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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.

No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States.

The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
*$15,000 Commitment Bonus if eligible
* *Up to $8,000 Relocation allowance if eligible
* Job Description Perform diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice.

Work performed in accordance with physician orders.

Defined duties are performed in neonatal and pediatric patient populations.

Duties and responsibilities Administer oxygen, aerosolized medication via Intermittent Positive Pressure Breathing ( IPPB), Intermittent Aerosol Therapy (IAT) and Metered Dose Inhaler ( MDI) and incentive breathing devices.

Perform nasotracheal and artificial airway suctioning, CPR and bag- mask ventilation, pulse oximetry monitoring, arterial blood gas punctures and bedside pulmonary mechanics.

Diagnostic cardiopulmonary procedures, pulmonary function studies, EKGs and cardiac monitoring.

Assure correct set-up, safety and function of all equipment/ supplies necessary in the provision of patient care.

Assure adherence to all infectious disease standards in the delivery of all patient care procedures.

Understands pharmacological indications, dosages and response to adverse drug reactions.

Provides education to patients, families, physicians, nursing and other members of the health care team.

Perform other related duties incidental to the work described herein.

Required Qualifications at this Level Education RCP Completion of AMA 2 approved year Associates Degree, or the equivalent program.

RCP Advanced Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent).

Must maintain annual skill maintenance requirements Must maintain annual safety/compliance requirements Must maintain North Carolina annual license requirements for CEUs Experience RCP None required RCP Advanced Six months to one year of clinical experience following graduation from a respiratory care program.

Degrees, Licensure, and/or Certification RCP North Carolina State Licensure or North Carolina State Provisional License, Certification by the National Board for Respiratory Care (NBRC).

If CRT, must obtain RRT within 6 months of employment Certification in Basic Life Support (BLS), and any other applicable certifications applicable to the institution.

RCP Advanced North Carolina State Licensure Registry ( RRT) by the National Association for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation (NRPS) if applicable to institution Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interactions relative to the specific age of a patient.

Skills validation/certifications of competencies for the duties and responsibilities of this level.

Must maintain annual skill and safety/compliance requirements Must maintain North Carolina annual license requirements for CEU's Customer service and communication expertise.

Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team.

Work is performed in all areas of the hospital.

Required to carry emergency airway bag weighing approximately 20 pounds.

Work requires walking, running, climbing and bending Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging.

Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.

All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities.

Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Class A Truck Driver

JOB DESCRIPTION

POSITION SUMMARY

We are seeking a professional Class A CDL Truck Driver to join our growing team. Our drivers play a key role in transporting scrap metal and related materials safely and efficiently within a 150-mile radius. This is a local driving position enjoy being home daily while working with a company that values hard work and reliability. Our drivers are the face of Harmon Scrap Metal on the road and must provide excellent service and conduct themselves in accordance with the company's core values.

ABOUT HARMON SCRAP METAL

At Harmon Scrap Metal, were a family-owned and values-driven company built on safety, integrity, and teamwork. We take pride in providing reliable service, maintaining well-kept equipment, and supporting our drivers with the respect and consistency they deserve. Here at Harmon Scrap Metal, we contribute to our environment by recycling on a large scale through the processing of scrap metal and we are growing by the day! Our mission is to empower people to recycle the past to impact the future.

PERFORMANCE OBJECTIVES

• Conduct all pre-trip and post-trip safety inspections daily
• Completes an efficient delivery and pick up route for the day
• Provides outstanding customer service during delivery and pickup operations
• Maintains all required FMCSA certifications
• Adheres to all OSHA, company, and FMCSA safety programs, rules, and requirements
• Maintains housekeeping of all company assigned equipment
• Communicates effectively with management, dispatch and all co-workers
• Maintains electronic dvir
• Attend and participate in internal meetings and complete required training
• Performs other related duties as assigned by management

BENEFITS

• PTO
• Paid holidays
• Health Insurance including company paid Life Insurance

If this position caught your eye, send us your resume! For best consideration, include the job title and source where you found this position in the subject line of your email to .

Disclaimer: The sorting and processing of scrap metals involves using permanent magnets and electromagnets, creating magnetic fields, which can interfere with electronic medical devices like cardiac pacemakers and defibrillators.

KEY COMPETENCIES

• Ability to drive safely.
• Excellent communication skills
• Ability to use navigation tools such as onboard GPS, smartphone apps, and/or web-based or physical maps
• Ability to maintain basic records
• Ability to carry out a series of instructions without constant supervision
• Able to remain professional and courteous at all times

EDUCATION & EXPERIENCE

• At least 2 years of driving experience
• CDL Driver's License with a satisfactory driving record
• At least 25 years of age
• Be insurable and have no more than 3 citations for moving violations and/or accidents within the past 3 years

PHYSICAL REQUIREMENTS

• Must be able to lift up to 50 pounds
• Crouch and squat for pre- and post-trip inspections
• Able to pass DOT physical, drug screen, road test, and basic backing skills test

Compensation details: 23-25 Hourly Wage

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Join our amazing team of professionals at Sigma! We believe in truly taking care of our associates to ensure they feel empowered to be their best selves at work. You are not just applying for a job, this is the start of a new career with a fast-growing, innovative global food organization. Ready for your next opportunity? Come join our table!

Position Summary

• The DVP, Procurement leads a centralized, enterprise-wide procurement function that builds competitive advantage through strategic supplier partnerships, cross-functional alignment, and proactive risk mitigation. This leader will establish and communicate a clear vision for procurement excellence that gains broad organizational support across Sales, Operations, R&D, Finance, and Global Supply Chain. Reporting to the EVP of Operations and Supply Chain, this role will define procurement strategy and governance while directing a team of category leaders spanning meat, dairy, and materials to ensure reliable, cost-effective, and compliant supply.

Essential Job Functions

• Develop and articulate a compelling procurement vision aligned to business strategy, driving cross-functional alignment with Sales, Operations, R&D, IBP, and global partners.
• Enhance and advance procurement policies, frameworks, and long-range strategies that anticipate future business needs and strengthen competitive advantage.
• Collaborate with global procurement peers to leverage enterprise scale, harmonize processes, and optimize sourcing approaches across regions while maintaining agility.
• Build and sustain relationships with strategic, emerging, and niche suppliers that align with company values and long-term growth ambitions.
• Lead structured supplier business reviews multiple times per year to drive performance, transparency, innovation, and continuous improvement.
• Maintain a diversified supplier ecosystem to mitigate concentration risks and encourage the development of new, high-value supplier partners.
• Provide mentorship and partnership guidance to key suppliers to ensure capability development, sustainability, and strategic alignment.
• Oversee comprehensive supplier capability assessments, leading high-impact negotiations and ensuring contracts protect quality, service, and brand reputation.
• Forecast procurement needs by integrating production plans, inventory requirements, and sales outlooks to ensure uninterrupted supply while capturing demand fluctuations.
• Conduct scenario modeling and risk assessments to proactively manage volatility in commodities, supply availability, and regulatory environments.
• Align internal requirements with supplier capabilities to enable seamless execution and agile issue resolution.
• Monitor industry, regulatory, and market trends to ensure compliance and inform strategic adjustments.
• Partner with IBP, Logistics, Operations, R&D, and Co-Manufacturing to synchronize planning and execution and ensure reliability across the supply chain.
• Lead modernization initiatives that standardize tools, processes, and data to improve procurement effectiveness and safeguard food safety and regulatory compliance.
• Standardize cost structures and core procurement processes while maintaining flexibility for strategic and specialty suppliers.
• Drive cost-savings, productivity, and value-creation initiatives that support short-term targets and long-term enterprise strategy.
• Lead, mentor, and develop a team of category leaders, building deep capability in negotiation, analytics, supplier management, and strategic planning.
• Foster a high-performance culture centered on discipline, reliability, quality, continuous improvement, and results ownership.
• Other duties as assigned.

Minimum Qualifications

• Bachelor’s Degree in Supply Chain, Business Finance, or related field.
• Ten years of experience in progressive strategic sourcing or procurement leadership.

License/Certifications

• Not applicable.

Preferred Qualifications

• MBA or equivalent advanced degree preferred.
• Bilingual in English and Spanish.

Knowledge, Skills & Abilities (KSA’s)

• Food and category expertise with extensive procurement experience in food manufacturing, including deep knowledge of meat, dairy, and core ingredient and material categories.
• Proven strategic negotiation ability to secure competitive terms while building long-term, mutually beneficial supplier relationships.
• Strong scenario planning and market intelligence capability with experience modeling commodity markets, supply risks, contingency strategies, and pricing trends.
• Advanced analytical skills with a rigorous, data-driven approach to evaluation, decision-making, and performance management.
• Demonstrated operational discipline with a history of delivering consistent quality, cost control, supply continuity, and on-time execution.
• Experience developing high-performing teams and advancing procurement leadership capability.
• Global mindset with success operating in global or multi-country sourcing environments and navigating cultural and operational complexity.

Environmental/Working Conditions

• Ability to travel up to fifty percent of the time.

Physical Requirements

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Usual office environment with frequent sitting, walking, and standing, and occasional climbing, stooping, kneeling, crouching, crawling, and balancing.
• Regular use of hands and fingers to handle, feel, or operate objects, tools, or controls, and frequent reaching with hands and arms.
• Oral and auditory capacity enabling interpersonal communication as well as communication through automated devices such as the telephone.
• Specific vision abilities including close vision and the ability to adjust focus.
• Occasional lifting or moving of office products and supplies up to twenty pounds.

Position Summary

Regional Role | 9 Hospitals + 2 Ambulatory Surgery Centers

Trinity Health Michigan is seeking an experienced and visionary Director of Medical Staff Services to lead Medical Staff Services (MSS) operations across our 9 hospitals and 2 ambulatory surgery centers. This is a high‑impact, system‑level leadership role responsible for driving standardization, regulatory excellence, and operational performance across the region.

In this role, you will report to the Chief Clinical Officer and partner with Chief Medical Officers from each health ministry to advance Medical Staff governance, credentialing, peer review processes, and administrative standard work. You will lead regional initiatives, ensure consistent application of harmonized policies and bylaws, and guide MSS teams in delivering efficient, compliant, and high‑quality services.

Key Responsibilities

• Provide strategic and operational leadership for Medical Staff Services across the Michigan region.
• Ensure high‑quality, compliant credentialing, recredentialing, and data management processes.
• Maintain harmonized Medical Staff Bylaws, Rules & Regulations, and Credentialing Policies across all sites.
• Lead regional peer review oversight, including OPPE, FPPE, and peer review workflows.
• Support Medical Staff governance and serve as the administrative liaison to regional Credentialing Committees.
• Develop and maintain a regional dashboard for MSS operational performance.
• Lead process‑improvement initiatives to enhance efficiency, accuracy, and consistency.
• Collaborate with CMOs, hospital leadership, and regional councils to advance system goals.
• Monitor and implement regulatory, legal, and accreditation requirements (CMS, TJC, DNV, etc.).

Education & Certification

• Advanced degree required (Healthcare Administration, Business Administration, or related field).
• Comprehensive knowledge of credentialing and Medical Staff Services typically gained through a bachelor’s degree or equivalent experience.
• CPMSM or CPCS certification preferred.

Experience

• 5-10 years of progressive management experience in Medical Staff Services.
• Must possess comprehensive knowledge of medical staff credentialing, peer review and the delivery of medical staff services.
• Demonstrated success in leading teams, managing complex workflows, and driving organizational improvement.
• Experience overseeing multiple hospitals or a central verification office (CVO) strongly preferred

Required Skills & Abilities

• Strong communication and interpersonal skills to collaborate across clinical and administrative teams.
• Advanced analytical and problem‑solving capabilities.
• Deep knowledge of contemporary healthcare management practices.
• Ability to lead through influence in a large, matrixed environment.
• Commitment to regulatory compliance and operational excellence.

Why Join Trinity Health Michigan?

• Influence MSS operations across a major regional system
• Lead meaningful work that directly supports clinical quality and patient safety
• Collaborate with top clinical and administrative leaders
• Shape the future of Medical Staff Services statewide
• Hybrid reporting structure with travel to sites across the state of Michigan.

Our client is seeking an Inventory Planning Supervisor. This role will oversee procurement and supply chain for parts and accessories in LATAM/Caribbean, ensures stock availability and supplier performance, collaborates with internal teams, and reports on key supply metrics.

Title: Inventory Planning Supervisor

Industry: Automotive Parts Distribution

Type: Full-Time, Direct Hire

Location: Miami, FL

Pay: $73-76K/(DOE)

Key Responsibilities :

• Manage procurement of parts and accessories for LATAM and Caribbean regions.
• Execute SCM tasks following standard procedures and resolve issues with other departments.
• Collaborate with internal teams to ensure timely, high-quality customer service.
• Prepare and present regular performance reports; track key metrics and suggest improvements.
• Monitor supplier performance and implement strategies to meet departmental KPIs.
• Maintain adequate stock levels, anticipate shortages, and ensure supplier compliance with policies.

Qualifications

• Bachelor’s degree in supply chain, business, or related field, or equivalent experience.
• 5+ years in operations, procurement, supply chain, or logistics; LATAM/Caribbean experience a plus.
• Basic knowledge of import process and application of harmonized codes.
• Strong customer service, communication, and presentation skills (English/Spanish bilingual preferred).
• Proficient in MS Office; knowledge of import processes and harmonized codes.
• Strong analytical, decision-making, and time management skills.
• Able to work independently, collaborate in teams, manage projects, and travel internationally.

**Please submit your application with a 1-2 page resume. Only qualified candidates will be contacted**

Job Title: Customs Entry Writer

Job Summary:

We are seeking a detail-oriented Customs Entry Writer to join our logistics team. This role is responsible for preparing and submitting import documentation to U.S. Customs and Border Protection (CBP) to ensure timely clearance of international shipments. The ideal candidate will have experience in customs brokerage or freight forwarding, strong knowledge of import regulations, and the ability to manage multiple shipments in a fast-paced environment.

Key Responsibilities:

• Prepare and submit customs entries through ABI in accordance with CBP regulations
• Review commercial invoices, packing lists, bills of lading, and other import documents for accuracy and compliance
• Classify imported goods using the Harmonized Tariff Schedule (HTS) and determine applicable duties, taxes, and fees
• Communicate with importers, freight forwarders, carriers, and government agencies to obtain required documentation and resolve entry issues
• Monitor shipment status and coordinate cargo release with CBP and other regulatory agencies (FDA, USDA, EPA, etc. when applicable)
• Maintain accurate records of import transactions and ensure compliance with company and government regulations
• Research and resolve customs holds, exams, and documentation discrepancies
• Provide updates to internal teams and clients regarding shipment status and clearance timelines

Qualifications:

• 2+ years of experience in customs brokerage, freight forwarding, or import operations
• Knowledge of U.S. Customs regulations and the Harmonized Tariff Schedule (HTS)
• Experience filing entries through ABI and working with customs brokerage software
• Strong attention to detail and ability to manage high-volume entry processing
• Excellent communication and organizational skills
• Proficiency in Microsoft Office, especially Excel