RN – Psychiatric Services Registered Nurse

Employment Type:

Part time

Shift:

Rotating Shift

Description:

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

MercyOne Dubuque is the leading hospital in the tri-states, offering the only comprehensive cardiology center and level II regional neonatal intensive care unit in the area as well as the newly constructed MercyOne Dubuque Cancer Center. Other services include a trauma center, a CARF-accredited inpatient rehabilitation unit, home health care, orthopedics, retail pharmacies, palliative care, and a wide range of outpatient and community services. MercyOne operates two hospital-based skilled nursing units and a 40-bed nursing home.

In recognition of the strength of its nursing service and the overall quality of patient care, MercyOne Dubuque has been designated a Magnet® hospital four consecutive times – the nation’s most prestigious award for nursing excellence.

Job Title: RN

Department: Psychiatric Services

Status: PRN

Want to learn more about MercyOne Dubuque? Click here:

Find a Location Dubuque, Iowa (IA), MercyOne Dubuque  

Join the MercyOne Family! We are looking to hire a RN!

As a Registered Nurse at MercyOne, you will provide and direct safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

Essential Functions:

  • Conducts assessment

  • Identifies patient problems and develops plan of care

  • Implements outcome/goal – based plan of care

  • Evaluates patient progress and revises the outcome/goal – based plan as needed

  • Communicates relevant clinical information to the team to optimize patient outcomes/goals

  • Demonstrates clinical competence

  • Manages telemetry and cardiac monitoring when applicable

  • Provides care appropriate to the age-related needs of the patients served on his/her assigned unit

  • Adheres to all safety, infection control and colleague health policies and procedures

  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Schedule: 

  • PRN

  • RNs work 12-hour shifts 

Minimum Qualifications:

  • Associate degree in nursing required

  • Bachelor of Science in Nursing (BSN) preferred

  • Possession of a current or compact state licensure as a Registered Nurse issued/defined by the State of Iowa

  • American Heart Association Basic Life Support (BLS) required

  • American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities

  • Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

JumpStart Registered Nurse

Employment Type:

Part time

Shift:

Rotating Shift

Description:

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

MercyOne Dyersville Medical Center is a 20-bed critical access hospital serving 17 rural communities in western Dubuque County, offering the following services: Emergency/Trauma, Acute and Skilled Care, Rehabilitation Services (PT/OT/Speech), Ambulatory Surgery, Home Care, and Specialty Clinics. MercyOne is committed to providing quality, personalized and safe health care close to home.

HERE’S HOW IT WORKS:

  • Earn up to $2,000 monthly stipend while you finish the last 9 months of your RN education.

  • MercyOne will reimburse your board and licensure fees.

  • Once you have your licensure, start your career with MercyOne!

Essential Key Job Responsibilities:

  • Delivers assigned patient care and treatment as delegated by an RN or LPN.

  • Performs or assists patients with activities including personal hygiene, bathing, ambulation, transporting, range of motion exercises, dressing/undressing, feeding, changing bandages, elimination needs, and emptying drainage devices.

  • Responds to patient calls and anticipates patient needs.

  • Assures patient safety and comfort through use of safe patient handling techniques, regular rounding, environmental maintenance, equipment maintenance, and other appropriate safety measures.

  • Calculates intake and output (excluding IVs). Measures vital signs. 

  • Performs bedside blood glucose testing. 

  • Makes entries to patient health records as consistent with scope of job duties and in compliance with company policy.

  • Initiates or assists with emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury).

  • Performs post-mortem care.

  • Sets up equipment and supplies for procedures. 

  • Prepares patients and rooms for procedures, admissions, and transfers. 

  • Discharges patients from system.

  • Observes and reports information regarding any change in physical/mental condition, behavior, or status of the patient to the nurse.

  • Collects and labels specimens.

  • Sets up, operates, and maintains selected pieces of equipment.

Qualifications:

  • Currently enrolled in an accredited registered nursing program.

  • Must be 18 years of age.

  • Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.

  • American Heart Association Basic Life Support (BLS) for Healthcare Providers certified within six (6) weeks of hire.

Talk to Your Recruiter:

If you have any questions or would like to learn more about the JumpStart Program, please contact Whitney LaMar at Whitney.LaMar@mercyone.org. We’re excited to help you start your career in nursing!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

OR RN – Operating Room Registered Nurse

Employment Type:

Part time

Shift:

Rotating Shift

Description:

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

MercyOne Dubuque Medical Center is a 25-bed critical access hospital, which provides a vital lifesaving link to rural communities in Clayton County and surrounding areas through ambulance and emergency services. MercyOne is committed to providing quality, personalized and safe health care close to home.

The emergency department is staffed 24 hours a day, seven days a week with board certified physicians and advanced level practitioners who are well-trained to treat emergency needs. MercyOne Dubuque Medical Center is certified as a Level IV Trauma Center by the Iowa Department of Public Health.

Want to learn more about MercyOne Dubuque? Click here:

Find a Location Dubuque, Iowa (IA), MercyOne Dubuque  

Join the MercyOne Family! We are looking to hire a Registered Nurse!

An Operating Room Registered Nurse at MercyOne provides perioperative patient care, specifically in the intraoperative phase, in both the scrub and circulating roles according to established guidelines. Serves the population from neonate, infant, pediatric, adolescent, adult and geriatric. 

  

Essential Functions: 

  • Scrubs and circulates on cases independently, with minimal direction. 
  • Prepares for surgical cases in an efficient manner, anticipating needs of patient, surgeon, anesthesia and other O.R. team members. 
  • Provides a safe environment for patient and staff by implementing standards of aseptic technique and by controlling the physical and psychological aspects of that environment. 
  • Collects and analyzes data and assesses patient in developing nursing diagnosis. 
  • Communicates effectively with the patient, staff, physicians, and families. 
  • Maintains knowledge of equipment set-up and function. 
  • Initiates and directs room clean up and turnover 

  

Schedule:  

  • PRN

Minimum Qualifications:  

  • Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa.   
  • Operating Room experience preferred. 
  • Basic Life Support certified within six (6) weeks of hire.  Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers. 
  • Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.  
  • Ability to read, write and speak English language. 
  • Ability to maintain a high standard of courtesy and cooperation in dealing with co-workers, patients and visitors, and perform job functions satisfactorily despite the stress of a hospital work environment. 
  • Adaptability to perform a variety of duties, often changing from one task to another without loss of composure or efficiency. 
  • Ability to perform in situations requiring set limits, standards and strict adherence to established procedures and guidelines. 
  • Ability to perform under stress when confronted with emergency, critical or unusual situations. 
  • Ability to take direction but also to work independently when appropriate. 
  • Adaptability to situations involving the interpretation of feelings, ideas, or facts in terms of personal viewpoint.  
  • Ability to influence people in their opinion, attitudes or judgments about ideas or things. 
  • Ability to make generalizations, evaluations or decisions based on sensory or judgmental criteria. 
  • Ability to make generalizations, evaluations or decisions based on measurable or verifiable criteria. 
  • Ability to deal with people beyond giving and receiving instructions.  
  • Ability to accept responsibility for the direction, control or planning of an activity. 

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system! 

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care. 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

RN – Psychiatric Services Registered Nurse

Employment Type:

Part time

Shift:

Rotating Shift

Description:

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

MercyOne Dubuque is the leading hospital in the tri-states, offering the only comprehensive cardiology center and level II regional neonatal intensive care unit in the area as well as the newly constructed MercyOne Dubuque Cancer Center. Other services include a trauma center, a CARF-accredited inpatient rehabilitation unit, home health care, orthopedics, retail pharmacies, palliative care, and a wide range of outpatient and community services. MercyOne operates two hospital-based skilled nursing units and a 40-bed nursing home.

In recognition of the strength of its nursing service and the overall quality of patient care, MercyOne Dubuque has been designated a Magnet® hospital four consecutive times – the nation’s most prestigious award for nursing excellence.

Job Title: RN

Department: Psychiatric Services

PRN

Want to learn more about MercyOne Dubuque? Click here:

Find a Location Dubuque, Iowa (IA), MercyOne Dubuque  

Join the MercyOne Family! We are looking to hire a RN!

As a Registered Nurse at MercyOne, you will provide and direct safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

Essential Functions:

  • Conducts assessment

  • Identifies patient problems and develops plan of care

  • Implements outcome/goal – based plan of care

  • Evaluates patient progress and revises the outcome/goal – based plan as needed

  • Communicates relevant clinical information to the team to optimize patient outcomes/goals

  • Demonstrates clinical competence

  • Manages telemetry and cardiac monitoring when applicable

  • Provides care appropriate to the age-related needs of the patients served on his/her assigned unit

  • Adheres to all safety, infection control and colleague health policies and procedures

  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Schedule: 

  • PRN

  • RNs work 12-hour shifts 

Minimum Qualifications:

  • Associate degree in nursing required

  • Bachelor of Science in Nursing (BSN) preferred

  • Possession of a current or compact state licensure as a Registered Nurse issued/defined by the State of Iowa

  • American Heart Association Basic Life Support (BLS) required

  • American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities

  • Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

NP/PA – Family Medicine – Dubuque, IA

Description

Medical Associates Clinic, located in Dubuque, Iowa, is seeking a PA or ARNP to join the Family Medicine department!

  • Our primary care providers treat patients for chronic and acute disease processes as well as promote and participate in wellness through physicals, health screenings, and vaccinations.
  • Family Medicine is located at both of our Dubuque locations.  This role would be located on our east campus.
  • As part of a multispecialty clinic, we utilize a shared EHR system across the organization that allows for continuity of care among our primary care and specialty departments.  It also allows for fast and easy communication with our providers and staff across our many departments.

Responsibilities Include:

Providing direct medical care under the direction of supervising physician(s) including but not limited to:

  • obtaining histories and vitals
  • performing physical and Medicare Wellness exams
  • ordering and interpreting appropriate lab and radiology studies
  • establishing diagnosis
  • initiating treatment plan
  • managing chronic diseases
  • promoting and ordering vaccination
  • providing patient education to promote wellness and support disease management processes
Full-time providers will be eligible for a benefits package including:  
  • Health Insurance and Dental Coverage with discounted premium rates for wellness program participation
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing)
  • Medical & Dependent Care Flex Spending Accounts
  • Paid Time Off (accrue up to 29 days/year) + additional CEU time off and allowance

Work Schedule: 40 hours per week (salaried) with 85% patient contact hours. The department is open Mon-Fri daytime hours – no nights, weekends or call! Schedule needs/Flexibility can be discussed 

Medical Associates Clinic Overview:

  • Area’s most comprehensive mental health team of Psychologists and Psychiatrists
  • Over 200 providers with about 1,100 total staff make up the area’s leading healthcare provider and only multispecialty group practice
  • 26 specialty departments with two Dubuque campus locations and 7 Family Care Network clinics in IA, WI and IL
  • Recognition includes MGMA “Better Performing Groups” and U.S. News and World Report’s “America’s Best Health Plans”
  • Learn more at mahealthcare.com

Dubuque, Iowa Community Overview: 

  • Beautiful city overlooking the Mississippi River with a population of 70,000 and a drawing base of up to 250,000
  • Centrally located with one-hour driving distance to Madison and Iowa City, and only three hours to Chicago
  • Community & Entertainment: great restaurants, local breweries & wineries, miles of hiking & biking trails, museums and performing arts, live music and festivals, boat/kayak access, nearby downhill skiing, networking groups for all ages and interests!
  • Schools & Family: outstanding public and private schools, lots of family-centered activities throughout the year, programs for just about every extracurricular–sports/arts/music/social
  • Housing & Living: several options including downtown city lofts, restored single family homes, nearby suburbs in the country, townhouses centrally located *Cost of living 9% lower than national average
  • Learn more at traveldubuque.com and https://youcanbegreathere.com/ 

Qualifications:

Experience:  Three to five years of similar or related experience preferred. Experience strongly preferred.

Education:  Equivalent to a college degree and a professional certificate or graduate degree. Must be a licensed ARNP or PA.

Interpersonal Skills: The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job.

Other Skills: The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job. 


Physical Aspects:

Stooping – Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.


Kneeling – Bending legs at knee to come to a rest on knee or knees.


Crouching – Bending the body downward and forward by bending leg and spine.


Reaching – Extending hand(s) and arm(s) in any direction.


Standing – Particularly for sustained periods of time.


Walking – Moving about on foot to accomplish tasks, particularly for long distances


Pushing – Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.


Pulling – Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion.


Lifting – Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.


Fingering – Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.


Grasping – Applying pressure to an object with the fingers and palm.


Feeling – Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.


Talking – Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.


Hearing – Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.


Vision – 20 / 40 or better in the best eye with or without correction.


Medium Work – Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or 10 pounds force constantly to move objects.


Environmental Conditions: Subject to Physical Hazards – Includes a variety of physical conditions, such as proximity to moving mechanical parts, electrical current, working on scaffolding and high places, exposure to high heat or exposure to chemicals.


Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.

Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster

Quality Assurance Technician

Job Description – Quality Assurance Technician

Department: Quality
Reports To: Quality Manager
Employment Type: Full-Time, Non-Exempt

Position Summary

The Quality Assurance Technician is responsible for performing inspections and audits to ensure products meet company standards and customer specifications. This role requires strong attention to detail, the ability to interpret prints and process sheets, and a commitment to safety, accuracy, and compliance. The ideal candidate will be self-motivated, reliable, and able to work independently with minimal supervision while contributing effectively to a team environment.

Essential Duties and Responsibilities

· Perform inspections and audits of products, processes, and documentation to ensure compliance with company and customer requirements.

· Read and interpret prints, quality check process sheets, and customer specifications to verify product conformity.

· Accurately document inspection results and maintain detailed, organized records.

· Identify nonconforming materials or processes and report findings to appropriate personnel.

· Utilize basic math skills to perform measurements, calculations, and verifications.

· Enter inspection and audit data into computer systems and generate reports as required.

· Maintain a strong safety mindset and adhere to all company safety policies and procedures.

· Communicate effectively with team members, supervisors, and other departments.

· Adapt to changing work priorities and schedules, including working under time pressures.

· Maintain good attendance and punctuality.

· Perform other duties as assigned.

Qualifications and Requirements

· Minimum of one (1) year of related experience or an equivalent combination of education and experience.

· Demonstrated attention to detail with strong organizational and recordkeeping skills.

· Ability to work independently with minimal supervision and collaborate effectively with others.

· Strong computer skills, including proficiency in Microsoft Office applications.

· Basic math proficiency.

· Ability to comply with all company and customer standard requirements.

· Effective verbal and written communication skills.

· Flexibility to adjust to changing workloads and work patterns.

Work Schedule

Four (4) ten-hour shifts per week. Overtime may be required based on business needs.

Physical Requirements

Ability to stand, walk, and move throughout the facility for extended periods. Ability to visually inspect products and documentation. Ability to lift and carry items as required by the position.

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

 

Work Location: In person

Assistant Finance Director

Grant County
Human Resources

Assistant Finance Director

Grant County is recruiting for an Assistant Finance Director. This
position assists the Finance Director in the overall financial management
of Grant County. It includes supervising assigned staff, coordinating
accounting activities, managing the county’s financial systems, and
ensuring compliance with financial regulations and policies. This position
plays a key role in budget preparation, financial reporting, and system
administration, and serves as a backup to the Finance Director.
Benefit Position: 80 hours bi-weekly; Monday-Friday, 8 a.m. to 4:30 p.m.
Salary: Starting at $3,241.60 bi-weekly (effective 1/1/2026)
MINIMUM QUALIFICATIONS: Bachelor’s Degree in Accounting,
Finance, or a related field; Certified Public Accountant (preferred but not
required); Five (5) years of experience in financial management; government
experience preferred; Three (3) years of supervisory experience desirable;
Experience in utilizing Tyler MUNIS ERP software preferred
How to Apply: A Grant County Employment Application and job
description may be obtained at www.co.grant.wi.gov (under employment
opportunities) or by contacting the Human Resources Department at
(608)723-2540. Screening of applicants will begin immediately and will
continue until the position is filled. Submit application, resume, and
letter of interest to: Grant County Human Resources, 111 S. Jefferson
St. – PO Box 529, Lancaster, WI 53813 (AA/EEO)

 

Occupational Therapist

We are looking at for a part-time OT to join our growing team!

As an Occupational Therapist you will be responsible to:

Certified Nurse Aide (Resident Assistant)

As a Resident Assistant, your contributions play an important role in caring for the needs of older adults- including their physical, emotional, social, mental and spiritual wellbeing. You are responsible for the provision of high quality personal care and services to residents to support their Personally Designed Living choices while maintaining consistency with regulations and established best practices.

Qualifications for this position include:

  • Demonstrated competencies in person-directed, elder/resident-directed practice, home building, critical thinking, teamwork, self leadership, and interpersonal effectiveness.
  • Demonstrated compatibility with the PHS mission and operating philosophies.
  • Demonstrated ability to read, write, speak and understand the English language to communicate with all customers.

 

We offer competitive wage and benefits packages, including routine pay increases, tuition reimbursement & scholarship programs and learning & development opportunities. PHS strongly supports promoting from within, what ever your long term career goals and aspirations may be.

Mount Carmel Bluffs, a shared ministry of the Sisters of Charity, BVM and Presbyterian Homes & Services, will be a new senior community in a beautiful and serene location atop the bluffs of Dubuque, Iowa, overlooking the Mississippi River.

This community offers the following care options: Assisted Living, Memory Care, and Care Center/Long Term Care.

EOE

Nurse (RN or LPN)

Nurse (RN or LPN) is responsible for the provision and monitoring of high quality clinical care and services to long term care and skilled care residents consistent with regulations and established clinical best practices.