Engineering Structures Jobs in Visalia

Job Title: Chief Nursing Officer (CNO)

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

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

Primary Responsibilities:

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

Key Qualifications and Skills:

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

Certifications or Educational Requirements:

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

Ideal Experience Level:

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

Team and Reporting Structure:

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

Key Priorities in the First Six Months:

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

Challenges and Opportunities:

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

KPIs for Success:

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

Candidate Profile:

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

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

Up to $100K Sign On Bonus – Visalia, CA – Seeking Emergency Medicine Physicians

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Up to $100k sign-on bonus for qualified candidates.
• Seeking Board Eligible/Certified Emergency Medicine physicians.
• Current CA state license is a plus.
• Candidates wanting to work in an academic setting with current residents desired.

The Practice

Kaweah Health Medical Center – Visalia, California

• A 250-bed facility and Level III Trauma Center.
• STEMI Receiving Center and Stroke Center
• 74-bed Emergency Department with 98,000 annual visits.
• 24/7 case management, social work, in-house interpreters.
• Kaweah Health Medical Center operates an ACGME accredited 3-year EM residency with 18 residents per year, ACGME accredited Sim/US/education/admin EM fellowships, and an AP fellowship program, taking rolling admission with up to 4 AP fellows per year.

The Community

• Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.
• As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.
• Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.
• The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.
• Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options
• Dental, Vision, HSA, life and AD&D coverage, and more
• Partnership models allows a K-1 status pay structure, allowing high tax deductions
• Extraordinary 401K Plan with high tax reduction and faster balance growth
• Eligible to receive an Annual Profit Distribution/yearly cash bonus
• EAP and travel assistance included
• Student loan refinancing discounts
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Visa status applicants benefits vary. Please speak to a recruiter for more details.

Applicants only. No agencies please.

Visalia, CA – Seeking Emergency Medicine Residency Assistant Program Director

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Under the direction of the Program Director, the Assistant Program Director (APD) will serve as a core faculty member within the Emergency Medicine Residency Program and play a key leadership role in medical education. The APD’s primary responsibility will be to design, coordinate, and manage the monthly didactic curriculum, ensuring high-yield, board-relevant, and engaging academic content that supports resident development and aligns with ACGME standards.

Join the Vituity Team.Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Serve as a core faculty member within the Emergency Medicine Residency Program and play a key leadership role in medical education.
• Design, coordinate, and manage the monthly didactic curriculum, ensuring high-yield, board-relevant, and engaging academic content that supports resident development and aligns with ACGME standards.
• Develop and manage the monthly didactic calendar including topic selection, speaker scheduling, and integration of stimulation, small-group, asynchronous, and case-based learning.
• Ensure content aligns with ABEM Model of Clinical Practice, milestones, and in-training exam objectives.
• Coordinate the weekly educational conference, journal club, and special sessions (e.g., M&M, procedural workshops, board review).
• Regularly solicit and incorporate resident and faculty feedback to improve curriculum delivery.
• Assist with annual program evaluation, recruitment, and ACGME site visit preparation.
• Participate in CCC and PEC meetings and serve as a mentor to residents.
• Collaborate with the Program Director to foster a culture of excellence in education, professionalism, and wellness.
• Support faculty development efforts related to teaching and educational innovation.

Required Experience and Competencies

• Board-Certified Emergency Medicine physician (ABEM/AOBEM) required.
• At least two (2) years of post-residency clinical experience preferred.
• At least two (2) years of post-residency academic experience preferred.
• Demonstrated commitment to resident education and curriculum development.
• Strong organizational and communication skills.
• Ability to balance clinical, administrative, and educational responsibilities.
• Commitment to diversity, equity, inclusion, and learner well-being.

The Practice

Kaweah Health Medical Center – Visalia, California

• Our hospital is an ACS-recognized Level III Trauma Center with an annual ED census of over 90,000 patients.
• We are a Primary Stroke Center, STEMI Receiving Center, and have a mental health hospital and rehabilitation hospital in Visalia.
• As the largest hospital in Tulare County and the only trauma center for a catchment area of nearly 500,000, our residents receive exceptional experience in caring for patients from all walks of life with a wide array of presenting complaints.
• The 6 current ACGME-accredited residency programs are: Emergency Medicine, Family Medicine, Psychiatry, General Surgery, Anesthesiology, and Transitional Year.

The Community

• Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.
• As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.
• Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.
• The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.
• Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options
• Dental, Vision, HSA, life and AD&D coverage, and more
• Partnership models allows a K-1 status pay structure, allowing high tax deductions
• Extraordinary 401K Plan with high tax reduction and faster balance growth
• Eligible to receive an Annual Profit Distribution/yearly cash bonus
• EAP, travel assistance, and identify theft included
• Student loan refinancing discounts
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Visa status applicants benefits vary. Please speak to a recruiter for more details.

Applicants only. No agencies please.

#academicrecruiting

#academicjobsandfellowships

Visalia, CA – Seeking Emergency Medicine Physicians for Ultrasound Fellowship

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Seeking highly competitive and motivated candidates with strong interest in bolstering their ultrasound skills.
• One (1) year ultrasound fellowship, available for the 2025-2026 academic year.
• Program includes dedicated hours to image acquisition, interpretation, and clinical integration at Kaweah Health Medical Center, participation in local, regional, national, and international ultrasound courses, and exposure to leadership at all levels.
• As a EUFAC-accredited program, Kaweah Health provides a very strong exposure to the tenents of clinical, administrative, quality assurance, teaching, research, unit acquisition, and revenue cycle management. Additionally, we are an ACEP Clinically Accredited Ultrasound Program (one of only four in CA).

Required Experience and Competencies

• Graduate of an accredited Emergency Medicine residency program required.
• Board Certified/Eligible in Emergency Medicine.
• Able to obtain a CA state medical license.
• Interest in ultrasound education.

The Practice

Kaweah Health Medical Center – Visalia, California

• Kaweah Health is a hybrid community and academic medical center serving a diverse patient population.
• Our ED has a strong EM residency, is an ACS Verified Level III Trauma Center, an Advanced Primary Stroke Center, and an AHA STEMI Receiving Center.
• 74-bed Emergency Department with 95,000 annual visits.
• 24/7 trauma, IR, and neurosurgical services.
• 24/7 case management, social work, and in-house interpreters.
• Kaweah Health Medical Center operates an ACGME accredited 3-year EM residency with 18 residents per year, ACGME accredited Sim/US/Education/Admin EM fellowships, and an AP fellowship program, taking rolling admission with up to 4 AP fellows per year.

The Community

• Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.
• As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.
• Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.
• The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.
• Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options
• Dental, Vision, HSA, life and AD&D coverage, and more
• Partnership models allows a K-1 status pay structure, allowing high tax deductions
• Extraordinary 401K Plan with high tax reduction and faster balance growth
• Eligible to receive an Annual Profit Distribution/yearly cash bonus
• EAP and travel assistance included
• Student loan refinancing discounts
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Visa status applicants benefits vary. Please speak to a recruiter for more details.

Applicants only. No agencies please.

#physicianfellow

Visalia, CA – Seeking Quality Assistant Medical Director

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Act as the Quality Medical Director locally, as well as interface between Vituity and Kaweah.
• Vituity has its own Quality team, with which you will become heavily involved, with quarterly virtual workshops, annual in-person workshops, and semi-annual and annual Quality Data audits that are done per provider and for the entire site.
• Learn to stay up to date with CMS' evolving quality metrics and requirements and learn how to reinforce compliance within Vituity and within your site's local operations.
• Act as the ED Sepsis Champion within Kaweah's Sepsis team.
• Work closely with Kaweah Sepsis Team, Quality Officer, Department Chairs, IT, and lab directors.
• Act as the liaison between Kaweah and the ED providers for all matters sepsis related.
• Continue to develop policies and processes to optimize sepsis care within the ED, as well as maximize compliance with CMS requirements. Continue to monitor and revise said policies and processes in real time.
• Attend meetings quarterly and monthly, depending on the level (generally can be virtual).
• Act as the ED Trauma Liaison on the Kaweah Trauma Committee.
• Interface between ED and Surgical providers (including surgery, ortho, vascular, CT, anesthesia, ICU, lab, radiology, etc.) on acute issues or policy optimization.
• Work closely with Trauma Manager and Trauma Director to optimize our site's trauma performance, remediate issues, and ensure ongoing site certification as a trauma center by the American College of Surgeons.
• Chart and case review. Trauma PIPS and PEER review.
• Attend monthly meetings for Trauma Operations and Trauma PIPS/PEER review, both of which are done in a hybrid model (virtual participation is okay).

The Practice

Kaweah Health Medical Center – Visalia, California

• A 250-bed facility and Level III Trauma Center.
• STEMI Receiving Center and Stroke Center.
• 74-bed Emergency Department with 98,000 annual visits.
• 24/7 case management, social work, and in-house interpreters.
• Kaweah Health Medical Center operates an ACGME accredited 3-year EM residency with 18 residents per year, ACGME accredited Sim/US/education/admin EM fellowships, and an AP fellowship program, taking rolling admission with up to 4 AP fellows per year.

The Community

• Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.
• As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.
• Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.
• The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.
• Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options
• Dental, Vision, HSA, life and AD&D coverage, and more
• Partnership models allows a K-1 status pay structure, allowing high tax deductions
• Extraordinary 401K Plan with high tax reduction and faster balance growth
• Eligible to receive an Annual Profit Distribution/yearly cash bonus
• EAP and travel assistance included
• Student loan refinancing discounts
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Visa status applicants benefits vary. Please speak to a recruiter for more details.

Applicants only. No agencies please.

Company Overview

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

Position Overview

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

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

Key Responsibilities

Design & Client Work

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

Technical Production

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

Team Collaboration

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

Qualifications

Required

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

Preferred

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

Work Structure & Growth



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

Position Details

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

Application Instructions

Please submit:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Job Title : Nuclear Engineer (Naval Reactors Engineer) Category / Component : Officer • Active Overview Design, regulate, and oversee the Navy's nuclear propulsion program, including reactor design, fleet operations, and eventual defueling and decommissioning of nuclear powered ships and submarines from Naval Reactors Headquarters and associated Department of Energy laboratories and shipyards.

Key Responsibilities Provide technical direction in areas such as reactor and fluid systems design, reactor physics, materials development, component design for steam generators, pumps, and valves, instrumentation and control for reactor and propulsion plants, testing and quality control, radiation shielding, and chemistry and radiological controls; review designs and analyses from laboratories, shipyards, and industry partners; coordinate with fleet units to ensure safe and reliable nuclear plant operation.

What to Expect Assume significant technical responsibility early in your career as part of a lean headquarters staff; work primarily in an analytical and oversight role rather than operating plants at sea; balance long term engineering projects with time sensitive fleet and shipyard issues; frequent coordination with senior civilian engineers, naval officers, and technical teams; high expectations for attention to detail, judgment, and written and oral communication.

Work Environment Work mainly at Naval Reactors Headquarters in the Washington, District of Columbia area with regular engagement with Department of Energy laboratories, nuclear training sites, shipyards, and nuclear powered ships and submarines; office based work that includes document reviews, technical meetings, inspections, and site visits rather than day to day shipboard watchstanding.

Pathways, Training & Advancement Officer commissioning through programs such as Officer Candidate School or the Nuclear Propulsion Officer Candidate program followed by a structured technical qualification program at Naval Reactors; rotational exposure to laboratories, prototypes, shipyards, and fleet support issues; progressive responsibility leading projects and becoming a subject matter expert, with opportunities for professional military education and advanced graduate study in technical fields.

Entry through the Nuclear Propulsion Officer Candidate program for qualified college students and recent graduates, or selection via Officer Candidate School for those who already hold qualifying degrees; all applicants must meet Nuclear Propulsion Program academic and technical screening standards in addition to general officer commissioning requirements.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: Completion of a rigorous technical degree in engineering, physics, mathematics, or a closely related field that includes strong backgrounds in calculus and physics; outstanding academic record, particularly in technical coursework; United States citizenship and eligibility for a high level security clearance; strong technical aptitude and comfort with detailed analytical work.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

Description:

Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.

MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.

Responsibilities include:

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• Providing daily supervision and mentorship
  
• Managing household routines and student schedules
  
• Administering medications and ensuring student wellness
  
• Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
  
• Leading daily devotions and accompanying students to Sunday Chapel
  
• Overseeing budgeting and household reporting
  

Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.

Benefits include:

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• Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
  
• Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
  
• Relocation assistance and paid training provided
  

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  Paid time off provided at designated times throughout the year
  

Qualifications include:

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• Experience working or volunteering with youth
  
• This is a two-person role for couples legally married for at least two years
  
• Both spouses must be age 27 or older
  
• No more than three dependent children may reside in the student home
  
• Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
  
• Pet limitations: only fish and one dog of approved breeds allowed
  
• Valid U.S. driver’s license and ability to become certified to drive student home vans
  
• Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
  
• High school diploma or GED required
  
• Ability to lift to 50 lbs.
  
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  Demonstrated integrity and professionalism; MHS staff serve as role models for students
  
  

This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit