NewPersonal Care Attendant - Hiring Now Zen EducatePersonal Care Attendant - Hiring NowNew Boston, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. In this significant Assistant Teacher position, you will contribute to curriculum development, assist with student assessment, and help create a positive and inclusive classroom culture that supports all learners.
NewResident Aide Interim HealthCare of Western Michigan - StaffingResident AideMaple City, MI$18 / hourSee Interim Health Care Privacy Policy at https://interimhealthcareofindianapolis.thejobnetwork.com/Privacy.aspx and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As a resident aide for Interim HealthCare Staffing, you’ll have the opportunity to work in different facilities, meet new people, gain more experience and build your skills—there’s nothing like it!
NewTeacher Aide - Hiring Now Zen EducateTeacher Aide - Hiring NowAnn Arbor, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. We’re proud to support both schools and staff by creating smart, fast matches that benefit students and communities alike.
NewSpecial Education Aide - Hiring Now Zen EducateSpecial Education Aide - Hiring NowLivonia, MI$16–$18 / hourWe help schools hire dedicated paraprofessionals and teaching assistants, creating smart, timely matches that support students with special education needs and build stronger school communities. See Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewClassroom Aide - Hiring Now Zen EducateClassroom Aide - Hiring NowDexter, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. You will assist with instructional activities, help manage classroom dynamics, facilitate positive interactions among students, and support students' individual learning and personal care needs to help them achieve their academic and developmental goals.
NewSchool Aide - Hiring Now Zen EducateSchool Aide - Hiring NowDetroit, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. This School Aide role involves working directly with students under teacher supervision, helping them with assignments, reinforcing instructions, and contributing to a positive and orderly classroom atmosphere.
NewInstructional Aide - Hiring Now Zen EducateInstructional Aide - Hiring NowAnn Arbor, MI$16–$18 / hourStep into a rewarding Paraprofessional role where you'll assist teachers in implementing educational programs, prepare learning materials, and provide personalized attention to students, helping each child reach their potential. See Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewTravel Occupational Therapist, Outpatient & Acute Care - $2,378 per week CompHealth Inc.Travel Occupational Therapist, Outpatient & Acute Care - $2,378 per weekWest Branch, MI$21.23–$41.35 / hourIncludes estimated taxable wages of $21.23 - $41.35 per hour and estimated tax-free reimbursements for meals, incidentals, and housing of $900 - $1,400 per week based on GSA guidelines (subject to eligibility, location, and seasonal adjustment). With access to specialized teams, our unmatched resources allow us to pay careful attention to the things that matter to you, from the big, hard-to-solve problems to the tiniest details.
NewCNA Interim HealthCare of Western Michigan - StaffingCNAHarbor Springs, MI$21–$22 / hourSee Interim Health Care Privacy Policy at https://interimhealthcareofindianapolis.thejobnetwork.com/Privacy.aspx and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Founded in 1966, Interim HealthCare Staffing is the nation’s first healthcare staffing company and a leading employer of Certified Nursing Assistants (CNAs).
CNA Medication Tech - Senior Living Erickson Senior LivingCNA Medication Tech - Senior LivingNovi, MIFox Run helps people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us. Implementing residents personal care plans, focusing on residents’ strengths, preferences, and preferred routines while providing a sense of comfort, companionship, and belonging.
NewCNA Medication Tech - Senior Living Fox Run Village by Erickson Senior LivingCNA Medication Tech - Senior LivingWixom, MI$17.35 / hourSee Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Implementing residents personal care plans, focusing on residents’ strengths, preferences, and preferred routines while providing a sense of comfort, companionship, and belonging.
NewTeaching Assistant - Hiring Now Zen EducateTeaching Assistant - Hiring NowWarren, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. This Teaching Assistant opportunity is perfect for individuals passionate about fostering student growth, offering hands-on experience in supporting classroom instruction, managing learning resources, and encouraging a positive academic environment.
NewAssistant Teacher - Hiring Now Zen EducateAssistant Teacher - Hiring NowHamtramck, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. This Assistant Teacher role offers the opportunity to take an active part in instruction, leading small group activities, co-teaching lessons, and providing individualized support to help students achieve their academic goals.
NewInstructional Assistant - Hiring Now Zen EducateInstructional Assistant - Hiring NowWarren, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. This Teaching Assistant opportunity is perfect for individuals passionate about fostering student growth, offering hands-on experience in supporting classroom instruction, managing learning resources, and encouraging a positive academic environment.
NewBehavior Technician - Hiring Now Zen EducateBehavior Technician - Hiring NowRomulus, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. In this significant Assistant Teacher position, you will contribute to curriculum development, assist with student assessment, and help create a positive and inclusive classroom culture that supports all learners.
NewBehavior Specialist - School Based Zen EducateBehavior Specialist - School BasedSaline, MI$16–$18 / hourBuilding rapport, supporting individuals with complex needs, implementing behavior intervention plans, de-escalating challenging situations, and applying therapeutic or behavioral strategies are all highly transferable to school settings. See Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewPara Educator - Hiring Now Zen EducatePara Educator - Hiring NowNew Boston, MI$16–$18 / hourSee Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. In this significant Assistant Teacher position, you will contribute to curriculum development, assist with student assessment, and help create a positive and inclusive classroom culture that supports all learners.
NewCertified Nursing Assistant / CNA, Hospice AccentCare, Inc.Certified Nursing Assistant / CNA, HospiceMadison Heights, MI$20–$22If you meet these qualifications, we would love to meet you: Certified by the state as a nurse’s aide, with completion of required training and a passing score of 85% or higher on the agency’s competency exam; additional requirements vary by state (e.g. Provide compassionate, hands-on care to hospice patients, including assistance with personal hygiene, repositioning, and mobility support for individuals who may require lifting (up to 200 lbs with assistance).
NewBehavior Technician - School Setting Zen EducateBehavior Technician - School SettingSaline, MI$16–$18 / hourBuilding rapport, supporting individuals with complex needs, implementing behavior intervention plans, de-escalating challenging situations, and applying therapeutic or behavioral strategies are all highly transferable to school settings. See Zen Educate Terms & Conditions at https://www.zeneducate.com/us/privacy and Privacy Policy at https://www.zeneducate.com/us/terms and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Caregiver/Personal Care Aide FirstLight Home CareCaregiver/Personal Care AideHowell, MichiganProfessional caregivers go by many names: homemakers, home care aides, home health aides, certified nursing assistants, personal care assistants, direct care workers. About Us : At FirstLight Home Care, our mission is to provide exceptional care and support to individuals in need, enabling them to live independently and with dignity in the comfort of their own homes.
NewPersonal Care Aide, Part Time - AFC Brio Living ServicesPersonal Care Aide, Part Time - AFCMuskegon, Muskegon$19.37–$22.61 / hourParticipant Care & Support Provide direct personal care in accordance with individualized care plans, including bathing, dressing, grooming, toileting, feeding, and mobility support. This role assists with personal care, medications, meals, housekeeping, and life enrichment activities while helping maintain a safe, home-like environment.
Caregiver Personal Care Aide PCA Elara CaringCaregiver Personal Care Aide PCAJackson, MI$14.25–$14.75 / hourAs a Caregiver, you'll contribute to our success in the following ways: Provide personal care support, including bathing, grooming, dressing, and hygiene assistance. As a Caregiver, you will play a vital role in improving quality of life and bringing comfort, dignity, and support to those who need it most.
Special Care Aide, Personal Care Elara CaringSpecial Care Aide, Personal CareJackson, MichiganThis is an ideal opportunity for experienced caregivers who enjoy variety, flexibility, travel, and the chance to broaden their skills while building a path toward leadership opportunities within Personal Care Services. If you're looking for a caregiving role that offers flexibility, variety, paid travel, professional growth, and the opportunity to make an impact across your community, the Special Care Aide role may be the perfect fit.
Caregiver Personal Care Aide PCA Facility Based Care Elara CaringCaregiver Personal Care Aide PCA Facility Based CareJackson, Michigan$14–$14.75 / hourAs a Caregiver, you will play a vital role in improving quality of life and bringing comfort, dignity, and support to those who need it most. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience.
Personal Care - Homemaker - Respite Aide Branch CountyPersonal Care - Homemaker - Respite AideColdwater, MichiganUnder the direct supervision of the In-Home Services Director, the Personal Care/Homemaker/Respite Aide will assist older adults with their activities of daily living or provide respite in the home for the Caregiver. Report any fall, injury or significant change of a client to the In-Home Services Director or Executive Director, if the In-Home Services Director is not available.
Caregiver Home Care Aide FirstLight Home CareCaregiver Home Care AideChelsea, Michigan$13–$14.50 / hourWe offer:- Great PPE kit- BI-WEEKLY PAY- Soon to offer Pay the next day!- referral bonuses if you refer other caregivers or clients- 2X holiday pay!- paid orientation- paid ongoing training- flexible schedules- same day interviews and you can be working within 2 days if all information and training is completed!-PROFIT SHARING And last but not least. and We provide an awesome PPE KIT TO ALL CAREGIVERS (PPE stands for Personal Protective Equipment) -- see photo: (1) MASKS (2) HAND SANITIZER (3) GLOVES We are taking COVID very seriously and taking extra measures to keep you and your clients safe.
Caregiver / Home Care Aide Quality Home Care: Michigan Private Duty AidesCaregiver / Home Care AideKent County, MIThe Caregiver / Home Care Aide provides non-medical, in-home support and assistance with Activities of Daily Living (ADLs) & Instrumental Activities of Daily Living (IADL) to clients. Personal Care: Assists clients with ADLs/IADLs, including but not limited to, bathing, dressing, grooming, ambulation, transfers, and toileting, while maintaining client dignity and privacy.
Home Care Aide Senior Helpers of Greater Grand RapidsHome Care AideRockford, MichiganService ares include: Northern Kent County (Rockford, Belmont, Cedar Springs, Sparta, Greenville, Belding, etc), West Grand Rapids, Grandville, Jenison, Wyoming, Walker, and surrounding communities as well. Since 2005, Senior Helpers has been a trusted leader in home care, helping seniors maintain independence, dignity, and quality of life while aging safely in place.
Home Care Aide / Caregiver Senior Helpers of Greater Grand RapidsHome Care Aide / CaregiverGreenville, Michigan$16–$18 / hourMay be requested to services Grand Rapids, Grandville, Jenison, Wyoming, Walker, Rockford, Sparta, Belmont, Cedar Springs, Greenville, and surrounding communities as well. Since 2005, Senior Helpers has been a trusted leader in home care, helping seniors maintain independence, dignity, and quality of life while aging safely in place.
Home Care Aide - OVERNIGHTS Senior Helpers of Greater Grand RapidsHome Care Aide - OVERNIGHTSGrand Rapids, MichiganService Areas: West Grand Rapids, Grandville, Jenison, Wyoming, Byron Center, Walker, Comstock Park, Rockford, Sparta, Belmont, Belding, Cedar Springs, Greenville, and surrounding communities as well. Since 2005, Senior Helpers has been a trusted leader in home care, helping seniors maintain independence, dignity, and quality of life while aging safely in place.
Home Care Aide Quality Home Care: Michigan Private Duty AidesHome Care AideWayne County, MIThe Caregiver / Home Care Aide provides non-medical, in-home support and assistance with Activities of Daily Living (ADLs) & Instrumental Activities of Daily Living (IADL) to clients. Personal Care: Assists clients with ADLs/IADLs, including but not limited to, bathing, dressing, grooming, ambulation, transfers, and toileting, while maintaining client dignity and privacy.
Home Care Aide Homewatch CaregiversHome Care AideNovi, MichiganProfessional caregivers go by many names: homemakers, home care aides, home health aides, certified nursing assistants, personal care assistants, direct care workers. Care for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care.
Home Care Aide-URGENTLY HIRING!!! SHALOM FAMILY CARE, LLCHome Care Aide-URGENTLY HIRING!!!Berkley, CAPart timeCare for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care. You operate with a big heart, not only providing personalized and attentive care, but by building genuine relationships with those you serve.
Home Care Aide Help at Home LLCHome Care AidePlainwell, MIHelp at Home is currently hiring for caregivers for the following roles: Homemakers provide support to seniors living independently in their own homes, primarily through activities such as preparing meals, light housekeeping, and running errands. Home Health Aides support our clients with basic health care monitoring such as taking vital signs and assisting with medication reminders along with support for activities of daily living including grooming, bathing, and light housekeeping.
Home Care Certified Nurse Aide (CNA) Brio Living ServicesHome Care Certified Nurse Aide (CNA)Monroe, Michigan$18.57–$20.70 / hourAs a Home Care Certified Nurse Aide (CNA) providing in-home care, you'll play a vital role in ensuring our participants receive the highest quality care. Travel Requirements: This role involves regular travel between Washtenaw, Monroe, Western Wayne, Livingston, and parts of Oakland counties, providing Home-Based Care.
Home Care Nurse Aide MyMichigan HealthHome Care Nurse AideMt Pleasant, MichiganFor aides employed prior to January 2018: The aides must have documentation of completing a home health/hospice aide competency evaluation by the organization through written examination, oral examination or observation of the aide performing the competency. Promotes patients independence and assists or performs personal care (examples: bathing, dressing, shampooing, shaving, oral care, skin care, toileting, change bed linen and other personal care activities.).
Home Care Aide Senior HelpersHome Care AideRichmond, MichiganCare for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care. We are a trusted and respected organization that takes a responsible role in supporting our clients and their families, our employees, and our community.
Home Care Aide Homewatch Caregivers of Ann ArborHome Care AideNovi, MIFull timeCare for patients by changing bed linens, doing laundry, cleaning the home, or assisting with personal care. You operate with a big heart, not only providing personalized and attentive care, but by building genuine relationships with those you serve.
Home Care Aide ARMANTII HOME CARE SERVICES INCHome Care AideYpsilanti, MIPart timeCare for patients by changing bed linens, doing laundry, meal preparation, cleaning the home, or assisting with personal care, help with shopping and medical appointments. You operate with a big heart, not only providing personalized and attentive care but by building genuine relationships with those you serve.
Unit Clerk Nurse Aide - 2 W Progressive Care Unit McLaren Health Care CorpUnit Clerk Nurse Aide - 2 W Progressive Care UnitLapeer, MIAssists nursing staff with patient care by making patient beds, giving baths, passing waters, feeding patients, providing oral care, accurate Intake & Output, assisting with mobilization/ambulation, daily weights, performing bedside glucose testing and obtaining vital signs and any other duties assigned by the RN. Position Summary: Under the direction and supervision of a Registered Nurse, performs the receptionist and secretarial duties on the unit assigned and meets the communication needs of the patient (family, departmental staff and medical staff).
Personal Care Attendant-Farmington Hills The Medical TeamPersonal Care Attendant-Farmington HillsLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercisesMonitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Oak Park The Medical TeamPersonal Care Attendant-Oak ParkLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercisesMonitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Sterling Heights The Medical TeamPersonal Care Attendant-Sterling HeightsLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercises Monitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Roseville The Medical TeamPersonal Care Attendant-RosevilleLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercisesMonitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Troy The Medical TeamPersonal Care Attendant-TroyLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercises Monitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Milford The Medical TeamPersonal Care Attendant-MilfordLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercises Monitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-West Bloomfield The Medical TeamPersonal Care Attendant-West BloomfieldLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercises Monitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Ypsilanti The Medical TeamPersonal Care Attendant-YpsilantiLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercises Monitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Bloomfield Hills The Medical TeamPersonal Care Attendant-Bloomfield HillsLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercises Monitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.
Personal Care Attendant-Rochester Hills The Medical TeamPersonal Care Attendant-Rochester HillsLivonia, MIFull timeAssistance with activities of daily living: help with eating; dressing and undressing; positioning and turning; ambulation; transfer to and from bed, chair, and toilet; and active range of motion exercisesMonitoring vital signs: taking pulse, respiration, temperature, and blood pressure. Notifies Registered Nurse and/ or Clinical Services Manager and/ or Director of Clinical Services immediately of any change in patient's condition or circumstances that might indicate the need for a change in duties assigned or that might require nursing or medical attention.