Carshield Cost Per Year Jobs in Usa
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Our client located less than two hours form Chicago and one hour from Madison, Wisconsin is in need of a Board Certified/Board Eligible Endocrinologist to be a part of their not-for-profit hospital team.
The city is home to a minor league baseball team and has a lively riverfront with upscale condominiums, small shops, and boutiques, as well restaurants, making this an excellent suburb of Northern Chicago.Hospital Employee . Cost of living is 14.10% below the national average. This community of about 91,000 people that is within an hour of Milwaukee, Madison and the northern Chicago suburbs.
. Physicians stay in this well run practice, high retention.
. Smaller, not-for-profit regional hospital.
Northrop Grumman Aeronautics Systems is seeking a qualified Principal Program Cost Schedule & Control Analyst (Level 3) or Sr. Principal Program Cost Schedule & Control Analyst (Level 4) to join our team of qualified, diverse individuals. This position will be located onsite in Melbourne, FL or Palmdale, CA. An active secret clearance is required to start.
Essential Functions:
This Program Cost Control Analyst position will, under minimal supervision, interface with the program managers, functional management, and cost account managers (CAMs) to provide financial and administrative support and analysis to meet program requirements.
The Program Cost Control Analyst will have experience with Earned Value Management and performance measurement baseline concepts and be able to apply them to multiple contracts for control accounts within an engineering Integrated Product Team (IPT). This position will be responsible for leading and training other analysts if full level 1 Earned Value contracts.
Earned Value Management (EVM) tasks include:
Establishing Work Breakdown Structure for execution of budgeted cost of work scheduled
Assessing and maintaining of objective performance criteria – developing, maintaining, analyzing and justification of estimates to complete
Supporting internal and external reporting requirements for variance analysis and budgeting baseline
Maintaining a solid and accurate cost and schedule integration with business partners and program teams
Analyzing funding, cost risk analysis/assessment and visibility reports - Preparing government cost performance reports and preparation and/or review of Performance measurement variance analysis
Additional responsibilities will include:
Perform analysis & prepare reports in order to ensure that contracts are within negotiated and agreed-upon parameters and government cost control guidelines. Be responsible for supporting the preparation and coordination of the monthly and quarterly financial forecasting and reporting processes. Provide internal reporting requirements to include incorporation of forecast, identification of staffing issues related to baseline/ETC, and execution of corrective action or updates using program reporting tools. This position will interface with Business Managers and support booking rate files and profitability updates. Good leadership skills & the ability to work with the Program Office while leading a smaller team are essential.
The successful analyst will possess the following traits and abilities: ability to use financial systems, with understanding of DoD financial rhythms; provide strategic guidance as required; develop and implement solutions of moderate scope and complexity; analyze variances/trends and develop new methods and process techniques; work under very general supervision while completing numerous assignments per schedule and elevating potential issues to ensure proper management focus; exert influence on peers and internal customers; good interpersonal skills while representing the finance team on various projects.
We offer phenomenal learning opportunities, exposure to a wide variety of projects and customers, and a very friendly collaborative workplace. We are looking for self-motivated, proactive, and goal-oriented people to help us grow our services and become even better at what we do. Does this sound like you?
Our Employee Resource Groups (ERGs) provide benefits for the member, our leaders and the company. Our ERGs offer opportunities to be a friend, be active, be a volunteer, be a leader, to be recognized and to be yourself! Every ERG is inclusive of all employees!
At Northrop Grumman, we are innovating-- building the next generation of sophisticated aircraft to protect our country. Our diverse portfolio of programs means there are endless paths to cultivate your career. We are well-known for our inclusive, family environment, as well as our excellent work/life balance. We also offer exceptional benefits/healthcare, a 9/80 schedule, and a great 401K matching program.
Basic Qualifications Level 3:
Master's degree with 3 years experience or a Bachelor's degree with 5 years of experience in the following areas: business, finance, accounting, program control and/or similar industry related fields.
Experience with Microsoft Office suite including Excel and PowerPoint
Experience successfully supporting a monthly financial forecasting rhythm
Experience with EAC development and analysis
Experience with MPM and/or Cobra
Experience with Earned Value Management (EVM)
Active DOD Secret clearance and Special Program Access required to start
Basic Qualifications Level 4:
Master's degree with 6 years experience or a Bachelor's degree with 8 years of experience in the following areas: business, finance, accounting, program control and/or similar industry related fields.
Experience with Microsoft Office suite including Excel and PowerPoint
Experience successfully supporting a monthly financial forecasting rhythm
Experience with EAC development and analysis
Experience with MPM and/or Cobra
Experience with Earned Value Management (EVM)
Active DOD Secret clearance and Special Program Access required to start
Preferred Qualifications:
Experience developing CDRLs (IPMR/IPMDAR/CPR/CFSR/CSDR)
Salary ranges will be dependent upon where the position is based and follows our company geographic salary bands aligned with position, as this posting may include multiple locations and provide a variety of salary ranges per location. Specific salary offer for candidate selected will be commensurate with experience and aligned with local geography.
Primary Level Salary Range: $81,400.00 - $152,200.00Secondary Level Salary Range: $94,200.00 - $176,300.00The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions.Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.If you are someone who pays attention to detail, is self-motivated and have the ability to stay on task, don't mind traveling between our Raleigh - Durham locations and you are willing to work the overnight shift this job could be for you!
Our Food Cost Truck Manager is responsible for:
- Checking off food truck items as they arrive at our stores.
- Verifying and reporting errors.
- Communicating daily with your supervisor through phone, email & text.
- Servicing our 13 restaurants across Raleigh - Durham in your personal vehicle - reliable transportation is a must. The North Raleigh area is fairly centrally located to our locations.
We're looking for positive people who like to have fun and who have the desire to work at our famously fast paced McDonald's environments. You must be 18 years or older to be a manager in our restaurants.
Additional Info:
Along with competitive pay, a Food Cost Manager at a 1020 Enterprises owned McDonald's is eligible for benefits including:
- Paid vacation
- Education through Archways to Opportunity including opportunities to earn a High School degree, college tuition assistance and English classes as a second language
- Medical, dental and vision coverage
- Short and Long-Term Disability, life and accident insurance
- You'll also have access to McDperks discounts which include AT&T, Sprint, Verizon, Apple, Target and many others.
By applying to this position, I understand that I am applying to work at a restaurant that is owned and operated by an independent franchisee, not McDonald's USA. I understand that this franchisee is a separate company and a separate employer from McDonald's USA. Any information I provide in this application will be submitted only to the independent franchisee, who is the only company responsible for employment matters at this restaurant. I recognize that the independent franchisee alone will make all decisions concerning employment matters, including hiring, firing, discipline, supervision, staffing and scheduling. By applying for a job at a franchisee operated restaurant, I understand that the information I provide will be forwarded to the franchisee organization in order for that organization to reach out to me and process and evaluate my application. I acknowledge that McDonald's USA will not receive a copy of my employment application and will have no involvement in any employment decisions regarding me, including whether I receive an interview or whether I am hired to work for the franchisee. I understand that I need to contact the franchise organization for information about its privacy practices.
We are seeking experienced Senior Cost Manager based in the UK who are ready to relocate to the United States and take on high-value, technically complex construction projects.
You will join a leading international contractor delivering large-scale builds across rapidly expanding U.S. markets. This role offers significant career acceleration, leadership exposure, and a substantial uplift in earning potential.
The Role
As Senior Cost Manager, you will take full commercial responsibility for major project packages or entire mid-sized schemes, reporting to the Commercial Manager or Project Director.
Key responsibilities include:
- Lead commercial management of large construction projects
- Cost planning, forecasting, and financial reporting
- Procurement strategy and subcontractor negotiation
- Managing variations, claims, and change control
- Risk management and value engineering
- Mentoring and supporting junior QS team members
- Driving commercial performance and protecting margin
What We’re Looking For
- Degree qualified in Quantity Surveying or Commercial Management
- 5+ years’ post-graduate experience (Senior QS level)
- Proven experience managing major construction packages (£20m+ desirable)
- Strong contractual and commercial acumen
- Experience in complex builds (commercial, infrastructure, MEP-heavy, industrial, healthcare, etc.)
- Clear ambition to relocate and develop an international career
What’s on Offer
- Full visa sponsorship (subject to eligibility)
- Comprehensive relocation support (flights, accommodation assistance, relocation allowance)
- Highly competitive U.S. salary (significant uplift vs UK market)
- Performance-based bonus
- Private healthcare
Director of FP&A - Ronkonkowa NY - Manufacturing/Consumer Goods
Our team is working with a leading manufacturer & online retailer of health products looking to hire a Director of FP&A to their growing team. Reporting to the CFO, the role will lead budgeting, forecasting, and long-range planning across manufacturing, supply chain, and commercial operations, acting as a strategic partner to leadership. The position oversees production budgets, standard costs, and monthly variance reporting, while analyzing COGS, inventory, and gross margin performance to drive operational efficiency and profitability. The role also supports pricing, trade spend, working capital optimization, and capital investment decisions, delivering clear financial insights that inform strategic and day-to-day business decisions.
This role is a full time hybrid position (3 days in 2 at home) that will offer between 190-220K base, bonus, & excellent benefits. If you are interested in this opportunity, please reach out to Vincenzo Kulturides directly at
Responsibilities:
Lead the annual operating plan, long-range strategic planning, and rolling forecast processes across manufacturing, supply chain, and commercial functions.
Partner with Operations to develop detailed production budgets, labor and overhead models, and standard cost assumptions.
Build and maintain robust financial models to analyze capacity utilization, SKU-level profitability, product mix, and pricing strategies.
Oversee monthly financial reporting packages, including variance analysis (volume, price, mix, labor, overhead, absorption) and actionable commentary for senior leadership.
Analyze cost of goods sold (COGS), manufacturing variances, inventory reserves, and gross margin drivers; provide insights to improve operational efficiency and profitability.
Support inventory planning and working capital optimization, including slow-moving and obsolete inventory analysis.
Collaborate with Supply Chain and Procurement on raw material cost forecasting, vendor pricing trends, and contract impact analysis.
Develop dashboards and KPIs to monitor plant performance, production yields, scrap rates, and throughput metrics.
Partner with Sales and Marketing to evaluate promotional effectiveness, customer profitability, and trade spend ROI.
Support capital expenditure planning, including ROI analysis and post-investment performance tracking.
Enhance financial systems, reporting automation, and data integrity.
Present financial results and strategic recommendations to executive leadership.
Qualifications:
12+ years of progressive FP&A experience, preferably within consumer goods, CPG, or manufacturing environments.
Strong understanding of standard costing, absorption accounting, and manufacturing variance analysis.
Advanced financial modeling skills with the ability to translate complex data into clear business insights.
Experience supporting multi-channel distribution (e-commerce, retail, wholesale) is a plus.
ERP system experience required; experience with NetSuite or similar platforms strongly preferred.
CPA, MBA, or CMA preferred.
Strong executive presence with the ability to influence cross-functional stakeholders.
Senior Estimator | Elford Construction | Columbus
Elford Construction is looking for a Senior Estimator (10+ years) to help lead pursuit strategy and pricing across major projects in the Columbus market. This role is about more than takeoffs. Our estimators help shape how projects are pursued, priced, and won — working closely with operations, trade partners, and clients from early concept through final submission.
If you enjoy building accurate budgets, solving complex pricing challenges, and helping teams win meaningful work, this could be a great fit.
At Elford, estimators are trusted partners in the pursuit process — bringing market insight, strong subcontractor relationships, and creative problem-solving to every project.
What You’ll Do
- Lead estimating efforts from conceptual budgeting through final pricing and subcontractor buyout
- Develop conceptual and detailed cost estimates based on schematic, design development, and construction documents
- Perform quantity takeoffs, cost analysis, and pricing evaluations across all major scopes of work
- Build and maintain strong relationships with subcontractors, vendors, and trade partners
- Coordinate with operations, project management, and field leadership to align estimating strategies with project execution
- Evaluate subcontractor proposals, conduct bid reviews, and prepare bid leveling and award recommendations
- Identify opportunities for value engineering, cost efficiencies, and schedule improvements
- Prepare clear and well-organized estimate presentations for leadership and clients
- Participate in project pursuits, proposals, and client presentations
- Track market trends, trade partner capacity, and material pricing that impact project costs
What We’re Looking For
- 10+ years of construction estimating experience, preferably in commercial construction
- Experience estimating negotiated work, GMP projects, and competitive bids
- Strong knowledge of construction means, methods, materials, and labor productivity
- Ability to prepare conceptual budgets and detailed estimates from incomplete design information
- Experience managing the bidding process, subcontractor outreach, and bid evaluations
- Strong communication skills and the ability to work collaboratively with internal teams and external partners
- Proficiency with estimating software and digital takeoff tools
- Experience with Microsoft Office and construction management software
- Bachelor’s degree in Construction Management, Engineering, or related field is a plus
Why Elford
Elford Construction is a trusted builder with deep roots in Central Ohio, known for delivering complex projects while maintaining a strong culture of collaboration and craftsmanship.
Our teams work across a diverse portfolio of commercial construction projects, and we’re committed to providing opportunities for experienced professionals to lead, mentor, and grow their careers while building meaningful projects in the communities we serve.
Dubuque, located right on the Mississippi River, is known for its historic charm and has a cost of living approximately 12% below the U.S. average. The Dubuque Community School District is highly regarded, and the city offers private schools plus colleges like Loras College and Clarke University. Families enjoy cultural attractions such as the National Mississippi River Museum, arts festivals and an abundance of parks and trails.
As the region's leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri-state area. It holds Magnet designation (fifth consecutive cycle), CMS 5-star quality rating and national recognition including Fortune/IBM Watson's 100 Top Hospitals. It's a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards -- Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership.
Want to learn more about MercyOne Dubuque? Click here:
Find a Location Dubuque, Iowa (IA), MercyOne Dubuque
Join the MercyOne Family! We are looking to hire a Registered Nurse!
An Operating Room Registered Nurse at MercyOne provides perioperative patient care, specifically in the intraoperative phase, in both the scrub and circulating roles according to established guidelines. Serves the population from neonate, infant, pediatric, adolescent, adult and geriatric.
Essential Functions:
Scrubs and circulates on cases independently, with minimal direction.
Prepares for surgical cases in an efficient manner, anticipating needs of patient, surgeon, anesthesia and other O.R. team members.
Provides a safe environment for patient and staff by implementing standards of aseptic technique and by controlling the physical and psychological aspects of that environment.
Collects and analyzes data and assesses patient in developing nursing diagnosis.
Communicates effectively with the patient, staff, physicians, and families.
Maintains knowledge of equipment set-up and function.
Initiates and directs room clean up and turnover
Schedule:
36 hours per week
Day shift: 6:30 am – 5:30 pm with flex to evening shift hours.
On call rotation for weekend, holiday and night hours with a 30-minute response time
Minimum Qualifications:
Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa.
Operating Room experience preferred.
Basic Life Support certified within six (6) weeks of hire. Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers.
Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
Ability to read, write and speak English language.
Ability to maintain a high standard of courtesy and cooperation in dealing with co-workers, patients and visitors, and perform job functions satisfactorily despite the stress of a hospital work environment.
Adaptability to perform a variety of duties, often changing from one task to another without loss of composure or efficiency.
Ability to perform in situations requiring set limits, standards and strict adherence to established procedures and guidelines.
Ability to perform under stress when confronted with emergency, critical or unusual situations.
Ability to take direction but also to work independently when appropriate.
Adaptability to situations involving the interpretation of feelings, ideas, or facts in terms of personal viewpoint.
Ability to influence people in their opinion, attitudes or judgments about ideas or things.
Ability to make generalizations, evaluations or decisions based on sensory or judgmental criteria.
Ability to make generalizations, evaluations or decisions based on measurable or verifiable criteria.
Ability to deal with people beyond giving and receiving instructions.
Ability to accept responsibility for the direction, control or planning of an activity.
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
As the region’s leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri‑state area. It holds Magnet designation (fifth consecutive cycle), CMS 5‑star quality rating and national recognition including Fortune/IBM Watson’s 100 Top Hospitals. It’s a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards —Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership.
RN
Pediatrics
Status: .9/FT (36 hours a week)
Shift: Nights
Hours: 6pm-6:30am
As the only Pediatric inpatient unit in the Dubuque area, pediatric staff provide family centered care to pediatric patients up to the age of 18. This includes conducting physical assessments, monitoring and administration of medications, creating care plans and providing relevant patient education. Pediatric staff work closely with physicians, respiratory therapists and laboratory personnel to fulfill each patient’s plan of care.
Working a primarily night position, staff are assigned every third weekend and have an assigned holiday rotation. Working primarily 1800-0630, schedule is otherwise created utilizing self-scheduling with the guidance of the unit based staffing committee.
Pediatric staff will be cross-trained to the Level 2 NICU to take patients admitted to that unit, in addition to crosstraining to care for postpartum couplets. Opportunities to assist in the Emergency Department with pediatric patients as well, including assessments and cares. All Pediatric staff are certified in NRP and PALS onsite, and are also required to be certified in BLS and mandatory reporter.
Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required.
POSITION PURPOSE:
Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
MINIMUM QUALIFICATIONS:
1. Associate degree in nursing required
2. Bachelor of Science in Nursing (BSN) preferred.
3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
4. American Heart Association Basic Life Support (BLS) required.
5. Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
6. High language, intermediate to high math, high critical thinking ability.
7. Basic computer skills required.
ESSENTIAL FUNCTIONS:
1. Conducts an initial assessment to gather data.
• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.
• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes care needs for both mother and infant.
• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).
3. Implements the outcome/goal-based plan of care
• Assigns and coordinates patient care based on acuity and team member competencies.
• Organizes and prioritizes care for mothers, newborns, and pediatric patients.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.
• Coordinates implementation with Case Manager, Social Worker, and other disciplines.
• Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.
• Uses nursing judgment to determine frequency and components of reassessment.
• Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.
• Documents discharge instructions for mother, infant, and/or caregiver.
4. Evaluates patient progress and revises the plan as needed
• Evaluates maternal and pediatric response(s) to interventions.
• Updates the plan of care based on ongoing reassessments.
• Revises problem list and outcomes/goals as conditions change.
5. Evaluates patient progress and revises the outcome/goal-based plan as needed.
• Evaluates patient response(s) to interventions.
• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
• Updates the problem list and outcomes/goals.
6. Communicates relevant clinical information to optimize outcomes
• Communicates maternal and pediatric status to physicians and team members.
• Reports progress toward outcomes/goals and changes in condition promptly.
• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.
• Documents completely and accurately per policy.
7. Demonstrates clinical competence
• Utilizes Women & Children-specific policies and procedures to guide practice.
• Ensures medication safety following the “5 Rights.”
• Demonstrates competency in electronic health record systems.
• Processes and implements physician orders accurately.
• Maintains communication with leadership regarding admissions, acuity, and significant events.
• Completes assigned shift duties and resolves discrepancies.
8. Manages fetal and neonatal monitoring when applicable
• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.
• Responds appropriately to changes in maternal or neonatal condition.
• Provides interventions for obstetric or neonatal emergencies.
• Serves as a resource for other hospital services and participates in quality improvement initiatives.
9. Provides age-appropriate care based on principles of growth and development
• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.
• Performs tasks and uses equipment in an age-appropriate manner.
• Communicates effectively with patients and families at their developmental level.
10. Adheres to safety and infection control standards
• Attends required safety programs.
• Uses appropriate PPE consistently.
• Demonstrates emergency procedures for obstetric and pediatric emergencies.
• Maintains a safe environment for mothers, infants, and staff.
11. Maintains compliance with laws, regulations, and organizational standards
• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orie
As the region’s leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri‑state area. It holds Magnet designation (fifth consecutive cycle), CMS 5‑star quality rating and national recognition including Fortune/IBM Watson’s 100 Top Hospitals. It’s a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards —Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership.
RN
Pediatrics
Status: .9/FT (36 hours a week)
Shift: Nights
Hours: 6pm-6:30am
As the only Pediatric inpatient unit in the Dubuque area, pediatric staff provide family centered care to pediatric patients up to the age of 18. This includes conducting physical assessments, monitoring and administration of medications, creating care plans and providing relevant patient education. Pediatric staff work closely with physicians, respiratory therapists and laboratory personnel to fulfill each patient’s plan of care.
Working a primarily night position, staff are assigned every third weekend and have an assigned holiday rotation. Working primarily 1800-0630, schedule is otherwise created utilizing self-scheduling with the guidance of the unit based staffing committee.
Pediatric staff will be cross-trained to the Level 2 NICU to take patients admitted to that unit, in addition to crosstraining to care for postpartum couplets. Opportunities to assist in the Emergency Department with pediatric patients as well, including assessments and cares. All Pediatric staff are certified in NRP and PALS onsite, and are also required to be certified in BLS and mandatory reporter.
Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required.
POSITION PURPOSE:
Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.
MINIMUM QUALIFICATIONS:
1. Associate degree in nursing required
2. Bachelor of Science in Nursing (BSN) preferred.
3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
4. American Heart Association Basic Life Support (BLS) required.
5. Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
6. High language, intermediate to high math, high critical thinking ability.
7. Basic computer skills required.
ESSENTIAL FUNCTIONS:
1. Conducts an initial assessment to gather data.
• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Completes all areas of the admission assessment database within 24 hours of admission.
2. Identifies patient problems and develops them into an outcome/goal-based plan of care.
• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.
• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes care needs for both mother and infant.
• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).
3. Implements the outcome/goal-based plan of care
• Assigns and coordinates patient care based on acuity and team member competencies.
• Organizes and prioritizes care for mothers, newborns, and pediatric patients.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.
• Coordinates implementation with Case Manager, Social Worker, and other disciplines.
• Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.
• Uses nursing judgment to determine frequency and components of reassessment.
• Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.
• Documents discharge instructions for mother, infant, and/or caregiver.
4. Evaluates patient progress and revises the plan as needed
• Evaluates maternal and pediatric response(s) to interventions.
• Updates the plan of care based on ongoing reassessments.
• Revises problem list and outcomes/goals as conditions change.
5. Evaluates patient progress and revises the outcome/goal-based plan as needed.
• Evaluates patient response(s) to interventions.
• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
• Updates the problem list and outcomes/goals.
6. Communicates relevant clinical information to optimize outcomes
• Communicates maternal and pediatric status to physicians and team members.
• Reports progress toward outcomes/goals and changes in condition promptly.
• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.
• Documents completely and accurately per policy.
7. Demonstrates clinical competence
• Utilizes Women & Children-specific policies and procedures to guide practice.
• Ensures medication safety following the “5 Rights.”
• Demonstrates competency in electronic health record systems.
• Processes and implements physician orders accurately.
• Maintains communication with leadership regarding admissions, acuity, and significant events.
• Completes assigned shift duties and resolves discrepancies.
8. Manages fetal and neonatal monitoring when applicable
• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.
• Responds appropriately to changes in maternal or neonatal condition.
• Provides interventions for obstetric or neonatal emergencies.
• Serves as a resource for other hospital services and participates in quality improvement initiatives.
9. Provides age-appropriate care based on principles of growth and development
• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.
• Performs tasks and uses equipment in an age-appropriate manner.
• Communicates effectively with patients and families at their developmental level.
10. Adheres to safety and infection control standards
• Attends required safety programs.
• Uses appropriate PPE consistently.
• Demonstrates emergency procedures for obstetric and pediatric emergencies.
• Maintains a safe environment for mothers, infants, and staff.
11. Maintains compliance with laws, regulations, and organizational standards
• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
3. Stand; Walk/Move About 76-100% of the time
4. Must possess the ability to comply with Trinity Health policies and procedures.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orie
Out-Patient Gastroenterology Position
- $830K guaranteed 1st year! Heavy Procedure Volume Customize Your Schedule! Compensation & Benefits Competitive Compensation : $730k Guaranteed Base Sign-On Bonus: $100k Sign-on Bonus plus Relocation Assistance Student Loan Repayment: $200,000 Student Loan Repayment Assistance $25k Fellowship Stipend Comprehensive Benefits : 6 Weeks PTO/Health/Dental/Vision Insurance, 401k match, Disability Practice Highlights Desirable Practice Setting: Single Practice Location 5 Endoscopy Suites on Site Work-Life Balance: Control and Customize Your Schedule Full & Part-Time Options Ideal Work Environment: Highly Efficient Support Staff Facilities: 5-Minute Walk to OR State-of-the-art hospital with the latest technology Community Highlights: Affordable Cost of Living : Housing costs 49% below the median Schooling Options: Private & Public from Primary to University-Level Outdoor Recreation : All Year Round Adventures Await in this Community Known for Natural Beauty, Popular Parks, Rivers, Lakes, Hiking trails, and Museums that Attract Visitors from the Region Prime Location: Minutes from Three Metros & Local International Airport for Easy Travel Qualifications: Degree: MD/DO Certifications: BE/BC in Gastroenterology Experience: In-practice candidates, new grads welcomed, current fellows Sponsorship: H1b visa sponsorship Job Reference: GI 23188
