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You Belong Here.At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.FTE: 1.0, Shift: Days, Schedule: M-FClinical .70 FTE Salary Min $315,912.80 - Salary Max $315,912.80 based on a .70 FTEAdmin .30 FTE Salary min $105,000 - Salary max $150,000 based on a .30 FTEPosition SummaryThe Regional Medical Director (RMD), Women's Health has direct responsibility, in conjunction with leadership personnel within MultiCare Medical Partners (MMP), for the operational, clinical, and financial performance for a service line or group of related care lines within a region that make up a clinical division. In partnership with the Service Line Assistant Vice President (AVP), the RMD provides administrative medical leadership for clinical and business planning, expansion of growth and access, clinical performance, and quality outcomes. The RMD works to manage the functions of Primary Care to ensure performance to strategic and operational objectives delineated by MMP and MultiCare Health System (MHS) leadership. The RMD works collaboratively with MHS and MMP leadership, providing supervision and oversight of the Site Medical Managers (SMMs), physicians and advanced practice providers in Women's Health.Principle Accountabilities:Positively contributes to organizational culture, leading in alignment with organizational mission, vision, and values.The RMD demonstrates operational excellence in dyad partnership with the Service Line AVP in the areas of fiscal access to care, patient experience, quality improvement, clinical outcomes, and employee and physician/APP engagement. The RMD is responsible for leading initiatives in care delivery, clinical quality, and performance improvement, to meet organizational objectives. Holds providers and other caregivers accountable to performance expectations and goals, serving to support escalations as needed from the Site Medical Manager (SMM).Partners with dyad (AVP) in the development of and adherence to annual budgets, call schedules, clinic coverage, coding and documentation, patient grievances, and staff interactions.Collaborates and coordinates Division outreach activities both internally and externally as needed under the direction of the MMP Executive Medical Director (EMD) or Chief Medical Officer (CMO).Assists the EMD and/or CMO in managing the structure of the employed medical staff including supporting medical staff recruitment programs designed to recruit additional providers to the System's service area.In close collaboration with MMP leaders, the RMD is accountable, from a clinical leadership perspective, to explain various rationales and performance plans to achieve the outcomes necessary to achieve MHS Strategies including:Clinical performance that supports System Performance Objectives.Appropriate adherence to MMP and MHS cultural, behavioral, administrative, and clinical standards.Operational performance necessary to achieve the Quadruple Aim (Better Experience of Care, Better Health for Populations, Lower per Capita Cost and Provider Professional Fulfillment).Financial performance required for sustainability.Opportunities for improvement or new Clinical Initiatives.Opportunities for "bright spot" or other methodologies to communicate rapid cycle process improvement successes.Employee, physician/APP and patient engagement.Care Line Specific Responsibilities:For clarification purposes, in the role as Regional Medical Director, it is expected that the Physician will attend meetings to discuss operational issues, planning or execution of initiatives to enhance performance, safety or quality initiatives which are specific to his/her administrative role, where such attendance shall be compensated at the rate set forth above. It is assumed that the physician, as a Medical Staff member, would attend relevant Medical Staff meetings that relate to his/her provision of professional services at Hospital regardless of whether or not Physician served as Regional Medical Director; consequently, the Medical Director shall not be compensated for routine attendance at such meetings. Medical Staff meetings that will not be routinely compensated for under this Agreement include meetings such as department meetings, Special Peer Review meetings, QRM Committee, Medical Executive Committee, Credentials Committee, General Staff meetings, Medical Staff townhalls, and official Board of Directors meetings and subcommittee meetings. A list of activities that generally qualify, or do not qualify, for Medical Director payment is included below:Qualifying Activities:Department-specific quality improvement activities and meetings.Operations activities and meetings.Supply management activities and meetings.Patient experience activities and meetings.Clinical protocol/evidence -based care development.Electronic medical record implementation and optimization work, and similar work on other IT implementation projects that require physician participation.Strategic planning.Physician mentoring and proctoring.Presentation time and presentation prep time for items presented at Medical Staff meetings or other network forums.Participation in network-wide collaborative meetings.E-mail/verbal communication time devoted to the Medical Director role (must be documented).Non-Qualifying Activities:Routine participation in meetings (department meetings, department division meetings, Medical Executive Committee, General Medical Staff, clinic/practice meetings) where attendance would be expected for any practicing physician. The exception to this is if the Site Medical Manager is, as part of their role, preparing information for the meeting or presenting information for such meeting.Continuing Medical Education (CME) activities, including CME conference attendance and self-directed professional education reading, unless activity is explicitly requested and approved in advance.Local, state, and national medical society meetingsClinical activities, unless participating in a mentoring/proctoring role specifically related to Site Medical Manager duties.Research/academic activities, unless specifically related to SMM goals and duties, and pre-approved by Administrator with oversight accountability.REQUIREMENTS:Graduate of an accredited medical school (MD or DO).Licensure to practice medicine in Washington State as a Physician.Board certification or similar accreditation in Obstetrics and Gynecology, Midwifery, Maternal/Fetal Medicine, Urogynecology, and Minimally Invasive Gynecology or another similar medical specialty.Two (2) years of clinical practice experience preferred.Formal leadership training and experience preferred.Prior management/leadership or directorship roles in hospital, managed care and/or medical group practice preferred.Our ValuesAs a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.Why MultiCare?Belonging: We work to create a true sense of belonging for all our employeesMission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serveMarket leadership: Washington state's largest community-based, locally governed health systemEmployee-centric: Named Forbes "America's Best Employers by State" for several years runningTechnology: "Most Wired" health care system 15 years in a rowLeading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communitiesLifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turnPay and Benefit ExpectationsWe provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $350,000.00 - $500,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.Associated benefit information can be viewed here.

Description This position is incentive eligible. Introduction Do you want to join an organization that invests in you as a Clinical Resource Director? At HealthTrust Supply Chain, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits HealthTrust Supply Chain offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients lives and you have the opportunity to make a difference. We are looking for a dedicated Clinical Resource Director like you to be a part of our team. Job Summary and Qualifications The Clinical Resource Director is responsible for establishing and leading the supply expense agenda for the clinical resource management program for a hospital(s). The Clinical Resource Director is responsible for driving positive change through program definition and leading initiatives that support the health care organization's clinical expense agenda. The position is responsible for reviewing and optimizing the group purchasing organizations contract portfolio; and developing and executing product standardization with the value analysis committees. The Clinical Resource Director has a broad enterprise and segment influence and will need to build strategic alliances with Hospital Leadership, Physicians and Supply Chain to execute successfully the clinical supply expense plan. The position requires confidence, independent action, initiative, a sense of urgency, and the ability to make and to take responsibility for their decisions. A well-suited candidate will react, adjust quickly and develop actions during changing conditions. What you will do in this role includes: Develops and implements facility or division-based strategies and processes to reduce supply expense per adjusted admission Identifies and implements supply expense margin improvement with a primary focus on high cost of good departments to include surgical services, Cath lab, ep lab and special procedures Identifies facility(s) supply expense variances and develops action plans to mitigate an increase in supply expense; and participates in monthly operating reports and supply expense planning Participates, develops content and facilitates value analysis meetings such as facility based, division based, service line or physician led meetings Utilizes clinical product value analysis committees to review products and technology for clinical evidence and benefit; discuss financial considerations to include contract compliance, cost and reimbursement; identify opportunities to standardize products and reduce waste; and maintain or increases product quality and patient outcomes Builds relationships and increases customer satisfaction with hospital leadership, chief medical officer, clinical directors, physicians, value analysis teams and supply chain leadership Develops relationships and collaborates with facility leadership and staff, physicians, and supply chain to identify, develop and implement continuous quality improvement and cost containment processes for supplies, technology and labor practice What qualifications you will need: Bachelors degree required Healthcare value analysis, clinical supply chain, or acute care hospital performance Required Masters degree highly preferred Three to five years of value analysis/clinical/hospital leadership experience preferred LPN/RN, Certified Materials and Resource Professional (CMRP), Certified Value Analysis Health Professional (CVAHP), or similar credential preferred HealthTrust Supply Chain is a critical part of HCA Healthcares strategy. Our focus is to improve performance and reduce costs. We do this by joining non-clinical and administrative functions. HealthTrust Supply Chain best practice methodologies. We develop, apply and monitor cost-efficient initiatives and programs for HCA Healthcare. By improving facility efficiency, medical professionals can focus on our mission - patient care. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Clinical Resource Director opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Required Preferred Job Industries Other

Join our Bakersfield, California Team! Primary Care Physician Full Time Salary Range: $250,000 $280,000 annually + discretionary bonus Requirements to Apply MD or DO degree from an accredited medical school Board Certified or Board Eligible in Internal Medicine or Family Practice Active California medical license and DEA registration CPR/BLS certification Commitment to collaborative, participant-centered, and interdisciplinary care Minimum of one (1) year of experience working with a frail or elderly population preferred Experience or added qualifications in geriatrics highly desirable Primary Care Physician Job in Bakersfield, CA $250K $280K + Bonus Full-Time PACE Model Senior-Focused Primary Care Job Overview We are seeking a dedicated and mission-driven Primary Care Physician to join our interdisciplinary team at our newly opened Bakersfield, CA site. This full-time, on-site position offers a rewarding opportunity to provide comprehensive, patient-centered medical care to older adults enrolled in a Program of All-Inclusive Care for the Elderly (PACE) model. Reporting to the Medical Director, the Primary Care Physician plays an essential role in the ongoing assessment, diagnosis, and treatment of participants, while collaborating with the interdisciplinary team to ensure coordinated, holistic care. The ideal candidate is passionate about geriatric medicine and thrives in a collaborative environment where compassion, respect, and innovation drive every interaction. Responsibilities Conduct initial, semi-annual, and annual assessments of participants in collaboration with the Interdisciplinary Team (IDT) Develop, implement, and evaluate individualized care plans for participants Provide primary and preventive medical care for participants in the clinic, home, or care facility Manage acute and chronic conditions with a focus on functional improvement and quality of life Supervise and collaborate with nurse practitioners and physician assistants as required Coordinate specialty consultations, hospital care, and nursing facility admissions as appropriate Participate in IDT meetings, daily case reviews, and quality improvement initiatives Serve as a resource for geriatric best practices and chronic disease management Complete accurate and timely documentation of all care and communications Support a positive and collaborative team culture that emphasizes dignity and independence for participants What Are the Benefits? Competitive annual salary of $250,000 $280,000 + discretionary bonus Comprehensive health, dental, and vision insurance Paid time off and paid holidays Continuing education and professional development support 401(k) retirement plan Collaborative, mission-driven environment with growth potential Where? Located in Bakersfield, California, this full-time, Monday Friday opportunity offers the chance to work in a brand-new, state-of-the-art site dedicated to serving older adults in the Central Valley. Bakersfield provides an affordable cost of living, family-friendly neighborhoods, and easy access to both the Sierra Nevada and Southern California s coastal destinations. Who Are We? We are a mission-driven healthcare organization dedicated to improving the lives of frail and elderly participants through the PACE model of care an integrated, team-based approach that emphasizes independence, preventive health, and quality of life. Our interdisciplinary teams include physicians, nurses, social work

We are seeking an ASC Administrator to oversee the day-to-day administrative, financial, and operational functions of the surgery center, ensuring high-quality patient care, regulatory compliance, financial performance, and efficient facility management. This role provides strategic leadership, manages staffing, and works closely with physicians, governing boards, and internal and external stakeholders. The role is also responsible for ensuring excellent patient and staff experience as well as collaborating with the ASC Board of Governors, Medical Director, Director of Nursing and clinical staff to meet both clinical and business objectives.

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. About Senior Health: One Medical Seniors is a network of primary care practices where we take the time to know our patients as true individuals, and proactively provide the care, support, and inspiration they need to live their best life. We created a high-impact relationship based care model that particularly benefits adults on Medicare and those who might need more attention. Our care model changes everything - the team, outcome-focused payment, customer service, and the technology that supports our care. Our practices offer smaller panel sizes, no billing or coding, and the opportunity to lead systemic change in health care delivery while working with a true team. One Medical Seniors wants to restore humanity to healthcare, for both patients and team members. We are seeking Primary Care Physicians to join our growing, outpatient practices in Renton, Washington. Our Team Physicians work closely with the Medical Directors to play a critical role in both care delivery and ongoing practice innovation. Rediscover the "joy in practice" while working in a value-based care environment with a team to support you in delivering high quality patient care. What you'll likely work on Provide best in class comprehensive primary care in an outpatient setting. Partner with the care team and leverage One Medical Seniors coaching and integrated behavioral health models to engage our geriatric patient population in care and drive behavior change. Utilize our proprietary Electronic Health Record to plan care for individual patients and maximize impact on the population. State of the art practice setting designed for a team-based practice model Leadership that values your input and understands the importance of work/life balance Weekly protected time during the work day, to gather with fellow One Medical Senior providers for team building and shared discussion of challenging cases. What you'll need: At least 2 years of primary care experience required. Currently licensed or ability to obtain licensure in the state of Washington. The ability to build successful relationships with team members and communicate effectively both 1-on-1 and in groups. Can thrive in a fast-growing, mission driven organization focused on using data to improve patient outcomes. Board Certification in Internal or Family Medicine required. This is a full-time role in Renton, WA. The base salary range for this role is $286,900 to $304,980 based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. For more information, visit Relocation assistance may be available for this role. One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today Paid sabbatical for every five years of service Free One Medical memberships for yourself, your friends and family Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues Competitive Medical, Dental and Vision plans Pre-Tax commuter benefits PTO cash outs - Option to cash out up to 40 accrued hours per year Protecting your future for you and your family 401K match Credit towards emergency childcare Company paid maternity and paternity leave Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance In addition to the comprehensive benefits package outlined above, practicing clinicians also receive Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%. UpToDate Subscription - An evidence-based clinical research tool Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education Rounds - Providers end patient care one hour early each week to participate in this shared learning experience Discounted rate to attend One Medical's Annual REAL primary care conference One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. About Senior Health: At One Medical we are transforming health care, starting with primary care. We created a high-impact relationship based care model that particularly benefits adults on Medicare and those who might need more attention. Our care model changes everything - the team, outcome-focused payment, customer service, and the technology that supports our care. We know that when you invest in relationships with people, you can help them live happier and healthier. Our patients get a team that respects and listens to them. We get paid to keep our patients healthier, and it works - we are successfully improving the lives of our patients while lowering costs. The Opportunity We're seeking a Nurse Practitioner or Physician Assistant to join our outpatient practice in Tacoma, Washington. The PCP will work closely with the medical director to play a critical role in both care delivery and ongoing practice innovation. Rediscover the "joy in practice" while working in a value-based care environment with a team to support you in delivering high quality patient care. One Medical has a network of primary care practices where we take the time to know our patients as true individuals, and proactively provide the care, support, and inspiration they need to live their best life. Our practices offer smaller panel sizes, no billing or coding, and the opportunity to lead systemic change in health care delivery while working with a true team. We are a fast-paced, fresh-thinking, high-growth company building a better model of health care delivery. What you'll likely work on Live our mission of "restoring humanity to healthcare", for patients and for yourself. Rediscover the "joy in practice" while working in a value-based care environment with a team to support you in delivering high quality patient care. Provide best in class comprehensive primary care in an outpatient setting. Partner with the care team and leverage our coaching and integrated behavioral health models to engage our geriatric patient population in care and drive behavior change. Our practices offer smaller panel sizes and the opportunity to lead while working with a true team. Utilize our proprietary Electronic Health Record to plan care for individual patients and maximize impact on the population. Weekly protected time during the work day, to gather with fellow physicians for team building and shared discussion of challenging cases. State of the art practice setting designed for a team-based practice model. Leadership that values your input and understands the importance of work/life balance. What you'll need: At least 2 years of primary care experience required. Currently licensed or ability to obtain licensure in the state of Washington. The ability to build successful relationships with team members and communicate effectively both 1-on-1 and in groups. Can thrive in a fast-growing, mission driven organization focused on using data to improve patient outcomes. Board Certification in Internal or Family Medicine This is a full-time in-clinic position in Tacoma, WA. The base salary range for this role is $153,200 to $162,740 based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. For more information, visit Relocation assistance may be available for this role. One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today Paid sabbatical for every five years of service Free One Medical memberships for yourself, your friends and family Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues Competitive Medical, Dental and Vision plans Pre-Tax commuter benefits PTO cash outs - Option to cash out up to 40 accrued hours per year Protecting your future for you and your family 401K match Credit towards emergency childcare Company paid maternity and paternity leave Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance In addition to the comprehensive benefits package outlined above, practicing clinicians also receive Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%. UpToDate Subscription - An evidence-based clinical research tool Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education Rounds - Providers end patient care one hour early each week to participate in this shared learning experience Discounted rate to attend One Medical's Annual REAL primary care conference One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring an Appeal Coordinator- Remote in Virginia and Florida! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote in Virginia or Florida. Job responsibilities: Responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsible for non-clinical appeals and grievances. Education: HS - High School Grad or Equivalent REQUIRED Certification/Licensure: Must have Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) Experience: Managed Care- 3 yearsREQUIRED Previous provider appeals experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to and use the following as your Keyword Search: JR-87716 Talroo - Health Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Hiring Department The Department of Otolaryngology - Head and Neck Surgery Job Description As an APP in this role, you will work independently but in close collaboration with a Neurotologist within a high-volume, fast-paced otology/neurotology surgical sub-specialty clinic. Your role will involve providing medical care to complex ENT patients, including: • Diagnosis and Treatment: Developing independent treatment plans, recommending surgical procedures, and managing postoperative care. • Collaboration: Working with a multidisciplinary team including a Neurotologist, an Otology Fellow, Residents, Audiologists, and other staff to ensure cohesive and effective patient care. • Procedure Mastery: Gaining proficiency in various procedures such as ear cleanings with microscopy, foreign body removal from nose or ear, and other relevant techniques. • Diagnostic Interpretation: Reviewing and interpreting diagnostic tests including audiograms, X-rays, and CT scans. • Patient Education: Instructing and counseling patients on hearing and balance health, adhering to established protocols and guidance from licensed physicians. Key Responsibilities: • Independent Care: Provide and manage patient care autonomously while integrating feedback and collaboration from the Neurotologist. • Procedure Performance: Master and execute specialized in-office procedures related to otology. • Diagnostic Skills: Accurately interpret diagnostic results and incorporate them into patient care plans. • Patient Interaction: Educate patients on their conditions and treatment options, ensuring they understand and adhere to their care plans. • Team Collaboration: Work effectively within a team to ensure comprehensive patient care and optimize outcomes. Skills and Qualifications: • Clinical Expertise: Advanced clinical skills in otology and neurotology, with proficiency in relevant procedures and diagnostics. • Communication: Strong communication skills for patient education and team collaboration. • Problem-Solving: Ability to make independent decisions and develop treatment plans based on complex cases. • Adaptability: Capability to thrive in a fast-paced and high-volume clinical environment. This role is suited for an APP who is eager to engage in specialized patient care, work closely with a multidisciplinary team, and continually enhance their skills in a dynamic clinical setting. This position is linked to Job ID 52664 and the department will only hire for one role. Shift Monday- Friday 8 a.m. 5 p.m. Position will have Office/Admin Hours No flexibility for Alternative Schedules Minimum Qualifications Physicians Assistant (PA) licensure by the Missouri State Board of Registration for the Healing Arts. Preferred Qualifications Specialty certificate by the National Commission on Certification of Physician Assistants (NCCPA) in Cardiovascular and Thoracic Surgery, Emergency Medicine, Hospital Medicine, Nephrology, Orthopaedic Surgery, Pediatrics, or Psychiatry. Additional license/certification requirements as determined by the hiring department. Anticipated Hiring Range Hiring Range: $90,251-$107,976 (plus incentive potential) Grade: PAT-012 University Title: PHYSICIAN ASSISTANT SPECIALTY CARE Internal applicants can determine their university title by accessing the Talent Profile tile in myHR. Community Information Columbia offers small-town friendliness with big city features and a high quality of life for people of all ages and interests. Founded on education and known as an ideal college town, its location also makes it an attractive spot for businesses and travelers. Located on Interstate 70 and U.S. Highway 63, Columbia is right in the middle of the state and the nation. Just a couple hours' drive from St. Louis and Kansas City, Columbia is Boone County's largest population center offering big-city amenities, activities, and resources with a low cost of living. Columbia is home to a variety of restaurants and entertainment venues and hosts more than a dozen festivals each year. If you want to grow your career, continue your education, raise a family, and retire, Columbia is a good place to be! Benefit Eligibility This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at . Equal Employment Opportunity The University of Missouri is an Equal Opportunity Employer . To request ADA accommodations, please call the Director of Accessibility and ADA at .

Details: Flexible Call-Only Locum April 4, 2025 July 5, 2025 A prestigious academic medical center in Pennsylvania is seeking a Board-Certified Interventional Cardiologist for a low-intensity backup call-only locum tenens assignment. This is an excellent opportunity for a physician looking for a more relaxed call structure while providing expert inpatient care. Why Take This Assignment? Call-Only Coverage: No clinic, no primary call strictly backup for assigned patients Lower Call Burden: Second-call/backup coverage only minimal disruptions Competitive Pay: Attractive compensation with full travel & lodging covered Seamless Workflow: Cerner EMR for efficient documentation Easy Travel: Close to Harrisburg International Airport for convenient access Position Details Location: Near Harrisburg, PA Dates: April 4, 2025 July 5, 2025 Setting: Inpatient only No clinic, no telehealth Call Type: Second-call/backup coverage only for assigned patients Required Certifications: Board Certified in Interventional Cardiology PA License Required? No IMLC candidates considered! Additional Perks Work in a Leading Cardiology Program with a well-supported team Interested? Apply today! Let s discuss how this low-intensity backup call opportunity can fit your schedule! Ian Glendinning Director of Recruitment, Locum Tenens Division Pacific Companies Irvine, CA Dallas, TX t: e:

A physician-led organization is looking for a Child & Adolescent Psychiatrist who is passionate about making a meaningful impact in young lives and committed to delivering high-quality evidence-based care Position Highlights: • 100% inpatient Child and Adolescent psychiatry - no outpatient responsibilities required • Work smarter, not harder, with dedicated APP support and • Optional Medical Director and/or Academic title Opportunity • Manageable daily patient volumes with the ability to increase if desired Compensation & Benefits: • Base salary, negotiable based on skills and experience: $300,000-$355,000 • Additional opportunity to pick up shifts for additional compensation • Comprehensive recruitment package and benefits including sign-bonus, relocation assistance, 401k with match, PTO, malpractice with tail coverage, and more • Student Loan support available with PSLF • J1/H1b visa support available Call Kansas City Home: • Nestled along the Missouri River, Kansas City, boasts a vibrant blend of culture, history, and modern charm • Known for its legendary jazz heritage and world-famous barbecue, the city also offers a vibrant arts scene, museums, ballets, operas • The city's barbecue scene is legendary, drawing enthusiasts to iconic spots like Arthur Bryant's and Joe's Kansas City Bar-B-Que for mouthwatering ribs and burnt ends • Home to the Kansas City Chiefs at Arrowhead Stadium and the Royals at Kauffman Stadium • Keep more of your hard income with 10% lower cost of living compared to the national average For more information, contact Lauren Vanlandingham: Cell: Schedule a Call: Email:

Description Calling all Esteemed Leaders! Are you an exceptional leader with a passion for healthcare and a talent for strategic planning? Do you excel at forging collaborative relationships and driving continuous improvement in patient care delivery? If so, we invite you to consider an exciting leadership opportunity with us! The Role: As Director Nursing, Acute Care Services under the guidance of the Chief Nursing Officer, you will spearhead initiatives that shape nursing care across designated departments. This role oversees a large inpatient service line, including Med Surg, Tele, Ortho, Pulmonary, Renal, Oncology, and the float pool, with approximately 450-500 FTES (full-time equivalent staff). Based in the esteemed St. Joseph Hospital, you'll be instrumental in fostering a culture aligned with the balanced commitments and core values of our organization. Through proactive and collaborative efforts, you'll ensure an interdisciplinary approach to patient care while providing leadership direction to SJH staff. What You'll Do: Nursing Care Innovator: Facilitate the development and management of nursing care processes, ensuring consistency with policies, procedures, and evidence-based practices across all units. Professional Image Champion: Uphold and promote a positive, professional image of nursing, consistently recognizing staff contributions and facilitating ongoing educational and developmental opportunities. Morale Supporter: Create an environment that fosters investment and excellence in nursing, nurturing commitment to shared values, fostering collaboration, and empowering staff to achieve both personal and organizational goals. Strategic Decision-Maker: Address complex issues with a seasoned perspective, make timely, informed decisions aligned with the mission, vision, and values of St. Joseph Hospital. Communication Facilitator: Encourage open communication throughout the organization, deliver clear and credible presentations, and engage in active listening. Change Orchestrator: Drive operational effectiveness through strategic change management, ensuring accountability and identifying opportunities for improvement in processes and practices. Staffing Strategist: Develop long-range staffing plans, focusing on recruitment and retention of quality patient care staff, and maintain strong collaborative relationships with physicians. Industry Collaborator: Network across the healthcare industry to implement best practices, drive continuous improvement, and take calculated risks to enhance performance, processes, and services. Quality Care Ensurer: Uphold excellence in patient care delivery in accordance with JCAHO, Title 22, and other regulatory standards. Resource Manager: Develop, monitor, and analyze budgets related to labor, operations, and capital expenses, ensuring optimal allocation of human and material resources. What You'll Bring: Education: Master's degree in Nursing or related healthcare field (preferred). Experience: A minimum of 5 years of progressive managerial experience in healthcare. Substantial inpatient leadership experience in major medical center. Licensure: California Registered Nurse License upon hire. Interpersonal Skills: Strong ability to bring diverse groups together as a team to achieve high-quality care. Operational Acumen : Demonstrated skills in daily operations and budgetary management. Strong skills in process improvement, data analysis, and the ability to drive initiatives related to length of stay, productivity, throughput, and quality. Familiarity with computer systems and PDSA cycles is essential. Why Join Us? Transformative Impact: Be part of an organization that is shaping the future of healthcare, making a real difference in the lives of patients and communities. Professional Growth: Enjoy the support and autonomy needed to unleash your potential and implement innovative ideas. Collaborative Excellence: Work alongside dedicated and talented professionals who are passionate about their work. Dynamic Environment: Embrace the challenges and rewards of a fast-paced and evolving industry. Are you ready to lead a dedicated team in delivering exceptional patient care and driving strategic initiatives? If you are a visionary leader with a passion for healthcare, we encourage you to apply and help us create a healthier future for all. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. 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. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 385232 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 7540 SJO NURSING ADMIN Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: On-site Pay Range: $92.64 - $146.26 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare,

Description Calling All Esteemed Leaders! Are you ready to take the helm and drive excellence in patient care? Do you possess a strategic vision and a passion for elevating healthcare standards? If so, this is the opportunity you've been waiting for! The Role: As the Director of Nursing for our esteemed healthcare facility, you will be entrusted with leading the clinical, operational, and budgetary components of assigned Patient Care Units/Services. Reporting directly to the Chief Nursing Officer (CNO), your leadership will be instrumental in shaping the future of our healthcare delivery. What You'll Do: Performance Architect: Under the guidance of the CNO, establish performance standards, evaluate outcomes, and recommend personnel actions to drive excellence in patient care. Policy Innovator: Develop and implement goals, objectives, and policies that enhance organizational performance and uphold patient/customer safety, environmental, and infection control standards. Fiscal Steward: Craft budgets for your areas of responsibility and collaborate with the CNO to maintain fiscal discipline. Prioritize capital needs with Nurse Managers, focusing on safety and regulatory compliance. Metrics Maestro: Define and monitor metrics to ensure compliance with patient care and regulatory standards. Provide insightful reports to executive leadership as needed. Change Consultant: Advise the CNO on operational challenges and implement strategic changes to optimize processes and policies effectively. Program Developer: Drive program development across financial, regulatory, marketing, human resources, ethics, and community spheres. Strategic Influencer: Identify and tackle strategic issues impacting the organization. Present solutions to enhance operational effectiveness. Mentor & Coach: Serve as a guide and mentor for the management team, fostering a culture of accountability. Communication Catalyst: Maintain robust communication channels with medical staff, the community, and all levels of the organization. Compliance Champion: Ensure adherence to regulatory requirements and align with Providence Health & Services initiatives. Quality Advocate: Assess patient/client needs and develop programs that ensure top-tier service delivery for inpatient/outpatient and all customers. Clinical Analyst: Analyze clinical services to enhance patient care quality and optimize staff resource utilization. Project Prioritizer: Manage and monitor special projects, maintaining a focus on priorities and progress. Growth Seeker: Engage in seminars, workshops, and professional affiliations to stay abreast of the latest industry trends. Committee Contributor: Actively participate in hospital and medical staff committees and represent the organization in professional/civic service entities. What You'll Bring: Educational Background: Bachelor's Degree in Nursing, with a preferred Master's Degree in Nursing. Experience: Demonstrated leadership with over 5 years in administrative/management roles and more than 10 years in clinical practice within a hospital/health care setting. Credentials: California Registered Nurse License upon hire, and California Fire and Life Safety Card within 30 days of hire. Communication Skills: Exceptional human relations and oral/written communication abilities. Why Join Us? Impactful Contributions: Be a driving force in transforming healthcare and enhancing the lives of many. Innovation & Autonomy: Embrace the freedom to bring your ideas to life with robust support from our leadership. Collaborative Excellence: Work alongside a team of dedicated professionals committed to excellence in healthcare. Dynamic Growth: Thrive in a fast-paced and evolving industry that offers continuous learning and challenges. Vibrant Location: Relish the vibrant environment and cultural richness of our location. Ready to Shape the Future of Healthcare? If you're a visionary leader with a dedication to healthcare excellence, we invite you to apply and help us create a healthier tomorrow! About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. 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. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 402475 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 7003 PHCMC SUBACUTE Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: On-site Pay Range: $92.64 - $146.26 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare,

We are currently hiring a family nurse practitioner or physician assistant to join our primary/urgent care hybrid clinic in Warrenton and/or Woodbridge, VA on a part-time or PRN basis. Outstanding opportunity to join our well-established team and work alongside 1 board certified family medicine physician, 9 nurse practitioners, 1 physician assistant, and a tenured support staff. Our clinic offers prompt primary care, urgent care, and occupational health services on a walk-in basis, though there is a strong focus on urgent care over primary care. Providers have convenient access to lab, x-ray, and ultrasound services on location. Our clinic hours are 8:00am-8:00pm Sat-Sun, and we offer very flexible part-time and PRN options, including a minimum of 4 shifts/month. Providers have the option to cover shifts in Warrenton only, Woodbridge only, or both offices. Qualifications: 1+ years of primary care, urgent care, and/or emergency medicine experience preferred Must love building relationships with patients, value bedside manner, and possess excellent clinical skills Must comply with HIPAA rules and regulations State licensure and board certification is required About Warrenton, VA As the largest town in Fauquier County, Warrenton is part of Virginias Piedmont region, located an hour and a half outside of Washington, D.C and half an hour from Dulles International Airport. The town has historic charm, delicious restaurants, and a downtown area where a farmers market fills the streets every Saturday. Outside the town of Warrenton, residents can take advantage of the beautiful landscape that is known as horse and wine country. The Piedmont countryside has about 114 wineries, as well as endless places to hike, fish and view breathtaking views at Shenandoah National Park. Our practice is a proud member of Privia Medical Group, a national physician organization with more than 4,300+ providers with over 1,100+ locations in multiple states. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in partnership with health plans, health systems and employers to better align reimbursements to quality and outcomes. Interested in being considered or learning more about the position? Apply here or contact us directly: Macy Dolan Associate Director, Provider Recruitment Privia Medical Group Email:

Certified Athletic Trainer - 2 Positions - High School or College Full Time - $60,000-$90,000 Plust $10,000 sign on bonus Benefits, Holidays, PTO, and Retirement Package included! Job Description As a Certified Athletic Trainer, you will provide day to day athletic training services at a local college or high school under the supervision of the Medical Director. This includes, but is not limited to, first aid/emergency care, on-site injury evaluation, appropriate modalities, prevention and rehabilitation programs and medical referrals. As a member of the Sports Medicine Team, you will be an ambassador of Client Health System through participation community events and education initiatives. You will develop and maintain positive relationships with athletes, coaching staff, school administrators, medical staff, and other team members by striving for excellence in service and quality. For our team members, this is more than a career - it's a calling. Responsibilities: Provide athletic training services for practices and home athletic collegiate contests as well as away Softball and Men's and Womens Tennis, Golf, and Basketball. Also we have a position supporting High School sports. Act as a liaison between department administration, team physicians, student-athletes, coaches, athletic directors, fellow athletic trainers, and parents. Maintain electronic medical records and submit periodic reports to department administration as scheduled Attend monthly meetings and participate in any in-service and continuing education programs offered through approved provider Secure, stock, and maintain a clean and organized Athletic Training Room Maintain inventory of supplies Promote athletic and sports safety in the community and assist Sports Medicine administrations with implementation of all aspects of program Participate in professional development activities and maintain licensure and other professional affiliations Assist in the planning and implementation of pre-participation for student athletes in conjunction with Sports Medicine team. Develop, update, and implement policy and procedures Qualifications: Bachelor's Degree from an accredited athletic training education program required Eligible for Georgia State Licensure Certification from the Board of Certification (BOC) PandoLogic. Category:Sports,

Hematology/Oncology Permanent Job in Texas Start Date: Summer of 2026 Details/Requirements: 80% Oncology and 20% Hematology Seeking Medical Director position as well as multiple Hem/Onc providers Call: Shared Clinical Research opportunities are available H-1B sponsorship available Competitive compensation package, sign-on bonus, CME allowance, benefits, etc. NO state income tax! Board Certified or Board Eligible is required Jackson and Coker offers: + Weekly Direct Deposit + Top Rated Malpractice Insurance + In-House Travel Agency + 24/7 Recruiter Availability + Experienced In-House Privileging Coordinators Experience why Jackson and Coker has been recognized by Forbes and Staffing Industry Analysts for our commitment to service excellence. Apply Today! Lucy Milne For more jobs, visit Jackson and Coker.