NewLead Resident Services Assistant - Assisted Living Providence Non-RN - OregonLead Resident Services Assistant - Assisted LivingPortland, OR$20–$27.90 / hourUnder the direction of the Resident Care Supervisor or Operations Supervisor and with clinical supervision, the Lead Personal Care Aide is expected to serve in a leadership role with other Aides to complete all required documentation, assure that all care and medications are administered appropriately, to solve problems, and to communicate with the staff of the next shift. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewResidential Care Associate II - 5705 ColumbiaCare ServicesResidential Care Associate II - 5705Milwaukie, OR$22.50–$23.88 / hourBachelor’s degree in Behavioral Science: Psychology, Counseling, Social Work, Human Development, or related field; OR minimum three (3) years of verifiable behavioral health experience working with individuals with behavioral health needs in a supervised setting; OR equivalent combination of behavioral science education in addition to satisfactory supplemental behavioral health experience and training. Affordable Medical/Dental/Vision plansFlexible Spending AccountGenerous Paid Time OffWhole Health & Wellness Reimbursement ProgramProfessional development and training opportunities100% Vested Retirement Plan w/ up to 6% MatchHoliday Pay (9)Paid Time Off for Mental HealthCompany Paid Life InsuranceSpontaneous & Longevity BonusesLoan Forgiveness Program EligibilityEmployee Assistance Program (EAP) & Tobacco Cessation Program.
NewResidential Care Associate II - 5742 ColumbiaCare ServicesResidential Care Associate II - 5742Milwaukie, OR$22.50–$23.88 / hourDifferentials: In addition to your base wage, CCS offers the following pay differentials, subject to position, program, and eligibility requirements: Night Shift (NOC) Differential: Anadditional$3.00 per hour for hours worked between 10:00 PM and 8:30 AM, provided that at least 2.5 hours of your shift occur within this designated period. Bachelor’s degree in Behavioral Science: Psychology, Counseling, Social Work, Human Development, or related field; OR minimum three (3) years of verifiable behavioral health experience working with individuals with behavioral health needs in a supervised setting; OR equivalent combination of behavioral science education in addition to satisfactory supplemental behavioral health experience and training.
NewResidential Care Associate I-5729 ColumbiaCare ServicesResidential Care Associate I-5729Fairview, OR$21.42–$22.07 / hourAffordable Medical/Dental/Vision plansFlexible Spending AccountGenerous Paid Time OffWhole Health & Wellness Reimbursement ProgramProfessional development and training opportunities100% Vested Retirement Plan w/ up to 6% MatchHoliday Pay (9)Paid Time Off for Mental HealthCompany Paid Life InsuranceSpontaneous & Longevity BonusesLoan Forgiveness Program EligibilityEmployee Assistance Program (EAP) & Tobacco Cessation ProgramVocational Training Program: Accelerated training path towards QMHA certification. Physical Demands: This position requires the ability to frequently talk, listen, use hands and fingers, reach, stand, walk, sit, bend, stoop, climb stairs, as well as lift, carry, push, and pull up to 40 pounds .
NewResidential Care Associate I - 5707 ColumbiaCare ServicesResidential Care Associate I - 5707Wilsonville, OR$21.42–$22.07 / hourAffordable Medical/Dental/Vision plansFlexible Spending AccountGenerous Paid Time OffWhole Health & Wellness Reimbursement ProgramProfessional development and training opportunities100% Vested Retirement Plan w/ up to 6% MatchHoliday Pay (9)Paid Time Off for Mental HealthCompany Paid Life InsuranceSpontaneous & Longevity BonusesLoan Forgiveness Program EligibilityEmployee Assistance Program (EAP) & Tobacco Cessation ProgramVocational Training Program: Accelerated training path towards QMHA certification. Physical Demands: This position requires the ability to frequently talk, listen, use hands and fingers, reach, stand, walk, sit, bend, stoop, climb stairs, as well as lift, carry, push, and pull up to 40 pounds .
PCA (Personal Care Assistant) Maxim Healthcare Services IncPCA (Personal Care Assistant)Vancouver, WAAbility to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required. Maxim Healthcare is hiring for a Personal Care Assistant in Vancouver to provide support services to assist clients with personal, physical mobility and therapeutic care needs.
\n Personal Care Assistant\n Addus HomeCare Corp\n Personal Care Assistant\nVancouver, WAThis rewarding, entry-level position provides consistent, flexible full-time/part-time hours to accommodate your personal needs while providing a great career with a growing, innovative industry leader. If you have the drive to help others, and you are looking for a meaningful, fulfilling, independent career with an organization that encourages and supports your contribution, we invite you to join our team.
Personal Care Assistant Portland SouthPersonal Care AssistantPortland, OregonBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. Thousands of ComForCare employees were surveyed and the response was overwhelmingly positive, with 90% agreeing that ComForCare is in fact a Great Place To Work®.
Personal Care Attendant (PCA) Caregiver - On-Call Prestige Care IncPersonal Care Attendant (PCA) Caregiver - On-CallGresham, OR$24.50–$29 / hourProvides direct resident care while promoting resident dignity, independence and choice, regularly observes residents' physical and mental conditions and reports changes to the Health Services Director, Expressions Coordinator, or Executive Director. Job Summary: Provides direct resident care, completes assignments as a universal worker, assists in maintaining a positive physical and psychosocial environment for residents, and upholds Prestige's core values of respect, integrity, commitment and trust.
Caregiver/Home Health Aide All Ways Caring HomecareCaregiver/Home Health AideBattle Ground, WAFull timePhysical Requirements: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions, however, the physical demands must be met by an employee to successfully perform the essential functions of this job to include, but not limited, to the following: Sit, stand, walk, reach with hands and arms. At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care that suits the needs of each client in the comfort of their homes.
Personal Care Attendant (PCA) - Caregiver Prestige Care IncPersonal Care Attendant (PCA) - CaregiverPortland, ORProvides direct resident care while promoting resident dignity, independence and choice, regularly observes residents' physical and mental conditions and reports changes to the Health Services Director, Expressions Coordinator, or Executive Director. Job Summary: Provides direct resident care, completes assignments as a universal worker, assists in maintaining a positive physical and psychosocial environment for residents, and upholds Prestige's core values of respect, integrity, commitment and trust.
Personal Care Attendant (PCA) Caregiver - Swing Shift Prestige Care IncPersonal Care Attendant (PCA) Caregiver - Swing ShiftVancouver, WAProvides direct resident care while promoting resident dignity, independence and choice, regularly observes residents' physical and mental conditions and reports changes to the Health Services Director, Expressions Coordinator, or Executive Director. Bridgewood has enjoyed a string of unbelievably high performance, including multiple recent deficiency-free surveys, multiple national quality care awards through the American Health Care Association/National Center for Assisted Living, and more.
Personal Care Attendant (PCA) Caregiver - NOC Shift Prestige CarePersonal Care Attendant (PCA) Caregiver - NOC ShiftVancouver, Washington1. Provides direct resident care while promoting resident dignity, independence and choice, regularly observes residents’ physical and mental conditions and reports changes to the Health Services Director, Expressions Coordinator, or Executive Director. Bridgewood has enjoyed a string of unbelievably high performance, including multiple recent deficiency-free surveys, multiple national quality care awards through the American Health Care Association/National Center for Assisted Living, and more.
Personal Care Attendant (PCA) Caregiver - Day Shift Prestige Care IncPersonal Care Attendant (PCA) Caregiver - Day ShiftBeaverton, ORProvides direct resident care while promoting resident dignity, independence and choice, regularly observes residents' physical and mental conditions and reports changes to the Health Services Director, Expressions Coordinator, or Executive Director. Job Summary: Provides direct resident care, completes assignments as a universal worker, assists in maintaining a positive physical and psychosocial environment for residents, and upholds Prestige's core values of respect, integrity, commitment and trust.
Personal Care Attendant Specialty Comfort Care IncPersonal Care AttendantBeaverton, ORIf you enjoy working with the elderly and would like a rewarding career, we encourage you to apply at Specialty Comfort Care! We are hiring compassionate caregivers -- 20-40 hours per week, flexible hours -- Full-time / Part-time .
NewSpecific Needs Personal Care Attendant Laurelhurst House Assisted LivingSpecific Needs Personal Care AttendantPortland, OregonFollows and supports community fire safety and infection control practices and promptly reports any unsafe conditions or equipment to immediate supervisor or Executive Director. High school diploma or GED with one or more years of personal care experience with older adults preferred or equivalent knowledge and skills obtained through a combination of education, training, and experience.
Stretch Service Provider/Personal Trainer Massage EnvyStretch Service Provider/Personal TrainerVancouver, WA$20,000–$35,000As a highly skilled Personal Trainer/Stretch Service Provider in our East Vancouver clinic, you will have the chance to create personalized stretch sessions that help our members and guests achieve their health goals. The brand is built upon the belief that regular massage, stretch, and facials are integral components of whole-body wellness and keep your body working.
VANCOUVER Caregiver, home care aide, healthcare aide, nursing assistant, HCA, CNA, RNA, Certified Nursing Assistant Korean Women's AssociationVANCOUVER Caregiver, home care aide, healthcare aide, nursing assistant, HCA, CNA, RNA, Certified Nursing AssistantVancouver, WA$23.54–$28.53 / hourRegistered as a 501(c)(3) nonprofit organization in 1979, we are recognized for our commitment to the community, ability to reach and provide services to marginalized groups, and capacity to serve various segments of Washington state's diverse population. From the beginning, our founders knew that social services for diverse communities, regardless of race or ethnic background, through education, socialization, advocacy, and support are critical to maintaining the diverse fabric of our communities.
Personal Injury Litigation Paralegal- REMOTE/WFH Parnall LawPersonal Injury Litigation Paralegal- REMOTE/WFHPortland, OregonRemoteTo work together with the attorneys as a team to provide clients with intelligent, compassionate and determined advocacy, with the goal of maximizing compensation for the harms caused by wrongful actions of others. Parnall Law Firm isn't just one of the largest personal injury firms in New Mexico — we're a team of passionate advocates dedicated to standing up for clients when they need it most.
Associate Attorney - Personal Injury The Advocates - PNWAssociate Attorney - Personal InjuryPortland, OR$120,000–$170,000 / yearThe Associate Attorney will join a team of 18 personal injury attorneys to take on an inventory of cases and be responsible for working them through pre-litigation and negotiating with the insurance company to ensure that our client gets fairly compensated for their damages. You would become a vital part of a close-knit group of attorneys, legal assistants, paralegals, and staff who all share a profound dedication to supporting our clients throughout their recovery journeys.
Executive House Manager & Personal Assistant Sage HausExecutive House Manager & Personal AssistantVancouver, WA$32–$38Above all, we are seeking someone who is conscientious and genuinely takes pride in supporting a busy lifestyle, values excellence in the details, asks thoughtful questions, and consistently helps create a home environment that feels calm, organized, and effortlessly managed. Discretion, reliability, professionalism, and proactive support are qualities that matter deeply to me, along with someone who naturally anticipates needs and brings a calm, solutions-oriented presence during especially busy or travel-heavy periods.
Associate Attorney - Personal Injury PNWAssociate Attorney - Personal InjuryPortland, OregonThe Associate Attorney will join a team of 18 personal injury attorneys to take on an inventory of cases and be responsible for working them through pre-litigation and negotiating with the insurance company to ensure that our client gets fairly compensated for their damages. You would become a vital part of a close-knit group of attorneys, legal assistants, paralegals, and staff who all share a profound dedication to supporting our clients throughout their recovery journeys.
Certified Personal Trainer ES FitnessCertified Personal TrainerOak Grove, FloridaWhether you are just starting out or you have experience, prospective Personal Trainers must have great people skills, a willingness to learn and a strong desire to help others achieve optimal results. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the Recruiting Help Line at recruitinghelpline@eosfitness.com.
Personal Training Manager ES FitnessPersonal Training ManagerOak Grove, FloridaAbility to access and operate company computer systems including preparing documents, entering data into computer systems, reading reports from a computer database or email system . At ES, our Personal Training Manager (PTM) plays a key leadership role in select high-volume gyms, helping guide and grow our personal training team every day.
Program Assistant - Memory Care Brookdale Senior Living IncProgram Assistant - Memory CareVancouver, WAAssists in leading and engaging residents in the 7 domains of well-being programs - purposeful, intellectual, social, spiritual, emotional and physical in a dementia friendly structured environment; including sensory focused small groups for residents who cannot participate in a large group setting. In alignment with Brookdale's Resident and Family Engagement philosophy, assists in providing person centered programs while engaging residents in meaningful and purposeful dementia care programs within the Brookdale community enhancing their quality of life.
NewY's Care Classroom Aide YWCA Clark CountyY's Care Classroom AideVancouver, WADescription: --Status: Full-time--Hours: 40 hours per week (32 work, 8 company-sponsored time)--Company Sponsored Time: We offer a 4-day, 32-hour work week, and YWCA will provide this role 8 hours of Company Sponsored Time for you to use on Fridays to maintain work-life balance while maintaining pay at 40 hours a week--Pay Range: $24.88/hour + $1 bilingual differential--Benefits: Visit our Benefits and Perks Tab by Clicking Here--The teacher aide for the Y's Care Pre-School Program is responsible for working with the teaching team to provide a high-quality preschool experience for children enrolled in Y's Care, under the supervision of the Y's Care Director. Knowing the core principles of anti-racism and grounding those principles in everyday work are required job skills and core values--Education and Experience--At least one year of experience working with children in a preschool or kindergarten setting.----Experience working with children from racially and socio-economically diverse families strongly preferred.--Knowledge of and desire to learn more about the philosophy and principals of Reggio Emilia schools.--General
CNA - Memory Care Brookdale Senior Living IncCNA - Memory CareVancouver, WAOur Certified Nursing Assistant - CNA (State Tested Nursing Assistant-STNA in Ohio) work with community management to provide seniors with personalized care, and give resident status updates at the beginning and end of each shift. Nursing assistants check in with residents, assist with dining and personal care needs, and perform vital sign checks and clinical procedures according to community policy.
Residential Care Facilitator, Project Network #954 LifeWorks NWResidential Care Facilitator, Project Network #954Portland, ORStairways Behavioral Health assists persons with mental health care and addiction needs at any stage of life in their recovery by providing comprehensive rehabilitation, treatment, and supports essential for living, working, learning and participating fully in the community. Today, Stairways Behavioral Health is the most progressive mental health care provider in Erie, serving more than 8,000 people annually and employing more than 280 full and part-time mental health professionals.
Certified Nursing Assistant (CNA)- Home Care PortlandCertified Nursing Assistant (CNA)- Home CareHillsboro, OregonReport client progress and problems to supervisory personnel and procedures for handling medical emergencies or other incidents that affect the delivery of services in accordance with the client's service plan. ameriCARE - Portland is seeking compassionate and dedicated Caregivers to provide exceptional support and assistance to our clients in the Hillsboro, OR area.
Addus Home Care Aide Addus HomeCare CorpAddus Home Care AideWACaregiver Qualifications: • High school diploma or GED, or one year of in-home care services experience • Able to pass a criminal background check • Reliable transportation • Reliable, energetic, self-motivated, and well-organized. This rewarding, entry-level position provides consistent, flexible full-time/part-time hours to accommodate your personal needs while providing a great career with a growing, innovative industry leader.
Home Care Aide Addus HomeCare CorpHome Care AideWACaregiver Qualifications: • High school diploma or GED, or one year of in-home care services experience • Able to pass a criminal background check • Reliable transportation • Reliable, energetic, self-motivated and well-organized. This rewarding, entry-level position provides consistent, flexible full-time/part-time hours to accommodate your personal needs while providing a great career with a growing, innovative industry leader.
NewY's Care Classroom Aide Mac's ListY's Care Classroom AideVancouver, WAAides who work more than nineteen hours per month and who have a cumulative twelve months of employment must complete applicable preservice requirements detailed in WAC 110-300-0105 and the in-service training detailed in WAC 110-300-0107 (1)(a). The teacher aide for the Y's Care Pre-School Program is responsible for working with the teaching team to provide a high-quality preschool experience for children enrolled in Y's Care, under the supervision of the Y's Care Director.
Resident Care Coordinator Prestige Care IncResident Care CoordinatorVancouver, WAYou as the Resident Care Coordinator would assist in ensuring resident care needs are met as directed by the Health Services Director and Executive Director by coordinating and providing resident care and assisting in the oversight of health services team members, procedures and systems. Collaborate with leadership team to create and maintain health services schedule that accommodates requested days off, vacations and sick time while maintaining appropriate staffing levels according to resident care needs and state requirements.
PRN Care Partner Brookdale Senior Living IncPRN Care PartnerORYou will assist residents with activities of daily living, including bathing, dressing, grooming and other personal care needs, as well as help residents with vacuuming, dusting, sweeping, mopping and dishes. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
Physical Therapy Aide Acute Care Legacy Health SystemPhysical Therapy Aide Acute CarePortland, OR$18.47–$25.01 / hourWhether you''re assisting with patient transfers, maintaining equipment, or completing clerical tasks, you approach every duty with skill, care, and compassion-knowing your work makes a meaningful impact. Transports pediatric, adolescent, adult, and geriatric patients to and from therapy sessions, taking precautions to avoid aggravating any injuries or medical conditions.
Nurse Practitioner or Physician Assistant, Senior Community Care - Multonomah and Clackamas Counties, OR UnitedHealth Group IncNurse Practitioner or Physician Assistant, Senior Community Care - Multonomah and Clackamas Counties, ORPortland, ORClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
In-Home Care Giver PortlandIn-Home Care GiverPortland, OregonReport client progress and problems to supervisory personnel and procedures for handling medical emergencies or other incidents that affect the delivery of services in accordance with the client's service plan. ameriCARE - Portland is seeking compassionate and dedicated Caregivers to provide exceptional support and assistance to our clients in the Portland, OR area.
NP or PA, Senior Community Care - Washington and Multnomah Co., OR UnitedHealth Group IncNP or PA, Senior Community Care - Washington and Multnomah Co., ORPortland, OR$109,500–$164,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Senior Community Care (SCC) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in a facility setting.
Medical Assistant - Primary Care UnitedHealth Group IncMedical Assistant - Primary CareCanby, OR$16.15–$28.80 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Medical Assistant serves the patient and the provider by gathering and maintaining the necessary medical information in a cheerful, friendly, personable manner; providing quality patient care and helping to establish rapport between the physician and patient.
Medical Assistant Pulmonary Critical Care Legacy Health SystemMedical Assistant Pulmonary Critical CarePortland, OR$23.93–$33.50 / hourMA certification required within one year, from either the American Association of Medical Assistants (AAMA), the American Medical Technologists (AMT), the National Center for Competency Testing (NCCT), or the National Healthcare Association (NHA). You'll be part of a deeply collaborative care team that includes medical providers, nurses, social workers, behavioral health clinicians, pharmacists, and more - all working together to break down barriers to care.
HCA Home Care Aid / NAR Nursing Assistant VancouverHCA Home Care Aid / NAR Nursing AssistantVancouver, WashingtonSenior Helpers, a provider of in-home senior services, is dedicated to enhancing the quality of life for seniors through compassionate care. Make caregiving your calling with Senior Helpers — compassionate, flexible, and supportive in-home care work.
Certified Nursing Assistant CNA - Memory Care Brookdale Senior LivingCertified Nursing Assistant CNA - Memory CareVancouver, WAFull timeOur Certified Nursing Assistant - CNA (State Tested Nursing Assistant-STNA in Ohio) work with community management to provide seniors with personalized care, and give resident status updates at the beginning and end of each shift. Nursing assistants check in with residents, assist with dining and personal care needs, and perform vital sign checks and clinical procedures according to community policy.
Care Partner Prestige Care IncCare PartnerCanby, ORServes meals in the dining room, including meal set up, service, assisting residents at mealtime, provides resident tray delivery, and assists with dining room and kitchen clean up and maintenance. Follows and supports community fire safety and infection control practices and promptly reports any unsafe conditions or equipment to immediate supervisor or Executive Director.
NewCare Partner Willow Place Assisted LivingCare PartnerNewberg, OregonServes meals in the dining room, including meal set up, service, assisting residents at mealtime, provides resident tray delivery, and assists with dining room and kitchen clean up and maintenance. Follows and supports community fire safety and infection control practices and promptly reports any unsafe conditions or equipment to immediate supervisor or Executive Director.
Resident Care Coordinator Brookdale Senior Living IncResident Care CoordinatorTroutdale, ORObserves residents health status, takes actions to address concerns within scope of practice, and reports all significant changes, reactions to medications and treatment or significant incidences to Health and Wellness Director (or designee) in a timely manner. Provides direct supervision of resident care staff, which includes monitoring job performance, collaborating with community leadership on associate performance evaluations, coaching and counseling associates and conducting and documenting corrective action as needed.
Physical Therapy Aide - Acute Care Legacy HealthPhysical Therapy Aide - Acute CarePORTLAND, Oregon$18.47–$25.01 / hourFull timeWhether you're assisting with patient transfers, maintaining equipment, or completing clerical tasks, you approach every duty with skill, care, and compassion—knowing your work makes a meaningful impact. Transports pediatric, adolescent, adult, and geriatric patients to and from therapy sessions, taking precautions to avoid aggravating any injuries or medical conditions.
NewMedical Assistant - Pulmonary Critical Care Legacy HealthMedical Assistant - Pulmonary Critical CareGRESHAM, Oregon$23.93–$33.50 / hourFull timeLicensure: MA certification required within one year, from either the American Association of Medical Assistants (AAMA), the American Medical Technologists (AMT), the National Center for Competency Testing (NCCT), or the National Healthcare Association (NHA). You’ll be part of a deeply collaborative care team that includes medical providers, nurses, social workers, behavioral health clinicians, pharmacists , and more — all working together to break down barriers to care.
In-Home Care + Weekly Pay + $250 Bonus TheKeyIn-Home Care + Weekly Pay + $250 BonusLake Oswego, Oregon$22–$25 / hourAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. As an Employer of Choice , our dedicated local teams provide exceptional support to our caregivers while they transform the lives of aging adults.
Care Associate - Assisted Living (AL) Senior Lifestyle CorpCare Associate - Assisted Living (AL)Gresham, ORIn this role you will be responsible for providing assistance to residents in the Assisted Living Program with their activities of daily living, enabling them to lead a quality life while maintaining their dignity. We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork.
NewPatient Care Technician Hired by MatrixPatient Care TechnicianPortland, OR$1,000Responsibilities Assists as needed in providing or assisting geriatric participants/residents with personal care including but not limited to: bathing, dressing, toileting, and grooming with minimal support and supervision. Years of Experience REQ: 1 year of prior experience working with seniors required.