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Selma, CA – Seeking Emergency Medicine 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

• Oversee quality and safety initiatives.
• Collaborate with hospital quality personnel to ensure compliance with all relevant regulatory standards.
• Develop and implement projects to improve service excellence and patient experience.
• Compare patient feedback survey results to Vituity state/region averages and national benchmarks.
• Respond to written and verbal patient complaints in a timely manner utilizing service-recovery techniques.
• Track and trend patient complaints, including the QI director as necessary in concerning cases.
• Train and mentor providers in patient experience techniques.
• Coordinate with hospital-patient experience personnel.
• Coordinate efforts with key leaders in central operations. Participate and lead multidisciplinary meetings involving nursing, providers, and ancillary services.
• Participate and lead multidisciplinary meetings involving nursing, providers, and ancillary services.
• Initiate process improvement and engage hospital project management resources to implement change.
• Coordinate workflows with nursing leadership, case managers, social workers, and hospital ancillary services.
• Coach underperformers and share best practices.
• Participate in the hospital-wide throughput committee.
• Create and champion clinical pathways.
• Develop relationships with appropriate inpatient resources, case managers, hospitalists, and palliative care.
• Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
• Establish and actively manage an inventory of resources available for patients to assist in transition post-ED/post-inpatient.  Ensure best practices are utilized regarding handoffs for all transitions.
• Monitor site financial performance and identify and create new areas for growth and revenue.
• Develop an expertise and understanding of the yearly budget, financial performance measures and monitoring systems, and billing and reimbursement issues / systems.
• Improve patient census and billing practice statistics to optimize reimbursement for the practice.
• Maintain awareness and interactions with payers such as significant IPAs, Medical Groups, Foundations, and ACOs associated with the hospital / health system.
• Coordinate efforts with key leaders in central operations.

Required Experiences and Competencies

• Licensed physician as a Medical Doctor (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from an accredited medical school and completion of residency through an accredited residency program required.
• Maintain membership and privileges on Hospital’s medical staff and comply with and abide by the bylaws, rules and regulations, and the policies and procedures of Hospital’s medical staff where services are being provided required.
• Physician Partnership status required.
• Superior clinical skills to serve as role model by setting high standards preferred.
• Administrative experience and aptitude preferred.
• Interest in interpreting complex financial data and with understanding of finance and accounting as they relate to practice management preferred.
• Strong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred.
• Excellent verbal and written communication skills preferred.
• Excellent relationship building and process improvement skills preferred.
• Meeting facilitation.
• Excellent communication skills.
• Change management/Process improvement.
• Project management.
• Process improvement.
• Relationship building.
• Technology skills.

The Practice

Adventist Health Selma – Selma, California

• A small, community hospital with a well-equipped ER and hardworking staff and great team culture.
• 45-bed facility with 10 ED beds and six other patient care areas.
• Annual volume of 45,000 with a 5% admit rate.
• Site utilizes PA/NP’s for Rapid Medical Evaluation® (RME) to reduce wait times and increase patient satisfaction.
• Previously granted Vituity’s Practice of the Year award.

The Community

• Selma, California, located in the heart of Fresno County, is a charming community known as the “Raisin Capital of the World.”
• Its agricultural heritage is reflected in its picturesque vineyards and orchards, which play a vital role in the local economy.
• The city hosts annual events like the Raisin Festival, celebrating its rich farming traditions.
• Nearby, residents can explore the Blossom Trail, a scenic route showcasing vibrant spring blooms.
• Selma offers small-town charm with easy access to larger cities like Fresno and landmarks such as Yosemite, Sequoia, and Kings Canyon National Parks for outdoor adventures.
• The Mediterranean climate brings hot, dry summers and mild winters, perfect for enjoying outdoor activities year-round.
• With a friendly community, affordable living, and a strong sense of tradition, Selma provides a peaceful yet connected lifestyle that appeals to families and professionals alike.

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.

Up to $100K Sign On Bonus – Selma, 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.
• Internal Medicine or Family Practice physicians will also be considered.
• Candidates wanting to work in an academic setting with current residents desired.
• Current CA state license is a plus.
• H1-B/H1B Visa applicants are encouraged to apply.
• Providers will be cross credentialed at Adventist CVN sites: Hanford, Reedley, Selma, and Tulare.

The Practice – A Four – Hospital System

Adventist Health Hanford – Hanford, California

Adventist Health Tulare – Tulare, California

Adventist Medical Center – Reedley, California

Adventist Health Selma – Selma, California

• A small, community hospital with a well-equipped ER and hardworking staff and great team culture.
• 45-bed facility with 10 ED beds and six other patient care areas.
• Annual volume of 45,000 with a 5% admit rate.
• Site utilizes PA/NP’s for Rapid Medical Evaluation® (RME) to reduce wait times and increase patient satisfaction.
• Previously granted Vituity’s Practice of the Year award.

The Community

• Selma, California, located in the heart of Fresno County, is a charming community known as the “Raisin Capital of the World.”
• Its agricultural heritage is reflected in its picturesque vineyards and orchards, which play a vital role in the local economy.
• The city hosts annual events like the Raisin Festival, celebrating its rich farming traditions.
• Nearby, residents can explore the Blossom Trail, a scenic route showcasing vibrant spring blooms.
• Selma offers small-town charm with easy access to larger cities like Fresno and landmarks such as Yosemite, Sequoia, and Kings Canyon National Parks for outdoor adventures.
• The Mediterranean climate brings hot, dry summers and mild winters, perfect for enjoying outdoor activities year-round.
• With a friendly community, affordable living, and a strong sense of tradition, Selma provides a peaceful yet connected lifestyle that appeals to families and professionals alike.

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.

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.

Do you crave a career that truly makes an impact in people’s lives? Do you thrive on problem-solving and finding solutions? Join a dedicated, tight-knit team that creates an immediate and meaningful impact every day.

Join a mission-driven team delivering impactful, non-medical counseling services supporting multiple government contracts.  Enjoy flexible scheduling, meaningful work, and the opportunity to make a difference with part-time or full-time employment opportunities. 

Leidos QTC Medical Services, Inc., operating under the brand name Leidos QTC Health Services, is seeking Behavioral Health Counselors to provide non-medical, solution-focused counseling services under a federal government contract. Services are preventive in nature including goal-oriented counseling sessions to help with stress management and coping strategies, support during life transitions (e.g., relocation, school changes, family adjustments), communication and relationship skill-building, assessment of needs and referral to medical or clinical providers when appropriate.  These services are solution-focused and designed to strengthen resilience, readiness, and overall well-being. 

This position supports a structured program operating out of your own in-clinic environment or specific community-based and office settings.  This role requires professionalism, adaptability, and adherence to federal guidelines and contract requirements.  

LQTC is experiencing rapid growth and is actively expanding our provider network. We are currently seeking individuals who are based in, or interested in working in Fresno, CA.

Primary Responsibilities:

• 
  
• Deliver face-to-face, non-medical counseling services to eligible participants in accordance with contract requirements 
  
• Provide brief, solution-focused interventions addressing life transitions such as relocation, school changes, deployment-related adjustments, and family stressors 
  
• Conduct outreach activities, psychoeducational briefings, workshops, and group discussions 
  
• Assess participant needs and provide appropriate referrals to medical, clinical, or community resources when issues exceed the scope of non-medical counseling 
  
• Maintain accurate and timely documentation in compliance with contract standards and reporting requirements 
  
• Establish and maintain a visible, professional presence within assigned government or community sites 
  
• Identify and communicate program trends, systemic concerns, and service delivery issues to program leadership 
  
• Participate in required training, quality assurance activities, and professional development in accordance with contract standards 
  

Required Qualifications:

• 
  
• Master’s degree or higher in Counseling, Social Work, Psychology, Marriage & Family Therapy, or a related behavioral health discipline with a minimum of 1 year of relevant experience.
  
• Current, active, unrestricted, and independent clinical license in good standing issued by a U.S. state, the District of Columbia, or a U.S. territory (e.g., LCSW, LPC/LPCC, LMFT, Licensed Psychologist), meeting all applicable state practice requirements and scope-of-practice standards. 
  
• U.S. citizenship (required for federal contract compliance) 
  
• Ability to successfully pass all required background investigations and meet credentialing requirements, including verifying licensure, certifications, education, work history, and payer-specific documentation. 
  
• Ability to meet physical and environmental demands of community-based service delivery 
  

Additional Information: 

Work Environment & Physical Requirements

• 
  
• Appointments will vary between 1 to 12 appointment sessions per examinee. 
  
• Services provided in a combination of indoor and outdoor environments, including government facilities, offices, and community locations 
  
• May require walking extended distances, navigating stairs or uneven terrain, and working in varying weather conditions 
  
• When serving children, extended periods of sitting on the floor may be required 
  

Compliance & Professional Standards: 

• 
  
• Adherence to federal contract guidelines, ethical standards, and confidentiality requirements 
  
• Commitment to maintaining professional boundaries and operating within the defined scope of non-medical counseling services 
  
• Ability to operate independently while representing the contracting organization in a professional manner 
  

 About Leidos QTC Medical Services, Inc. 

Leidos QTC Medical Services, Inc., operating under the brand name Leidos QTC Health Services, collaborates closely with government and non-government customers to address current and future program needs within the health services domain. In coordination with the PCs, we specialize in disability-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and case management solutions. As innovators, we focus on advancing technologies that improve service delivery, with a particular emphasis on enhancing accessibility for examinees in rural communities. With a proven track record of continuous improvement and steady growth, we now handle over 2 million appointments annually. 

Compensation and Benefits 

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. 

Commitment to Non-Discrimination 

Leidos QTC Health Services is a VEVRAA Federal contractor.  Leidos QTC Health Services and each of its affiliated PCs are Equal Opportunity Employers. We have an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. We recruit, hire, train, and promote individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status. 

• Masters or better

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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:

• 
  
• 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:

• 
  
• 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
  

• 
  Paid time off provided at designated times throughout the year
  

Qualifications include:

• 
  
• 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.
  
• 
  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

We’re seeking dependable individuals who want to build a side income alongside their full-time work. This role offers flexible tasks you can perform outside your regular job hours. You’ll be given structured guidance and tools to identify side hustles that complement your main job, without conflict or burnout.

Responsibilities:

• Work through curated side-hustle ideas and evaluate which suit your skills and schedule

• Test and implement methods to generate extra income (e.g. remote tasks, micro-projects)

• Track your time and earnings; maintain simple reports

• Adjust your workflow and focus on the side hustles that deliver the best return

Requirements:

• Must have a full-time job already (or other main commitment)

• Reliable internet access and a device (laptop, tablet or smartphone)

• Basic organization skills and ability to work independently

• Willingness to learn and experiment

Preferred Qualities:

• Self-motivated

• Good at managing time

• Comfortable trying new things

• Able to commit a few hours each week

Benefits:

• Work on your own schedule (evenings/weekends)

• Low risk; minimal overhead

• Opportunity to scale income over time

• Support and guidance provided

We’re looking for people interested in a part-time remote opportunity to supplement their main income. This position is ideal for professionals, freelancers, and anyone who wants to improve their financial situation with flexible, manageable work.

You’ll receive access to structured resources explaining simple, effective ways to earn extra income using your existing skills and free time.

Responsibilities:

• Review step-by-step guides and apply them independently

• Choose methods that fit your experience and lifestyle

• Monitor and report your own results to measure progress

• Maintain consistency and reliability

Requirements:

• Reliable internet connection and basic computer literacy

• Strong self-motivation and time management

• Comfortable working independently

• Willingness to learn new approaches

Benefits:

• Remote and flexible schedule

• No selling or cold calling

• Practical ways to build a stable side income

• Opportunity for long-term financial growth