Jobs in Visalia, CA

Company Overview

Charter Oak Landscape Development, Inc. is a boutique residential design-build landscape firm based in Visalia, California. We specialize in thoughtfully designed outdoor environments that balance aesthetics, function, and constructability. Our work emphasizes clear process, collaborative design, and high-quality execution from concept through installation.

Position Overview

Charter Oak Landscape Development is seeking a Mid-Level Landscape Designer to join our design team. This position will work in close collaboration with our Lead Designer, while also gradually assuming responsibility for their own design clients.

Client ownership will be shared initially, with the opportunity to manage independent projects as experience and familiarity with our standards grow. This role is ideal for a designer who is confident in production and design development, values collaboration, and is eager to grow within a design-build firm.

Key Responsibilities

Design & Client Work

• Support shared design projects led by the Lead Designer
• Gradually assume responsibility for assigned design clients
• Develop design concepts, layouts, and material palettes
• Incorporate client feedback and design revisions efficiently
• Participate in client presentations and design meetings

Technical Production

• Produce complete design drawings suitable for construction
• Draft planting plans, hardscape layouts, and site details
• Coordinate designs with irrigation, lighting, and grading concepts
• Maintain clean, organized CAD files consistent with firm standards

Team Collaboration

• Coordinate with project management and installation teams
• Participate in internal design reviews and coordination meetings
• Support design documentation through construction as needed

Qualifications

Required

• 3–7 years of residential landscape design experience
• Proficiency in CAD drafting (Land F/X strongly preferred)
• Experience producing construction-ready landscape drawings
• Strong design judgment and attention to detail
• Ability to manage multiple projects concurrently
• Professional written and verbal communication skills

Preferred

• Experience in a residential design-build environment
• Familiarity with California landscapes and Central Valley climate conditions
• Knowledge of irrigation and planting systems
• Experience preparing drawings for permit or construction use

Work Structure & Growth



• Mid-level position with clear mentorship and collaboration
• Shared client responsibility transitioning to independent ownership
• Direct exposure to built projects from design through installation
• Opportunity for long-term growth within the firm

Position Details

• Full-time position
• In-office (Visalia, CA) or hybrid arrangement considered
• Compensation based on experience and qualifications

Application Instructions

Please submit:

• Resume
• Portfolio of relevant work (required)
• Brief statement of interest

**Job Description
**: As a Warehouse Worker at FedEx, you will perform a variety of tasks essential to the smooth operation of the warehouse.

Your responsibilities will include picking and packing orders, handling inventory, and maintaining a clean and organized workspace.

You will need to operate various types of machinery, including forklifts and pallet jacks, to move heavy items safely.

This role requires physical endurance, attention to detail, and the ability to work as part of a team in a fast-paced environment.

Ensuring that all safety protocols are followed is a critical aspect of this position.

Uncapped Earnings for Relentless Sales Pros: Become an Independent Sales Rep with Schaeffer Manufacturing!

Are you built for the hunt, genetically wired to win, and ready to command your own high-income destiny?

Schaeffer Manufacturing Company —a top provider of premium lubricants, synthetic oils, and advanced fuel additives — is looking for hungry, aggressive outside sales professionals driven to dominate their territory and maximize commissions.

If you want the freedom to run your own business and earn what you’re truly worth, keep reading.

What You’ll Be Selling—and To Whom:

• Our products: Premium lubricants, synthetic oils, and cutting-edge fuel additives trusted for performance, durability, and real ROI.
• Your targets: You’ll sell directly to front-line, equipment-dependent clients—farmers, independent truckers, construction crew owners, mining operations, excavators, manufacturers, forestry managers, industrial accounts, and even racing teams. If it rolls, hauls, digs, conquers terrain, or runs machinery, it NEEDS what you’ll offer.

Compensation:

• True uncapped, commission-only upside (1099 contractor)—your effort, your fortune, no limits.
• Monthly and year-end bonuses for high-performance reps.

Unmatched Support:

• Comprehensive onboarding: Online, live, and hands-on field training kicks off your success.
• On-demand backup: Tech and sales support teams respond instantly, so you’re never hung out to dry.

Who Succeeds Here:

• Aggressive, highly motivated entrepreneurs who want the ball in their hands.
• Natural hunters ready to chase down new clients, close hard, and build a book that pays for years.

Many of our top-producing reps say their only regret is not joining Schaeffer sooner. If you’re searching for unlimited opportunity to sell proven, high-value products to real-world businesses, this is your moment.

Ready to OWN your income and your market?

Apply today to join Schaeffer Manufacturing Company.

Customs and Border Protection Officer (CBPO) NEW RECRUITMENT INCENTIVES! U.S.

Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

You will be part of the Department of Homeland Security workforce, protecting American interests and securing our nation.

If you are looking for a rewarding career with great pay, benefits, and job stability, now is the time to make your move.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW As a Customs and Border Protection Officer (CBPO) , you will be part of our 60,000 workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity.

Being a CBPO makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include: Enforcing customs, immigration, and agriculture laws and regulations.

Facilitating the flow of legitimate trade and travel.

Conducting inspections of individuals and conveyances.

Determining the admissibility of individuals for entry into the United States.

Preventing the illegal entry of individuals and prohibited goods and the smuggling of illegal drugs and other contraband.

Duty Locations – Incentives available for some locations You will be asked to provide your preference for one of the following mission-critical locations: Anchorage, AK; Douglas, Lukeville, Nogales and San Luis, AZ; Calexico, Otay Mesa, San Francisco, San Ysidro, and Tecate, CA; Washington, D.C.; Key West, Miami, and Orlando FL; Honolulu, HI; Chicago, IL; Calais, Eastport, Houlton, Jackman, Madawaska, Van Buren, and Vanceboro, ME; Detroit, Port Huron, and Sault Ste Marie, MI; Grand Portage and International Falls, MN; Raymond, Roosville, Sweetgrass, and Wild Horse, MT; Columbus and Santa Teresa, NM; Alexandria Bay, Champlain, Massena, Trout River, and Buffalo NY; Dunseith, Pembina, and Portal, ND; Brownsville, Dallas, Del Rio, El Paso, Hidalgo, Laredo, Presidio, Progreso and Houston, TX; Beecher Falls, Derby Line, Highgate Springs, Norton, and Richford, VT; Blaine, Oroville, and Sumas, WA.

The preference locations listed above are expected to have vacancies available in the future, however, if the duty locations do not have vacancies at the time of your final offer, you may be offered a duty location in another geographic location within the United States.

Locations offered are based on operational and mission requirements and critical agency hiring needs for entry-level CBPOs as determined by the CBP Office of Field Operations (OFO).

Salary – and Duty Location Recruitment Incentives – and Benefits Recruitment Incentive Newly appointed Customs and Border Protection Officers (as defined in 5 CFR 575.102 ) will be offered up to a $15,000 incentive per year, for a three-year service contract, in the following locations: Arizona: Douglas, Lukeville, Nogales, San Luis California: Calexico Hawaii: Honolulu Maine: Calais, Eastport, Houlton, Jackman, Madawaska, Van Buren, Vanceboro Michigan: Detroit, Port Huron, Sault Sainte Marie Minnesota: Grand Portage, International Falls Montana: Raymond, Sweetgrass New York: Alexandria Bay, Champlain, Massena, Trout River North Dakota: Dunseith, Portal Vermont: Beecher Falls, Derby Line, Highgate Springs, Norton, Richford Washington: Blaine, Oroville Recruitment Incentive Newly appointed Customs and Border Protection Officers (as defined in 5 CFR 575.102 ) will be offered up to a $15,000 incentive per year, for a four-year service contract, in the following locations: California: Otay Mesa, San Francisco, San Ysidro, Tecate Florida: Key West North Dakota: Pembina Annual Base Salary for newly appointed CBPOs varies as follows: GS-5 and GS-7 $40,332
- $109,952 per year Locality pay varies by duty location.

Note: A fully trained CBPO is eligible for up to $45,000 in overtime pay in addition to the starting salary.

Grade level eligibility and salaries vary depending upon background, including experience and education, and duty location of the opportunity.

This is a career ladder position with a grade level progression of GS-5, GS-7, GS-9, GS-11, and GS-12.

You will be eligible for a promotion to the next higher grade level (without re-applying) once you successfully complete 52 weeks in each grade level.

Promotions are at the discretion of the agency.

Officers are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional and ROTH 401(k) offering.

Qualifications: You qualify for the GS-5 grade level if you possess one of the following: Experience: A minimum of three (3) years full-time general work experience that demonstrates the ability to meet and deal with people and the ability to learn and be able to apply a body of facts; OR Education Substitution: A bachelor's degree or successful completion of a full four (4)-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR Combination of Experience and Education: A combination of successfully completed college education AND general work experience.

This will be calculated using your resume and official or unofficial college transcripts submitted with your application.

You qualify for the GS-7 grade level if you possess one of the following: Experience: A minimum of one (1) year of specialized full-time work experience equivalent to at least the next lower grade level that includes: Performing physical inspections of people, documents or goods for criminal activity, fraud, and/or illegal operations.

Utilizing observational techniques, evaluating facts, and reviewing documentation while applying Federal, State, or local laws and regulations.

Making determinations in compliance with laws and regulations that may lead to arrests, seizure of property, fines, and/or penalties based on findings.

OR for the GS-7 grade level: Education Substitution: A bachelor's degree with Superior Academic Achievement based on (1) class standing, (2) grade-point average (3.0 or higher), or (3) honor society membership; OR one (1) full year of graduate-level education.

This education must demonstrate the knowledge, skills, and abilities necessary to do the work; OR Combination of Experience and Education: A combination of specialized work experience equivalent to the next lower grade level AND graduate level education from an accredited college or university.

This will be calculated using your resume and official or unofficial transcripts submitted with your application.

If you have previous or current law enforcement or military law enforcement experience , you may qualify at the GS-9 grade level.

See the GS-9 Job Opportunity Announcement (JOAs) at USAJOBS, the federal government's official employment site to determine if you qualify.

Other Requirements: Citizenship : You must be a U.S.

Citizen to apply for this position.

Residency : You must have had primary U.S.

residency (includes protectorates as declared under international law) for at least three (3) of the last five (5) years.

Age Restriction : In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions.

Candidates must be referred for selection to the Customs and Border Protection Officer position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03.

The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C.

8336(c) or Title 5 U.S.C.

8412(d).

Veterans' Preference : You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA).

The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training : You will be required to complete a paid pre-academy orientation for approximately two (2) weeks at your home port.

You will then attend a 101-day training program – CBP Field Operations Academy – conducted at the Federal Law Enforcement Training Center (FLETC) located in Glynco, GA.

This training consists of basic law enforcement skills, immigration laws, firearms training, examination of cargo/bags/merchandise, physical fitness, etc.

Candidates assigned to the southern border, Miami, or Puerto Rico duty locations must attend and pass an online Spanish training program, which will be completed at their home port.

Successful completion of the Academy is required for this position .

How to Apply: Click the Apply button on this site.

You will be linked to the CBP Talent Network page.

For Position of Interest , select Customs and Border Protection Officer.

You'll then receive a link(s) to the CBPO JOA(s) on USAJOBS to complete your application.

Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit.

You will be evaluated based on your resume, supporting documents, and the CBPO Entrance Exam.

As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with OFO and CBP.

A MISSION WORTHY OF A CAREER!

If you’re looking for “just a job,” then stop reading right now. But, if you’re looking for a long-term federal law enforcement career, one that makes a difference every day to our country and its citizens, then the U.S. Border Patrol (USBP) would like you to take the first step to becoming an entry level Border Patrol Agent. 

USBP is hiring immediately to fill full-time,entry-level, career positions in federal law enforcement where your prior experience in public safety, security, military police or law enforcement may qualify. Train and work with an elite team of professionals whose camaraderie, pride, and sense of purpose are hallmarks of their daily mission of protecting America. 

Now is the time to make your move because, along with excellent base pay, exceptional benefits, and job stability, USBP is offering up to $60,000 in additional incentives (see details below).

Salary and Benefits

Annual base salary for newly appointed BPAs varies per grade, as follows: GL-5/GL-7 $51,632 - $92,219 per year. Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.

*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102) will be eligible for up to $20,000 in incentives. The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location such as Sierra Blanca, Presidio, Sanderson, Comstock, Freer or Hebbronville, TX; Lordsburg, NM; or Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duty Locations

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates’ first-choice preferences. RELOCATION MAY BE REQUIRED. 

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level. 

Duty Locations: You will be asked to select your preferred location for one of the following mission critical locations:

• Big Bend Sector Stations - *Presidio, Van Horn, *Sanderson, Alpine, *Sierra Blanca, Marfa

• Buffalo Sector Stations - Wellesley Island

• Del Rio Sector Stations - Del Rio, Brackettville, *Comstock, Eagle Pass North, Eagle Pass South, Carrizo Springs, Uvalde

• El Paso Sector Stations - Alamogordo, Clint, Deming, El Paso, Fort Hancock, Las Cruces, *Lordsburg, Santa Teresa, Ysleta

• El Centro Sector Stations - El Centro, Indio, Calexico

• Grand Forks Sector Stations - Pembina

• Havre Sector Stations - Havre, Malta, Plentywood, Scobey, Sweetgrass

• Houlton Sector Stations - Calais, Fort Fairfield, Jackman, Rangeley, Van Buren

• Laredo Sector Stations - Laredo South, Cotulla, *Hebbronville, Laredo West, *Freer, Laredo North, Zapata

• Rio Grande Valley Sector Stations - Rio Grande City, Fort Brown, McAllen, Brownsville, Falfurrias, Weslaco, Kingsville, Harlingen

• San Diego Sector Stations - Boulevard, Brownfield, Campo, Chula Vista, Imperial Beach, Murrieta, San Clemente

• Spokane Sector Stations - Colville, Curlew, Metaline Falls, Oroville

• Swanton Sector Stations - Beecher Falls, Burke, Champlain, Newport, Richford

• Tucson Sector Stations - *Ajo, Tucson, Nogales, Douglas, Brian A Terry, Sonoita, Casa Grande, Three Points Substation, Willcox

• Yuma Sector Stations - Blythe, Yuma, Wellton

Duties and Responsibilities

As a BPA, you will be part of our 60,000+ workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation’s economic prosperity. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession. 

Typical assignments include: 

• Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations
• Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations
• Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband
• Performing farm checks, building checks, traffic checks, city patrols, and transportation checks
• Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications

You qualify for the GL-5 grade level if you possess one of the following: 

Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; OR 

Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR 

Combination of Experience and Education: A combination of general work experience AND successfully completed college education. This will be calculated using your resume and official or unofficial transcripts submitted with your application. 

You qualify for the GL-7 grade level if you possess one of the following: 

Experience: One year of specialized work experience that shows you have the skills necessary to: 

• Make sound judgments and decisions in the use of firearms.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. Or will receive a bachelor's degree with Superior Academic Achievement. Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR 

A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application. 

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position. 

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years. 

Age Restriction: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions. Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03. The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military)

Do you want to become a surrogate? We are now offering a sign on bonus to all qualified and matched surrogates that sign contracts. The first step is to fill out our surrogate application. A fertility specialist will contact you to continue the process. For intended parents interested in surrogacy to start or grow their families please contact us today. The surrogacy process is complex, but we will be with you every step of the way. Call today to get started.

Women who may have the ability to produce eggs but are unable to use their uterus or do not have a uterus, may consider a surrogate. A donated egg may also be used with the surrogate in the event a woman cannot produce her own eggs or her uterus is not intact or insufficient to carry a pregnancy. In either case, the husband's sperm, if viable, may be used.

Using an egg donor unrelated to the surrogate carrier eliminates any biological tie. The egg of the surrogate is never used as part of the assisted reproduction process, so that a surrogate is never in the position of delivering her own biological child.

The basic requirements of a woman to serve as a surrogate are:

• Emotionally stable
• Responsible
• In good physical health
• Non-smoker
• Has had at least one successful pregnancy
• Is capable of carrying a child to full term

A woman is not required to fall within a particular age range to serve as a surrogate, but most intended parents prefer a surrogate under the age of 40. For more information on surrogacy please see the documents on the left side of this page.

In Texas, there is a judicial process for validating the Gestational Contract (the contract between the intended parents and the surrogate). Included within the various requirements for having a Gestational Contract validated by a Texas court is that the intended parents must be married and the surrogate must have previously carried a child to term. Additionally, there are residency requirements that apply to either the surrogate or the intended parents, but not both.

Compensation for a surrogate services generally starts in the range of $35,000 - $40,000, for base compensation with over all fees up to 70k, in many cases. The amount of compensation is dependent upon a variety of factors, including, but not limited to, whether the surrogate carries twins, what procedures a surrogate is required to undergo and whether the delivery is vaginally or by cesarean section.

Job Title: Chief Nursing Officer (CNO)

Company Overview: Kaweah Health is dedicated to providing exceptional healthcare services to the community. The organization prides itself on a humble and flat structure, where leadership is approachable, and collaboration is highly valued. Kaweah Health has achieved significant accomplishments, including recognition for high-performing maternity care, delivering 4700 babies annually, and possessing programs that rank in the top 50/100 nationally. The culture emphasizes high expectations, accountability, pride in work, and a commitment to excellence and compassion in all endeavors.

Position Overview: Kaweah Health is seeking a visionary and experienced Chief Nursing Officer (CNO) to provide administrative oversight and strategic leadership for all nursing practice and services. This pivotal role involves shaping the future of nursing at the organization, ensuring patient safety, fostering a collaborative environment, and developing a high-functioning nursing team. The ideal candidate will be a compassionate leader with strong clinical expertise and a proven ability to drive positive change and achieve measurable improvements in patient care and staff retention.

Primary Responsibilities:

The CNO will articulate and execute a clear vision for nursing that prioritizes patient safety and fundamental nursing practices. They will mitigate the challenges of a novice nursing workforce by investing in skill development through leaders and the education department. A key responsibility is to create a culture that promotes retention among nurses by fostering a supportive and growth-oriented environment. The role demands setting and maintaining high expectations and standards for nursing care, consistently emphasizing compassion and safe practices. Furthermore, the CNO will foster stronger partnerships and open communication between nurses and physicians, actively working to mend existing friction and rebuild collaborative relationships.

Key Qualifications and Skills:

The successful candidate will be a highly capable and experienced leader with strong leadership skills and deep clinical expertise. They must possess the ability to articulate a compelling vision for nursing and effectively execute fundamental skills training initiatives. A collaborative style, open to input and feedback from teams, is essential. The CNO must demonstrate a strong belief in and consistent application of compassion in leadership. This individual needs to be a visionary with a broad perspective on what is both possible and realistic for the organization and the community. Finally, the CNO must be approachable and humble, embodying a "person of the people" attitude.

Certifications or Educational Requirements:

Candidates must be a Registered Nurse (RN) and hold a Master's (MSN) or a Doctor prepared nurse degree.

Ideal Experience Level:

The CNO should possess clinical experience as a former nurse, ideally having worked in critical care units such as the ICU, to demonstrate a deep understanding of clinical challenges and possibilities. Experience in assessing an organization, articulating a future vision, gaining buy-in and consensus, and successfully executing plans is crucial. A proven ability to improve objective measures such as infection rates, serious medical events, and patient experience scores is highly desired. The candidate should have experience in fostering consistent unit cultures that align with the organization's mission and vision, as well as a track record of improving nurse and physician communication and collaboration.

Team and Reporting Structure:

The CNO will be an integral part of the executive team and will report directly to Marc Mertz, the CEO. This role will collaborate closely with leaders and directors within the nursing department, the education department, physicians (including the chief of staff and medical directors on the units), the executive team, and the board.

Key Priorities in the First Six Months:

The CNO's top three priorities in the initial six months include rapidly assessing the current state of nursing at Kaweah Health and articulating a clear vision for its future, focusing on fundamental skills and hands-on training for nurses. A major priority is developing clinical professionals' skills and creating a supportive culture that improves retention. The CNO must also actively foster collaboration and improve nurse-physician communication, working to mend friction and build stronger partnerships through open dialogue.

Challenges and Opportunities:

This role offers a significant opportunity to shape and build a high-functioning nursing team from the ground up, bringing together scattered organizational components. The CNO has the chance to instill a culture of compassion, excellence, and continuous improvement, aligning with the CEO's vision for Kaweah Health. There is also an opportunity to increase external recruitment to introduce diverse experience and talent, balancing it with internal growth pathways. The CNO can leverage the CEO's commitment to high expectations, accountability, and pride in work to drive substantial organizational change.

KPIs for Success:

Success in this role will be measured by objective indicators such as a reduction in infection rates on the units, a decrease in serious medical events, and an improvement in patient experience scores. Cultural and relational measures include achieving consistency in culture across different units, fostering positive reactions from nurses when the CNO is present on the unit, and establishing stronger, more open partnerships and communication with physicians. This will be evidenced by a reduction in complaints through systems like Midus and improved scores in employee and physician engagement surveys regarding nurse-physician communication.

Candidate Profile:

The ideal candidate will possess deep compassion, demonstrating a strong belief in treating patients and colleagues with care, recognizing its impact on healing and employee well-being. Collaboration is essential, requiring the ability to engage leaders and nurses in discussions, solicit feedback, and build consensus. The CNO must be approachable, humble, and able to connect with individuals at all organizational levels. A visionary mindset is crucial, enabling the articulation of a clear future for nursing at the organization while considering what is possible and realistic. Strong leadership skills are necessary to guide and develop a team, particularly a novice nursing workforce.

Advantageous experience includes "clinical chops," meaning practical, hands-on experience as a former nurse, ideally in critical areas like the ICU, to deeply understand the realities and challenges of patient care. Leadership experience demonstrating the ability to assess an organization, articulate a vision, gain buy-in, and execute plans effectively is highly valued.

Border Patrol Agent (BPA) Entry Level

NEW RECRUITMENT AND RETENTION INCENTIVES!

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences. Relocation may be required.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

If you seek an exciting and rewarding job that provides excellent pay, exceptional federal benefits, and job stability, now is the time to make your move. U.S. Border Patrol (USBP), within the U.S. Customs and Border Protection (CBP), is hiring immediately for these full-time, entry-level, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits

Annual Base Salary for newly appointed BPAs varies per grade, as follows:

GL-5/GL-7 $49,739 - $89,518 per year

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.

*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be offered up to a $20,000 incentive. The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duties and Responsibilities

As a BPA, you will be part of our 60,000+ workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations
• Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations
• Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband
• Performing farm checks, building checks, traffic checks, city patrols, and transportation checks
• Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications

You qualify for the GL-5 grade level if you possess one of the following:

Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; OR

Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR

Combination of Experience and Education: A combination of general work experience AND successfully completed college education. This will be calculated using your resume and official or unofficial transcripts submitted with your application.

You qualify for the GL-7 grade level if you possess one of the following:

Experience: One year of specialized work experience that shows you have the skills necessary to:

• Make sound judgments and decisions in the use of firearms.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. Or will receive a bachelor's degree with Superior Academic Achievement. Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR

A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions. Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03. The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

Veterans' Preference: You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA). The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training: After you are hired, you will be detailed to the U.S. Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses. Border Patrol work requires the ability to speak and read Spanish, as well as English. Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.

How to Apply:

Click the Apply button on this site. You will be linked to the CBP Talent Network registration page. For Position of Interest, select Border Patrol Agent, then complete the pre-screening questions.

You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application. Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit. You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam.

If you have questions about the application process, contact a recruiter through the U.S. Border Patrol page: /s/usbp.

As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.

Border Patrol Agent (BPA) Entry Level

NEW RECRUITMENT AND RETENTION INCENTIVES!

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences. Relocation may be required.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

If you seek an exciting and rewarding job that provides excellent pay, exceptional federal benefits, and job stability, now is the time to make your move. U.S. Border Patrol (USBP), within the U.S. Customs and Border Protection (CBP), is hiring immediately for these full-time, entry-level, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits

Annual Base Salary for newly appointed BPAs varies per grade, as follows:

GL-5/GL-7 $49,739 - $89,518 per year

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.

*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be offered up to a $20,000 incentive. The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duties and Responsibilities

As a BPA, you will be part of our 60,000+ workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations
• Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations
• Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband
• Performing farm checks, building checks, traffic checks, city patrols, and transportation checks
• Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications

You qualify for the GL-5 grade level if you possess one of the following:

Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; OR

Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR

Combination of Experience and Education: A combination of general work experience AND successfully completed college education. This will be calculated using your resume and official or unofficial transcripts submitted with your application.

You qualify for the GL-7 grade level if you possess one of the following:

Experience: One year of specialized work experience that shows you have the skills necessary to:

• Make sound judgments and decisions in the use of firearms.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. Or will receive a bachelor's degree with Superior Academic Achievement. Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR

A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions. Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03. The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

Veterans' Preference: You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA). The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training: After you are hired, you will be detailed to the U.S. Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses. Border Patrol work requires the ability to speak and read Spanish, as well as English. Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.

How to Apply:

Click the Apply button on this site. You will be linked to the CBP Talent Network registration page. For Position of Interest, select Border Patrol Agent, then complete the pre-screening questions.

You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application. Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit. You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam.

If you have questions about the application process, contact a recruiter through the U.S. Border Patrol page: /s/usbp.

As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.

Border Patrol Agent (BPA) Entry Level

NEW RECRUITMENT AND RETENTION INCENTIVES!

IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S. Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences. Relocation may be required.

DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW

The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.

If you seek an exciting and rewarding job that provides excellent pay, exceptional federal benefits, and job stability, now is the time to make your move. U.S. Border Patrol (USBP), within the U.S. Customs and Border Protection (CBP), is hiring immediately for these full-time, entry-level, career Law Enforcement Officer (LEO) opportunities.

Salary and Benefits

Annual Base Salary for newly appointed BPAs varies per grade, as follows:

GL-5/GL-7 $49,739 - $89,518 per year

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others. A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014. This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12. You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.

*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be offered up to a $20,000 incentive. The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; Ajo, AZ.

*Retention Incentive* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duties and Responsibilities

As a BPA, you will be part of our 60,000+ workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity. Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include:

• Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations
• Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations
• Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband
• Performing farm checks, building checks, traffic checks, city patrols, and transportation checks
• Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications

You qualify for the GL-5 grade level if you possess one of the following:

Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; OR

Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR

Combination of Experience and Education: A combination of general work experience AND successfully completed college education. This will be calculated using your resume and official or unofficial transcripts submitted with your application.

You qualify for the GL-7 grade level if you possess one of the following:

Experience: One year of specialized work experience that shows you have the skills necessary to:

• Make sound judgments and decisions in the use of firearms.
• Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
• Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership. Or will receive a bachelor's degree with Superior Academic Achievement. Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR

A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level. Please refer to the BPA GL-9 - 11 announcement.

Other Requirements

Citizenship: You must be a U.S. Citizen to apply for this position.

Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions. Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03. The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d).

Veterans' Preference: You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA). The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training: After you are hired, you will be detailed to the U.S. Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses. Border Patrol work requires the ability to speak and read Spanish, as well as English. Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.

How to Apply:

Click the Apply button on this site. You will be linked to the CBP Talent Network registration page. For Position of Interest, select Border Patrol Agent, then complete the pre-screening questions.

You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application. Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit. You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam.

If you have questions about the application process, contact a recruiter through the U.S. Border Patrol page: /s/usbp.

As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.

We are excited to present an opportunity for a Director of Patient Safety and Quality at Kaweah Health, a publicly owned, community healthcare organization in Visalia, California. With over 5,000 employees and an eight-campus healthcare district encompassing 613 beds, Kaweah Health delivers comprehensive health services across a broad continuum of care. Our culture is deeply rooted in responsibility and accountability, emphasizing ownership from our team members. We serve a region with significant needs, making the rewards of contributing to our mission even greater.

Company Overview: Kaweah Health is dedicated to providing state-of-the-art medicine and high-quality preventive services, focusing on making a tangible difference in the health of our patients, loved ones, and community. Dr. Stefanacci, your direct report, fosters a supportive environment with minimal interference.

Position Overview: The Director of Quality orchestrates and influences the work of others to enhance Kaweah Health's mission, vision, and strategic priorities. This high-level leadership role holds accountability for safety and the necessary infrastructures to meet patient and family expectations. You will be instrumental in setting and executing strategies related to quality, patient safety, and regulatory compliance for a billion-dollar health system, impacting a large patient population in the Central Valley.

Primary Responsibilities: The Director of Quality will be responsible for quality, patient safety, and regulatory compliance. This involves collaborating with Dr. Stefanacci CMO/CQO, to set priorities and strategies, and then executing these plans effectively.

The role supports performance improvement activities throughout the organization, providing essential project management, performance improvement, and data analytics support. You will also be responsible for presenting to the CEO, executive team, and the board, and overseeing the quality of care for our extensive patient population.

This position designs and orchestrates the implementation of Quality and Patient Safety Plans, identifies and implements appropriate methods and tools for quality and patient safety, and participates in case review committees to address sentinel events and significant near misses. You will also provide resources for measurement and evaluation, collaborate with medical staff leaders on quality and patient safety systems, and develop a skilled department staff.

Coordinating all Joint Commission accreditation surveys and preparations is a key responsibility, as is identifying and implementing strategies for safety culture improvement and providing professional development opportunities.

Key Qualifications and Skills: We are seeking a candidate with 10 or so years of experience in quality-related roles within a hospital or health system, with at least 5 years of experience as a leader of a department or quality team. Expertise in performance improvement and experience managing people and a department are essential. The ideal candidate will have a proven track record of responsibility for strategic initiatives with demonstrated positive outcomes, showcasing an impact on strategic priorities with measurable results.

Strong collaboration skills are crucial for engaging teams and physicians. A passion for quality and patient safety, coupled with resilience, is highly valued due to the challenges inherent in this role. Required certifications include a current license in a relevant clinical discipline and a Certified Professional in Health Care Quality (CPHQ). Formal training in project management or performance improvement, such as Black Belt or Six Sigma certification, is also required. A Bachelor's degree in Health Care Administration, Nursing, or a relevant clinical discipline with additional training in Quality and Patient Safety is necessary, with a Master's degree preferred.

Team and Reporting Structure: This role reports directly to Dr. Stefanacci, who is the Chief Medical Officer and Chief Quality Officer. The Director of Quality will lead a diverse team comprising a quality team (manager + 5 individuals), an accreditation team (manager + 2 individuals), two data analytics specialists, two project management and performance improvement specialists, a patient safety program manager, and individuals overseeing stroke, sepsis, and clinical practice guidelines programs.

Collaboration is essential with the CEO, executive team, board members, and various internal teams, including Infection Prevention, Quality, Accreditation, Data Analytics, Project Management, Patient Safety, Stroke, Sepsis, and Clinical Practice Guidelines, as well as with physicians.

Key Priorities in the First Six Months: The top priorities for the first six months include demonstrating a measurable impact on strategic priorities by articulating them, establishing benchmarks, and achieving measurable outcomes. You will also support performance improvement activities across the organization, providing essential project management, performance improvement, and data analytics support.

Challenges and Opportunities: This role presents exciting opportunities to be in a leadership position with significant responsibility for setting quality and patient safety strategy for a billion-dollar health system, with direct contact with the executive team and board. You will have the chance to impact healthcare for a very large patient population in the Central Valley. Challenges include engaging teams outside of quality to collaborate on performance improvement and gaining active physician participation.

Candidate Profile: We are looking for individuals with a passion for quality and patient safety, and strong resilience to navigate barriers and roadblocks. Experience at a director level in a hospital or health system quality program, expertise in performance improvement, and experience managing a department or quality team are highly advantageous.

A clinical background is considered very helpful. Candidates should demonstrate ownership and responsibility for programs with measurable outcomes, beyond just achieving high ratings. Experience and responsibility for regulatory and accreditation are also necessary.

Candidates who thrive in community-based organizations with limited support are encouraged to apply.

We are actively seeking to fill this critical position and encourage you to apply if you meet these qualifications and are passionate about making a significant impact on healthcare quality and patient safety.

Mike Duggan is running the search, if you would like to learn more he can be reached at 72 or