Cape Destinations Jobs in Usa
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Orthopaedic Surgeon
StartDate: ASAP Pay Rate: $75 $750000.00
A thriving independent health system in Southern Missouri, just over an hour from St. Louis, is seeking a total joints surgeon to join their team of 7 orthopedic surgeons and 6 mid-levels. This is a rare opportunity to become part of a highly respected, well-established orthopedic program within a 250+ provider network.
Position Highlights:
- Team-Based Excellence : Collaborate with a dedicated team of 7 orthopedic surgeons and 4 experienced Advanced Practice Providers.
- Outstanding Lifestyle : Minimal call (23 nights/month) at a single hospital ensures work-life balance.
- Top-Tier Compensation :
- Guaranteed base salary of $750,000+
- $100,000 sign-on bonus
- Student loan repayment up to $42,000 annually
- Robust Benefits Package :
- 25 days of PTO
- CME time and allowance
- Malpractice coverage
- Health, dental, and retirement plans
- Nationally Recognized Facility :
- Named one of IBM Watson Healths Top 100 Hospitals in the Nation
- A-rated by the Leapfrog Group
Why You'll Love Cape Girardeau, MO:
- Prime Location : Nestled on the Mississippi River, just 1 hour from St. Louis with a regional airport offering direct flights to major cities.
- Family-Centric Community : Safe neighborhoods, strong public and private schools (including one of the nations top 50 Catholic schools).
- Education Hub : Home to Southeast Missouri State University, offering Division I NCAA athletics and a vibrant arts scene.
- Recreation & Culture :
- Beautiful parks, hiking, and nearby state/national parks
- Downtown dining, shopping, and live entertainment
- Dalhousie Golf Club a premier private course designed by Jack Nicklaus
Candidate Requirements:
- Board Certified or Board Eligible in Orthopedic Surgery (ABOS)
- MD or DO candidates welcome
- Open to 2026/2027 Residents and Fellows
- Subspecialists are strongly encouraged to apply
Required Qualifications
Board Certified or Board Eligible in Orthopedic SurgeryoAmerican Board of Orthopaedic SurgeryMD and DO
Facility Location
Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi. Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms. Antiques, art galleries and museums dominate downtown and speak to the unique character of the city. Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities. The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Job Description & Requirements Otolaryngologist
- ENT Physician StartDate: ASAP Available Shifts: 1:4 Call Pay Rate: $600000.00
- $600000.00 A thriving independent health system in Southern Missouri, just over an hour from St.
Louis, is seeking an Otolaryngologist to join their team of 4 physicians and 2 advanced practice providers.
This is a rare opportunity to become part of a highly respected, well-established ENT program within a 250+ provider network.
Position Highlights: Guaranteed Base Salary of $600,000or greater based on productivity Up to $42,000/yearinStudent Loan Repayment $50,000 Sign-On BonusorMonthly Residency Stipend Relocation Assistance up to $15,000 3 nights/month of callat a single hospital Enjoy work-life balance 25 days PTO + CME stipend & days Full benefits packageincluding malpractice, health, dental, and retirement plans Practice Details: Join a collaborative team of4 ENT physicians, 2 NPs, 2 audiologists, and allergy staff No post-clinic notes scribes provided at all times Clinic hours:MondayFriday, 8:00 AM4:30 PM Daily Volume: 28 clinic patients; 1012 OR cases weekly Full-spectrum ENT includingthyroid/parathyroid, head & neck oncology, and more Serving a robust720,000 patient population Hospital Recognition: Nationally ranked as one of IBM Watson HealthsTop 100 Hospitals Leapfrog GroupA-rated hospital Community Snapshot Cape Girardeau, Missouri: Just over 1 hour from St.
Louis with aregional airport(direct flights to St.
Louis, Chicago & Nashville) Family-friendly withtop-tier public and private schools, including one of theTop 50 Catholic Schoolsin the nation Home toSoutheast Missouri State University(D-I athletics & performing arts) Access tostate parks, riverfront recreation, fine dining, andtop-ranked golf at Dalhousie Golf Club ? Required Qualifications US Residency Trained and Board Certified or Eligible in Otolaryngology Facility Location Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi.
Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms.
Antiques, art galleries and museums dominate downtown and speak to the unique character of the city.
Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities.
The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
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Triage Staffing is seeking a travel Physical Therapy Assistant for a travel job in Cape May Ct House, New Jersey.
Job Description & Requirements
- Specialty: Physical Therapy Assistant
- Discipline: Therapy
- Start Date: ASAP
- Duration: 26 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
Travel Rehab: Physical Therapy Cape May Ct House, NJ
Location: Cape May Ct House, NJ
Start Date: 11/3/2025
Shift Details: 8H Days
40 hours per week
Length: 26 WEEKS
Apply for specific facility details.Physical Therapy Assistant
Triage Staffing Job ID #TG4FUTL7. Posted job title: Rehab: Physical Therapy
About Triage Staffing
At Triage, we prefer to be real. Real about expectations—both ours and yours. Real about how a decision you make today could affect your tomorrows. Real about how compensation actually works. Real about how great—or grating—your next supervisor may be.
Being real allows everyone at Triage to be ready. Ready to serve you with real honesty. So if that gig near the ocean is really no day at the beach, or that third shift comes with a second-class rate, we tell you. So you can be ready, too.
We staff all five major divisions of acute care—nursing, lab, radiology, cardiopulmonary and rehab therapy, offering:
- Competitive, custom pay packages
- One point of contact for both travelers and facilities (per division)
- A reliable recruiter who's got your back throughout your entire assignment
- In-house compliance and accounting specialists
- A clinical liaison team available 24/7 to offer medical and professional support and career development
- A mentoring program that is run and managed by actual clinicians—yeah, you read that right
- And more (because of course there’s more)
Are we the biggest? No. Are we the best? That’s rather subjective, but we’re trying to be. Will we work like hell to get you as close to your idea of heaven as possible? Yes. Yes, we will.
Benefits:
- Day One comprehensive, nationwide insurance plans for health, vision and dental and life—including a HSA option
- Day One 401(k) program with employer-matching contributions once eligible
- Facility cancelling protection—your time is money on and off-the-clock
- Guaranteed hours
- Weekly paychecks via direct deposit
- Earned vacation bonuses for time worked
- Paid holidays
- Employee assistance program (EAP)—your mental health is important, too
- Continuing education, certification and licensing reimbursement
- Workers comp—because accidents happen
- Top-rated professional liability insurance
- Company provided housing options
- Referral bonus—$750 in your pocket after they’ve completed a 13-week assignment
Travel Stepdown RN
Company: Fusion Medical Staffing
Location: Facility in Cape Girardeau, Missouri
Job Details
Fusion Medical Staffing is seeking a skilled Stepdown RN for a 13-week travel assignment in Cape Girardeau, Missouri. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Required Qualifications:
- One year of recent experience as a Stepdown RN
- Current Valid RN license in compliance with state regulations
- Current BLS Certification (AHA/ARC)
- Current ACLS Certification (AHA/ARC)
Preferred Qualifications:
- Progressive Care Certified Nurse (PCCN) Certification
- NIHSS Certification
- Other certifications and licenses may be required for this position
Summary:
A Stepdown Registered Nurse provides care to patients who are transitioning from intensive care to medical-surgical or general inpatient units. These patients require frequent monitoring and specialized nursing interventions. They assess and manage complex patient needs, administer medications and treatments, and collaborate with multidisciplinary teams to ensure safe, patient-centered care.
Essential Work Functions:
- Monitors and interprets cardiac rhythms, vital signs, and other telemetry data to detect abnormalities and respond appropriately
- Administers prescribed medications and treatments in accordance with approved nursing techniques, with a focus on cardiac care
- Prepares equipment and aids physician during cardiac-related procedures and examinations
- Maintains awareness of comfort and safety needs of telemetry patients
- Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's cardiac status and response to interventions
- Responds to life-saving situations based upon nursing standards, policies, procedures, and protocols specific to cardiac emergencies
- Documents nursing history and physical assessment for assigned telemetry patients
- Initiates patient education plans according to individualized needs, focusing on cardiac health, risk factors, and lifestyle modifications
- Collaborates with the interdisciplinary team to ensure comprehensive care for telemetry patients
- Maintains confidentiality of patients and client
- Performs other duties as assigned within the scope of practice
- Adheres to hospital safety protocols, infection control guidelines, and regulatory standards
Required Essential Skills:
- Critical thinking, service excellence, and good interpersonal communication skills
- The ability to read, write, and communicate in the English language
- Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills
- Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend
- Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism
- Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment
- Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail
- Sensory - Must possess visual acuity and ability to effectively communicate
Benefits Include:
- Highly competitive pay for travel professionals
- Comprehensive medical, dental, and vision insurance with first day coverage
- Paid Time Off (PTO) after 1560 hours
- Life and Short-term disability offered
- 401(k) matching
- Aggressive Refer-a-friend Bonus Program
- 24/7 recruiter support
- Reimbursement for licensure and CEUs
Why Choose Fusion?
At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you — that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.
Other Duties Disclaimer:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.
Start your rewarding career as a Stepdown RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!
*Fusion is an EOE/E-Verify Employer
About Fusion Medical Staffing:
Fusion Medical Staffing provides career opportunities to healthcare professionals by helping medical facilities fill their staffing needs. Fusion staffs a variety of specialties within the nursing and allied healthcare fields. We offer competitive pay packages and benefits that travelers deserve. At Fusion, you can seriously choose your own adventure!
Fusion's purpose is to ensure that everyone we touch has a better life. We strive to be humble, driven and positive in all our actions!
Specialty Fields:
- Cardiopulmonary
- Cath Lab
- Home Health
- Laboratory
- Long Term care
- Nursing
- Radiology
- Therapy
Plumino Precision Fermentation USA, Inc.
Cape Girardeau, Missouri, United States (On-site)
Plumino USA is a manufacturing company based in Cape Girardeau, Missouri and part of an international group with operations in multiple countries. Our U.S. team works closely with colleagues in China, and we are seeking a bilingual professional to support communication and coordination between teams.
Position Overview
We are looking for a Bilingual Manager Assistant (Chinese–English) to support company management in daily operations and cross-border communication.
This role will primarily focus on translation, coordination, and administrative support, helping ensure smooth communication between the U.S. team and Chinese management.
Key Responsibilities
- Provide Chinese–English interpretation and translation during meetings, calls, and daily communication
- Translate documents including reports, emails, presentations, and internal communications
- Assist management with meeting coordination, scheduling, and follow-ups
- Support communication between U.S. staff and overseas management teams
- Help prepare reports, presentations, and operational documents
- Coordinate with different departments to support daily operations
- Provide general administrative and operational support as needed
Qualifications
- Fluent in Mandarin Chinese and English (spoken and written)
- Bachelor’s degree preferred
- Strong communication and organizational skills
- Detail-oriented with the ability to manage multiple tasks
- Ability to work in a collaborative and fast-paced environment
- Previous experience in translation, administrative support, or manufacturing environment is a plus
Work Location
This position is on-site in Cape Girardeau, Missouri.
Why Join Us
- Work with an international team in a growing company
- Opportunity to participate in cross-border business operations
- Dynamic and collaborative work environment
Job Description & Requirements Family Medicine Physician StartDate: ASAP Available Shifts: Monday
- Friday 8-5 Pay Rate: $260000.00
- $270000.00 A primary care practice outside St.
Louis, Missouri is seeking a family medicine or internal medicine physician.
Located in a vibrant town on the Mississippi River, you can expect lucrative compensation including a base of $260,000+ and major student loan repayments.
Opportunity Highlights Base salary starting at $260,000 + RVU incentive 100% outpatient with a full primary care team Up to $420,000 for student loan repayments 5 weeks for vacation + full benefits package 1 week and $5,000 for CME $15,000 for relocation assistance Community Information This Missouri community is a family-centric place with more than 250 years of history.
Youll find nationally-ranked schools, true Midwest hospitality, and amazing access to the outdoors.
Plus, youll be less than two hours from St.
Louisa perfect distance for weekend visits.
Nationally-ranked public and private school options Metro area with 100,000+ population + low cost of living Home to a university with NCAA athletics and performing arts center Abundant outdoor activities, expansive city park system, and nearby national forests and state parks Nationally-ranked golf course + fine arts, shopping, dining, and entertainment Regional airport with direct flights to St.
Louis, Chicago, and Nashville Facility Location Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi.
Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms.
Antiques, art galleries and museums dominate downtown and speak to the unique character of the city.
Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities.
The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
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Job Description & Requirements Emergency Medicine Physician StartDate: ASAP Available Shifts: 14 shifts per month Pay Rate: $422000.00 A well-established health system outside St.
Louis is seeking a board-certified and residency-trained emergency medicine physician.
The schedule for this role is 14 shifts per month.
Plus, you can expect to earn beyond $422,000, along with excellent benefits.
Opportunity Highlights $422,000 base salary + incentives 14 shifts/month Level III trauma center + established health system Up to $420,000 in student loan repayments $50,000 signing bonus or $2,000 monthly residency stipend $5,000for annual CME Full benefits package Community Information This Missouri community is a family-centric place with more than 250 years of history.
Youll find nationally-ranked schools, true Midwest hospitality, and amazing access to the outdoors.
Plus, youll be less than two hours from St.
Louisa perfect distance for weekend visits.
Nationally-ranked public and private school options Metro area with 100,000+ population + low cost of living Home to a university with NCAA athletics and performing arts center Abundant outdoor activities, expansive city park system, and nearby national forests and state parks Nationally-ranked golf course + fine arts, shopping, dining, and entertainment Regional airport with direct flights to St.
Louis, Chicago, and Nashville Required Qualifications must have completed EM residency Facility Location Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi.
Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms.
Antiques, art galleries and museums dominate downtown and speak to the unique character of the city.
Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities.
The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
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Job Description & Requirements Otolaryngologist
- ENT Physician StartDate: ASAP Available Shifts: 1:4 Call Pay Rate: $600000.00
- $600000.00 An independent health system in Southern Missouri is seeking a board-certified or board-eligible otolaryngologist to join an established ear, nose, and throat practice that serves adult and pediatric patients in the southeast Missouri and southern Illinois regions, as well as patients in western Kentucky.
Join a practice with 4 otolaryngologists and 2 nurse practitioners, with adequate patient volume available on day one.
Opportunity Highlights: Guaranteed $600,000 Base Salary or great of billings annually Aggressive Student Loan Repayment Plan up to $420,000 $50,000 commencement bonus or Monthly Stipend option for Residents Relocation Allowance up to $15,000 Clinic Information The clinic is also staffed with 2 audiologists and multiple allergy immunotherapy personnel.
NO ER CALL requirement.
Clinic hours 8:00 AM-4:30 PM.
Physicians have scribes at all times in the clinic, thus no notes to complete after clinic.
Average 28 clinic patients per day and 10-12 surgical procedures per week.
Award-winning hospitalnamed in the Top 100 Hospitals in the Nation by IBM Watson Health + ranked as an A-rated hospital by the Leapfrog Group Our practice services a patient population of 720,000 and offers the true capability to practice all aspects of ENT.
High-volume thyroid/parathyroid surgical patients are available as well as surgical management of head and neck cancer, for those interested Community Information: Located 90 minutes from St.
Louis in a family-friendly college town Low cost of living and a vibrant medical community Excellent public and private schools Home to a Division I school with NCAA athletics and a performing arts center Close to Montauk State Park and Shawnee National Forest for outdoor activities like hiking, biking, and fishing Nationally ranked golf course, diverse arts and cultural attractions, and a range of shopping and dining options Regional airport with easy access to international airports ?Tolearnmoreortoapply,pleasedirectinquiriestoJoe HaweofAMNHealthcareat or Click Here to schedule a call with me.
Applicants should include a complete CV and a letter of interest outlining relevant experience.
? Required Qualifications US Residency Trained and Board Certified or Eligible in Otolaryngology Facility Location Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi.
Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms.
Antiques, art galleries and museums dominate downtown and speak to the unique character of the city.
Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities.
The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
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Job Description & Requirements Non-Invasive Cardiology- $665,000 Year 1 Guaranteed StartDate: ASAP Opportunity Highlights $665,000 Year 1 while being able to pay off 100% of your student loans Day 1 when you start (Up to $420,000) 6 Weeks PTO/CME Join a large team of 21+ providers including Non-Invasive Cardiology, Invasive, Interventional, and EP Cardiology specialists.
Be part of one of the Top Healthcare Systems in the state.This hospital services over 700,000 patients across Missouri, Tennessee, Arkansas, Kentucky and Illinois.
Diverse group of cardiologists within the practice including 2 female MD's that have already started a women's health cardiology program.
Nationally-affiliated team + full-range cardiac services Full benefits package, retirement, and malpractice Part-time and Full-Time needs currently available.
All candidates are encouraged to apply! Nationally Affiliated Heart Team- Come work for the largest, most experienced, and most trusted group in the region.
Community Information This Missouri community is a family-centric place with more than 250 years of history and heritage.
Youll find nationally-ranked schools, true Midwest hospitality, and amazing access to the outdoors.
Plus, youll be less than two hours from St.
Louisa perfect distance for weekend visits.
Nationally-ranked public and private schools Metro area with 100,000+ population + low cost of living Home to a university with NCAA athletics and performing arts center Abundant outdoor activities, expansive city park system, and nearby national forests and state parks Nationally-ranked golf course + fine arts, shopping, dining, and entertainment Regional airport with direct flights to St.
Louis, Chicago, and Nashville Facility Location Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi.
Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms.
Antiques, art galleries and museums dominate downtown and speak to the unique character of the city.
Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities.
The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
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Non-Invasive Cardiology
StartDate: ASAP Pay Rate: $653000.00 - $900000.00
Opportunity Highlights
- $653,000 Year 1 while being able to pay off 100% of your student loans Day 1 when you start (Up to $420,000)
- 6 Weeks PTO/CME
- Join a large team of 21+ providers including Non-Invasive Cardiology, Invasive, Interventional, and EP Cardiology specialists.
- Be part of one of the Top Healthcare Systems in the state.This hospital services over 700,000 patients across Missouri, Tennessee, Arkansas, Kentucky and Illinois.
- Diverse group of cardiologists within the practice including 2 female MD's that have already started a women's health cardiology program.
- Nationally-affiliated team + full-range cardiac services
- Full benefits package, retirement, and malpractice
- Part-time and Full-Time needs currently available. All candidates are encouraged to apply!
- Nationally Affiliated Heart Team- Come work for the largest, most experienced, and most trusted group in the region.
Community Information
This Missouri community is a family-centric place with more than 250 years of history and heritage. Youll find nationally-ranked schools, true Midwest hospitality, and amazing access to the outdoors. Plus, youll be less than two hours from St. Louisa perfect distance for weekend visits.
- Nationally-ranked public and private schools
- Metro area with 100,000+ population + low cost of living
- Home to a university with NCAA athletics and performing arts center
- Abundant outdoor activities, expansive city park system, and nearby national forests and state parks
- Nationally-ranked golf course + fine arts, shopping, dining, and entertainment
- Regional airport with direct flights to St. Louis, Chicago, and Nashville
Facility Location
Known as "The City of Roses," Cape Girardeau is situated on the banks of the Mississippi. Cape Girardeau boasts a lot in the way of agritourism, with many farmer's markets and tourable farms. Antiques, art galleries and museums dominate downtown and speak to the unique character of the city. Residents also enjoy the natural splendor of Cape Girardeau's many parks which offer great hiking opportunities. The city's history is well documented, if sometimes bittersweet- Trail of Tears State Park commemorates one of America's great tragedies with its peaceful scenery.
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.