Engineering Structures Jobs in Ruston Washington

About Pulse Heart Institute

MultiCare?s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.

Join a team of 6 surgeons and 6 APP's supporting them in clinic with the post-op patient population.

You will deliver high-quality, patient-centered care in the outpatient cardiothoracic surgery clinic. This role involves the comprehensive management of patients undergoing evaluation, treatment, and follow-up for cardiothoracic surgical conditions including coronary artery disease, valvular disease, thoracic aortic disease, and thoracic malignancies. The APP will work collaboratively with cardiothoracic surgeons, nurses, and multidisciplinary teams to optimize patient outcomes in the ambulatory setting. This role will also support the aneurysm clinic and lung nodule clinic.

FTE: 1.0, Shift: Day, Schedule: 8am-5pm (no call, no weekends, no holidays)

Base compensation: $136,961.00 - 183,447.00 plus performance bonus

What We Have to Offer:

• Competitive compensation: Attractive salary with potential sign-on and relocation.
• Top-tier benefits: Medical, dental, CME, retirement plans, and malpractice insurance (including tail).
• Generous time off: Ample time to recharge and maintain work/life balance.
• Career growth: Student loan repayment, leadership training, and advancement opportunities.
• Research opportunities: Engage in impactful, industry-sponsored clinical trials and investigator-initiated research, collaborating closely with our dedicated Research Institute team.
• Innovation Lab: Partner with our medical device incubator to develop cutting-edge healthcare solutions.

• Wellness support: Access to mental health services and wellness coaching.
• Pacific Northwest lifestyle: Enjoy stunning views and outdoor adventures in a vibrant community.

Position Summary

MultiCare Health System is seeking a CT Surgery Physician Assistant to join our well-established, thriving and comprehensive practice. Providers at MultiCare are recognized as being among the best in the Northwest Region. Here, you?ll find everything you need to excel in your job including outstanding facilities, comprehensive resources and talented teammates in partnering for healing and a healthy future.

Requirements

• Washington State Physician Assistant license by the time of employment
• DEA, NPI & prescriptive authority
• Current BLS for Healthcare Providers certification by the American Heart Association

Why Choose Pulse?

• Belonging: We work to create a true sense of belonging for all our caregivers
• Mission-driven: Together, give people their best life. Pulse Heart Institute makes the complex world of cardiovascular care simple for our patients
• Award-winning: Chest Pain ? MI Registry? Platinum Performance Achievement Award for several years running. Across the state of Washington, MultiCare hospitals with Pulse units were the facilities to achieve this award in 2024
• Employee-centric: MultiCare is consistently ranked among ?America?s Best Employers by State? by Forbes
• Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $130,461.00 - $176,947.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant?s years of experience align.

Associated benefit information can be viewed here.

CardioRenal Vision (CRV) is a well-established, physician-led multispecialty group dedicated to providing exceptional cardiology and nephrology care for medically complex patients in skilled nursing facilities. We are currently seeking a motivated and compassionate Nurse Practitioner (NP) or Physician Assistant (PA-C) to join our team in the Tacoma, WA area. This is an opportunity to be part of an organization that prioritizes clinical excellence, continuous learning, and meaningful patient impact, while promoting and delivering a sustainable and rewarding work-life balance.

Our national team is composed of clinicians who are deeply committed to improving outcomes for medically complex patients through collaborative and compassionate evidence-based and patient-centered care. As a CRV specialist, you will practice with a high level of autonomy while benefiting from one-on-one mentorship and ongoing support from our supervising Cardiologists, Nephrologists, and support team. You will participate in a robust onboarding program designed to build confidence and ensure clinical excellence.

Key Highlights

• Individualized training with board-certified Cardiologists and Nephrologists
• Clinical autonomy within a supported care model
• Flexible schedule (you set your hours)
• Competitive compensation with bonus structure
• Work-life balance with no weekend requirements
• Generous PTO and CME Allowance
• Rounding at SNFs, charting completed remotely from home

Comprehensive Benefits Package

• Health, dental, and vision insurance
• Long-term and short-term disability coverage
• Malpractice insurance
• CME reimbursement and paid CME time
• 401(k) retirement plan

Preferred Qualifications

• Prior experience in skilled nursing, internal medicine, family medicine, geriatrics, cardiology, or nephrology is strongly preferred.
• Proven ability to collaborate with facility staff, including nursing directors, executive leadership, and other advanced practice providers.
• Commitment to ongoing clinical education and a proactive approach to patient care.
• Compassionate, patient-centered approach to managing chronic and acute conditions in a vulnerable population.

Primary Responsibilities

• Deliver high-quality Cardiology and Nephrology care to Skilled Nursing residents
• Collaborate with facility and primary care leadership
• Provide education and support to facility staff on relevant clinical topics
• Meet and maintain monthly encounter goals
• Serve as a clinical resource in cardiology and nephrology for the care team
• Complete documentation accurately and in a timely manner

At CRV, we believe in empowering clinicians to grow, lead, and make an impact. If you are seeking a supportive environment where your voice is valued and your clinical development is a priority, we invite you to apply and become part of our mission to elevate post-acute care.

Job Type: Full-time

Pay: $130,000.00 - $190,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person

Anesthesiology Physician
- Locum Tenens Opportunity Near Tacoma, WA We are currently seeking a skilled and experienced Anesthesiologist for a locum tenens assignment near Tacoma, WA.

This position is available ASAP and will continue on an ongoing basis, providing a unique opportunity to support a busy inpatient department during a critical period.

Position Overview: Start Date: ASAP
- Ongoing Location: Near Tacoma, WA Specialty: Anesthesiology Provider Type: Physician Coverage Type: Scheduled Clinical Hours Plus Call Practice Setting: Inpatient Holidays Allowed: New Year's Day, 4th of July, Memorial Day, Labor Day, Thanksgiving Day, Christmas Day Patients Per Shift: 5-10 Beds in Department: 8 ORs Rounding: Not applicable EMR System: Epic Hospital Privileges Required: No Temporary Privileges Available: Yes, with emergency privileges available.

Stroke Certification: Not required Responsibilities: Clinical Hours: Work scheduled clinical hours from 7 AM to 7 PM in a high-demand environment.

The OR is open five days a week, providing a structured yet dynamic work schedule.

Call Coverage: Call responsibilities are required for emergent surgeries, with call shifts running from 7 PM to 7 AM.

Each physician will be on call one night per week, as well as potential weekend call duties.

Patient Care: Manage 5-10 patients per shift, ensuring optimal anesthetic care across a variety of procedures.

Your expertise will be crucial in maintaining patient safety and comfort during surgeries.

Support Staff: You will be supported by a dedicated OR staff, ensuring that you have the resources needed to provide high-quality care.

Requirements: Board Certification: You must be board certified in Anesthesiology to qualify for this position.

Licensing: An active Washington state license or eligibility through the Interstate Medical Licensure Compact (IMLC) is required.

Certifications: ACLS
- Required BLS
- Required PALS
- Required Experience: Previous experience in anesthesiology is essential, ensuring you can effectively manage a range of cases in a busy inpatient setting.

Credentialing Timeframe: Estimated to take between 90-120 days.

Practice Details: Work Environment: The inpatient setting focuses entirely on providing anesthetic care within the hospital.

The facility is well-equipped with eight operating rooms, and the use of the Epic EMR system ensures efficient documentation and communication.

This is an excellent opportunity for an Anesthesiologist looking to make a meaningful impact in a high-volume inpatient setting near Tacoma, WA.

If you are ready to take on a challenging yet rewarding locum tenens role, we encourage you to apply today!