NewPatient Care Manager / Registered Nurse, Home Health AccentCare, Inc.Patient Care Manager / Registered Nurse, Home HealthMcKinney, TX$90,000–$110,000What You Need to Know: The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services. By guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient.
NewPhysical Therapist Assistant / PTA, Home Health $20,000 Bonus AccentCare, Inc.Physical Therapist Assistant / PTA, Home Health $20,000 BonusMcKinney, TX$48–$58We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.
NewRegistered Nurse Navigator Home Health Review-Health Admin CHRISTUS HealthRegistered Nurse Navigator Home Health Review-Health AdminIrving, TXOutreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/Specialists, and review of indicators that a patient’s condition is worsening and how to respond. Promotes a positive work environment by displaying a caring, sensitive approach to others, as evidenced by listening, understanding, and responding to the needs of patients, colleagues, and supervisors.
NewHome Health RN Fort Worth Sign On Bonus HCA HealthcareHome Health RN Fort Worth Sign On BonusFort Worth, TXAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. What you will do in this role: Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations.
NewHome Health Nurse RN or LVN Connect PediatricsHome Health Nurse RN or LVNDallas, TX$70,000–$140,000 / yearAt Connect Pediatrics, we don't just hire - we inspire nurses to tap into their full potential, offering a vibrant work environment that boosts career growth and enhances nursing skills in the realm of in-home care. Connect Pediatrics Vision Connect Pediatrics went from being the best-kept secret in Pediatric Home Health to becoming a key provider of Pediatric Private Duty Nursing across the state of Texas.
NewTravel Nurse RN - Home Health - $1,964 to $2,258 per week in Dallas, TX Fusion Medical StaffingTravel Nurse RN - Home Health - $1,964 to $2,258 per week in Dallas, TXDallas, TX$1,964–$2,258Summary:A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
NewRegistered Nurse (RN) - Certified Home Health - earn $55.73 per point connectRNRegistered Nurse (RN) - Certified Home Health - earn $55.73 per pointWaxahachie, TX$55.73–$57.20Keywords: Registered Nurse, RN, RN Per Diem, Certified Home Health, OASIS, HomeCare HomeBase, Side Hustle, Flexible Hours, Per Diem, Competitive Pay, PRN. One-To-One Support & Clinical Mentorship: You work hard to care for so many, our team is dedicated to making sure that your questions are answered and that you feel supported day in and day out.
NewTravel Nurse RN - Home Health - $2,190 per week in Dallas, TX Core Medical GroupTravel Nurse RN - Home Health - $2,190 per week in Dallas, TXDallas, TX$2,190–$2,190In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive:Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company.
NewTravel Nurse RN - Home Health in Dallas, TX SkyBridge HealthcareTravel Nurse RN - Home Health in Dallas, TXDallas, TX$46.75–$55.25 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Home Health - $2,270 to $2,470 per week in Dallas, TX Ventura MedStaffTravel Nurse RN - Home Health - $2,270 to $2,470 per week in Dallas, TXDallas, TX$2,270–$2,470Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Ventura’s MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience.
NewRegistered Nurse Navigator Home Health Review - Population Health Christus HealthRegistered Nurse Navigator Home Health Review - Population HealthIrving, TXAs a key member of the patient’s care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The RN Navigator Home Health Review plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services.
NewTravel Nurse RN - Home Health in Irving, TX SkyBridge HealthcareTravel Nurse RN - Home Health in Irving, TXIrving, TXWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewHome Health RN Clinical Manager - UNDRRVW Medical City Healthcare at HomeHome Health RN Clinical Manager - UNDRRVWIrving, TXAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
NewCare Transition Coordinator - Hospice Sales VitalCaring GroupCare Transition Coordinator - Hospice SalesAllen, TXThis is a high-impact, relationship-driven role that blends healthcare sales, care coordination, and partnership development to support both patient outcomes and organizational growth. The Care Transition Coordinator (CTC) plays a vital role in connecting patients, families, and healthcare partners to VitalCaring’s hospice services.
NewHospice Aide/CNA (Denton/Collin County) AccentCare, Inc.Hospice Aide/CNA (Denton/Collin County)Dallas, TX$18–$20If you meet these qualifications, we would love to meet you: Certified by the state as a nurse’s aide, with completion of required training and a passing score of 85% or higher on the agency’s competency exam; additional requirements vary by state (e.g. Provide compassionate, hands-on care to hospice patients, including assistance with personal hygiene, repositioning, and mobility support for individuals who may require lifting (up to 200 lbs with assistance).
New Home Sales Consultant Trainee Lennar HomesNew Home Sales Consultant TraineeDallas, TXFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Join the fun and follow us on social media to see what's happening at our company, and don't forget to connect with us on Lennar: Overview | LinkedInhttps://www.linkedin.com/company/lennar/> for the latest job opportunities.
New Home Consultant Lennar HomesNew Home ConsultantDallas, TXFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Join the fun and follow us on social media to see what's happening at our company, and don't forget to connect with us on Lennar: Overview | LinkedInhttps://www.linkedin.com/company/lennar/> for the latest job opportunities.
NewHome Health Aide (HHA) or Certified Nursing Assistant (CNA) Giving Home Health CareHome Health Aide (HHA) or Certified Nursing Assistant (CNA)McKinney, TexasWe are looking for a compassionate Home Health Aide (HHA) or Certified Nursing Assistant (CNA) in the McKinney, TX area to provide assistance in daily living and personal care services in patients’ homes in accordance with a physician established care plan. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Home Health Aide HHA - PRN VitalCaring GroupHome Health Aide HHA - PRNWaxahachie, TXProvide compassionate, hands-on care that supports patient comfort, safety, and independence: Assist patients with daily living activities, including bathing, dressing, grooming, and toileting. As a Home Health Aide (HHA), you are at the heart of that impact - providing hands-on support, comfort, and dignity to patients in the place they feel safest: home.
Registered Nurse / Patient Care Manager, Home Health AccentCare IncRegistered Nurse / Patient Care Manager, Home HealthMcKinney, TX$90,000–$110,000 / yearBy guiding and empowering clinical staff, the Patient Care Manager helps create a supportive environment where employees can grow, collaborate, and deliver their very best work, ultimately enriching the care experience for every patient. The Patient Care Manager plays a critical role in supporting both patients and the caregiving team, ensuring that every person receives compassionate, high‑quality home health services.
Certified Home Health Aide (HHA) Adaptive Home HealthCertified Home Health Aide (HHA)Dallas, TexasOur charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect your time. Cutting-edge tech built for caregivers: Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes.
PRN HHA (HOME HEALTH AIDE) Home Health (23013) Cantex Continuing Care Network LLCPRN HHA (HOME HEALTH AIDE) Home Health (23013)TXJob Summary: The Home Health Aide provides personal healthcare and related services to the client in their place of residence, assists in providing a safe and clean environment, works cooperatively with patient and family, & shares observations and problems with the supervisor. Participates in interdisciplinary communication to ensure that patients' needs and expectation for services provided are understood and to ensure optimization of service delivery and patient progress.
(PRN) Home Health Aide (Addison, TX.) ProHealth Home Health and Hospice ProHealth Home Health & Hospice(PRN) Home Health Aide (Addison, TX.) ProHealth Home Health and HospiceAddison, TexasMust have successfully completed a state-established or other training and competency evaluation program that meets state and federal requirements, or a state licensure program that meets state and federal requirements for aide training and competency evaluation program, or a competency evaluation program if, since the individual’s most recent completion of this program(s), there has been a continuous period of 24 consecutive months during none of which the individual furnished home health aide services described in 42 CR 409.45 for compensation. JOB SUMMARY: A paraprofessional person who is specifically trained, competent and performs assigned functions of personal care to the patient in their residence under the direction, instruction and supervision of the registered nurse (RN).
Care Transitions Coordinator Home Health Enhabit IncCare Transitions Coordinator Home HealthDallas, TXBy extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Integrates evidence-based clinical guidelines, preventative guidelines, protocols, and other metrics in the development of transition plans that are patient-centered, promoting quality and efficiency in the delivery of post-acute care.
CNA/Home Health Aide Solace Home Healthcare AgencyCNA/Home Health AideDallas, TexasLocations Carrollton, De Soto, Denton, Duncanville, Ft. Worth, Grand Prairie, Irving, Lewisville, Rockwall, Royse City, The Colony, Wills Point . Perform range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency).
PRN Home health Wound Care RN/LVN BrightStar Care of TXPRN Home health Wound Care RN/LVNIrving and Dallas, TexasWe’re seeking an experienced PRN Wound Care Nurse (RN or LVN) to join our compassionate and skilled clinical team. Educate and support clients and families regarding wound care, treatments, expectations, and precautions—maintaining dignity and confidentiality at all times.
Now Hiring: Wound Care Nurses – Home Health/Hospice Support (DFW Area) BrightStar Care of Plano / North DallasNow Hiring: Wound Care Nurses – Home Health/Hospice Support (DFW Area)Richardson, TXWe are currently seeking experienced Wound Care Nurses to join our growing team providing in-home patient care throughout the DFW area. Candidates with wound care certification and experience using wound vacs are highly preferred.
Home Health Aide - In Person - In Home Richardson CampusHome Health Aide - In Person - In HomeLancaster, TexasIt has been the goal of our goal since our Small Miracles Academy Daycare and Preschool to provide an exceptional educational program and is proud to offer the HighScope Preschool curriculum which focuses on Building independence, creativity, problem-solving, and academic skills. In a HighScope preschool program, teachers ignite children’s interest in learning by creating an environment that encourages them to explore learning materials and interact with adults and peers.
Home Health RN (Addison, TX) ProHealth Home Health and Hospice ProHealth Home Health & HospiceHome Health RN (Addison, TX) ProHealth Home Health and HospiceAddison, TexasThis is performed in accordance with physician orders and plan of care under the direction and supervision of the Administrator/Alternate Administrator/Supervising Nurse/Alternate Supervising Nurse/Branch Director /Clinical Manager. QUALIFICATIONS: Graduate of an approved school of professional nursing with active state license as registered nurse, or a multi-state license issued by a Nurse Licensure Compact (NLC) member state.
Home Health Aide - In Person - In Home Small Miracles Academy - Richardson CampusHome Health Aide - In Person - In HomeLancaster, TXIdeal candidates operate with a big heart, not only providing personalized and attentive care but by building genuine relationships with those you serve. Care for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care.
Occupational Therapist OT Home Health PRN Elara CaringOccupational Therapist OT Home Health PRNIrving, TXSupervises and/or provides clinical direction to the Certified Occupational Therapy Assistant (COTA), Home Health Aide (HHA), and clinical staff to ensure the therapy care plan is followed and quality of care is being provided. As an Occupational Therapist, you'll contribute to our success in the following ways: Evaluates the occupational therapy patient to determine the rehabilitation needs, potential for achievement, and develops a plan of care in accordance with the findings.
Home Health Aide Boundless Home HealthHome Health AidePlano, TexasYou operate with a big heart, not only providing personalized and attentive care but by building genuine relationships with those you serve. You are detail-oriented, highly organized, and committed to creating a healthy environment that meets patient needs.
Caregiver or Home Health Aide with Flexible Hours & Weekly Pay HomeWell Care Services TX205Caregiver or Home Health Aide with Flexible Hours & Weekly PayCarrollton, TexasThis caregiver position will specifically start with a client in Coppell, TXAbout usAt HomeWell Care Services of Carrollton, we provide at-home care for seniors and other adults to support with day- to-day activities like grooming, bathing, cooking or even running errands. Assist clients according to their care plan which may include: companionship, meal preparation and service, light housekeeping, transportation, shopping, medication reminders, bathing, body care, dressing, feeding, ambulation, positioning, transferring, toileting, and protective supervision.
Home Health Aide, CNA - McKinney area UnitedHealth Group IncHome Health Aide, CNA - McKinney areaMcKinney, TX$14–$25.05 / hourState-Specific Requirements: TX: Must have a minimum of one-year full-time experience in direct client care in hospital or nursing facility, OR one year full- time experience within last 5 years in direct client care in agency setting, OR documented completion of training and competency evaluation program with home health experience within the last 24 months, OR documented completion of competency evaluation program with home health experience within the last 24 months, OR nursing student with documentation from director of programs or the dean of a school of nursing that states that the individual is a nursing student who has demonstrated competency in basic nursing skills aligned with the school"s curriculum, OR be on Texas Department of Human Services (DHS"s) Nurse Aide Registry with no findings of client abuse or neglect or misappropriation of client property. Primary Responsibilities: May provide or assist clients with activities of daily living including bathing in bed, tub or shower; care of hair including shampoo, combing and brushing; care of teeth and mouth including denture care; nail care, filing only; skin care including peri care and applying lotion; transfer of patient from bed to chair and to wheelchair.
Hospice Aide (CNA) Dallas, TX (ProHealth Home Health and Hospice) ProHealth Home Health & HospiceHospice Aide (CNA) Dallas, TX (ProHealth Home Health and Hospice)Addison, TexasJOB FACTORS: Physical Requirements: Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100 pound patient. Working Conditions: Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.
Home Health Registered Nurse-PRN Humana IncHome Health Registered Nurse-PRNPlano, TX$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Home Health Physical Therapist-PRN Humana IncHome Health Physical Therapist-PRNPlano, TX$93,000–$128,000 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Occupational Therapist Home Health-PRN Humana IncOccupational Therapist Home Health-PRNPlano, TX$85,400–$117,500 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Home Health Aide The Employee ConnectHome Health AideIrving, Texas$28,000–$38,000 / yearOur ideal candidate is patient, empathetic, and genuinely passionate about improving the quality of life for vulnerable populations, including elderly adults, individuals recovering from illness or surgery, and people managing chronic conditions or disabilities. This role offers tremendous career growth potential, with pathways into certified nursing assistant programs, licensed practical nursing, or healthcare administration for those who wish to advance their professional journey over time.
NewPRN Hospice Certified Home Health Aide (CHHA/CNA) SilveradoPRN Hospice Certified Home Health Aide (CHHA/CNA)Dallas, TX$19–$21 / hourJoin Silverado Hospice Dallas covering our North Dallas, McKinney, Plano, Carrollton, and Addison areas and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services. Since 1997, Silverado has been delivering exceptional care to individuals with neurodegenerative conditions and those facing life-limiting illnesses through our Hospice services.
Home Health Speech Language Pathologist-PRN Humana IncHome Health Speech Language Pathologist-PRNPlano, TX$85,400–$117,500 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Home Health Licensed Vocational Nurse-PRN Humana IncHome Health Licensed Vocational Nurse-PRNPlano, TX$53,000–$73,000 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Home Health Aide BOUNDLESS HOME HEALTH LLCHome Health AideFrisco, TXYou operate with a big heart, not only providing personalized and attentive care but by building genuine relationships with those you serve. You are detail-oriented, highly organized, and committed to creating a healthy environment that meets patient needs.
Home Health Physical Therapist Assistant Humana IncHome Health Physical Therapist AssistantPlano, TX$64,000–$87,500 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Home Health Clinical Manager Humana IncHome Health Clinical ManagerPlano, TX$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Patient Services Coordinator-LPN, Home Health Humana IncPatient Services Coordinator-LPN, Home HealthPlano, TX$48,900–$66,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Occupational Therapist (OT) ProHealth Home Health (Addison, TX) ProHealth Home Health & HospiceOccupational Therapist (OT) ProHealth Home Health (Addison, TX)Addison, TexasGraduate of an Occupational Therapy curriculum accredited by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association (AOTA) and/or certified by successfully completing the National Certification examination, or . WORKING ENVIRONMENT: Works indoors in Agency office and patient homes and travels to/from patient homes.
Branch Director, Home Health Humana IncBranch Director, Home HealthTX$111,600–$153,600 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Baylor Nurse (RN) (Addison, TX) - ProHealth Home Health ProHealth Home Health & HospiceBaylor Nurse (RN) (Addison, TX) - ProHealth Home HealthAddison, TexasCompletes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames. Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.
Home Care Caregiver – Make a Difference BrightStar Care of DentonHome Care Caregiver – Make a DifferenceLittle Elm, TX$14–$16 / hourAt BrightStar Care, we provide uplifting in-home care for seniors and older adults who require a helping hand, a supportive companion, and day-to-day assistance in their homes. Assisting client with active and passive mobility work defined by the plan of care, and documenting observed changes to the Director of Nursing.