NewRN - Registered Nurse - Woodland - FT - Evening Shift Good SamaritanRN - Registered Nurse - Woodland - FT - Evening ShiftFlensburg, MN$39–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
RN - Part Time Overnights - LTC Good SamaritanRN - Part Time Overnights - LTCLong Prairie, MN$36–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
RN - LTC Full Time Nights Good SamaritanRN - LTC Full Time NightsLong Prairie, MN$36–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
RN - Full Time FLEX - LTC Good SamaritanRN - Full Time FLEX - LTCLong Prairie, MN$36–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
LPN - Full Time Evenings - LTC Good SamaritanLPN - Full Time Evenings - LTCLong Prairie, MN$27–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
LPN - Part Time Overnights - LTC Good SamaritanLPN - Part Time Overnights - LTCLong Prairie, MN$27–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
LPN - Part Time Evenings - LTC Good SamaritanLPN - Part Time Evenings - LTCLong Prairie, MN$27–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
LPN - PRN Overnights - LTC Good SamaritanLPN - PRN Overnights - LTCLong Prairie, MN$27–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
LPN - Full Time Days - LTC Good SamaritanLPN - Full Time Days - LTCLong Prairie, MN$27–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
LPN - Full Time FLEX - LTC Good SamaritanLPN - Full Time FLEX - LTCLong Prairie, MN$36–$48If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
LPN - Licensed Practical Nurse - PRN - LTC Good SamaritanLPN - Licensed Practical Nurse - PRN - LTCLong Prairie, MN$27–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
Director of Nursing - RN - Long Term Care Good SamaritanDirector of Nursing - RN - Long Term CareMonticello, MN$41–$68Additionally for Rural Health Network facilities Good Samaritan Society (GSS) locations, for current employees, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
NewTravel OR RN Fusion Medical StaffingTravel OR RNBuffalo, MN$2,340–$2,490This role involves preparing the operating room, managing surgical equipment, and collaborating with the surgical team to ensure high-quality, patient-centered care. 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.
NewTravel Nurse RN - Labor & Delivery - $2,776 per week in Little Falls, MN Cynet HealthTravel Nurse RN - Labor & Delivery - $2,776 per week in Little Falls, MNLittle Falls, MN$2,776–$2,776Job Title: Labor and Delivery Registered Nurse Profession: Registered Nurse Specialty: Labor and Delivery Duration: 13 weeks Shift: 12-Hour Nights Hours per Shift: 12 Experience: Minimum 1 year of experience License: Required Certifications: BLS ACLS NRP Must-Have Skills: Experience in Labor and Delivery, Med-Surg, and Pediatrics Critical access experience preferred Ability to titrate drips Experience with electronic fetal monitoring Description: The unit is responsible for Labor and Delivery and Postpartum patients. Respiratory therapy equipment includes vents, CPAP, BiPAP, high flow, and Airvo.
NewTravel Nurse RN - Labor & Delivery - $2,737 per week in Little Falls, MN Advantis Medical StaffingTravel Nurse RN - Labor & Delivery - $2,737 per week in Little Falls, MNLittle Falls, MN$2,737–$2,737Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced L&D Registered Nurse (RN) for an exciting new travel job in Little Falls, MN 56345. If you are an experienced L&D Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Labor & Delivery - $2,884 per week in Little Falls, MN Lucid Staffing SolutionsTravel Nurse RN - Labor & Delivery - $2,884 per week in Little Falls, MNLittle Falls, MN$2,884–$2,884Lucid Staffing Solutions was created by former healthcare workers who lived the short staffing, the chaotic workflows, and the nonstop pressure that comes with patient care. We built an agency powered by real clinical experience, kept simple and supportive, so you never have to guess whether the people guiding you actually know what they’re talking about.
NewTravel Nurse RN - Labor & Delivery - $2,594 to $2,674 per week in Little Falls, MN Pioneer Healthcare ServicesTravel Nurse RN - Labor & Delivery - $2,594 to $2,674 per week in Little Falls, MNLittle Falls, MN$2,594.14–$2,674.37Support women through the stages of labor, assist in birthing procedures, and collaborate with obstetricians, midwives, and anesthesiologists to manage deliveries, including assisting with vaginal births or cesarean sections. Provide care to both mother and newborn immediately following delivery, including assessing recovery, promoting bonding, providing breastfeeding support, and educating parents about newborn care and recovery.
NewTravel Nurse RN - Labor Delivery Recovery & Postpartum - $81 to $86 per hour in Little Falls, MN United Health Care Staffing, Inc.Travel Nurse RN - Labor Delivery Recovery & Postpartum - $81 to $86 per hour in Little Falls, MNLittle Falls, MN$81–$86Travel Perks: Explore Little Falls, MN Explore charming Little Falls on your days off: visit the Charles A. Lindbergh Historic Site and museum to soak up local history, stroll the Mississippi Riverfront and scenic trails, enjoy local dining and coffee shops in the downtown area, browse antique stores and farmers markets, and take easy weekend trips to nearby lakes and recreation areas for fishing, hiking and boating. Hashtags #RegisteredNurseJobs #LaborAndDelivery #TravelNurse #LittleFallsMNJobs #HealthcareJobs #LDRPNursing #NurseLife #EpicNurses #UHCCareers #ClinicalNursing.
NewTravel Nurse RN - Labor Delivery Recovery & Postpartum - $2,600 to $2,800 per week in Little Falls, MN United Health Care Staffing, Inc.Travel Nurse RN - Labor Delivery Recovery & Postpartum - $2,600 to $2,800 per week in Little Falls, MNLittle Falls, MN$2,600–$2,800This role requires a strong background in Labor & Delivery, Med Surg, and Pediatrics, as nurses will split time between OB and Med Surg units based on census. Job OverviewWe are seeking a versatile and experienced LDRP Registered Nurse (RN) to join a critical access hospital setting.
NewTravel Nurse RN - Labor & Delivery - $2,426 to $2,581 per week in Little Falls, MN Fusion Medical StaffingTravel Nurse RN - Labor & Delivery - $2,426 to $2,581 per week in Little Falls, MNLittle Falls, MN$2,426–$2,581This role encompasses assessing maternal and fetal health, administering treatments, and collaborating with healthcare teams to ensure high-quality, patient-centered care during labor, delivery, and the immediate postpartum period. 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.
NewTravel Nurse RN - Labor & Delivery in Little Falls, MN SkyBridge HealthcareTravel Nurse RN - Labor & Delivery in Little Falls, MNLittle Falls, MN$63.25–$74.75 / 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 is currently seeking Registered Nurse with Labor, Delivery, Recovery and Postpartum experience for a 13-week contract in MN.
NewTravel Nurse RN - Operating Room - $2,766 per week in Buffalo, MN Cynet HealthTravel Nurse RN - Operating Room - $2,766 per week in Buffalo, MNBuffalo, MN$2,766–$2,766Job Title: Registered Nurse Profession: Nursing Specialty: Operating Room Duration: 9 months Shift: Day 4x10-Hour Hours per Shift: 10 hours Experience: Minimum 2 years required License: Valid state license preferred Certifications: BCLS required; ACLS and CORN preferred Must-Have: - Minimum 2 years of experience in an Operating Room setting. Interdisciplinary support is provided by respiratory services, interpretation services, social services, rapid response teams, pharmacy, and unit secretaries.
NewTravel Nurse RN - Labor & Delivery - $2,734 per week in Little Falls, MN AHS StaffingTravel Nurse RN - Labor & Delivery - $2,734 per week in Little Falls, MNLittle Falls, MN$2,734–$2,734AHS Staffing is looking for a Labor & Delivery Registered Nurse in Little Falls, MN for a Long Term (Travel) position. Apply today to speak with a recruiter about the position!
NewNurse Case Manager - Saint Cloud, MN ParadigmNurse Case Manager - Saint Cloud, MNSaint Cloud, MNTwo years of full-time equivalent direct clinical experience to the consumer (required for casework referred from Accounts requiring accredited case management). A Nurse Case Manager works independently using their own discretion to assist injured workers/consumers in their recovery so that they may return to work.
NewTravel Oncology RN Fusion Medical StaffingTravel Oncology RNClearwater, MN$2,328–$2,476Develop and implement individualized education plans for cancer patients and families, addressing treatment regimens, side effect management, and self-care strategies . This role involves administering cancer treatments, managing side effects, and providing education and emotional support to patients and families.
NewRegistered Nurses (RN) - up to $54/hr Shiftkey, LLCRegistered Nurses (RN) - up to $54/hrLittle Falls, MN$54–$54ShiftKey enables independent Registered Nurses like you to bid on per diem RN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
NewRN Shiftkey, LLCRNLittle Falls, MN$54–$54ShiftKey enables independent Registered Nurses like you to bid on per diem RN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Certified Registered Nurse Anesthetist (CRNA) - $75,000 Sign-on bonus - St. Cloud, MN CentraCare Health SystemCertified Registered Nurse Anesthetist (CRNA) - $75,000 Sign-on bonus - St. Cloud, MNSaint Cloud, MN$276,619.20–$299,868.40 / yearThe department provides anesthesia services across an extensive surgical platform, including 24 operating rooms in the main hospital, multiple EP and Cath Lab locations, endoscopy suites, dedicated OB suites, and both inpatient and outpatient surgery centers. Cloud Hospital, a 489-bed regional referral center and Level II trauma center, delivers comprehensive inpatient and outpatient services with Magnet-designated nursing and expert support staff.
NewCertified Registered Nurse Anesthetist (CRNA) – $75,000 Sign-on bonus – St. Cloud, MN CentraCare Health SystemCertified Registered Nurse Anesthetist (CRNA) – $75,000 Sign-on bonus – St. Cloud, MNSt. Cloud, MN$276,619.20–$299,868.40 / yearThe department provides anesthesia services across an extensive surgical platform, including 24 operating rooms in the main hospital, multiple EP and Cath Lab locations, endoscopy suites, dedicated OB suites, and both inpatient and outpatient surgery centers. The department supports the full spectrum of surgical servicesincluding open heart, endovascular, and neurosurgeryand delivers care for approximately 14,000 surgical cases annually.
Registered Nurse | Intensive Care Unit CentraCare Health SystemRegistered Nurse | Intensive Care UnitSaint Cloud, MN$41.34–$62.01 / hourAs an ICU RN, you will be part of a team that prioritizes excellence in healthcare and have the opportunity to make a significant difference in the lives of critically ill patients and their families. Advanced Cardiac Life Support (ACLS) required (with the exception of casual staff) or obtained within 36 months; required prior to obtaining code blue competency.
Registered Nurse | Occupational Health CentraCare Health SystemRegistered Nurse | Occupational HealthSaint Cloud, MN$37.27–$62.18 / hourThe Ambulatory Care Registered Nurse renders care to patients in the clinic setting working as a valuable member of the health care team making independent and dependent decisions under the direction of a provider. Basic Life Support (BLS) Current American Heart Association (AHA) BLS Healthcare Provider card required per established policy required.
Registered Nurse Grafton IncRegistered NurseMNJoin Grafton Integrated Health Network as a Registered Nurse and make a meaningful impact in the lives of children and adolescents with autism spectrum disorder, intellectual disabilities, and developmental disabilities at our Psychiatric Residential Treatment Facility (PRTF) in Cold Spring, Minnesota. In this rewarding role, youll provide compassionate, person-centered nursing care by monitoring and promoting client health, managing medical needs, collaborating with an interdisciplinary treatment team, and helping each individual achieve their highest level of well-being.
Registered Nurse | Correctional Care CentraCare Health SystemRegistered Nurse | Correctional CareSaint Cloud, MN$37.27–$62.18 / hourThe Registered Nurse is a member of the Coordinated Care Clinic multi-disciplinary team providing care for a diverse population of patients and their families in multiple settings including the inmate population in the jail setting. This multi-disciplinary team will execute Patient and Family Centered Care principles when interacting with patients, their families, and co-workers and will address all aspects of life that promote health and well-being with an emphasis on social determinants of health.
Registered Nurse (RN) - Assisted Living / Memory Care Good Shepherd CommunityRegistered Nurse (RN) - Assisted Living / Memory CareMNCoordinate and oversee delegated nursing services to nursing and unlicensed staff in compliance with licensure requirements. Along with joining a supportive and mission-driven team, Good Shepherd offers employees a variety of generous benefits.
Registered Nurse RN/LPN - Homecare - Paynesville Provident Home Health CareRegistered Nurse RN/LPN - Homecare - PaynesvillePaynesville, MinnesotaRegistered Nurses (RN) and Licensed Practical Nurses (LPN), if you are interested in a paycheck with a PURPOSE, consider checking out Provident Home Healthcare! Provident Home Healthcare is a local, family-owned home care agency that serves both adults and pediatric clients.
Registered Nurse RN/LPN - Homecare - St. Cloud Provident Home Health CareRegistered Nurse RN/LPN - Homecare - St. CloudSt. Cloud, MinnesotaRegistered Nurses (RN) and Licensed Practical Nurses (LPN), if you are interested in a paycheck with a PURPOSE, consider checking out Provident Home Healthcare! Provident Home Healthcare is a local, family-owned home care agency that serves both adults and pediatric clients.
Travel L&D Registered Nurse $2732.0 Gross Per Week KPG HealthcareTravel L&D Registered Nurse $2732.0 Gross Per WeekLittle Falls, MNThe primary factor differentiating KPG Healthcare from other recruitment firms is the quality of our experience, the breadth of our industry network, and the creativity that we apply to finding the perfect placement options. KPG Healthcare is a Staffing Firm that provides diverse Supplemental and Permanent Healthcare Staffing solutions to a wide range of Clients throughout the Nation.
Licensed Practical Nurse- Outpatient Mental Health U.S. Department of Veterans AffairsLicensed Practical Nurse- Outpatient Mental HealthSaint Cloud, MN$51,357–$84,578 / yearGS-04 - Six months of qualifying experience as an LPN or LVN; OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; OR Graduation from an approved school of at least 24 months duration. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patients condition before, during, and following the procedure.
Registered Nurse (RN) - Assisted Living Good Shepherd CommunityRegistered Nurse (RN) - Assisted LivingMNCoordinate and oversee delegated nursing services to nursing and unlicensed staff in compliance with licensure requirements. Along with joining a supportive and mission-driven team, Good Shepherd offers employees a variety of generous benefits.
Registered Nurse (RN) Accura HealthCareRegistered Nurse (RN)Sauk Rapids, MNp> Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. As a Stonebridge Suites & Accura HealthCare community, we embrace a unique, upside-down philosophy that places the residents and direct care employees at the very top of the organizational chart.
Registered Nurse (RN) Good Shepherd CommunityRegistered Nurse (RN)MNKeywords: Long Term Care, LTC, Geriatrics, Nurse, Nursing, Registered Nurse, RN, Skilled Nursing Facility, SNF. At Good Shepherd, you'll join an outstanding team committed to delivering exceptional care-and you'll also enjoy generous benefits.
Registered Nurse | Med/Surg CentraCare Health SystemRegistered Nurse | Med/SurgMN$41.34–$62.01 / hourTo be eligible for the hiring bonus and relocation assistance, you must be an external candidate who has not worked for CentraCare for at least 9 months at the date of hire and be hired into an eligible full-time or part-time benefited position. As a Registered Nurse, you will be at the forefront of patient care, utilizing the nursing process to provide comprehensive care through assessment, diagnosis, planning, implementation, and evaluation.
Registered Nurse | Risk Management CentraCare Health SystemRegistered Nurse | Risk ManagementSaint Cloud, MN$89,419.20–$134,118.40 / yearThis role also serves as a proficient practitioner whose practice encompasses a wide range of responsibility, accountability, and performs critical reviews of care performed by a risk management, peer, and/or group of peers in accordance with all applicable laws, regulations, and current policies. The role''s specific focus includes responding to clinical concerns resulting in or potentially resulting in patient harm; facilitating early investigation of concerns; working with clinicians and administrators within the system to conduct pro-active risk assessments.
Registered Nurse (RN) - Part-Time Accura HealthCareRegistered Nurse (RN) - Part-TimeMNABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. As an Accura HealthCare community, we embrace a unique, upside-down philosophy that places the residents, tenants, and direct care employees at the very top of the organizational chart.
Registered Nurse | Orthopedics CentraCare Health SystemRegistered Nurse | OrthopedicsSaint Cloud, MN$42.86–$71.51 / hourWe are a 29-bed unit that provides care for a wide range of orthopedic conditions affecting children and adults such as joint replacements, sports medicine, and fractures resulting from an accident or other trauma. Cloud Hospital Orthopedics as a Registered Nurse (RN), you'll work with an award-winning team of professionals at one of Minnesota's highest-volume joint replacement hospitals.
Registered Nurse Day Shift Cura HealthRegistered Nurse Day ShiftMelrose, MN$76,000–$87,000In this role, you will be providing high-quality nursing care during the day shifts, ensuring that our patients receive the attention and support they need during this important time of day. Key Responsibilities: Deliver comprehensive nursing care, including monitoring patient health and administering medications during evening hours.
Registered Nurse Day Shift CURA of MelroseRegistered Nurse Day ShiftMelrose, MinnesotaIn this role, you will be providing high-quality nursing care during the day shifts, ensuring that our patients receive the attention and support they need during this important time of day. Key Responsibilities: Deliver comprehensive nursing care, including monitoring patient health and administering medications during evening hours.
NewRegistered Nurse - Overnight shift Cura HealthRegistered Nurse - Overnight shiftLong Prairie, MinnesotaOur overnight nursing team plays a crucial role in maintaining continuity of care and supports the overall healthcare team to deliver outstanding care at all hours. As an Overnight Registered Nurse at Cura Health, you will provide critical patient care during nighttime hours, ensuring patient safety and comfort throughout the night.
Registered Nurse - Overnights Cura HealthRegistered Nurse - OvernightsLong Prairie, MinnesotaOur overnight nursing team plays a crucial role in maintaining continuity of care and supports the overall healthcare team to deliver outstanding care at all hours. As an Overnight Registered Nurse at Cura Health, you will provide critical patient care during nighttime hours, ensuring patient safety and comfort throughout the night.
Registered Nurse (RN) - Part-Time Sterling Park Senior LivingRegistered Nurse (RN) - Part-TimeWaite Park, MinnesotaABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. As an Accura HealthCare community, we embrace a unique, upside-down philosophy that places the residents, tenants, and direct care employees at the very top of the organizational chart.