Interim HealthCareRN Case Manager ( Wayne County) Interim HealthCareRN Case Manager ( Wayne County)Wooster, OHTo qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Interim HealthCarePRN RN Case Manager Interim HealthCarePRN RN Case ManagerColumbus, OHTo qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Interim HealthCareNewRN Case Manager Interim HealthCareRN Case ManagerCambridge, OH$70,000–$75,000To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Kettering HealthNewMedical Assistant/LPN - Orthopedics Kettering HealthMedical Assistant/LPN - OrthopedicsKettering, OHMA/CMA: Current Medical Assistant certification/registration as CCMA, CMA (AAMA), NCMA, RMA (through AMT) or completion of KHMG Medical Assistant Training Program or MA program through an accredited institution of higher learning and successful attainment of certification/registration within 15 months of hire. This position assists the provider in examination and treatment of patients, performing miscellaneous delegated duties under the direction of provider.
Encompass Health Rehabilitation Hospital of ToledoRegistered Nurse Encompass Health Rehabilitation Hospital of ToledoRegistered NurseFostoria, OHOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Interim HealthCarePrivate Duty RN Interim HealthCarePrivate Duty RNBeavercreek, OHAs a Private Duty Nurse (PDN) Registered Nurse (RN), you will: Provide private duty, 1:1 skilled nursing care in the home according to the provider’s prescribed plan of care (and nursing scope of practice), closely monitoring patient status and response to care. As a Private Duty Nurse (PDN) Registered Nurse (RN), you’ll provide 1:1 skilled nursing care in the home—building consistent relationships with your patient and family while supporting safety, comfort, and dignity throughout every shift.
Interim HealthCareHospice RN Case Manager Interim HealthCareHospice RN Case ManagerCenterville, OH$78,000–$83,000To qualify for a Hospice Registered Nurse Case Manager (RN) with us, you will need: Education: Associate degree in Nursing (ADN) or Associate of Applied Science in Nursing (AAS) required; Bachelor of Science in Nursing (BSN) preferred . As a Hospice Registered Nurse Case Manager (RN), you will: Oversee the implementation and ongoing assessment of the patient's plan of care alongside the spiritual care coordinator, social worker, hospice aide and medical director .
Interim HealthCareHospice RN Case Manager $5,000 Sign on Bonus Interim HealthCareHospice RN Case Manager $5,000 Sign on BonusNewark, OH$85,000–$95,000To qualify for a Hospice Registered Nurse Case Manager (RN) with us, you will need:Education: Associate degree in Nursing (ADN) or Associate of Applied Science in Nursing (AAS) required; Bachelor of Science in Nursing (BSN) preferred . As a Hospice Registered Nurse Case Manager (RN), you will:Oversee the implementation and ongoing assessment of the patient's plan of care alongside the spiritual care coordinator, social worker, hospice aide and medical director .
Kettering HealthNewRN Professional Development Specialist - KH Dayton Kettering HealthRN Professional Development Specialist - KH DaytonDayton, OHKettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. We provide an integrated system of healthcare experts committed to providing exceptional care.
Signature HealthCARE of Terre HauteRegistered Nurse - Relocate to Terre Haute, IN - Relo Assistance Available Signature HealthCARE of Terre HauteRegistered Nurse - Relocate to Terre Haute, IN - Relo Assistance AvailableCincinatti, OH$47–$47Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.
Cleveland Eye and Laser Surgery CenterNewPreOp/ Post Op Registered Nurse (Part-Time) Cleveland Eye and Laser Surgery CenterPreOp/ Post Op Registered Nurse (Part-Time)Fairview Park, OHGENERAL SUMMARY OF DUTIES: Assists in provision of nursing care to patients in an Ambulatory Surgical Center setting. Minimum one year in pre-operative, intra-operative and post-operative surgical patient care.
Cleveland Eye and Laser Surgery CenterNewPreOp/ Post Op Registered Nurse - PRN Cleveland Eye and Laser Surgery CenterPreOp/ Post Op Registered Nurse - PRNFairview Park, OHGENERAL SUMMARY OF DUTIES: Assists in provision of nursing care to patients in an Ambulatory Surgical Center setting. Minimum one year in pre-operative, intra-operative and post-operative surgical patient care.
Encompass Health Rehabilitation Hospital of FitchburgRegistered Nurse - $39.82 - $49.48/hr Encompass Health Rehabilitation Hospital of FitchburgRegistered Nurse - $39.82 - $49.48/hrSouth Madison, WI$39.82–$49.48 / hourOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
Encompass Health Rehabilitation Hospital of FitchburgRegistered Nurse Encompass Health Rehabilitation Hospital of FitchburgRegistered NurseSouth Madison, WIOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
Kettering HealthNewRN - Acute Care Neuroscience Kettering HealthRN - Acute Care NeuroscienceKettering, OHUtilizing organizational resources, the RN acts as a patient advocate for the delivery of safe care including delegation of care and participation in performance and practice improvement activities. The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings in collaboration with other health care providers.
Kettering HealthNewRN - Progressive Care Trauma Kettering HealthRN - Progressive Care TraumaKettering, OHUtilizing organizational resources, the RN acts as a patient advocate for the delivery of safe care including delegation of care and participation in performance and practice improvement activities. The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings in collaboration with other health care providers.
Kettering HealthNewRN First Assist - Operating Room Kettering HealthRN First Assist - Operating RoomDayton, OHUtilizing organizational resources the RN acts as a patient advocate for the delivery of safe care including delegation of care and participation in performance and practice improvement activities. Responsibilities:The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings in collaboration with other health care providers.
Kettering HealthNewRN - Acute Care Oncology and Neuro 4 North Kettering HealthRN - Acute Care Oncology and Neuro 4 NorthBeavercreek, OHUtilizing organizational resources, the RN acts as a patient advocate for the delivery of safe care including delegation of care and participation in performance and practice improvement activities. The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings in collaboration with other health care providers.
Vetted HealthNewTravel RN - Progressive Care Unit - Columbus, Ohio - $2099/week Vetted HealthTravel RN - Progressive Care Unit - Columbus, Ohio - $2099/weekColumbus, OH$101,160–$121,392 / yearPopulation: Adult-Geriatric\n\nRequirements\nExperience:\n2+ years of RN - Progressive Care Unit experience required.\nTravel healthcare experience preferred.\nStrong clinical skills and patient care abilities.\n\nLicensing:\nOhio state license required.\nCurrent See Vetted Health Privacy Policy at https://www.vettedhealth.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
JobotNewRN Nights - Med/Surg JobotRN Nights - Med/SurgMount Vernon, OH$65,000–$95,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Join a dedicated healthcare team as a Night Shift RN on the Medical-Surgical Floor, where you'll deliver high-quality patient care, enjoy a generous $25,000 sign-on bonus with a 2-year commitment.
Trilogy Health Services - TravelNewFloat Registered Nurse Trilogy Health Services - TravelFloat Registered NurseFindlay, OH$45–$50GET IN TOUCH: Bryce (502) 771-8090 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident's physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident's condition.
Kingston Health Center of VermilionNewRegistered Nurse (RN) Kingston Health Center of VermilionRegistered Nurse (RN)Vermilion, OH$33–$47.71GET IN TOUCH: Nikki (419) 515-4069 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition. .
The Meadows of LeipsicNewRegistered Nurse (RN) The Meadows of LeipsicRegistered Nurse (RN)Leipsic, OH$36.26–$54.39GET IN TOUCH: Andrea (419) 845-8439 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition._.
Accountable Healthcare StaffingRegistered Nurse (RN) - Progressive Care Unit (PCU) Accountable Healthcare StaffingRegistered Nurse (RN) - Progressive Care Unit (PCU)Cleveland, OH$2,154.60–$2,394Updated resume, Basic Life Support (BLS - AHA or Red Cross), Advanced Cardiac Life Support (ACLS AHA or Red Cross), National Institutes of Health Stroke Scale (NIHSS), current drivers license (DL), and an active Ohio or Compact RN license. *Rate is comprised of taxable hourly rate, specifically including if applicable, nontaxable (housing and M&IE) stipends converted to an hourly rate based on a 36-hour work week, and may be eligible for overtime .
Kingston Health Center of SylvaniaNewRegistered Nurse (RN) Kingston Health Center of SylvaniaRegistered Nurse (RN)Sylvania, OH$28.62–$47.71GET IN TOUCH: James (419) 749-6955 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition. .
The Meadows of KalidaNewRegistered Nurse (RN) The Meadows of KalidaRegistered Nurse (RN)Kalida, OH$27.19–$54.39GET IN TOUCH: Andrea (419) 845-8439 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition._.
Interim HealthCareHospice Weekday On-Call Registered Nurse (RN) Interim HealthCareHospice Weekday On-Call Registered Nurse (RN)Dayton, OH$78,000–$83,000To qualify for a Hospice Weekday On-Call Registered Nurse (RN) with us, you will need:Education: Associate degree in Nursing (ADN) or Associate of Applied Science in Nursing (AAS) required; Bachelor of Science in Nursing (BSN) preferred . As a Hospice Weekday On-Call Registered Nurse (RN), you will: Oversee the implementation and ongoing assessment of the patient's plan of care alongside the spiritual care coordinator, social worker, hospice aide and medical director.
Fresenius Medical CareAcute Inpatient Registered Nurse - RN Fresenius Medical CareAcute Inpatient Registered Nurse - RNDayton, OHPerforms ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments and modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as may be indicated. SUPERVISION: Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as a designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and modality specific training requirements for new employees.
Valley View Healthcare CenterNewRegistered Nurse (RN) Valley View Healthcare CenterRegistered Nurse (RN)Fremont, OH$30–$40GET IN TOUCH: Morgan (419) 933-8856 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition. .
Briar Hill Health CampusNewRegistered Nurse (RN) Briar Hill Health CampusRegistered Nurse (RN)North Baltimore, OH$27.19–$36.26GET IN TOUCH: Andrea (419) 845-8439 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition._.
StaffDNARegistered Nurse – ER (Permanent) StaffDNARegistered Nurse – ER (Permanent)Montgomery, OHJoin our team as a dedicated Registered Nurse (RN) in the Emergency Room (ER), where you will provide critical care to patients with acute illnesses or injuries, ensuring timely and effective treatment in a fast-paced environment. We strive to create an inclusive environment where all employees can thrive professionally while contributing meaningfully to patient outcomes during critical moments of need.
Trusted HealthMedical Surgical / Telemetry Unit - Travel Registered Nurse Trusted HealthMedical Surgical / Telemetry Unit - Travel Registered NurseLorain, OH$1,820–$1,82012 months gap required between for Staff at Program: TruStaff Program - Bon Secours Mercy Health and no current placement allowed at Program: TruStaff Program - Bon Secours Mercy Health. Certifications: Advanced Cardiovascular Life Support, Critical Care Registered Nurse, Progressive Care Nursing (Adult), Basic Life Support.
Encompass Health Rehabilitation Hospital of FitchburgRegistered Nurse - RN Encompass Health Rehabilitation Hospital of FitchburgRegistered Nurse - RNSouth Madison, WIOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
OptumNew(unposted) Home Health Registered Nurse (RN) - Eaton, OH Optum(unposted) Home Health Registered Nurse (RN) - Eaton, OHEaton, OH$32.25–$48.40 / hourYou will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
Fusion Medical StaffingTravel Hospice RN Fusion Medical StaffingTravel Hospice RNMentor, OH$1,905–$2,189A Hospice Registered Nurse (RN) provides compassionate end-of-life care to patients in their homes or hospice settings, focusing on comfort, pain management, and emotional support. Hospice RNs assess patient needs, coordinate care plans, and educate families to ensure patients experience dignity and peace in their final stages.
Fusion Medical StaffingNewTravel ER RN Fusion Medical StaffingTravel ER RNColumbus, OH$1,599–$1,701This role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. Collaborate effectively with interdisciplinary teams including physicians, specialists, paramedics, social workers and other support staff to ensure comprehensive care .
Fresenius Medical CareAcute Inpatient Registered Nurse - RN - Dialysis Fresenius Medical CareAcute Inpatient Registered Nurse - RN - DialysisMarietta, OHPerforms ongoing, systematic collection and analysis of patient data pre – during – post treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor, Physician, patient’s primary nurse and others as indicated. Serves as a resource, leader, coach, mentor and role model for new and incumbent employees by setting examples of appropriate behavior, work habits and attitudes towards patients, co-workers, Supervisors and the company at the facility and area level.
ChenMedCenter Clinical Manager (LPN or RN) ChenMedCenter Clinical Manager (LPN or RN)Cincinnati, OH$54,358–$77,655The Center Clinical Manager (CCM) is an active leadership role responsible for the day-to-day management of back office center operations, which may include but is not limited to: clinical quality, compliance, human resources, patient experience and direct team member supervision. Active and good standing Registered Nurse (RN) or Licensed Practical Nurse (LPN) in current state of employment OR a nationally accredited Certified Medical Assistant required; other clinical licensure/certifications above the minimum requirement may also be considered.
Encompass Health Rehabilitation Hospital of FitchburgRN - Hiring Now Encompass Health Rehabilitation Hospital of FitchburgRN - Hiring NowSouth Madison, WIOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
Encompass Health Rehabilitation Hospital of FitchburgRN - $39.82 - $49.48/hr Encompass Health Rehabilitation Hospital of FitchburgRN - $39.82 - $49.48/hrSouth Madison, WI$39.82–$49.48 / hourOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
The Willows at Bowling GreenNewRegistered Nurse (RN) The Willows at Bowling GreenRegistered Nurse (RN)Bowling Green, OH$28.62–$38.17GET IN TOUCH: Andrea (419) 845-8439 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition._.
The Meadows of OttawaNewRegistered Nurse (RN) The Meadows of OttawaRegistered Nurse (RN)Ottawa, OH$27.19–$45.32GET IN TOUCH: Andrea (419) 845-8439 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition._.
Fusion Medical StaffingNewTravel Med Surg/Telemetry RN Fusion Medical StaffingTravel Med Surg/Telemetry RNCanton, OH$1,773–$1,886This role involves assessing patient health conditions, monitoring cardiac telemetry data, and collaborating with multidisciplinary teams to manage diverse patient needs. The Med Surg/Tele Registered Nurse delivers comprehensive high-quality, patient-centered care in medical-surgical and telemetry units.
Fusion Medical StaffingNewTravel Med Surg RN Fusion Medical StaffingTravel Med Surg RNCincinnati, OH$1,572–$1,672This role involves assessing patient health conditions, monitoring cardiac telemetry data, and collaborating with multidisciplinary teams to manage diverse patient needs. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Taylor Springs Health CampusNewAssistant Director of Nursing (ADON, RN) Taylor Springs Health CampusAssistant Director of Nursing (ADON, RN)Gahanna, OHWHAT WE'RE LOOKING FOR: The Assistant Director of Nursing (ADON) supports the Director of Nursing (DON) by planning, organizing, developing, and overseeing the Nursing Service Department's daily functions. GET IN TOUCH: Misty (614) 992-7835 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
Kingston Senior Living of SylvaniaRegistered Nurse (RN) Kingston Senior Living of SylvaniaRegistered Nurse (RN)Sylvania, OH$28.62–$47.71GET IN TOUCH: James (419) 749-6955 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition. .
The Willows at WillardNewRegistered Nurse (RN) The Willows at WillardRegistered Nurse (RN)Willard, OH$27.19–$36.26GET IN TOUCH: Morgan (419) 933-8856 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition. .
The Lakes of SylvaniaNewRegistered Nurse (RN) The Lakes of SylvaniaRegistered Nurse (RN)Sylvania, OH$28.62–$38.17GET IN TOUCH: James (419) 749-6955 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition. .
Accountable Healthcare StaffingRegistered Nurse (RN) - Telemetry Accountable Healthcare StaffingRegistered Nurse (RN) - TelemetryCleveland, OH$2,268–$2,520Updated resume, Basic Life Support (BLS - AHA or Red Cross), Advanced Cardiac Life Support (ACLS AHA or Red Cross), National Institutes of Health Stroke Scale (NIHSS), current drivers license (DL), and an active Ohio or Compact RN license. *Rate is comprised of taxable hourly rate, specifically including if applicable, nontaxable (housing and M&IE) stipends converted to an hourly rate based on a 36-hour work week, and may be eligible for overtime .
The HeritageNewRegistered Nurse (RN) The HeritageRegistered Nurse (RN)Findlay, OH$26.99–$37.22GET IN TOUCH: Andrea (419) 845-8439 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident’s physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident’s condition._.