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Cardiac Electrophysiology Physician Assistant

The Physician Assistant (PA) is a licensed provider. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation.

Cardiac Electrophysiology: The Cardiac Electrophysiology (EP) Physician Assistant (PA) will practice in three settings: inpatient, outpatient/ambulatory, and procedural settings. The PA will be involved in all aspects of care with the primary goal of ensuring the effective delivery of care to patients.

Inpatient and peri-procedural care: The physician assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, registry documentation, orders, sedation assessment, nursing instructions, consent, and other required elements. The physician assistant, in collaboration with the Laboratory Flow Managers, may be asked to help coordinate admissions and transfers to the hospital. The physician assistant will perform pre-procedure assessments in the recovery room/holding area or outpatient setting as needed.

The physician assistant will be knowledgeable about the Cardiac Electrophysiology Laboratory scheduling, procedure room turnover and availability of resources. They will be called upon to manage patients after their procedures (as appropriate and in collaboration with the consult Fellow) while they await transfer to patient floor or discharge. The physician assistant will assist in family liaison.

Following procedures, the physician assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. The physician assistant will assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. The physician assistant will assist in transfers to and from the intensive care units.

The physician assistant will perform patient education regarding discharge including preventive care and risk factor reduction. They will write discharge orders, prescriptions and complete discharge summaries in collaboration with the attending physician. The physician assistant will act as a liaison between the attending cardiologist and family members and will schedule follow-up care as necessary, including VNA if needed.

Ambulatory care: The PA will collaborate with the team in preparing patients for admissions/procedures. Educate patients regarding a variety of electrophysiology treatments and procedures. Works collaboratively with nursing/clinic staff to assist in the care of patients. This includes, but is not limited to: symptom management, evaluation and management, prescription writing, ordering and interpreting diagnostic studies with review by attending MD, patient calls and questions related to electrophysiology clinical care. The PA will provide care via in person clinic visits, virtual clinic visits, and telehealth.

Procedural care: The physician assistant will be responsible for many aspects of care under the supervision of the attending physician, including but not limited to: cardioversions, suturing, cardiac subcutaneous monitor implant/explant, first assisting during diagnostic EP studies/ablations, device implantation and research procedures performed in the EP laboratory, OR and other clinical areas, as well as fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation management, education, and post-discharge planning.

General/Working Conditions: The PA participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings. Remains actively involved in continuing education with a commitment to self and departmental growth. Identifies areas for professional growth. Formulates professional goals, objectives and methods for accomplishing these. Supports initiatives within BWH, the Department of Medicine and the Cardiovascular Division.

Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

Qualifications

Education
Master's Degree Physician Assistant required

Licenses and Credentials
Physician Assistant [State License] - MA PA License required

Experience
Experience as a licensed Physician Assistant preferred

Knowledge, Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.

Additional Job Details (if applicable)

Remote Type

Hybrid

Work Location

75 Francis Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$135,720 - $173,867.20/Annual

Grade

7

Occupational Therapist

We are looking for an Occupational Therapist to join our dedicated and highly skilled Mammoth Outpatient Rehabilitation team. The Occupational Therapist is responsible for the evaluation of patients referred for occupational therapy treatment, formulation of a treatment plan and goals, and administration of the occupational therapy treatments. The Occupational Therapist shall be active in outpatient services and shall interact with all hospital departments and medical staff.

What you'll do:

• 1:1 patient care with one 45 min appointment every hour
• Performs appropriate evaluation tests and measurements based on the patient's diagnosis.
• Sets measurable goals and functional outcomes based on the evaluation with input from the physician, patient, and family members as appropriate.
• Develops a logical treatment program based on the assessment.
• Reassesses and revises the treatment plan as necessary, at the minimum every 6 weeks.
• Performs occupational therapy techniques appropriate to the diagnosis.
• Demonstrates use of physical modalities appropriate to the diagnosis.
• Documents progress reports for patients seen for multiple occupational therapy visits in a timely manner to coincide with physician follow-up visits, and to assist with compliance for insurance carriers and utilization review companies for authorization and reimbursement.

Who you are:

• Enjoy working with people and thrive in a social atmosphere
• Eager to motivate, goal-oriented, able to stay positive and patient
• A good listener and astute observer
• Team collaborator and contributor

Qualifications:

• Graduate of an accredited program of Occupational Therapy and a licensed Occupational Therapist in the State of California.
• Outpatient and hand based therapy experience preferred.
• American Heart Association BLS certification required.
• Ability to work effectively with physicians, nurses, ancillary departments, and patients.

Job Information:

Will work in our Bishop, CA outpatient clinic.

Home Health Case Manager (RN)

A Registered Nurse administers skilled nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Nursing Supervisor.

Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing.

Two (2) years' nursing experience, preferred.

Acceptance of philosophy and goals of this Agency.

Ability to exercise initiative and independent judgment.

Provides services in accordance with the plan of care.

Makes the initial evaluation visit and regularly reevaluates the patient's nursing needs.

Initiates the plan of care and necessary revisions.

Provides those services requiring substantial specialized nursing skills.

Initiates appropriate preventive and rehabilitative nursing procedures.

Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients in a timely manner as per Agency policy.

Coordinates services.

Informs personnel of changes in the condition and needs of the patient.

Counsels the patient and family/significant others in meeting nursing and related needs.

Participates in and presents in-service programs.

Understands and adheres to established Agency policies and procedures.

Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.

Determines the amount and type of nursing needed by each individual patient.

Refers to Physical Therapist, Speech-Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.

Supervises and teaches other nursing personnel.

Conducts patient care conferences on patients assigned to his/her care.

Participates in peer review and Quality Assessment and Performance Improvement as assigned.

Gives total patient care as needed.

Takes on-call duty nights, weekends, and holidays, as assigned.

Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant change in condition in accordance with Agency defined time frames.

Appropriately utilizes ICD-10 codes.

Works indoors in Agency office and patient homes and travels to/from patient homes.

Ability to perform the following tasks if necessary:

• Ability to participate in physical activity.
• Ability to work for an extended period of time while standing and being involved in physical activity.
• Heavy lifting.
• Ability to do extensive bending, lifting, and standing on a regular basis.

The ProHealth group of companies are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status, or any other legally protected characteristic.

Expert Decision Making

Expert Microsoft Outlook

Expert Written Communication

Required CPR

Required RN

Automotive Sales Representative

Ready to take your career to the next level?

At Scottsdale Mitsubishi, were not just selling cars, were building a high-energy team of motivated professionals ready to grow with one of Arizonas most respected family-owned dealerships. With over 1,000 new and used vehicles in inventory, youll always have what customers want and with our uncapped volume-based bonus plan, your earning potential is entirely up to YOU.

Why join us?

• No experience needed well train you to succeed
• Uncapped income paid off volume, with no ceiling on bonuses
• 6-figure potential top reps are earning big, fast
• 401(k) + health insurance we invest in our team
• Family-owned, customer-first culture we treat people right
• Tons of inventory over 1,000 cars ready to sell
• Career growth real opportunity to grow with the company
• Join a pro team work with sharp, professional sales reps and leaders
• Were expanding be part of our next level of success

What were looking for:

• High-energy, motivated individuals
• People-first attitude
• Strong communication and a willingness to learn
• Passion for success and team growth

Dont miss out! Were only bringing on 5 new sales pros to help us scale. If youre hungry to learn, ready to hustle, and want a career with real earning power, this is it.

Apply today and become part of the Scottsdale Mitsubishi family. Call us or stop by in person Auto Mall at 101 & Thomas Rd.

English Learner Network Specialist

Chicago Public Schools (CPS) is a district on the rise, serving over 325,000 students in 500+ schools and employing over 45,000 people, most of them teachers. CPS has set ambitious goals to ensure that every student, in every school and every neighborhood, has access to a world-class learning experience that prepares each for success in college, career, and civic life. Aligned with our transformed philosophy, we are steadfastly focused on ensuring that the District provides resources equitably to support every student, every school, and every community. Six core values guide the work we do every day for our students student-centered, whole child, equity, academic excellence, community partnership, and continuous learning. Each role in the district supports our vision that every student deserves a rigorous, joyful, and equitable learning experience.

The Office of Multilingual-Multicultural Education (OMME) guides CPS in providing a high-quality education for all language learners attentive to a culturally and linguistically diverse community of students, families, and educators. OMME aims to achieve its mission through strategic planning, collaborative partnerships, professional development, and the production of tools and resources to improve instruction.

Job Summary:

Reporting to the EL Network Support Manager, the EL Network Specialist supports developing programs and instructional practices for English Learners to drive their academic achievement. The EL Network Specialists are expected to be experts on EL instruction and programs with proven content expertise in teaching and educational leadership. Still, specific content expertise and requirements for the EL Network Specialist will vary based on their assignment and the needs of the schools in the network. This is a crucial role in enhancing and improving English Learners' learning experience across the district. This position focuses on building capacity among various stakeholders, providing instructional support, and contributing to developing and implementing high-quality instruction for ELs in grades PreK-12. Each EL Network Specialist will have an area of focus, such as school network support, instructional implementation, equity in programming and instruction, and dual language instruction.

The EL Network Specialist will be held accountable for the following responsibilities:

• Provide differentiated instructional support by working directly with administrators, teacher leaders, and teachers in the classroom, as appropriate, to model effective, research-based instructional practices for English learners.
• Collaborate with various teams to drive data-informed instructional planning around EL instruction and work with school-based leadership teams to actualize the implementation of appropriate EL instruction.
• Lead professional development around EL instructional practices for EL teacher leaders (ELPTs) and network administrators (PLCs, book studies, etc.).
• Coach ELPTs around EL Instructional Leadership development (e.g., using data analysis to guide instructional decisions, participating in classroom observations, etc.).
• Consult and collaborate with Chiefs, Principals, Assistant Principals, school-based Instructional Leadership Teams, and fellow Network instructional leadership to develop data-informed strategies to support EL instructional practices. These strategies include curriculum adoption/implementation support, professional development plans, direct support to EL teacher leaders, and data and progress monitoring.
• Collaborate with other CPS offices to provide EL considerations in initiatives and district-wide goals to improve EL academic outcomes.
• Actively participate in district-wide professional learning and provide the EL considerations to improve EL academic outcomes.
• Professionally represent OMME and the district during all interactions
• Other duties as assigned

In order to be successful and achieve the above responsibilities, the EL Network Specialist must possess the following qualifications:

Education Required:

• Bachelor's degree from an accredited college or university
• Valid teaching certificate/Professional Educator's License (PEL) issued by the Illinois State Board of Education (ISBE) Bilingual and/or ESL endorsement(s) is required.
• Master's degree in Education field of study is strongly preferred

• Administrative endorsement is preferred

Experience Required:

• Minimum of five (5) years of classroom teaching experience, including:
• Minimum of one (1) year of experience in educational leadership (Department Chair, Grade Level lead, Instructional Leadership Team (ILT), Multi-Tiered System of Support (MTSS))
• Minimum of three (3) years experience working with adult learners, including coaching and/or designing and facilitating professional development for classroom teachers and school leaders

Other Requirements:

• Travel to schools and other locations throughout the district is required
• Bilingual/multilingual proficiency is strongly preferred

Knowledge, Skills, and Abilities:

• Expertise in leveraging solution-oriented problem-solving to create and implement innovative projects
• Ability to communicate effectively with all stakeholders; establish efficient working relationships with colleagues, district and school staff, and community-based organizations
• Strong instructional expertise
• Integrity, honesty, credibility, and the courage to make difficult yet necessary decisions
• Strong leadership and team-building skills, e.g., ability to develop high-performing teams united around a clear vision for serving schools and achieving student success
• Ability to build collaborative relationships with a variety of constituent groups, including external partners, to ensure the entire system operates in the most effective manner possible to support schools and principals
• Ability to use multiple data sources to set measurable goals and strategically plan to complete the goals
• Ability to define and solve problems, analyze data, and develop action plans as part of a continuous improvement cycle
• Ability to recognize failures and learn from mistakes to improve conditions for working and learning as a team
• Self-learner with excellent self-management, flexibility, and organizational skills

Conditions of Employment

• As a condition of employment with the Chicago Public Schools (CPS), employees are required to:
• Establish/Maintain Chicago Residency - Employees are required to live within the geographic boundaries of the City of Chicago within six months of their CPS hire date and maintain residency throughout their employment with the district. The Chicago residency requirement does not apply to temporary/part-time positions, however, all CPS employees must be residents of Illinois.

Accountant Position

At Western Montana Clinic, we are continuing our 100-year tradition of providing excellent health care to the community. We are a group of local, independent providers practicing in multiple specialties. Our mission remains the same - to provide our patients with the same high quality health care that we expect for our families.

We are seeking a full-time Accountant to join our Finance and Accounting team.

In this position you will:

• Manage accounts payable software system and ensure timely payments
• Work with the CFO and Accounting Manager to prepare financial statements including: balance sheets, profit/loss statements and analysis of budget to actual and variances in accounts
• Assist to develop and implement policies to ensure the financial system is accurate, efficient and meet regulatory standards
• Prepare statistical information and reports for management and other agencies
• Comply with the HIPAA Privacy and Security Regulations

Benefits Offered:

• Health insurance
• Life insurance
• Paid time off
• 401(k) + match
• Voluntary benefits - Dental insurance, Vision insurance, Disability insurance
• Employee assistance program

Minimum Requirements for Accountant:

• Bachelor's degree in finance or accounting preferred, and/or
• Minimum five years progressively responsible experience in accounting

The successful candidate will be subject to a background check.

An EEO Employer

Weatherization Program Monitor

The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Human & Community Services & Intergovernmental Human Services Division. The Human and Community Services Division (HCSD) offers assistance to low-income or struggling families and members of the community necessary to help them meet basic needs and work their way out of poverty. The Weatherization Program Monitor is responsible for conducting compliance inspections, evaluating program effectiveness, and ensuring adherence to state and federal weatherization guidelines. This role involves significant fieldwork, travel, and interaction with agencies, contractors, and the public to assess the quality and impact of weatherization services. This position directly provides training and technical assistance to subrecipients and performs, or coordinates inspections and monitoring needed to verify quality work and program compliance. This position also assists management with implementation and evaluation of contracted services, policies, and procedures.

Why Join DPHHS Our mission at DPHHS is serving Montanans in their communities to improve health, safety, well-being, and empower independence. By joining our department, you will have the opportunity to perform meaningful work in public service to our state and its residents. The State of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. In addition, DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience.

Qualifications for this Career Opportunity Experience in weatherization programs, energy efficiency, construction inspection, or related fields, with familiarity in state and federal weatherization regulations. General knowledge of residential energy conservation measures and work practices in low-income weatherization. Understanding of our ability to learn DOE WAP Quality Work Plan requirements, Standard Work Specifications, field guides, and QCI / EA roles and JTAs. Knowledge of community / service-based grant / contract management, and program monitoring. Ability to interpret regulations, policies, technical standards, and certification requirements and provide clear guidance to others. Excellent customer service skills, attention to details, and time management skills. Mathematical skills including adding, subtracting, dividing and multiplying and ability to learn and apply higher-level mathematical and analytical skills. Strong interpersonal skills and ability to communicate complex information in verbal and written form. Ability to be comfortable working in confined spaces, heights, near insects, dust, inclement weather, etc. Ability to identify issues, analyze root causes, and develop practical solutions and corrective actions. Ability to establish and maintain working relationships with employees, clients, subrecipients, and public and private entities. Ability to operate a personal computer and general office equipment as necessary to complete essential functions, including using spreadsheet, word processing, database, email, internet and other computer programs. Ability to obtain and maintain required HEP Quality Control Inspector certifications through the Building Performance Institute (BPI). This certification requires relevant work experience and passing written and field exams. Meet minimum qualifications: Bachelor's degree in public administration, business, social sciences, human services, or related field. Two years of job-related work experience in human service programs, grant / contract management, program monitoring, or related program management. Other combinations of education, experience, and training which provides the required knowledge, skills, and abilities may be considered on a case-by-case basis. Building Performance Institute (BPI) certification as a Quality Control Inspector (QCI) with weatherization inspection experience highly preferred at time of hire or completed within 9 months of being hired.

How to Apply To be considered for a DPHHS position, submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents, you must check the "relevant document" box to ensure your attachments are uploaded correctly to your application for this position. Cover Letter, Resume, References Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply.

Water Business Group Right Of Way Cross Sector Director

At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and novel ideas to work every day. As we foster a culture of inclusion throughout our company and within our communities, we constantly ask ourselves: What is our impact on the world? Each and every role throughout our organization makes a difference in our ability to change the world for the better. Read further to learn how you could help make great things possible not only in your community, but around the world. We believe water is more than a resource, it's a shared responsibility. As part of our Water Business Group, you'll help shape how communities manage water for generations to come. From delivering safe drinking water and treating wastewater responsibly to developing sustainable water supplies and protecting lives and property through flood control, your work will directly support public health, environmental sustainability, and infrastructure resilience. We bring together experts across disciplines to solve complex challenges with bold thinking and technical excellence. Whether you're modernizing aging systems or pioneering innovative approaches, your contributions will make a meaningful difference in people's lives. This isn't just a job, it's a chance to lead change, drive progress, and leave a lasting legacy.

Summary Of Job Responsibilities

The primary duty of the Water Business Group (WBG) Right Of Way Director will be refining, and overseeing the implementation of a WBG right of way program. This position reports to the Planning Program Director. The selected individual will work closely with HDR's Right Of Way Director; and partner with other Right Of Way leadership to coordinate activities that are tied to WBG Right Of Way program goals. The Water Right Of Way Director will work to define a WBG program that identifies market sectors' priorities regarding raising HDR's technical excellence in Right Of Way; addresses methods to raise the company's market penetration in this area; fosters growth strategies through geographic and market sector expansion; and identifies key project opportunities. The Director will work with market sector leaders, technical staff and clients to integrate right of way acquisition and real estate solutions for our clients and projects. The Director will also be expected to regularly talk to clients and the value that HDR's right of way program brings to projects. In turn, the Director will serve as the project or task manager on select projects and will maintain a utilization target to add to their resume and credibility as a right of way leader.

Position Responsibilities

Project And Program Support Responsibilities. This position will serve as a technical focal point for the WBG to deliver Right Of Way services to our clients and to create alliances within the WBG. This position will work closely with other leaders to fulfill long-term growth goals while maintaining high quality deliverables. Additionally, other duties include technical support, project related quality oversight, project leadership, and principal-level program / project management.

Marketing And Business Development. The WBG Director will support Market Sector Directors in developing and implementing their strategic visions to develop and support right of way initiatives. Further, the WBG Director will develop its own strategic and tactical plans to address market opportunities and help to drive the business into geographies and service areas that are most appropriate to strengthen our overall program. Additional duties include supporting internal and external client relationships and supporting or leading key pursuits. This position also supports project capture planning efforts, pre-proposal discussions and/or meetings, and proposal preparation and coordination with technical and marketing staff, presentations and negotiations when appropriate.

Technical Staff Development And Alignment Serving as a the WBG subject-matter expert on Right Of Way services, stays up-to-date on technical issues and current professional practice approaches and relays knowledge to technical staff (i.e., best practices, quality control processes). The WBG Director will be responsible for the recruitment of key staff; mentoring and staff development; and aligning right of way staff to ensure clients' needs are addressed.

Location And Travel

The geographic location of this position is non-specific; however, a location with significant HDR presence is preferred. The estimated, average travel requirement is a minimum of 20%.

Preferred Qualifications

Demonstrated industry leadership and industry association engagement. Experienced in development and management of a wide range of client relationships and specific program and/or project pursuits. Experience working with water-related infrastructure and experience working with Federal and State Right of Way Acquisition laws and regulations such as FHWA and Uniform Relocation Act proceedings. Real Estate License(s) and/or professional designations related to real estate services.

Required Qualifications

Bachelor's degree in a Professional, Architecture, Engineering or closely related field A minimum of 10 years of experience in related field For Business Class leadership roles for which the core service being overseen is technical design, the role must maintain a professional or Architecture/Engineering registration and has related technical experience Experienced in development and management of diverse teams Works cooperatively with other business class directors, operations managers, technical directors and marketing managers on business class efforts Committed to quality, improvement and HDR values An attitude and commitment to being an active participant of our employee-owned culture is a must