrolled in an accredited nursing program. Candidates are also required to have experience effectively dealing with the public and must possess current CPR certification.
Registered Nurse RN Hospice at PruittHealthSanta Rosa
, South Carolina, United States - Full Time
Skills Needed
Hospice Care, Patient Assessment, Care Planning, Documentation, Clinical Evaluation, Nursing, Case Management
Specialization
Candidates must hold a current, active, and unrestricted Registered Nurse (RN) license in the state of practice. The role requires the ability to travel to patient homes or care facilities in the Hampton or Jasper County area.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - L&D at Tenet Healthcare Corporation
Detroit, Michigan, United States - Full Time
Skills Needed
Nursing, Patient Care, Labor And Delivery, Clinical Assessment, Patient Monitoring, Discharge Planning, Collaboration, Leadership, Delegation, Communication, Bls, Obstetrics, Gynecology
Specialization
Candidates must have graduated from a school of nursing and hold a valid Michigan Registered Nurse license. An American Heart Association BLS certification is required, and a BSN is preferred.
PRN Registered Nurse Nights at Ally Medical Management LLC
Cedar Park, Texas, United States - Full Time
Skills Needed
Emergency Nursing, Triage, Patient Assessment, Iv Initiation, Cardiac Monitoring, Wound Care, Medication Administration, Communication Skills, Organizational Skills, Time Management, Problem Solving, Computer Literacy
Specialization
Requires a graduate degree from an accredited nursing school and at least two years of registered nurse or emergency room experience. Must hold a current RN license and certifications in CPR, BLS, ACLS, and PALS.
Experience Required
Minimum 2 year(s)
Home Health Nurse RN or LVN at Connect Pediatrics
Duncanville, Texas, United States - Full Time
Skills Needed
Skilled Nursing, Real Time Charting, Medication Administration, Feeding Administration, Treatment Administration, Patient Assessment, Care Coordination, Compliance Standards, Pediatric Care
Specialization
Applicants must possess a current LVN or RN nursing license valid in Texas and hold a current CPR Certification. Pediatric experience is preferred but not mandatory, as the company offers substantial paid training to ensure proficiency.
Registered Nurse PreOp PACU at USPI
Fort Worth, Texas, United States - Full Time
Skills Needed
Nursing Process, Patient Care, Perioperative Services, Aseptic Technique, Problem Solving, Adaptability, Teaching Skills, Communication Skills, Organizational Skills, Ethical Behavior, Customer Service, Accountability, Creativity, Innovation, Performance Improvement, Surgical Procedures
Specialization
Candidates must be a graduate of an accredited school of nursing and hold a current Texas Nursing License, along with a minimum of one year of experience in Pre-Op/PACU. Preferred experience includes working in an ambulatory surgical, ER, ICU, or OR setting, alongside strong knowledge of surgical procedures and patient management.
PRN Registered Nurse Nights at Ally Medical Management LLC
Buda, Texas, United States - Full Time
Skills Needed
Triage, Patient Assessment, Iv Initiation, Cardiac Monitoring, Medication Administration, Wound Care, Emergency Care, Communication Skills, Organizational Skills, Time Management, Problem Solving, Computer Literacy
Specialization
Requires a graduate degree from an accredited school of nursing and a current RN license. Candidates must have at least two years of RN or ER experience and hold CPR/BLS, ACLS, and PALS certifications.
Experience Required
Minimum 2 year(s)
Registered Nurse- Day Shift at Stonebridge Florissant
Jefferson City, Missouri, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Wound Care, Patient Assessment, Supervision, Electronic Medical Records, Interpersonal Communication, Gerontological Nursing, Urinary Catheterization, Oxygen Care, Tracheostomy Care, Care Planning
Specialization
Candidates must hold a current state license to practice as a Registered Nurse and a CPR certification. A preference is given to those with 2 years of long-term care experience and proficiency in Electronic Medical Records.
Experience Required
Minimum 2 year(s)
Registered Nurse- Day Shift at Stonebridge Florissant
Jefferson City, Missouri, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Wound Care, Patient Assessment, Supervision, Electronic Medical Records, Interpersonal Communication, Gerontological Nursing, Urinary Catheterization, Oxygen Care, Tracheostomy Care, Care Planning
Specialization
Candidates must hold a current state license to practice as a Registered Nurse and a CPR certification. A preference is given to those with 2 years of experience in long-term care and proficiency in Electronic Medical Records.
Experience Required
Minimum 2 year(s)
Wound Care Registered Nurse at Ignite Medical Resort McHenry
Albemarle, North Carolina, United States - Full Time
Skills Needed
Wound Care, Nursing, Patient Care, Clinical Assessment, Rehabilitation, Compassionate Care, Hospitality, Teamwork, Documentation
Specialization
Candidates must have prior wound care experience to be considered for this role. The position requires a dedicated, compassionate, and dependable individual to join the facility team.
Registered Nurse (Med Surg) at Northwell Career Site
Manhasset, New York, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Collaboration, Leadership, Clinical Judgment, Delegation, Pain Management, Documentation, Patient Education, Medication Administration, Emergency Management, Decubitus Care
Specialization
Candidates must be graduates of an accredited School of Nursing, with a Bachelor's Degree in Nursing preferred, and must hold a current license to practice as a Registered Professional Nurse in New York State. Enrollment in an accredited BSN program within two years and obtaining the degree within five years of entry is required if not already holding a BSN.
Registered Nurse- Day Shift at Stonebridge Maryland Heights
De Soto, Missouri, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Wound Care, Patient Assessment, Supervision, Electronic Medical Records, Interpersonal Communication, Gerontological Nursing, Care Planning, Urinary Catheterization, Oxygen Care, Tracheostomy Care
Specialization
Candidates must hold a current state license to practice as a Registered Nurse and a CPR certification. A preference is given to those with 2 years of experience in long-term care and proficiency with Electronic Medical Records.
Experience Required
Minimum 2 year(s)
RN Resource Nurse PART TIME at Ignite Medical Resort McHenry
San Antonio, Texas, United States - Full Time
Skills Needed
Registered Nurse, Skilled Nursing, Compassionate Care, Dependability, Energetic, Cpr Certified, Rehabilitation, Hospitality
Specialization
Candidates must be a Registered Nurse (RN) holding an active applicable state licensure and must be CPR Certified. Applicants also require a clean background check and authorization to work in the United States of America.
Clinic Nurse - EMT, MA, LPN at QuickVisit Urgent Care
Osceola, Iowa, United States - Full Time
Skills Needed
Triage, Vital Signs, Phlebotomy, Ekg, Medical Documentation, Patient Assessment, Injections, Electronic Medical Records, Medical Terminology, Interpersonal Communication, Patient Transport, Clinical Evaluation
Specialization
Requires a high school diploma and certification as an EMT, Paramedic, MA, or LPN license in Iowa. BLS certification and Mandatory Reporter Training are required, with one year of experience preferred.
Registered Nurse (RN)- NICU at Northwell Career Site
Village of Sleepy Hollow, New York, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Medication Administration, Nicu Care, Clinical Judgment, Patient Education, Aseptic Technique, Wound Care, Psychosocial Assessment, Emergency Management, Collaboration, Documentation
Specialization
Requires a nursing degree from an accredited school and a current New York State Registered Professional Nurse license. A Bachelor's degree in Nursing is preferred, with a requirement to obtain one within five years of hire.
Experience Required
Minimum 2 year(s)
Nurse Practitioner-Per Diem at Friendly Senior Living
City of Rochester, New York, United States - Full Time
Skills Needed
Clinical Service, Education, Research, Patient Care Coordination, Documentation, Counseling, Family Support, Pre Employment Physical Exams, Employee Health Surveillance, Psychiatric Team Participation, Skin Care Team Participation, Preceptor, Quality Assurance, Geriatrics, Interdisciplinary Team Collaboration
Specialization
Candidates must have graduated from an approved school of nursing and possess a Master's degree along with ANA Nurse Practitioner certification. Required licenses include current NYS Registration and License, with preferred experience being as a Nurse Practitioner, especially in geriatrics.
Experience Required
Minimum 2 year(s)
Nurse Aide Certified (GP 8) at APPALACHIAN REGIONAL HEALTHCARE IN
South Williamson, Kentucky, United States - Full Time
Skills Needed
Patient Care, Clinical Nursing Skills, Vital Signs Monitoring, Specimen Collection, Patient Ambulation, Catheter Care, Safety Hazard Reporting, Infection Control, Isolation Techniques, Documentation, Patient Orientation, Sanitary Environment Maintenance
Specialization
Requires a High School GED equivalent and completion of a Nurse Aide training program. Candidates must be able to complete three months of on-the-job training to achieve proficiency.
Nurse Practitioner - Triage at Care Partners
San Bernardino, California, United States -
Full Time

Start Date

Immediate

Expiry Date

23 Jun, 26

Salary

170000.0

Posted On

25 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Triage, Advanced Clinical Support, Urgent Participant Concerns, Acute Condition Management, Care Coordination, Rapid Assessments, Physical Exams, Diagnostic Tests Interpretation, Treatment Planning, Medication Prescription, Immediate Interventions, Staff Education, Interdisciplinary Collaboration, Medical Documentation, Emergency Management, Geriatric Care

Industry

Hospitals and Health Care

Description
Job Description Nurse Practitioner - Triage Location: San Bernardino, CA Compensation: $150,000 - $170,000 *Negotiabe Schedule: Monday – Friday, 8:00 AM – 5:00 PM NO Nights, NO weekends, or Holidays! IN CLINIC, NO HOME VISITS Light patient volume (8-10 patients/day) Benefits: Health: Medical, Dental, and Vision 100% covered – NO COST to you or your dependents! Retirement: 401(k) match Insurance Coverage: Medical professional liability, long-term disability, life insurance, and worker’s compensation Professional Expenses: State license fees, DEA registration, and one professional membership dues Continuing Medical Education (CME): $2,500 annual allowance plus 5 CME days Paid Time Off: Vacation Time: 22 days Sick Time: 5 days Nationally observed holidays: 11 nationally observed holidays About: National leader and largest providers in the United States. Empowering older adults to live independently while receiving high-quality, all-inclusive healthcare and support. By joining their team, you’ll be part of a mission-driven organization making a real difference in seniors’ lives, offering innovative solutions and compassionate care every day. Requirements - Nurse Practitioner - Triage: Current CA State issued Nurse Practitioner license Current active DEA license 1+ year as a practicing Nurse Practitioner 5+ years a Registered Nurse Experience in elderly care/geriatric setting Overview of Responsibilities: The Nurse Practitioner - Triage Team provides advanced clinical support by evaluating urgent participant concerns, managing acute conditions, and coordinating care. This role ensures timely intervention and serves as a clinical leader for triage operations. Serve as the primary clinical resource for urgent participant needs. Perform rapid assessments, physical exams, and order/interpret diagnostic tests for triage cases. Formulate treatment plans, prescribe medications, and provide immediate interventions as needed. Manage participant and staff inquiries, prioritizing care and routing appropriately. Educate participants, caregivers, and staff on urgent care protocols and health management. Collaborate with interdisciplinary team members to ensure continuity of care. Document all triage encounters and interventions in compliance. Provide leadership in managing medical emergencies within the center. Other duties as assigned. Additional Information For immediate consideration please call/Text: 714-568-7634
Responsibilities
The Nurse Practitioner - Triage Team offers advanced clinical support by evaluating urgent participant concerns, managing acute conditions, and coordinating care to ensure timely intervention. This role involves serving as the primary clinical resource, performing rapid assessments, formulating treatment plans, and providing leadership in managing medical emergencies.
Nurse Practitioner - Triage at Care Partners
San Bernardino, California, United States - Full Time
Skills Needed
Triage, Advanced Clinical Support, Urgent Participant Concerns, Acute Condition Management, Care Coordination, Rapid Assessments, Physical Exams, Diagnostic Tests Interpretation, Treatment Planning, Medication Prescription, Immediate Interventions, Staff Education, Interdisciplinary Collaboration, Medical Documentation, Emergency Management, Geriatric Care
Specialization
Candidates must possess a current California State issued Nurse Practitioner license and an active DEA license. Required experience includes a minimum of 1 year as a practicing Nurse Practitioner and 5 years as a Registered Nurse, with experience in an elderly care or geriatric setting being necessary.
Experience Required
Minimum 5 year(s)
CMA or LPN - Clinical Nurse at Southeastern Gastroenterology Associates
Columbus, Ohio, United States - Full Time
Skills Needed
Patient Triage, Clinical Data Collection, Care Planning, Nursing Care Delivery, Record Review, Prior Authorizations, Medication Refills, Telephone Encounters, Emr Systems, Excel, Clinical Portals
Specialization
Candidates must possess current MA certification or an LPN license, along with current BLS certification. Proficiency in EMR systems, Excel, and web-based clinical portals is also required for this position.
Non-Oncology Infusion Nurse at Hematology Oncology Associates of CNY
East Syracuse, New York, United States - Full Time
Skills Needed
Registered Nurse, Infusion, Coordination, Compassionate Care, Acls Certification
Specialization
Applicants must be a graduate of an accredited school of nursing and possess a New York State Registered Nurse License. Professional nursing experience in a hospital setting or infusion center is preferred, and ACLS certification is recommended within one year of employment.
Experience Required
Minimum 2 year(s)
Nurse Extern - 2 North East at Marshall Health Network
Huntington, West Virginia, United States - Full Time
Skills Needed
Clinical Experience, Patient Care, Cpr Certification
Specialization
Applicants must be a Sophomore level or higher Professional Nursing student currently enrolled in an accredited nursing program. Candidates are also required to have experience effectively dealing with the public and must possess current CPR certification.
Registered Nurse RN Hospice at PruittHealthSanta Rosa
, South Carolina, United States - Full Time
Skills Needed
Hospice Care, Patient Assessment, Care Planning, Documentation, Clinical Evaluation, Nursing, Case Management
Specialization
Candidates must hold a current, active, and unrestricted Registered Nurse (RN) license in the state of practice. The role requires the ability to travel to patient homes or care facilities in the Hampton or Jasper County area.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - L&D at Tenet Healthcare Corporation
Detroit, Michigan, United States - Full Time
Skills Needed
Nursing, Patient Care, Labor And Delivery, Clinical Assessment, Patient Monitoring, Discharge Planning, Collaboration, Leadership, Delegation, Communication, Bls, Obstetrics, Gynecology
Specialization
Candidates must have graduated from a school of nursing and hold a valid Michigan Registered Nurse license. An American Heart Association BLS certification is required, and a BSN is preferred.
PRN Registered Nurse Nights at Ally Medical Management LLC
Cedar Park, Texas, United States - Full Time
Skills Needed
Emergency Nursing, Triage, Patient Assessment, Iv Initiation, Cardiac Monitoring, Wound Care, Medication Administration, Communication Skills, Organizational Skills, Time Management, Problem Solving, Computer Literacy
Specialization
Requires a graduate degree from an accredited nursing school and at least two years of registered nurse or emergency room experience. Must hold a current RN license and certifications in CPR, BLS, ACLS, and PALS.
Experience Required
Minimum 2 year(s)
Home Health Nurse RN or LVN at Connect Pediatrics
Duncanville, Texas, United States - Full Time
Skills Needed
Skilled Nursing, Real Time Charting, Medication Administration, Feeding Administration, Treatment Administration, Patient Assessment, Care Coordination, Compliance Standards, Pediatric Care
Specialization
Applicants must possess a current LVN or RN nursing license valid in Texas and hold a current CPR Certification. Pediatric experience is preferred but not mandatory, as the company offers substantial paid training to ensure proficiency.
Registered Nurse PreOp PACU at USPI
Fort Worth, Texas, United States - Full Time
Skills Needed
Nursing Process, Patient Care, Perioperative Services, Aseptic Technique, Problem Solving, Adaptability, Teaching Skills, Communication Skills, Organizational Skills, Ethical Behavior, Customer Service, Accountability, Creativity, Innovation, Performance Improvement, Surgical Procedures
Specialization
Candidates must be a graduate of an accredited school of nursing and hold a current Texas Nursing License, along with a minimum of one year of experience in Pre-Op/PACU. Preferred experience includes working in an ambulatory surgical, ER, ICU, or OR setting, alongside strong knowledge of surgical procedures and patient management.
PRN Registered Nurse Nights at Ally Medical Management LLC
Buda, Texas, United States - Full Time
Skills Needed
Triage, Patient Assessment, Iv Initiation, Cardiac Monitoring, Medication Administration, Wound Care, Emergency Care, Communication Skills, Organizational Skills, Time Management, Problem Solving, Computer Literacy
Specialization
Requires a graduate degree from an accredited school of nursing and a current RN license. Candidates must have at least two years of RN or ER experience and hold CPR/BLS, ACLS, and PALS certifications.
Experience Required
Minimum 2 year(s)
Registered Nurse- Day Shift at Stonebridge Florissant
Jefferson City, Missouri, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Wound Care, Patient Assessment, Supervision, Electronic Medical Records, Interpersonal Communication, Gerontological Nursing, Urinary Catheterization, Oxygen Care, Tracheostomy Care, Care Planning
Specialization
Candidates must hold a current state license to practice as a Registered Nurse and a CPR certification. A preference is given to those with 2 years of long-term care experience and proficiency in Electronic Medical Records.
Experience Required
Minimum 2 year(s)
Registered Nurse- Day Shift at Stonebridge Florissant
Jefferson City, Missouri, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Wound Care, Patient Assessment, Supervision, Electronic Medical Records, Interpersonal Communication, Gerontological Nursing, Urinary Catheterization, Oxygen Care, Tracheostomy Care, Care Planning
Specialization
Candidates must hold a current state license to practice as a Registered Nurse and a CPR certification. A preference is given to those with 2 years of experience in long-term care and proficiency in Electronic Medical Records.
Experience Required
Minimum 2 year(s)
Wound Care Registered Nurse at Ignite Medical Resort McHenry
Albemarle, North Carolina, United States - Full Time
Skills Needed
Wound Care, Nursing, Patient Care, Clinical Assessment, Rehabilitation, Compassionate Care, Hospitality, Teamwork, Documentation
Specialization
Candidates must have prior wound care experience to be considered for this role. The position requires a dedicated, compassionate, and dependable individual to join the facility team.
Registered Nurse (Med Surg) at Northwell Career Site
Manhasset, New York, United States - Full Time
Skills Needed
Patient Care, Assessment, Diagnosis, Planning, Implementation, Evaluation, Collaboration, Leadership, Clinical Judgment, Delegation, Pain Management, Documentation, Patient Education, Medication Administration, Emergency Management, Decubitus Care
Specialization
Candidates must be graduates of an accredited School of Nursing, with a Bachelor's Degree in Nursing preferred, and must hold a current license to practice as a Registered Professional Nurse in New York State. Enrollment in an accredited BSN program within two years and obtaining the degree within five years of entry is required if not already holding a BSN.
Registered Nurse- Day Shift at Stonebridge Maryland Heights
De Soto, Missouri, United States - Full Time
Skills Needed
Nursing Care, Medication Administration, Wound Care, Patient Assessment, Supervision, Electronic Medical Records, Interpersonal Communication, Gerontological Nursing, Care Planning, Urinary Catheterization, Oxygen Care, Tracheostomy Care
Specialization
Candidates must hold a current state license to practice as a Registered Nurse and a CPR certification. A preference is given to those with 2 years of experience in long-term care and proficiency with Electronic Medical Records.
Experience Required
Minimum 2 year(s)
RN Resource Nurse PART TIME at Ignite Medical Resort McHenry
San Antonio, Texas, United States - Full Time
Skills Needed
Registered Nurse, Skilled Nursing, Compassionate Care, Dependability, Energetic, Cpr Certified, Rehabilitation, Hospitality
Specialization
Candidates must be a Registered Nurse (RN) holding an active applicable state licensure and must be CPR Certified. Applicants also require a clean background check and authorization to work in the United States of America.
Clinic Nurse - EMT, MA, LPN at QuickVisit Urgent Care
Osceola, Iowa, United States - Full Time
Skills Needed
Triage, Vital Signs, Phlebotomy, Ekg, Medical Documentation, Patient Assessment, Injections, Electronic Medical Records, Medical Terminology, Interpersonal Communication, Patient Transport, Clinical Evaluation
Specialization
Requires a high school diploma and certification as an EMT, Paramedic, MA, or LPN license in Iowa. BLS certification and Mandatory Reporter Training are required, with one year of experience preferred.
Registered Nurse (RN)- NICU at Northwell Career Site
Village of Sleepy Hollow, New York, United States - Full Time
Skills Needed
Patient Assessment, Care Planning, Medication Administration, Nicu Care, Clinical Judgment, Patient Education, Aseptic Technique, Wound Care, Psychosocial Assessment, Emergency Management, Collaboration, Documentation
Specialization
Requires a nursing degree from an accredited school and a current New York State Registered Professional Nurse license. A Bachelor's degree in Nursing is preferred, with a requirement to obtain one within five years of hire.
Experience Required
Minimum 2 year(s)
Nurse Practitioner-Per Diem at Friendly Senior Living
City of Rochester, New York, United States - Full Time
Skills Needed
Clinical Service, Education, Research, Patient Care Coordination, Documentation, Counseling, Family Support, Pre Employment Physical Exams, Employee Health Surveillance, Psychiatric Team Participation, Skin Care Team Participation, Preceptor, Quality Assurance, Geriatrics, Interdisciplinary Team Collaboration
Specialization
Candidates must have graduated from an approved school of nursing and possess a Master's degree along with ANA Nurse Practitioner certification. Required licenses include current NYS Registration and License, with preferred experience being as a Nurse Practitioner, especially in geriatrics.
Experience Required
Minimum 2 year(s)
Nurse Aide Certified (GP 8) at APPALACHIAN REGIONAL HEALTHCARE IN
South Williamson, Kentucky, United States - Full Time
Skills Needed
Patient Care, Clinical Nursing Skills, Vital Signs Monitoring, Specimen Collection, Patient Ambulation, Catheter Care, Safety Hazard Reporting, Infection Control, Isolation Techniques, Documentation, Patient Orientation, Sanitary Environment Maintenance
Specialization
Requires a High School GED equivalent and completion of a Nurse Aide training program. Candidates must be able to complete three months of on-the-job training to achieve proficiency.