Details Department: Clinical Professional DevelopmentSchedule: Fulltime, Monday thru FridayHospital: Ascension St. John Medical Center, Ascension St. John Broken Arrow, Ascension St. John SapulpaLocation: Tulsa Metro AreaBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.Responsibilities Assess, plan, implement and evaluate educational activities related to nursing clinical areas across the continuum of care. Serves as a strategic consultant for nursing clinical performance initiatives to create, implement, and evaluate multi faceted competency-based programs, delivery mechanisms, and clinical performance.Collaborate with leaders and staff to assess nursing educational needs and competencies.Develop, implement, and evaluate nursing and clinical educational plans/programs.Utilize methods, measurements, and toos to evaluate achievement of learning goals.Consult on the analysis, design, development, implementation, and evaluation of Nursing Professional Development (NPD) programs and performance processes that support core nursing and clinical competency across the organization.Manage performance and competency standards for inter-professional programs to support practice at the highest extent of licensure.Requirements Licensure / Certification / Registration:BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.Registered Nurse credentialed from the Oklahoma Board of Nursing obtained prior to hire date or job transfer date required.Education:Diploma from an accredited school/college of nursingWhy Join Our Team Ascension St. John has been serving Northeast Oklahoma with compassionate, personalized care since 1926. Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and numerous other sites of care. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.Equal Employment Opportunity Employer Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish)poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.Pay Non-Discrimination NoticePlease note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.E-Verify Statement This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.E-Verify

OverviewJoin our team as a variable shift, full-time. Clinical Professional Educator Registered Nurse (RN) in Tulsa, OK. Why Join Us Thrive in a People-First Environment and Make Healthcare BetterThrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.Make Healthcare Better: We use advanced technology to support our team and enhance patient care.Get to Know Your Team:Hillcrest Hospital South is a full-service 180-bed hospital providing a wide range of inpatient and outpatient services using state-of-the-art technology in a friendly community setting. Consistent performance has helped the hospital be nationally recognized for patient safety. ResponsibilitiesResponsible for the coordination and implementation of patient care orientation (PCO) for nursing and nursing support staff and nurse externs. Responsibility includes the planning, organization and execution of education/training programs as identified through needs assessment, quality improvement initiatives, and implementation of new products and technology. Assists in supporting facility-wide operations by consistently and effectively teaching and modeling Hillcrest South’s Behavior and Performance Standards.Works collaboratively with the education team on global hospital education initiatives as directed. Must be a self-starter with initiative and ability to work independently, as well as coordinate work with colleagues and peers. Responsible for assisting in planning, developing, organizing, and facilitating the activities of clinical education to assist Hillcrest South in meeting the requirements of DNV and other federal state and local regulatory accrediting agencies. QualificationsJob Requirements:Bachelors degree of Science in Nursing (BSN)Must possess Oklahoma License as a Registered NursePreferred Job Requirements:Masters degree of Science in Nursing (MSN)1-3 years of Education Experience in a hospital, academic or other healthcare setting.5-7 years experience in clinical nursing, with experience in OB nursing.

Hiring all positions: Full time, Part time, Pool!New Grads WELCOME!NEW RATES for Benefit Eligible FT and PT24 Positions Encompass Health: Where Nursing Meets Heart, Home, and HealingAre you seeking a nursing career deeply rooted in purpose, close to your heart and home Encompass Health offers a transformative journey where your expertise as a Registered Nurse becomes an integral part of patients' recoveries. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing. With us, small victories lead to monumental impacts as you use your specialized skills to offer top-tier, personalized support. Understand your patients deeply, assist in their rehabilitation goals, and thrive in an environment equipped with cutting-edge technology.Welcome to a place where nursing becomes a profound contribution to both community and personal fulfillment. A Glimpse into Our WorldAt Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Starting Perks and BenefitsOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Opportunities for tuition reimbursement and continuous education.Company-matching 401(k) and employee stock purchase plans.Flexible spending and health savings accounts.A vibrant community of individuals passionate about the work they do! Realize Your Vision as a Registered NurseSupervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery.Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed.Serve as a resource for fellow staff, supporting them with complex patient needs and inquiries.Celebrate victories and milestones achieved by our patients. QualificationsValid RN licensures as required by state regulations.CPR certification (ACLS preferred).CRRN certification preferred.One year of experience in a rehabilitation hospital setting is preferred. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're eager to meet you, and we genuinely mean that. Join us on this remarkable journey!

Hiring all positions: Full time, Part time, Pool!New Grads WELCOME!NEW RATES for Benefit Eligible FT and PT24 Positions Encompass Health: Where Nursing Meets Heart, Home, and HealingAre you seeking a nursing career deeply rooted in purpose, close to your heart and home Encompass Health offers a transformative journey where your expertise as a Registered Nurse becomes an integral part of patients' recoveries. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing. With us, small victories lead to monumental impacts as you use your specialized skills to offer top-tier, personalized support. Understand your patients deeply, assist in their rehabilitation goals, and thrive in an environment equipped with cutting-edge technology.Welcome to a place where nursing becomes a profound contribution to both community and personal fulfillment. A Glimpse into Our WorldAt Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Starting Perks and BenefitsOur benefits are designed to support your well-being and start on day one:Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.Generous paid time off that accrues over time.Opportunities for tuition reimbursement and continuous education.Company-matching 401(k) and employee stock purchase plans.Flexible spending and health savings accounts.A vibrant community of individuals passionate about the work they do! Realize Your Vision as a Registered NurseSupervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.Build meaningful relationships with patients and their families, understanding their unique needs to facilitate their recovery.Collaborate and communicate effectively with various departments to ensure coordinated care and provide direct patient care when needed.Serve as a resource for fellow staff, supporting them with complex patient needs and inquiries.Celebrate victories and milestones achieved by our patients. QualificationsValid RN licensures as required by state regulations.CPR certification (ACLS preferred).CRRN certification preferred.One year of experience in a rehabilitation hospital setting is preferred. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're eager to meet you, and we genuinely mean that. Join us on this remarkable journey!

Occupational Therapist Career Opportunity PRN/Pool Opportunities Your Calling, Close to Home and HeartAre you in pursuit of a career that's more than a job, one that aligns with your heart and community We believe in the power of creating positive change within local communities through exceptional Occupational Therapy services, empowering individuals toward independence and an improved quality of life. Envision the opportunity to profoundly impact patients' lives, providing vital care and support, and contributing to inspiring outcomes. If this resonates, you're in the right place. As an Occupational Therapist, your role thrives on recognizing the significance of small victories in driving substantial change. Utilize your specialized skills to deliver top-tier, compassionate, and personalized care to our rehabilitation patients. Embrace a supportive team environment infused with motivation and joy in their work, granting access to cutting-edge technology. Start a rewarding career with comprehensive benefits, ensuring your peace of mind and professional growth from day one. Welcome to a fulfilling career journey where your care brings lasting impact and personal fulfillment. A Glimpse into Our WorldWhether you're laying the foundation of your career or a seasoned Occupational Therapist in search of a nurturing environment to call home, we are confident you'll feel the difference the moment you join our team. Being at Encompass Health means being a part of a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, united for the greater good of our patients. Our recognitions, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud. Benefits That Begin With YouOur benefits are designed to support your well-being and start on day one:• Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.• Generous paid time off that accrues over time.• Tuition reimbursement and continuous education opportunities for your professional growth.• Company-matching 401(k) and employee stock purchase plans, securing your financial future.• Flexible spending and health savings accounts tailored to your unique needs.• A vibrant community of individuals who are passionate about what they do. Be the Occupational Therapist You've Always Aspired to BeYour impactful journey involves:• Providing direct care to patients in need of occupational therapy.• Guiding patients by supervising care and treatments, leading patient assessments, creating personalized care plans, and targeting and resolving patient concerns.• Building meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.• Celebrating patient victories along the way. Qualifications• Current licensure or certification required by state regulations.• CPR certification.• Master's Degree preferred, or Bachelor's Degree plus sufficient experience in the field. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're looking forward to meeting you, and we truly mean that. Join our family, and let's make a positive impact together.

Overview: Join Our Team as a Registered NurseDo you value the time you spend with your patients Is it important to you that your patients and their families know and feel that you are with them We are looking for registered nurses who are committed to creating meaningful patient experiences. As a registered nurse on our team, you’ll evaluate patients and create care plans, all while communicating with everyone involved the patient, the patient’s family, and the care team. You’ll serve as the driver of our care team to ensure every patient receives quality care. And just like all of our team members, our RNs have access to our supportive leadership team and professional development opportunities with plenty of room for advancement. We’re Offering Even More Great Benefits When You Join Our Team!Tuition ReimbursementImmediate Access to Paid Time OffEmployee Referral Program Bonus EligibilityMatching 401KAnnual Merit IncreasesYears of Service Award BonusesPet InsuranceFinancial and Legal Assistance ProgramMental Health and Counseling ProgramsDental and Orthodontic CoverageVision InsuranceHealth Care with Low Premiums$500 Matching Health Savings AccountShort-term and Long-term DisabilityVirgin Pulse Wellness ProgramFertility Assistance ProgramOur Company MissionOur mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren’t empty words. In every interaction, no matter how big or small, we’re dedicated to providing a superior experience for patients facing life-limiting illnesses and their families. About Agape Care GroupA leading hospice, palliative, and pediatric comfort care provider, Agape Care Group is dedicated to serving patients and families with love and delivering the highest quality care. The Agape Care Group family of brands spans seven states - Alabama, Georgia, Louisiana, North Carolina, Oklahoma, South Carolina, and Virginia. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others. Qualifications: A heart to serve patients and families and a passion for providing the best possible careEducation: Graduate of an accredited school of nursing with a current state license as a registered nurse Experience: 2+ years of nursing experience in a clinical care setting (hospice experience preferred) Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 25 lbs and bear the weight of an average adult effectively.We’ve worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we’d love for you to join our team.*Pay is determined by years of experience and location.

10K SIGN-ON BONUS!! Nurse Supervisor Career Opportunity:Day shiftNight shiftLeading with Heart: Your Journey Starts HereSeeking a career that's both personally enriching and professionally rewarding, close to home Encompass Health invites you into a welcoming space that feels like family, where your worth is embraced, fostering connections akin to lifelong friendships. As a Nurse Supervisor, envision making a profound impact within your community by providing essential care and guidance throughout patients' rehabilitation journeys. Your role is critical, offering leadership ensuring seamless implementation of procedures while delivering top-tier, compassionate, and tailored care. Embrace a team-driven, supportive environment that embraces joy in their work, providing access to cutting-edge technology and comprehensive benefits from day one. Join us and discover a career where your leadership shapes impactful care and personal fulfillment. A Glimpse into Our WorldWe're confident you'll feel the difference the moment you join our team. Being at Encompass Health means being associated with a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, all united for the greater good of our patients. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud. Benefits That Begin With YouOur benefits are designed to support your well-being and start on day one:• Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.• Generous paid time off that accrues over time.• Tuition reimbursement and continuous education opportunities for your professional growth.• Company-matching 401(k) and employee stock purchase plans, securing your financial future.• Flexible spending and health savings accounts tailored to your unique needs.• A vibrant community of individuals who are passionate about what they do. Be the Nurse Supervisor You've Always Aspired to BeYour impactful journey involves:• Assisting in the development and implementation of personalized patient care programs, policies, and procedures.• Serving as the crucial liaison between administration, nursing management, and staff.• Supervising nursing care, treatment, and services provided during assigned shifts or on a specific unit.• Monitoring and managing staff, including on-the-spot feedback, annual evaluations, and administering performance counseling and discipline.• Assuming patient care as needed and building meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.• Celebrating patient victories along the way. Qualifications• Current RN licensure as required by state regulations.• BLS certification with ACLS certification to be obtained within one year of starting position.• CRRN certification to be obtained within a year of meeting the eligibility requirements.• Bachelor's Degree in Nursing or related field preferred.• Two years of recent experience in an inpatient hospital setting (within the last five years).• Previous leadership role, such as charge nurse or lead capacity, where you were responsible for interim reporting, issue resolution, setting direction, and having accountability for patient and staff results. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!Job code 100124

Hemodialysis RN Career Opportunity Available opportunity: Fulltime and PRN Embark on a Fulfilling Career as a Hemodialysis RN at Encompass HealthAre you searching for a career specializing in providing essential care to dialysis patients amid their rehabilitation Join us at Encompass Health, where we're committed to transforming lives. As a Hemodialysis RN, you'll play a crucial role in impacting your community by delivering care that fosters inspiring outcomes. If this resonates with you, welcome to our team, where you'll have the opportunity to offer specialized care close to home and heart, forming meaningful connections with patients while significantly enhancing their quality of life. Your mission is pivotal within our interdisciplinary team, delivering top-tier, compassionate, and tailored care to individuals facing kidney disease. Access cutting- edge technology within our state-of-the-art dialysis suite, and thrive within our supportive, collaborative environment. Step into a fulfilling journey where your dedication makes a tangible impact on patients' lives and your own professional advancement.A Glimpse into Our WorldWhether you're building the foundation of your career or seeking a better environment to call home as a seasoned nurse, you'll notice the difference the moment you become a part of the Encompass Health family. Working here means being a part of a nationally recognized leader in inpatient rehabilitation. We take pride in our career growth opportunities and how our team members collaborate for the greater good of our patients. Our accolades, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us even more remarkable.Our Commitment to YouAt Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:Affordable medical, dental, and vision plans for both full and part-time employees and their families.Generous paid time off that accrues over time.Tuition reimbursement and continuous education opportunities to support your growth.Company-matching 401(k) and employee stock purchase plans for a secure future.Flexible spending and health savings accounts to suit your unique needs.A community of individuals who deeply value and love what they do!Be the Kind of Hemodialysis Nurse You Want to Be - All in One LocationYour role involves:Providing direct patient care to inpatients in need of hemodialysis.Providing direct patient care to inpatients in need of hemodialysis.Supervising care and treatments, conducting patient assessments, creating personalized care plans, and addressing patient concerns.Building rewarding relationships with patients by understanding their physical, mental, and emotional needs to aid in their recovery.Educating nursing staff on the care of the hemodialysis patient, hemodialysis equipment, and hemodialysis standards of care.QualificationsCurrent RN licensures as required by state regulations.CPR certificationACLS within 1 year of hireCRRN certification preferred (If you don't have it, we can help you to obtain it!)6 months dialysis nursing experience required.1 year of experience in inpatient hospital setting preferred.The Encompass Health WayAt Encompass Health, we set the standard for excellence in care by leading with empathy, doing what's right, focusing on the positive, and remaining stronger together. We are a recognized, trusted leader in post-acute care with over 150 locations nationwide and a family of over 36,000 exceptional individuals (and growing)!Encompass Health takes immense pride in our welcoming and inclusive culture, offering equal employment opportunities regardless of a person's race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification.We can't wait to meet you, and we truly mean that. Join our family and let's make a difference together!

Your Time. Your Goals.What is DoorDashAvailable in over 4,000 cities in the U.S, DoorDash connects local businesses and local drivers (called Dashers) with opportunities to earn, work, and live.As a Dasher, you can be your own boss and enjoy the flexibility of choosing when, where, and how much you earn. All you need is a mode of transportation (bike, car, scooter) and a smartphone to start making money. It’s that simple. You can even sign up and begin working that same day. With Dasher Direct, you can also get paid the same day!Why Deliver with DoorDashChoose your own hours:When and where you work is totally up to you.Freedom to dash anywhere:Deliver near your home or in a city you're just visiting.Easy to get started:Don't worry about car inspections or vehicle restrictions. Just sign up and receive everything you need to start earning.Receive deliveries right away:Once approved, log on to the Dasher app to receive nearby orders immediately.Know how much you'll make:Clear and concise pay model lets you know the minimum amount you will make before accepting any orderDon’t wait for pay:Get paid the same day you dash, automatically and with no deposit fee - ever.Earn extra money for your goals:Achieve your short-term goals or long-term dreams by driving or biking with DoorDash.Sign Up DetailsRequirements18 or older*Any car, scooter, or bicycle (in select cities)Driver's license numberSocial security number (only in the US)Final Step: consent to a background checkHow to Sign UpClick “Apply Now” and complete the sign upGet the app and go**Prospective Dashers in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia must be at least 19 years old

Your Time. Your Goals.What is DoorDashAvailable in over 4,000 cities in the U.S, DoorDash connects local businesses and local drivers (called Dashers) with opportunities to earn, work, and live.As a Dasher, you can be your own boss and enjoy the flexibility of choosing when, where, and how much you earn. All you need is a mode of transportation (bike, car, scooter) and a smartphone to start making money. It’s that simple. You can even sign up and begin working that same day. With Dasher Direct, you can also get paid the same day!Why Deliver with DoorDashChoose your own hours:When and where you work is totally up to you.Freedom to dash anywhere:Deliver near your home or in a city you're just visiting.Easy to get started:Don't worry about car inspections or vehicle restrictions. Just sign up and receive everything you need to start earning.Receive deliveries right away:Once approved, log on to the Dasher app to receive nearby orders immediately.Know how much you'll make:Clear and concise pay model lets you know the minimum amount you will make before accepting any orderDon’t wait for pay:Get paid the same day you dash, automatically and with no deposit fee - ever.Earn extra money for your goals:Achieve your short-term goals or long-term dreams by driving or biking with DoorDash.Sign Up DetailsRequirements18 or older*Any car, scooter, or bicycle (in select cities)Driver's license numberSocial security number (only in the US)Final Step: consent to a background checkHow to Sign UpClick “Apply Now” and complete the sign upGet the app and go**Prospective Dashers in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia must be at least 19 years old