NewRN Unit Manager Ellicott CenterRN Unit ManagerBuffalo, NY$85,000–$95,000Ellicott Center for Rehabilitation and Nursing is a 160-bed rehabilitation and skilled nursing facility located in New York’s beautiful Buffalo, New York. Ellicott Center is actively seeking an Experienced RN Nurse Manager to be Team Leader for our Skilled Nursing Facility located in Buffalo, NY.
NewTravel Nurse RN - Nurse Manager - $1,984 to $2,137 per week in Buffalo, NY Host HealthcareTravel Nurse RN - Nurse Manager - $1,984 to $2,137 per week in Buffalo, NYBuffalo, NY$1,983.58–$2,136.60Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Nurse Manager in Buffalo, NY. If you are interested in this position, please contact your recruiter and reference Job #2229363
NewRegistered Nurse (RN) – HVC Heart Failure Nurse Yale New Haven HealthRegistered Nurse (RN) – HVC Heart Failure NurseCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse Float – Critical Care Yale New Haven HealthRegistered Nurse Float – Critical CareAmherst, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse Critical Care (ICU) – Float Pool Yale New Haven HealthRegistered Nurse Critical Care (ICU) – Float PoolCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse - YNHH Yale New Haven HealthRegistered Nurse - YNHHWest Seneca, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse - Urgent Hiring Yale New Haven HealthRegistered Nurse - Urgent HiringCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse – Cardiology / Cardiac Rehab / Heart Failure Yale New Haven HealthRegistered Nurse – Cardiology / Cardiac Rehab / Heart FailureAmherst, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse - Immediate Hiring Yale New Haven HealthRegistered Nurse - Immediate HiringBuffalo, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse – ICU Float Unit Yale New Haven HealthRegistered Nurse – ICU Float UnitCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse – Advanced / Specialized Heart Failure Yale New Haven HealthRegistered Nurse – Advanced / Specialized Heart FailureCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse - Great Pay! Yale New Haven HealthRegistered Nurse - Great Pay!Niagara Falls, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse – Heart Failure Coordinator Yale New Haven HealthRegistered Nurse – Heart Failure CoordinatorCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse (RN), Float Critical Care / ICU Yale New Haven HealthRegistered Nurse (RN), Float Critical Care / ICUCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRN - Heart & Vascular ICU Yale New Haven HealthRN - Heart & Vascular ICUCheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRN - Vascular Surgery ICU / Vascular ICU Yale New Haven HealthRN - Vascular Surgery ICU / Vascular ICUNiagara Falls, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRN - Cardiovascular Surgery ICU (CSICU / CVICU) Yale New Haven HealthRN - Cardiovascular Surgery ICU (CSICU / CVICU)Cheektowaga, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRN Float Pool – Critical Care Yale New Haven HealthRN Float Pool – Critical CareBuffalo, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
Registered Nurse The Community Action Organization of Western New York IncRegistered NurseBuffalo, NY$37–$40 / hourThis position provides professional nursing care to individuals with substance use disorder in an outpatient clinical setting that includes management and dispensing controlled substance medication. Observes patient and records any significant conditions and reactions and notifies supervisor and/or physician of any reaction to drugs, treatments and significant incidents.
NewRegistered Nurse (RN) – Critical Care Float Pool Yale New Haven HealthRegistered Nurse (RN) – Critical Care Float PoolBuffalo, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse RN – Congestive Heart Failure Unit Yale New Haven HealthRegistered Nurse RN – Congestive Heart Failure UnitNiagara Falls, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse (RN) – ICU Float Yale New Haven HealthRegistered Nurse (RN) – ICU FloatNiagara Falls, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse (RN) – Heart Failure Yale New Haven HealthRegistered Nurse (RN) – Heart FailureBuffalo, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
Registered Nurse (RN) - Cardiac ICU / CICU Yale New Haven HealthRegistered Nurse (RN) - Cardiac ICU / CICUBuffalo, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse RN – Transitional Care Coordinator Yale New Haven HealthRegistered Nurse RN – Transitional Care CoordinatorBuffalo, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse (RN) – VAD Coordinator Yale New Haven HealthRegistered Nurse (RN) – VAD CoordinatorAmherst, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRN Float Pool - Critical Care Yale New Haven HealthRN Float Pool - Critical CareAmherst, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewRegistered Nurse (RN) - Graduate Yale New Haven HealthRegistered Nurse (RN) - GraduateBuffalo, NYIn personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). 2. Develops, communicates and documents a plan of care reflecting individualized patient problems and interventions to achieve desired outcomes, involving the patient, family and healthcare team in this process.
NewCritical Care Float Nurse / Float RN (ICU) Yale New Haven HealthCritical Care Float Nurse / Float RN (ICU)Amherst, NYNursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure.
NewDialysis Registered Nurse - Floater U.S. Renal CareDialysis Registered Nurse - FloaterTonawanda, NY$37.12–$55.68As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders.
NewRegistered Nurse (RN) - Bonus Yale New Haven HealthRegistered Nurse (RN) - BonusBuffalo, NYThe RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.
NewTravel Nurse RN - Home Health - $2,033 to $2,337 per week in Amherst, NY Fusion Medical StaffingTravel Nurse RN - Home Health - $2,033 to $2,337 per week in Amherst, NYAmherst, NY$2,033–$2,337Summary: 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.
Registered Nurse (RN) - Internal Float Pool - North Collins Advocate AuroraRegistered Nurse (RN) - Internal Float Pool - North CollinsNorth Collins, NYAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation . Using evidence-based practice, clinical decision making, compassion and skilled communication, leads efforts to create the safest patient environment and the best patient experience across the continuum.
NewRN - Sign-on Bonus Yale New Haven HealthRN - Sign-on BonusBuffalo, NYThe RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.
NewTravel Nurse RN - Correctional - $2,683 per week in Albion, NY AHS StaffingTravel Nurse RN - Correctional - $2,683 per week in Albion, NYAlbion, NY$2,683AHS Staffing is looking for a Corrections Registered Nurse in Albion, NY for a Long Term (Travel) position. Apply today to speak with a recruiter about the position!
NewTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,431 per week in Kenmore, NY Medical SolutionsTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,431 per week in Kenmore, NYKenmore, NY$2,431Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go — personally and professionally. In addition to providing the industry’s best recruiters, we offer tons of high-paying jobs, clinical support, and incredible benefits, including: A compensation package that reflects your goals!
Registered Nurse (RN) Medical Surgical Unit - Clarence Center Advocate AuroraRegistered Nurse (RN) Medical Surgical Unit - Clarence CenterBuffalo, NYAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation . It's part of a tri-city area with Menominee, MI and Peshtigo, WI, offering a mix of charming neighborhoods, affordable housing, and outdoor recreation like fishing, boating, and hiking.
Registered Nurse, Short Term Care Unit (Full Time, Night) Advocate AuroraRegistered Nurse, Short Term Care Unit (Full Time, Night)Niagara Falls, NYRegistered Nurse (RN) Medical Surgical Unit Shift: Full/Part Time: Aurora Medical Center Bay Area - 3003 University Dr Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Opportunity for annual increases based on performance Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Why Choose the Night Shift? ~$00/hour shift differential ~ Quieter environment for focused care ~ Strong camaraderie among night staff ~ Ideal for those who prefer flexible daytime schedules ~ Sign-on bonuses for eligible candidates up to $12,500 ~ Student loan forgiveness up to $20,000 for inpatient nurses ~ Paid time off, health/dental/vision insurance, retirement plans ~ Positions between 24 and 36 hours per week available on night shift You'll collaborate with Aurora Physicians across specialties to deliver safe, therapeutic, and evidence-based care.
NewTravel Nurse RN - Home Health in Williamsville, NY SkyBridge HealthcareTravel Nurse RN - Home Health in Williamsville, NYWilliamsville, NY$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.
NewAcute Dialysis Facility Administrator U.S. Renal CareAcute Dialysis Facility AdministratorLockport, NY$99,616–$149,424This position reports directly to first line regional operational management which may be an Area Manager, Area Director, Regional Director, or Vice President of Hospital Services, depending on the region/territory. Continuously monitor to ensure that a safe and sanitary physical environment is maintained; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly.
NewRN Care Manager ElderwoodRN Care ManagerBuffalo, NY$92,000 / yearIn the role of an Registered Nurse Care Manager (RN Care Manager), you are a critical resource for our members as you are responsible for assessing member’s home health and level of care needs, assisting them in accessing necessary covered services, providing referrals and coordinating other medical services in support of their member centric service plan. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.
Nurse Manager Neighborhood Health Center of WNY IncNurse ManagerNYResponsibilities include: Build relationships with providers and advocate for the needs of providers and nursing teams Supervise and develop nursing staff Participate in hiring and training nursing staff Assure nursing staff are cross trained in more than one department With the support of all clinical leadership, hold staff accountable for the highest level of consistency possible within the nursing department and site level clinical matters Coordinate clinical and non-clinical staff activities for a high quality, efficient, compassionate experience for every patient Assure nursing staff reviews and understands nursing guidelines, policies and procedures Collaborate with director of nursing to manage compliance of infection control and OSHA policies and procedures Manage site audits from nursing supervisors of CLIA labs, medication rooms, autoclave, clean and soiled utility room Collaborate with provider scheduler to ensure distribution of nursing schedules Manage issues related to medical supplies, including vaccinations, purchasing, charges for services, handling, storage, and proper technique training Serve as super user on EHR and other digital platforms Review staffing to providers per session, and assign nursing staff accordingly Read and interpret 3rd next available appointment report Assure nursing and clinical staff understand and abide by patient scheduling protocols including open-access scheduling Prepare a monthly nursing report for nursing and clinical leadership Participate in QA committee work Identify short-term and long-range issues, recommend courses of action, and implement directives Assist in development of annual budgets for nursing and non-clinical departments Attends trainings and meetings for professional development Your primary location will be in Buffalo, NY and you will travel to all Neighborhood sites in Western New York as needed. Education and Skills: BS in nursing; Master's preferred Current New York State licenses as a registered nurse Current basic life support certification Minimum of 3 years clinical/nursing management/supervision experience; physician office/practice preferred Excellent written and verbal communication skills Conflict resolution and problem solving skills Able to read, write and speak the English language.