Healthcare and Medical Jobs in Hanscom Afb Massachusetts

With a passion for life

Join our diverse teams of passionate people and a career that allows you to develop both personally and professionally. At Getinge we exist to make life-saving technology accessible for more people. To make a true difference for our customers - and to save more lives, we need team players, forward thinkers, and game changers.

Are you looking for an inspiring career? You just found it.

Paragonix Technologies markets organ transportation devices that safeguard organs during the journey between donor and recipient patients. Our devices incorporate clinically proven and medically trusted hypothermic preservation techniques in a novel suspension system to provide unprecedented physical and thermal protection. Our product portfolio spans cardiac, thoracic, and abdominal preservation devices to improve donor organ quality and extend donor organ transport time. Paragonix also markets transplant services and organ screeningto the transplant community.

As Senior Clinical Research Statistician you will be responsible for the design, validation, analysis and interpretation of clinical data from multiple registries in support of product development and business objectives. The position is based out of our Waltham office in the greater Boston area. There is an option to work in a hybrid environment, at least 3 days in-office is expected.

Position Responsibilities

• 
  
• Use advanced statistical methods to validate and analyze data
  
• Write efficient code for processing data utilizing R statistical software.
  
• Create processes for validating quality and accuracy of data.
  
• Perform statistical programming and data analysis, as well as database cleaning, verification and validation, and quality review of statistical analyses
  
• Manage resources, timelines and priorities for assigned projects
  
• Work with clinical affairs staff and clinical investigators to determine appropriate study and protocol design
  
• Provide statistical expertise to clinical affairs staff to ensure that the CRFs and database meet the study design needs
  
• Responsible for statistical analysis plans (SAP) and development of tables/listings/figures for statistical reports
  
• Prepare statistical methods and results sections for presentations, reports, and peer-reviewed manuscripts
  
• Participate in preparing and writing statistical content for 501k, Clinical Study Reports (CSRs) and other FDA required reports
  
• May be involved in analyses of 'big data' for market assessments, as well as from public sources (such as UNOS)
  
• Organized, self-starter, critical thinker; ability to work in a fast-paced environment with a "roll up your sleeves" attitude
  
• Ability to work independently and as part of a team
  
• Excellent oral and written communication, and interpersonal skills necessary to interact with a wide range of individuals and cross-functional stakeholders.
  

Experience

• 
  
• At least 4+ years (MS) or 6+ years (BS) of statistical work experience in a biomedical life science or medical device company, including programming using SAS or R statistical software.
  
• Comprehensive knowledge of statistical methods
  
• Prior healthcare or medical device industry experience
  
• Proficiency in R programming skills in a clinical data environment with excellent analytical skills. Knowledge of other programming languages such as SAS, Python etc. is a plus.
  
• Prior experience working with research and/or healthcare data.
  

Education

Bachelor's degree in biostatistics, statistics, epidemiology or similar quantitative field of study, required.

Master's degree or higher in biostatistics, mathematics or related quantitative field of study preferred.

Proficient in Microsoft Office Suite.

Transplant surgery /medical knowledge is a plus.

Experience or knowledge of FDA regulations or submissions is a plus.

Annual Salary of 120K-135K depending on experience with 5% STIP

#LI-YA2 #LI-Hybrid

About us

With a firm belief that every person and community should have access to the best possible care, Getinge provides hospitals and life science institutions with products and solutions aiming to improve clinical results and optimize workflows. The offering includes products and solutions for intensive care, cardiovascular procedures, operating rooms, sterile reprocessing and life science. Getinge employs over 12,000 people worldwide and the products are sold in more than 135 countries.

Benefits at Getinge:

At Getinge, we offer a comprehensive benefits package, which includes:

• 
  
• Health, Dental, and Vision insurance benefits
  
• 401k plan with company match
  
• Paid Time Off
  
• Wellness initiative & Health Assistance Resources
  
• Life Insurance
  
• Short and Long Term Disability Benefits
  
• Health and Dependent Care Flexible Spending Accounts
  
• Commuter Benefits
  
• Parental and Caregiver Leave
  
• Tuition Reimbursement
  

Getinge is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, genetic information, national origin, disability, protected veteran status or any other characteristic protected by law.Reasonable accommodations are available upon request for candidates taking part in all aspects of the selection process.

About CHA Pulmonary Services

CHA Pulmonary Services, operating under the medical direction of the Pulmonary Department, provides comprehensive respiratory services across Cambridge Health Alliance's Cambridge, Everett, and Somerville campuses. Our dedicated team of Respiratory Therapists delivers a wide range of essential therapeutic services, including administering medical gases, performing arterial blood gas analysis, managing airways, and conducting pulmonary function tests. We are committed to customer satisfaction, effective resource utilization, teamwork, and continuous quality improvement, ensuring the highest standard of respiratory care for both inpatients and outpatients.

Position Overview

Within established organizational and departmental policies and procedures, the Manager of Respiratory Care is responsible for the planning, organizing and directing the overall activities of the Pulmonary functions with a total operating budget of $4.3 million and responsible for managing 32 FTE’s.

Key job functions include achieving quality and budget goals, assuring compliance with JCAHO and CAP standards, and regulatory agency guidelines as outlined by OSHA, CDC and DPH. A commitment to patient safety, customer satisfaction, and efficient/effective use of resources, teamwork, innovation, and performance improvement is required.

Qualifications/Requirements

• Education/Training: Graduate of an Accredited School of Respiratory Care; Bachelor’s Degree preferred
• Licensure: Current MA State Respiratory License
• Certifications: Registered Respiratory Therapist (RRT) Basic Life Support, Advanced Cardiac Life Support, NRP preferred
• Previous Work Experience: Minimum 5 years managerial experience preferred. Strong background in Acute Care, Critical Care, Pulmonary Function Testing and Polysomnography. Knowledge of Neonatal Respiratory Care preferred.
• Other: Ability to travel between 3 sites as needed. 24/7 on call availability.

Location: CHA Cambridge Hospital

Work Days: Hours will vary

Department: Department of Pulmonary Medicine

Job Type: Full time

Work Shift: Day

Hours/Week: 40.00

Union Name: Non Union

Registered Nurse provides direct patient care services in accordance with legal, ethical and institution standards. Provides nursing care of a general nature to inmates in the institution hospital/clinic, and may be provided to patients in specific areas, e.g., psychiatric, operating room, orthopedics, geriatrics, etc. Develops a nursing assessment for each patient, to include planning, implementing, and evaluating nursing care. May assess and identify high risk symptoms/behaviors in patients, to include suicidal risk, homicidal risk and risk for verbal and/or physical abuse. Completes nutritional screening as part of the assessment and refers patient to a dietitian for a nutritional assessment if necessary. Monitors, evaluates and revises the plan of care as needed. May also assess and document the discharge planning needs of a patient. Delegates and coordinates care based on assessments. Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and is performed on a regular and recurring basis.

Position Summary:

The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealth’s policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 

Essential Functions and Job Responsibilities:

• Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions.
• Utilizes acquired knowledge to increase his or her competencies.
• Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures.
• Maintains complete and accurate patient files by updating all documents per company policy and procedures.
• Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date.
• Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information.
• Assists with authorization for Ventilator referrals for patients. 
• Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting.
• Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services.
• Participates in discharge planning of highly technical cases.
• Performs clinical assessments as needed and reports results and recommendations to the referral and physician.
• Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting.
• Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.
• Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner.
• Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. 
• Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc.
• Assume on-call responsibilities during non-business hours in accordance with company policy.
• Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist.   
• Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented. 
• Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth.
• Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment.
• Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues. 
• Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation.  
• Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards.
• Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner.
• Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role.
• Responsible for documentation that supports data collection to track and trend outcomes.
• Assists in establishing clinical documentation when needed for third party reimbursement or justification.
• Uses knowledge in working with referral sources to educate about best practice standards.
• Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff.
• Acts as a resource on practices and processes to provide appropriate guidance.
• Develop and maintain working knowledge of current HME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliant with AdaptHealth’s Compliance Program.
• Perform other related duties as assigned during and outside of normal business hours as needed.

Competency, Skills, and Abilities:

• Experience with ventilator patients 
• Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management
• Able to perform clinical assessments.
• Equipment troubleshooting and maintenance skills.
• Decision making skills.
• Expert communication and interpersonal skills
• Ability to prioritize tasks and manage multiple projects.  
• Strong analytical and problem-solving skills with attention to detail
• Proficient use of Microsoft Office Suite – Excel, Word, and PowerPoint
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Knowledge of the regulatory requirements at the state, federal, and local level
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.

Education and Experience Requirements:

• Associates degree from an AMA approved respiratory program,
• Valid and unrestricted RT clinical license in all states serviced by the branch.
• Must be CPR certified,
• One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience. 
• Valid and unrestricted driver’s license

Physical Demands and Work Environment:

• Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time.
• Must be able to perform one-man CPR.
• Ability to perform repetitive movements of the upper extremities’ motions of wrists, hands, and/or fingers due to extensive computer use.
• May be exposed to unsanitary conditions in some home settings.
• Work environment may be stressful at times, as overall office activities and work levels fluctuate.
• May be exposed to high crime areas within the service community. 
• Subject to long periods of sitting and exposure to computer screen.
• May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.
• May be exposed to angry or irate customers or patients.
• Must be able to drive and travel as needed.
• Physical and mental ability to provide clinical assessments.
• Requires travel throughout service area.
• Mental ability to communicate both verbally and in writing.
• Must be able to access the patient’s residence.
• Ability to work outside of normal business hours.
• Physical and mental ability to provide clinical assessments.

PId05e26bb87a6-37344-39788360

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Surgical Assistant – Oral Surgery

Location: Advanced Surgical Associates | Concord, MA (NEW LOCATION COMING SOON!)

Position Highlights:

Step into the fast-paced world of oral surgery as an Oral Surgery Dental Assistant! Your role is pivotal, aiding surgeons with precision during procedures and meticulously documenting patient care. From preoperative tasks to maintaining sterile environments, your expertise ensures smooth operations. Engage in strategic discussions with surgeons, monitor patient status, and handle advanced equipment with finesse. Dive into the heart of dental care, obtaining vital radiographs and crafting detailed patient narratives.

Who We Are:

Advanced Surgical Associates is dedicated to exceptional oral surgery in a comforting environment, prioritizing patient needs through collaboration with their general dentist. Our vision is global leadership in oral health, focusing on outstanding patient experiences and industry standards. We foster a positive work environment with career growth opportunities, comprehensive benefits, and a supportive culture that values work-life balance. Our goal is to empower employees to deliver excellent patient care and build strong relationships with referring dentists.

What We Offer:

We prioritize your personal and professional well–being, covering aspects from health to financial and social welfare. 

Required Qualifications: 

Preferred Qualifications: 

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

PI7d0114665bf3-3631

Registered Dental Hygienist - Part Time - Tuesdays and Fridays

We’re hiring a dental hygienist who can help us provide incredible dental care to each of our patients!

Cambridge Smiles is a small, private office that focuses on high-quality patient care.

If someone asks what makes our office a good place to work, I would say it is the fact that our team gets along well and works well together. This is not a corporate office, it isn't a factory, it's a place where we put patient care ahead of the bottom line.

You’ll conduct preliminary dental exams, help dentists with examinations and procedures, and perform thorough dental cleanings so patients walk out with a smile. This role is perfect for someone who loves to care for people and is highly attuned to detail. If you have a passion for educating people about the importance of dental health and are looking to grow your career in dental hygiene, we need to talk.

Available days are Tuesday and Friday, 8 am to 5 pm

The office has plenty of free parking and is close to the Alewife T Station.

$60 - $62 hourly

• Complete x-rays of the patients’ teeth so the dentist can quickly identify any tooth decay or other oral health issues
  
• Advise patients on how to properly care for their teeth after a procedure or operation
  
• Examine patients’ dental health and get an overview of their oral health history
  
• Document patient visits and keep health records current
  
• Identify dental issues such as periodontitis, gingivitis, or cavities so they can be treated as soon as possible
  
• Remove plaque and apply fluoride or other sealants to prevent cavities and tooth decay
  
• Put patients at ease by talking with them before, during, and after the appointment
  
• Sterilize all dental equipment to make sure everything is properly cleaned
  
• Inform patients of all ages about how to care for their teeth by brushing and flossing on a regular basis
  

• Excellent communication and customer service skills
  
• Associate’s degree and certification in dental hygiene program required, higher levels of education are highly valued
  
• Licensed to practice as a dental hygienist in the state
  
• Current CPR certification
  

We are a general dentistry office, treating patients ages 8 and up. Our goal at Cambridge Smiles is to provide top-quality care to our patients. Doesn't everyone say that? What makes us different?

We have worked to grow a team that actually enjoys working together. That doesn't mean the work can't be challenging, but it is much more bearable with a good group of people by your side.

We are a privately owned office, so we are able to have more control over how the office is run and the quality of care we provide to our patients.

Compensation details: 60-62 Hourly Wage

PI87a9e421a3ee-3631

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.