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Service Coordinator RN - Enhances member well-being and community integration (SEGUIN)
Salary not disclosed
Seguin, Texas 4 days ago

POSITION SUMMARY/RESPONSIBILITIES

The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member's cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members' care plans to meet Member's needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member's Legal Authorized Representative (LAR), and the Member's Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.

EDUCATION/EXPERIENCE

Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.

LICENSURE/ CERTIFICATION

A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.

permanent
Certified Respiratory Therapist - Health and Wellness
Salary not disclosed
Iselin, NJ 4 days ago
Description:

Our team members are the heart of what makes us better.

 

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

 

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

 

The Certified Respiratory Therapist under the supervision of the Director of Respiratory Services, Technical Supervisor, Shift Supervisors, provides and administers all aspects of Respiratory Care Therapy and supportive equipment as stated in the Department Policy and Procedure Manual.

 

Be a part of a revolutionary approach to healthcare at the forefront of innovation and convenience. Hackensack Meridian Health is seeking passionate and pioneering individuals to join our brand-new Health and Wellness Center at Metropark, a first-of-its-kind facility in New Jersey strategically located at a major transit hub. This is a unique opportunity to contribute to a groundbreaking model of care that integrates a comprehensive, one-stop-shop of health services into the daily lives of thousands of commuters and residents.

As a member of our team, you will help redefine healthcare accessibility, providing world-class, convenient care for people traveling throughout the Northeast, including New York City, Philadelphia, and Washington D.C. This state-of-the-art, 60,000-square-foot facility will offer a wide array of services, including primary care, urgent care, advanced imaging, and specialists. You will be joining a visionary project that establishes a new standard for healthcare delivery in suburban areas.

Responsibilties:

A day in the life of a Certified Respiratory Therapist at Hackensack Meridian Health includes:

  • Assists in the diagnosis, treatment, and management of all patients with pulmonary disorders in both critical and non-critical areas pursuant to a prescription of a licensed physician.
  • Performs cardiopulmonary evaluation, monitoring, respiratory therapy treatment techniques, respiratory procedures and patients and family education.
  • Responsible for the acquisition, analysis and interpretation of data obtained from physiological specimens, performing diagnostic tests, studies and research of the cardiopulmonary system and neurophysiological studies related to respiratory care.
  • Administers and/or monitors medical gases, mechanical ventilation support, artificial airway care, bronchopulmonary hygiene, pharmacologic agents related to respiratory care procedures, and cardiopulmonary rehabilitation related and limited to respiratory care.
  • Utilizes the application of scientific principles for the identification, prevention, remediation, research, and rehabilitation of acute or chronic cardiopulmonary dysfunction.
  • Administers therapeutic Respiratory Care procedures and sets up related Respiratory Care equipment as prescribed by the physician.
  • Records all pertinent information of provided therapeutic procedures and patient response in the electronic medical record system, EPIC.
  • Sets up, verifies proper function, operates and monitors all invasive and non-invasive respiratory equipment on patients in need of respiratory assistance.
  • Participates in the management of patients on life support systems by recommending and performing appropriate changes based on blood gas results and weaning studies.
  • Responds to and participates in all emergency and trauma codes.
  • Changes and maintains ventilators, ventilator circuits & respiratory equipment in accordance with the Infection Control Policy of the Department Policy and Procedure Manual.
  • Runs quality controls on blood gas analyzers.
  • Monitors and changes all manifolds, including but not limited to emergency oxygen, nitrous oxide and nitrogen manifold cylinders.
  • Retrieves, cleans and assembles all respiratory equipment using disinfecting solutions and cleaning agents in accordance with infection control protocols.
  • Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, and primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
  • Lifts a minimum of 35 lbs., pushes and pulls a minimum of 165 lbs. and stands a minimum of 6 hours a day.
  • Adheres to the standards identified in the Medical Center's Organizational competencies.
  • Performs other work as requested by the Director or his/her designee.

 

 

Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • Graduate of an AMA approved Respiratory Care program.
  • Associate's degree.
  • Comprehensive knowledge of all clinical aspects of Respiratory Care.

Education, Knowledge, Skills and Abilities Preferred: Licenses and Certifications Required:

  • NJ Respiratory Care Practitioner License.
  • NJ Certified Respiratory Therapist.
  • BLS AHA Basic Health Care Life Support HCP Certification.

Licenses and Certifications Preferred:

  • Advanced Cardiac Life Support Certification.
  • Neonatal Resuscitation Program.
  • Pediatric Advanced Life Support Certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

permanent
Geriatric Wellness RN - Specialized in Elderly Psychiatric Care (Hiring Immediately)
✦ New
Salary not disclosed
Employment Type:Full timeShift:12 Hour Day ShiftDescription:Position Purpose:

At Johnson Memorial Hospital, the Registered Nurses (RN) in Geriatric Wellness unit specializes mental health care to elderly patients experiencing psychiatric conditions such as depression, anxiety, dementia, and Alzheimer’s disease. This role involves direct patient care, emotional support, medication administration, and collaboration with interdisciplinary teams to ensure holistic and compassionate treatment.

What you will do:

  • Conduct mental health assessments and monitor psychiatric symptoms in elderly patients.

  • Work closely with all physicians, psychiatrists, social workers, and therapist to develop and implement individualized care plans.

Minimum Qualifications

Required:

  • Graduation from an accredited nursing school

  • Valid RN License in Connecticut

Preferred:

  • Bachelor's degree in Nursing

  • The ideal candidate will have one or more years of Psychiatric or Geriatric experience in an acute inpatient setting.

  • BLS/CPR certification (American Heart Association or American Red Cross)

Position Highlights:

  • Full Time: 36 hrs/week-Day Shift

  • Rotating Every other Weekend/Holiday

Ministry/Facility Information

Johnson Memorial Hospital and Home & Community Health Services provide a continuum of health care services to those living and working in north central Connecticut and western Massachusetts. The 92-bed hospital and home health and hospice agency have been anchor institutions in north central Connecticut for more than 100 years.

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.

permanent
Geriatric Wellness RN (Hiring Immediately)
✦ New
🏢 Trinity Health Of New England
Salary not disclosed
Stafford Springs, Connecticut 6 hours ago
Employment Type:Full timeShift:12 Hour Day ShiftDescription:Position Purpose:

At Johnson Memorial Hospital, the Registered Nurses (RN) in Geriatric Wellness unit specializes mental health care to elderly patients experiencing psychiatric conditions such as depression, anxiety, dementia, and Alzheimer’s disease. This role involves direct patient care, emotional support, medication administration, and collaboration with interdisciplinary teams to ensure holistic and compassionate treatment.

What you will do:

  • Conduct mental health assessments and monitor psychiatric symptoms in elderly patients.

  • Work closely with all physicians, psychiatrists, social workers, and therapist to develop and implement individualized care plans.

Minimum Qualifications

Required:

  • Graduation from an accredited nursing school

  • Valid RN License in Connecticut

Preferred:

  • Bachelor's degree in Nursing

  • The ideal candidate will have one or more years of Psychiatric or Geriatric experience in an acute inpatient setting.

  • BLS/CPR certification (American Heart Association or American Red Cross)

Position Highlights:

  • Full Time: 36 hrs/week-Day Shift

  • Rotating Every other Weekend/Holiday

Ministry/Facility Information

Johnson Memorial Hospital and Home & Community Health Services provide a continuum of health care services to those living and working in north central Connecticut and western Massachusetts. The 92-bed hospital and home health and hospice agency have been anchor institutions in north central Connecticut for more than 100 years.

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.

permanent
Multi Modality CT Technologist - Health and Wellness Center
🏢 Hackensack Meridian Health
Salary not disclosed
Iselin, NJ 4 days ago
Description:

Our team members are the heart of what makes us better.

 

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

 

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

 

The Multi Modality CT Technologist is trained, qualified and competent in at least two of the below disciplines. The technologist is expected to work in any area for which they are qualified based on the operational needs of the department. - General Diagnostic Radiology - CT - MRI - Mammography - Interventional Radiology - Ultrasound - Nuclear Medicine/PET. 

 

Be a part of a revolutionary approach to healthcare at the forefront of innovation and convenience. Hackensack Meridian Health is seeking passionate and pioneering individuals to join our brand-new Health and Wellness Center at Metropark, a first-of-its-kind facility in New Jersey strategically located at a major transit hub. This is a unique opportunity to contribute to a groundbreaking model of care that integrates a comprehensive, one-stop-shop of health services into the daily lives of thousands of commuters and residents.

 

As a member of our team, you will help redefine healthcare accessibility, providing world-class, convenient care for people traveling throughout the Northeast, including New York City, Philadelphia, and Washington D.C. This state-of-the-art, 60,000-square-foot facility will offer a wide array of services, including primary care, urgent care, advanced imaging, and specialists. You will be joining a visionary project that establishes a new standard for healthcare delivery in suburban areas.

 

 

This is a Weekend shift position: 8am-5pm

Responsibilties:

A day in the life of a Multi Modality CT Technologist   at Hackensack Meridian Health includes:

  • Performs complex CT procedures.
  • Evaluates radiographs to ensure that radiographs contain proper identification and are of diagnostic value.
  • Uses consistent and appropriate techniques to gather relevant information from the medical record, health care proxy and health care providers to prepare protocols for scanning and patient safety. The collection of information is determined by the patient's needs or condition.
  • Determines whether the patient has been appropriately prepared for the procedure.
  • Preps patient for scanning: (i.e. shielding, immobilization devices).
  • Assist providers with CT guided Interventional procedures as required.
  • Perform CT examination and administer contrast following established departmental protocols.
  • Provides accurate explanations and instructions at any appropriate time and at a level the patient can understand. Addresses and documents patient questions and concerns regarding the procedure when appropriate.
  • Performs venipuncture, IV patency, and maintenance procedures according to established guidelines.
  • Monitors the patient's physical condition during the procedure. 
  • Reviews images to determine if additional scans will enhance the diagnostic value of the procedure.
  • Performs retrospective reconstruction on raw data.
  • Provides technical assistance and instruction to students, employees, and medical residents.
  • Adheres to the principals of image gently & image wisely.
  • Follow & adheres to infection control guidelines and sterile techniques.
  • Revises scanning parameters to better visualize the pathology in accordance with established protocol.
  • Reviews all diagnostic or therapeutic data for completeness and accuracy. 
  • Documents diagnostic, treatment, and patient data in the appropriate record.
  • Archives images to data storage devices according to established guidelines.
  • Assesses equipment to determine acceptable performance based on established guidelines.
  • Performs daily clerical duties, which includes the use of EPIC, PACS, Teletracking System, computer system, patient scheduling, and other computer systems as added by hospital.
  • Greets all patients when they arrive for their exam utilizing AIDET standards.
  • Administers emergency care including performing CPR, if necessary. 
  • Responsible for scheduled shifts including holidays and weekends.
  • Overtime as needed to provide continual quality patient care. 
  • On call assignments as needed per Department of Radiology policy.
  • Adheres to the policy of Employee ID, Standards of Behavior, Attendance, and Punctuality.
  • Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and /or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). 
  • Performs modality specific daily and monthly QA.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.
  • Lifts a minimum of 25 lbs., pushes and pulls a minimum of 50 lbs. and stands a minimum of 6 hours a day.
Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Completion of an AMA approved school of Radiologic Technology. 
  • Excellent written and verbal communication skills.
  • Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.

Licenses and Certifications Required:

  • NJ state license for Diagnostic Radiology (D.R).
  • Registration with the ARRT - one or more of the following modalities: MRI (or ARMRIT), CT, Xray, IR, or Mammography.
  • NJ state license and Certification in Nuclear Medicine only if secondary modality is in Nuclear Medicine.
  • AHA Basic Health Care Life Support HCP Certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

temporary
Physical Therapist - Women's Health, Creighton Therapy & Wellness Clinic
Salary not disclosed
Omaha, NE 2 days ago

Position Summary:


Evaluates patients with known or suspected health conditions and performs therapeutic treatment procedures as indicated with a primarily pelvic health patient population. Makes patient referrals to other health care agencies/disciplines as indicated. Instructs patients and family members in individualized activity programs designed to maximize functional abilities. Completes timely documentation. Coordinates care with other members of the health care team across the continuum of care. Supports the advancement of function for a women's and men's health outpatient clientele. Preference with experience in women's health and/or pelvic health. Employee is also responsible for supporting the mission and goals of Creighton Therapy and Wellness. This position provides patient care or has patient interaction with a pediatric and adult population of patients.


Essential Functions:



  • Provide high quality, evidence-based, patient-centered care
  • Participate in clinical and post-professional education and student learning within the clinical learning environment.
  • Uses computer programs to assist with administrative responsibilities related to clinic practice
  • Completes care coordination between a healthcare team related to patient care


Education & Experience:



  • Graduation from a physical therapy education program is required
  • Experience in women's and men's health/pelvic health physical therapy preferred.
  • ABPTS Board-Certification in women's health physical therapy (WCS) and/or pelvic health certification preferred.
  • Experience with marketing/advertising specialty services to other healthcare professionals preferred.


Knowledge, Skills, and Abilities



  • Displayed proficiency in the use of common physical therapy standardized assessments, an understanding of pelvic floor function and pathophysiology, and the use of treatment procedures associated with pelvic floor dysfunctions is required prior to and following hire.
  • Completion of HIPAA and immunization requirements prior to patient care is required.
  • Completion of NPI number; insurance plan credentialing; and children and vulnerable adult training prior to independent patient care are required.
  • Ability to work at a fast pace and to prioritize multiple assignments/projects and respond to numerous requests.
  • Ability to resolve conflict amongst staff and to work collaboratively with clinic director, clinic assistant director, clinic manager, clinic staff (including other occupational therapists, physical therapists, and speech pathologists), referring physicians, and other members of the healthcare team.
  • Ability to concentrate and focus on projects.
  • Possesses creative systems thinking to ensure operational efficiency.
  • Ability to problem solve and make decisions.
  • Self-control and stress tolerance in dealing with multiple requests and conflicting demands from multiple customers.
  • Demonstrates clear verbal, non-verbal and written communication skills, especially in recording evaluations and patient progress notes.
  • Functions effectively and efficiently under stress with frequent interruptions.
  • Requires minimal sustained direction in carrying out departmental and professional responsibilities.
  • Self-starting and self-motivating.
  • Experience in clinical education and student learning within the clinical learning environment.
  • Ability to work collaboratively with other therapy disciplines and co-treat/coordinate care as needed.
  • Uses the clinic documentation system independently following training/orientation.


Licenses/Certifications:



  • Licensed or eligible for licensure to practice Physical Therapy by the Nebraska State Department of Health is required.
  • Current Basic Cardiac Life Support (BCLS) certification required.
  • Board certification in women's health or certificate in pelvic health rehabilitation is preferred.
Not Specified
Salon Wellness Consultant
✦ New
Salary not disclosed
York, PA 12 hours ago
Job Opportunity At Palm Beach Tan

Palm Beach Tan is a premier brand and our country's leader in the tanning industry. With our expanding vision and transition to Palm Beach Beauty & Tan, we have incorporated new wellness offerings!

We are looking for outgoing, energetic, positive salespeople to accurately represent our brand, provide our clients with exceptional customer service. Our ideal candidate is highly motivated to achieve sales goals and thrives in a commission-driven environment.

Job Responsibilities
  • Meet sales goals measured daily/weekly/monthly
  • Consult with customers in a professional, upbeat manner
  • Ensure customers are educated on
  • Maintain a clean and organized salon
  • Cash handling, opening/closing business
  • Daily administrative paperwork, and goal tracking
Primary Requirements
  • At least 18 years of age with personal interest in tanning services
  • Able to report to work on time and maintain a consistent availability
  • Able to stand, bend, walk for long periods of time
  • Able to lift 25 pounds without assistance
  • Proven experience in sales and/or a customer service environment
  • Excellent verbal and written communication skills
  • Reliable transportation, flexible availability

Benefits:

  • Fun and professional work environment
  • Training and ongoing development programs
  • FREE services and product discounts
  • Flexible work schedule
  • Competitive hourly wages
  • Sales commissions and incentives
  • Contests with awards and gifts

If you love tanning, beauty, customer service, and sales then come join our team! Bansi Tan LLC, Bansi Capital LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Compensation: $10.00 - $20.00 per hour

Not Specified
Physician / Ophthalmology / Wisconsin / Permanent / Southern Wisconsin - Ophthalomology Join a well-established Practice Consisting of Job
✦ New
Salary not disclosed
United States 12 hours ago

Southern Wisconsin - Ophthalomology

  • Join a well-established Practice Consisting of
    • 3 Ophthalmologists
    • 2 Optometrist Low Vision specialist
  • Call - 1:6
  • Must be Board Eligible/Board Certified in Ophthalmology
  • Open to a New Grad or practicing physician
  • Practice true comprehensive ophthalmology with cataract, glaucoma, oculoplastics, medical retina, pediatric and cornea patients.
  • Ideal opportunity to step into an established practice
  • Low physician turnover rate
  • Generous Benefits, including a great retirement package
  • Competitive compensation package
  • New Ambulatory Care Center specifically designed with the patient experience in mind
  • There is a stable primary care base that presents a great deal of referrals
  • Collegial Physician Group
  • Strong support staff
  • 2 dedicated techs to support each physician and scribes
  • Patients per day: 38-40

Why You ll Love This Community:

  • Family-Friendly Atmosphere Excellent schools and a welcoming community
  • Outdoor & Cultural Activities Enjoy hiking, biking, fishing, skiing, theater, and sporting events
  • Easy Access to Major Cities Ideal balance of suburban comfort with urban accessibility
permanent
Physician / Dermatology / Florida / Locum or Permanent / Dermatologist Opening in Sunny, Southwest FL - Highly Productive, Well-Established Group Job
✦ New
Salary not disclosed
Fort Myers, Florida 12 hours ago

Our thriving, patient-centered, physician-led organization is seeking a BC/BE Dermatologist to join our highly productive, well-established group in Ft.

Myers, Florida.

The Opportunity: Experience a collegial and collaborative practice environment with dedicated partners and support staff Full time opportunity with flexible schedule EMA Enabled clinic Opportunity to work alongside top dermatologists in the region with an established brand Professional management team to help with clinical operations, marketing, HR, billing, compliance, credentialing, and much more Full benefits package including Health,401K, Relocation, and CME Lucrative Base Salary + Productivity = Uncapped Earning Potential The Community: Living in this sunny Southwest Florida city offers a relaxed, coastal lifestyle with easy access to stunning beaches, nature parks, and outdoor activities like boating and fishing.

The area is known for its vibrant arts scene, thriving dining options, and a growing local economy, making it a great place for both relaxation and entertainment.

It s located just a short drive from Naples, offering even more shopping, dining, and cultural attractions, and about two hours from the bustling metropolis of Miami, providing additional opportunities for exploration.

With warm weather year-round, a friendly atmosphere, and proximity to larger cities, this community offers the perfect balance of peaceful living and urban access.

APPLY NOW or TEXT Job and email address to 636
- 628
- 2412.

Search all of our provider opportunities here: brittmedical DOT com/search-current-jobs

permanent
Physician / Pathology / Ohio / Permanent / Pathology - Southern OhioSeeking a BC/BE Pathologist to join their well-established, general P Job
✦ New
🏢 Medicorp, Inc
Salary not disclosed
United States 12 hours ago

Pathology - Southern Ohio

  • Seeking a BC/BE Pathologist to join their well-established, general Pathology practice
  • Salary options:
    • Option : Base salary of $336,413 (50%tile MGMA for those just completing training) with additional compensation for experience, guaranteed for 2 years. Can be switched to a wRVU production contract when exceeding target.
    • Option : Base salary of $390,075 (75%tile MGMA) guaranteed for one year and then switched to a wRVU production contract.
  • Office hours: Monday Friday 8 am to 4 pm & every other Saturday
  • Call 1:2, 26 weeks/year (typically every other week); 7 on/7 off/ 24-hour call. Most call is taken via telephone with 1-2 calls per night on average, usually for blood bank purposes/critical value related. Very rare to return to hospital
  • Join 3 Histotechs, 2 Tech Assistants, 2 Cytotechnologists, Department Manager, and Administrative Director
  • Case Load:
    • Approximately 9,500-10,000 surgical cases per year
    • Approximately 1,000-1,500 non-GYN Cytology cases per year
    • Approximately 7,000 GYN cases per year
    • Cases are heavy in Breast, Lung, GI
    • No autopsies, bone marrows, neuro, pediatric, Minimal hematopathology
  • Equipment: Meditech and Dragon Medical One
  • Full benefits package including 10K for moving, CME time & allowance, 457 deferred comp plan, 403B retirement, paid malpractice insurance, health, and other insurances, 29 days of PTO, full health coverage, and more!
  • $200,000 in student loan debt assistance, residency stipend up to $25,000, and sign-on bonus of 15% base salary offered (up to $100,000)
  • Located 1 hour from Huntington, WV, 2 hours from Cincinnati, Dayton, Columbus, and Charleston, WV and 2.5 hours from Lexington, KY
permanent
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