Full Spectrum Jobs in Usa
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Catheterization Laboratory Technologist I - Cardiology Cath - Full Time
Salary not disclosed
DescriptionSummary: The Catheterization Laboratory Technologist I has a critical role in supporting cardiac catheterization procedures by preparing the lab and operating essential equipment, including fluoro imaging and digital image acquisition.
This role ensures the accurate documentation of patient information and hemodynamic measurements, while also maintaining stringent aseptic technique and patient safety standards.
The Technologist I actively collaborates with the medical team to optimize patient care and departmental efficiency, serving as the radiation safety representative during X-ray usage and continually developing proficiency in specialized cath lab technologies.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Promotes Organizational Principles of Catholic Healthcare; Solidarity, Holistic Care, Respect for Human Life, Participatory Community of Work and Mutual Respect, Stewardship, Act in communion with the Church.
* Ensures major equipment is operational in assigned area(s) and documents as required for quality control; reports any issues through chain of command and per hospital process.
* Participates in daily room checks and stocking of supplies.
* Accesses daily patient schedule and appropriate patient information for assigned procedures.
* Ensures appropriate equipment, supplies, and room configuration for all procedures.
* Collaborates with procedure team and Cath Lab Lead/Coordinator to ensure appropriate patient care and departmental efficiency at all times.
* Ensures proper patient information is entered into cath lab computer and imaging systems.
* Ensures proper procedure documentation, hemodynamic measurements/recording, and ECG recognition during assigned procedures.
* Ensures patient position is appropriate and safely secured on procedure table per procedure type.
* Trains and completes competencies to set up and operate cath lab equipment including, but not limited to: Imaging (X-Ray, intravascular ultrasound-IVUS, intracardiac echo-ICE), contrast injector, hemodynamic system, intra-aortic balloon pump, rotational atherectomy, thrombectomy, left ventricular assist device, etc.
* Supports and anticipates the needs of the physician and ensures patient safety when scrubbing procedures; moves/pans table appropriately during fluoro and X-Ray acquisition.
* Adheres to aseptic technique 100% of the time during procedures and stops the line if a break in sterile technique is identified.
* Adheres to organizational policies and processes related to patient safety, patient privacy, infection control (hand hygiene), and patient communication before, during, and after procedure.
* Collaborates with others on the team in sharing knowledge; to gain and provide appropriate knowledge as appropriate; to foster teamwork and team cohesion.
* Supports department and team by engaging in patient transport as appropriate.
* Obtains and maintains proficiency in access site management.
* Acts as radiation safety representative for patients and team while X-Ray is used.
* Performs fluoro imaging and digital image acquisition as appropriate for procedure or as instructed by the physician.
* Adheres to the attendance policy and departmental productivity standards.
* Supports department and organization's commitment to Zero Harm and Customer Service.
* Adheres to departmental and organizational dress code.
* Understands and upholds the CHRISTUS mission, vision, and purpose.
* Supports and promotes Unit based Councils, process improvement projects, and a nursing collaborative care model that meets requirements for magnet status.
* Promotes and serves with respect to the CHRISTUS core values; Dignity, Integrity, Excellence, Compassion, Stewardship.Job Requirements:Education/Skills
* Graduate from an accredited school of Radiology Technology, an associate's degree in a healthcare-related field, or an acceptable equivalent required
* Bachelor's degree preferredExperience
* 0-1 year of experience in an acute care setting preferredLicenses, Registrations, or Certifications
* Basic Life Support (BLS) certification is required
* Advanced Cardiovascular Life Support (ACLS) certification is required within 6 months of hire to work/perform independently
* Pediatric Advanced Life Support (PALS) certification is required within 6 months of hire to work/perform independently at Pediatric facilities
* One of the following certifications is preferred (individuals whose ARRT certification lapsed prior to June 1, 2023, may qualify under LSRTBE exemption criteria) :
* Registered Cardiovascular Invasive Specialist (RCIS) by CCI
* Registered Cardiac Electrophysiology Specialist (RCES) by CCI
* Registered Cardiac Sonographer (RCS) by CCI
* Radiography (R) by ARRT
* Cardiac Interventional Radiography (CI) by ARRT
* Cardiovascular Interventional Radiography (CV) by ARRT
* Vascular Interventional Radiography (VI) by ARRT
* Abdomen (AB) RDMS by ARDMS
* Obstetrics & Gynecology (OB/GYN) RDMS by ARDMS
* Adult Echocardiography (AE) RDCS by ARDMS
* Registered Vascular Technologist (RVT) by ARDMS
* State Licensure required based on modality
* Texas: MRT or LMRT by TMB
* Louisiana: LRT (R) or (F) by LSRTBE
* New Mexico: RRT or FUS by MIRTP NMEDIn accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.Work Schedule:4 Days
- 10 Hours Work Type:Full Time
This role ensures the accurate documentation of patient information and hemodynamic measurements, while also maintaining stringent aseptic technique and patient safety standards.
The Technologist I actively collaborates with the medical team to optimize patient care and departmental efficiency, serving as the radiation safety representative during X-ray usage and continually developing proficiency in specialized cath lab technologies.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Promotes Organizational Principles of Catholic Healthcare; Solidarity, Holistic Care, Respect for Human Life, Participatory Community of Work and Mutual Respect, Stewardship, Act in communion with the Church.
* Ensures major equipment is operational in assigned area(s) and documents as required for quality control; reports any issues through chain of command and per hospital process.
* Participates in daily room checks and stocking of supplies.
* Accesses daily patient schedule and appropriate patient information for assigned procedures.
* Ensures appropriate equipment, supplies, and room configuration for all procedures.
* Collaborates with procedure team and Cath Lab Lead/Coordinator to ensure appropriate patient care and departmental efficiency at all times.
* Ensures proper patient information is entered into cath lab computer and imaging systems.
* Ensures proper procedure documentation, hemodynamic measurements/recording, and ECG recognition during assigned procedures.
* Ensures patient position is appropriate and safely secured on procedure table per procedure type.
* Trains and completes competencies to set up and operate cath lab equipment including, but not limited to: Imaging (X-Ray, intravascular ultrasound-IVUS, intracardiac echo-ICE), contrast injector, hemodynamic system, intra-aortic balloon pump, rotational atherectomy, thrombectomy, left ventricular assist device, etc.
* Supports and anticipates the needs of the physician and ensures patient safety when scrubbing procedures; moves/pans table appropriately during fluoro and X-Ray acquisition.
* Adheres to aseptic technique 100% of the time during procedures and stops the line if a break in sterile technique is identified.
* Adheres to organizational policies and processes related to patient safety, patient privacy, infection control (hand hygiene), and patient communication before, during, and after procedure.
* Collaborates with others on the team in sharing knowledge; to gain and provide appropriate knowledge as appropriate; to foster teamwork and team cohesion.
* Supports department and team by engaging in patient transport as appropriate.
* Obtains and maintains proficiency in access site management.
* Acts as radiation safety representative for patients and team while X-Ray is used.
* Performs fluoro imaging and digital image acquisition as appropriate for procedure or as instructed by the physician.
* Adheres to the attendance policy and departmental productivity standards.
* Supports department and organization's commitment to Zero Harm and Customer Service.
* Adheres to departmental and organizational dress code.
* Understands and upholds the CHRISTUS mission, vision, and purpose.
* Supports and promotes Unit based Councils, process improvement projects, and a nursing collaborative care model that meets requirements for magnet status.
* Promotes and serves with respect to the CHRISTUS core values; Dignity, Integrity, Excellence, Compassion, Stewardship.Job Requirements:Education/Skills
* Graduate from an accredited school of Radiology Technology, an associate's degree in a healthcare-related field, or an acceptable equivalent required
* Bachelor's degree preferredExperience
* 0-1 year of experience in an acute care setting preferredLicenses, Registrations, or Certifications
* Basic Life Support (BLS) certification is required
* Advanced Cardiovascular Life Support (ACLS) certification is required within 6 months of hire to work/perform independently
* Pediatric Advanced Life Support (PALS) certification is required within 6 months of hire to work/perform independently at Pediatric facilities
* One of the following certifications is preferred (individuals whose ARRT certification lapsed prior to June 1, 2023, may qualify under LSRTBE exemption criteria) :
* Registered Cardiovascular Invasive Specialist (RCIS) by CCI
* Registered Cardiac Electrophysiology Specialist (RCES) by CCI
* Registered Cardiac Sonographer (RCS) by CCI
* Radiography (R) by ARRT
* Cardiac Interventional Radiography (CI) by ARRT
* Cardiovascular Interventional Radiography (CV) by ARRT
* Vascular Interventional Radiography (VI) by ARRT
* Abdomen (AB) RDMS by ARDMS
* Obstetrics & Gynecology (OB/GYN) RDMS by ARDMS
* Adult Echocardiography (AE) RDCS by ARDMS
* Registered Vascular Technologist (RVT) by ARDMS
* State Licensure required based on modality
* Texas: MRT or LMRT by TMB
* Louisiana: LRT (R) or (F) by LSRTBE
* New Mexico: RRT or FUS by MIRTP NMEDIn accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.Work Schedule:4 Days
- 10 Hours Work Type:Full Time
permanent
Clinical Pharmacist Ii - Oncology - Full Time
🏢 Christus Health
Salary not disclosed
DescriptionSummary:All pharmacists fill orders for drugs, monitor patient drug therapies and provide drug information.
Pharmacists provide pharmacy services with compassion, excellence and efficiency.
In addition, level II pharmacists participate in management of patient pharmacotherapy and quality medication management within assigned service lines.Responsibilities:Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Operational Duties and ResponsibilitiesPrepares and dispenses drug orders per physician request according to established policies, procedures and protocols.Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately.
Maintains, accurate, complete patient drug record.Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately.Issues controlled substances to patient care areas and maintains records as required by law and institutional policies.Provides services efficiently and in a timely fashion.Supervises and directs pharmacy support personnel.
Verifies the daily activities of pharmacy techniciansMaintains competency required for current job title/positionMaintains current pharmacist license.
Ensures applicable CE records and licensure are maintained in department files.
Attends staff meetings.Completes all competency/skills assessment requirements.Provides analysis of medication use processes and contributes at least one related project per year.Ambulatory care PharmacistProvides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications.
Performs duties in the clinical areas assigned such as but not limited to: anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc.Clinical Duties and ResponsibilitiesEnsures safe, appropriate, cost effective drug therapies for patients according to established policies, procedures, and protocols.Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol.Reads, extracts and interprets information in patient medical records accurately.Detects and reports suspected adverse drug reactions accurately and in a timely manner.Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols and promoting rational drug therapy selection.Provides clinical consultation and clarification to practitioners as appropriate.Provides accurate, adequate and timely drug information to the hospital's professional staff.Provides drug education to patients and their families per institutional protocol.Participates in the quality improvement and medication use review activities of the department.
Collects data, conducts monitors and inspections and maintains logs, records and other documentation as assigned.Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation)Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals.Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assignedAttends interdisciplinary rounds when assignedProvides services efficiently and in a timely fashionContributes to the advancement of the pharmacy department and medication management of the organization through (minimum):Precepting of pharmacy residents and studentsAssessment of new and ongoing pharmacist competenciesIn-service of pharmacy and/or nursing staff (1 per year)Participates in departmental or sub-committees as assignedCompletes 1 clinical project per yearOccupational HazardsPotential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items.Risk 0 exposure category.Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used.Potential exposure to biologic material when participating in direct patient care activities (e.G.
patient education, code attendance).Job Requirements:Education/SkillsDoctor of Pharmacy or BS Pharmacy degree requiredOne of the following required: BPS Board Certification, Residency, Fellowship or at least 5 years of hospital experienceASHP Residency Preceptor status required within 180 days of hire (for Ministries with Residency programs)ExperiencePGY-1 and PGY-2 residency completion, Board certification, or 5 years hospital experience required at hireLicenses, Registrations, or CertificationsPharmacy state licensure required within 60 days of start datePharmacist preceptor required within 90 daysBLS or ACLS requiredPALS (for pediatric practice) requiredIn accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.Work Schedule:5 Days
- 8 HoursWork Type:Full Time
Pharmacists provide pharmacy services with compassion, excellence and efficiency.
In addition, level II pharmacists participate in management of patient pharmacotherapy and quality medication management within assigned service lines.Responsibilities:Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Operational Duties and ResponsibilitiesPrepares and dispenses drug orders per physician request according to established policies, procedures and protocols.Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately.
Maintains, accurate, complete patient drug record.Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately.Issues controlled substances to patient care areas and maintains records as required by law and institutional policies.Provides services efficiently and in a timely fashion.Supervises and directs pharmacy support personnel.
Verifies the daily activities of pharmacy techniciansMaintains competency required for current job title/positionMaintains current pharmacist license.
Ensures applicable CE records and licensure are maintained in department files.
Attends staff meetings.Completes all competency/skills assessment requirements.Provides analysis of medication use processes and contributes at least one related project per year.Ambulatory care PharmacistProvides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications.
Performs duties in the clinical areas assigned such as but not limited to: anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc.Clinical Duties and ResponsibilitiesEnsures safe, appropriate, cost effective drug therapies for patients according to established policies, procedures, and protocols.Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol.Reads, extracts and interprets information in patient medical records accurately.Detects and reports suspected adverse drug reactions accurately and in a timely manner.Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols and promoting rational drug therapy selection.Provides clinical consultation and clarification to practitioners as appropriate.Provides accurate, adequate and timely drug information to the hospital's professional staff.Provides drug education to patients and their families per institutional protocol.Participates in the quality improvement and medication use review activities of the department.
Collects data, conducts monitors and inspections and maintains logs, records and other documentation as assigned.Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation)Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals.Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assignedAttends interdisciplinary rounds when assignedProvides services efficiently and in a timely fashionContributes to the advancement of the pharmacy department and medication management of the organization through (minimum):Precepting of pharmacy residents and studentsAssessment of new and ongoing pharmacist competenciesIn-service of pharmacy and/or nursing staff (1 per year)Participates in departmental or sub-committees as assignedCompletes 1 clinical project per yearOccupational HazardsPotential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items.Risk 0 exposure category.Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used.Potential exposure to biologic material when participating in direct patient care activities (e.G.
patient education, code attendance).Job Requirements:Education/SkillsDoctor of Pharmacy or BS Pharmacy degree requiredOne of the following required: BPS Board Certification, Residency, Fellowship or at least 5 years of hospital experienceASHP Residency Preceptor status required within 180 days of hire (for Ministries with Residency programs)ExperiencePGY-1 and PGY-2 residency completion, Board certification, or 5 years hospital experience required at hireLicenses, Registrations, or CertificationsPharmacy state licensure required within 60 days of start datePharmacist preceptor required within 90 daysBLS or ACLS requiredPALS (for pediatric practice) requiredIn accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.Work Schedule:5 Days
- 8 HoursWork Type:Full Time
permanent
Phlebotomist - Lab AdminGeneral - Full Time
🏢 Christus Health
Salary not disclosed
DescriptionSummary:Responsible for performing all the duties of a phlebotomist including specimen collection, specimen receiving, and specimen referrals.Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Ensures that the company philosophy and core values are evident in the service delivered to customers.
Takes responsibility for seeking and achieving professional growth and continued education.
Assures quality of work performed by all associates. Coordinates services to customers in a manner that provides customer satisfaction and cost-efficient operations.
Assures compliance with CAP, JCAHO, OSHA, infection control, safety, and other regulatory standards, including privacy and security of health information (PHI).
Maintains collection tray/container/bag and working area in a neat and sanitary condition & restocks as necessary.
Responsible for procurement of supplies for the department in cooperation with the team lead.
Performs all duties of a phlebotomist; specimen collection, specimen receiving, specimen send-outs.
Prepares specimens for referral to outside labs, including ordering of misc. and misc. referred testing, packaging of specimens, calling of cab, referral paperwork, and the mail system
Performs all patient specimen collections including, but not limited to, venipuncture, capillary collection, urine drug screen collection, skin tests, and blood, throat, and NP cultures.
Ensures that specimen requirements are met at the time of collection and maintain specimen integrity
Demonstrates good communication skills by competently interacting with customers, patients, family members, nurses, physicians, clients, and co-workers.
Operates the laboratory computer system to document specimen information, patient registration, order entry, collection lists, and other assigned tasks.
Performs other related duties as assigned (stand-by/on-call, inventory, special projects, cross-training, etc.).
Completes associate performance evaluations and annual competency assessments in a timely manner.Job Requirements:Education/Skills High School diploma or equivalent preferredBilingual English/Spanish preferredCompletion of a Phlebotomy; Medical Laboratory; or Medical Assistant program that includes phlebotomy preferredFamiliar with medical terminology; computer data entry; organizational skills Experience One year phlebotomy experience preferred Licenses, Registrations, or Certifications Certified Phlebotomy Technician (CPT) is preferredPhlebotomy Tech (PBT) certification or State licensure is preferred if in Louisiana In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule:5 Days - 8 HoursWork Type:Full Time
Ensures that the company philosophy and core values are evident in the service delivered to customers.
Takes responsibility for seeking and achieving professional growth and continued education.
Assures quality of work performed by all associates. Coordinates services to customers in a manner that provides customer satisfaction and cost-efficient operations.
Assures compliance with CAP, JCAHO, OSHA, infection control, safety, and other regulatory standards, including privacy and security of health information (PHI).
Maintains collection tray/container/bag and working area in a neat and sanitary condition & restocks as necessary.
Responsible for procurement of supplies for the department in cooperation with the team lead.
Performs all duties of a phlebotomist; specimen collection, specimen receiving, specimen send-outs.
Prepares specimens for referral to outside labs, including ordering of misc. and misc. referred testing, packaging of specimens, calling of cab, referral paperwork, and the mail system
Performs all patient specimen collections including, but not limited to, venipuncture, capillary collection, urine drug screen collection, skin tests, and blood, throat, and NP cultures.
Ensures that specimen requirements are met at the time of collection and maintain specimen integrity
Demonstrates good communication skills by competently interacting with customers, patients, family members, nurses, physicians, clients, and co-workers.
Operates the laboratory computer system to document specimen information, patient registration, order entry, collection lists, and other assigned tasks.
Performs other related duties as assigned (stand-by/on-call, inventory, special projects, cross-training, etc.).
Completes associate performance evaluations and annual competency assessments in a timely manner.Job Requirements:Education/Skills High School diploma or equivalent preferredBilingual English/Spanish preferredCompletion of a Phlebotomy; Medical Laboratory; or Medical Assistant program that includes phlebotomy preferredFamiliar with medical terminology; computer data entry; organizational skills Experience One year phlebotomy experience preferred Licenses, Registrations, or Certifications Certified Phlebotomy Technician (CPT) is preferredPhlebotomy Tech (PBT) certification or State licensure is preferred if in Louisiana In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule:5 Days - 8 HoursWork Type:Full Time
permanent
Medical Laboratory Technician I - Lab Admingeneral - Full Time
🏢 Christus Health
Salary not disclosed
Description
Summary:Performs clinical testing in assigned section/s such as general laboratory, Blood Bank and Microbiology sections, with all duties necessary for accurate and timely results including quality control, performance improvement, proficiency testing, and preventative maintenance of equipment. Recognizes abnormal critical values and follows proper guidelines for notifying medical team members of results. Performs clerical, general, and phlebotomy duties related to daily operations in the laboratory. Provides/dispenses blood products as requested by medical staff.Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Ensures that the company philosophy and core values are evident in the service delivered to customers.
Specimen Collection/Handling/Processing- obtains blood specimens via venipuncture and/or fingerstick, accurately identifies and labels appropriately;
answers pneumatic tube system;follows procedures for processing and testing specimens, including operating various centrifuges;obtains other designated patient specimens as listed in procedure manuals.* Result Reporting - recognizes errors or improbable results and takes appropriate action;reports critical valuesper Policy and Procedure;performs tests within established timeframe;performs laboratory testing, if designated, in the following sections: Hematology, Urinalysis, Coagulation, Chemistry, Special Chemistry, ER Stat Lab, and Microbiology;performs blood bank procedures, including crossmatching, ab id's, and dispensing of blood products;operates laboratory automated analyzers according to established procedures.* Performs, analyzes, and records QC according to Policy & Procedure following CLIA, CAP, AABB, and JCAHO guidelines;performs and records Performance Improvement indicators and reports results.* Performs established daily and periodic preventative maintenance with documentation;troubleshoots minor problems and initiates service calls as needed;orders (or notifies assigned associate) and restocks supplies/reagents;reviews policy & procedure manual;dates reagents and discards expired reagents.
Takes responsibility for seeking and achieving professional growth and continued education.
Assists in training new associates and students in Laboratory practices.
Follows CAP, AABB, Compliance, CLIA, JCAHO, and OSHA standards.
Follows established protocols for safety, infection control, security, compliance, and the use of hazardous materials.
Utilizes LIS and HIS computer systems appropriately to perform, charge, and report laboratory results.
Completes annual competency assessment successfully and by assigned date.
Job Requirements:
Education/Skills
* Associates Degree or higher in clinical laboratory science or medical laboratory technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489:
* Successfully completed an official U.S. military medical laboratory procedures training course of at least 50 weeks duration and currently hold the military enlisted occupational specialty of medical laboratory specialist (laboratory technician);
OR* 60 semester hours or equivalent from an accredited institution that, at a minimum, includes either 24 semester hours of medical laboratory technology courses, OR 24 semester hours of science courses that include six semester hours of chemistry, six semester hours of biology, and 12 semester hours of chemistry, biology or medical laboratory technology in any combination;
AND* Laboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES, NAACLS, or other organization approved by HHS (note that this training may be included in the 60 semester hours listed above), or at least three months documented laboratory training in each specialty in which the individual performs high complexity testing.
Experience
* No experience required for graduates of a clinical laboratory training program approved or accredited by NAACLS, or other organizations approved by HHS.OR* Six Months of approved clinical laboratory experience, which must include a clinical rotation through the following sections of the laboratory: Blood Banking, Microbiology, Chemistry, and Hematology, Immunology, and Urinalysis/Body Fluids in the U.S. or with an accredited laboratory within the last 5 years. (This meets the AMT MLT eligibility requirement).
Licenses, Registrations, or Certifications
* Louisiana requires State Licensure.* New Graduate that is Board Certified or eligible (must complete Board Certification in 1 year of hire, Louisiana excluded).
Work Schedule:
MULTIPLE SHIFTS AVAILABLEWork Type:
Full Time
Summary:Performs clinical testing in assigned section/s such as general laboratory, Blood Bank and Microbiology sections, with all duties necessary for accurate and timely results including quality control, performance improvement, proficiency testing, and preventative maintenance of equipment. Recognizes abnormal critical values and follows proper guidelines for notifying medical team members of results. Performs clerical, general, and phlebotomy duties related to daily operations in the laboratory. Provides/dispenses blood products as requested by medical staff.Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Ensures that the company philosophy and core values are evident in the service delivered to customers.
Specimen Collection/Handling/Processing- obtains blood specimens via venipuncture and/or fingerstick, accurately identifies and labels appropriately;
answers pneumatic tube system;follows procedures for processing and testing specimens, including operating various centrifuges;obtains other designated patient specimens as listed in procedure manuals.* Result Reporting - recognizes errors or improbable results and takes appropriate action;reports critical valuesper Policy and Procedure;performs tests within established timeframe;performs laboratory testing, if designated, in the following sections: Hematology, Urinalysis, Coagulation, Chemistry, Special Chemistry, ER Stat Lab, and Microbiology;performs blood bank procedures, including crossmatching, ab id's, and dispensing of blood products;operates laboratory automated analyzers according to established procedures.* Performs, analyzes, and records QC according to Policy & Procedure following CLIA, CAP, AABB, and JCAHO guidelines;performs and records Performance Improvement indicators and reports results.* Performs established daily and periodic preventative maintenance with documentation;troubleshoots minor problems and initiates service calls as needed;orders (or notifies assigned associate) and restocks supplies/reagents;reviews policy & procedure manual;dates reagents and discards expired reagents.
Takes responsibility for seeking and achieving professional growth and continued education.
Assists in training new associates and students in Laboratory practices.
Follows CAP, AABB, Compliance, CLIA, JCAHO, and OSHA standards.
Follows established protocols for safety, infection control, security, compliance, and the use of hazardous materials.
Utilizes LIS and HIS computer systems appropriately to perform, charge, and report laboratory results.
Completes annual competency assessment successfully and by assigned date.
Job Requirements:
Education/Skills
* Associates Degree or higher in clinical laboratory science or medical laboratory technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489:
* Successfully completed an official U.S. military medical laboratory procedures training course of at least 50 weeks duration and currently hold the military enlisted occupational specialty of medical laboratory specialist (laboratory technician);
OR* 60 semester hours or equivalent from an accredited institution that, at a minimum, includes either 24 semester hours of medical laboratory technology courses, OR 24 semester hours of science courses that include six semester hours of chemistry, six semester hours of biology, and 12 semester hours of chemistry, biology or medical laboratory technology in any combination;
AND* Laboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES, NAACLS, or other organization approved by HHS (note that this training may be included in the 60 semester hours listed above), or at least three months documented laboratory training in each specialty in which the individual performs high complexity testing.
Experience
* No experience required for graduates of a clinical laboratory training program approved or accredited by NAACLS, or other organizations approved by HHS.OR* Six Months of approved clinical laboratory experience, which must include a clinical rotation through the following sections of the laboratory: Blood Banking, Microbiology, Chemistry, and Hematology, Immunology, and Urinalysis/Body Fluids in the U.S. or with an accredited laboratory within the last 5 years. (This meets the AMT MLT eligibility requirement).
Licenses, Registrations, or Certifications
* Louisiana requires State Licensure.* New Graduate that is Board Certified or eligible (must complete Board Certification in 1 year of hire, Louisiana excluded).
Work Schedule:
MULTIPLE SHIFTS AVAILABLEWork Type:
Full Time
permanent
Endoscopy Technologist - Endoscopy Surgery - Full Time
🏢 Christus Health
Salary not disclosed
Description
Summary:Assists with the coordination of care for patients in the endoscopy department. Responsible for the preparation, maintenance, and cleaning of equipment and supplies and may assist in performing invasive endoscopic procedures.Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Provides various service related activities to the delivery of direct and assistive patient care in the endoscopy service of the operating room prior to and during any endoscopic procedure.
Required to rotate shifts and accept on-call assignments.
Adept at establishing and maintaining sterile fields, ability to pull cases, capable in assisting for endoscopy procedures.
Knowledge of sterilization concepts and methods, aseptic techniques and endoscopy instruments.
Job Requirements:
Education/Skills
* High School Diploma or equivalent preferred
Experience
* Previous experience working in the Operating Room or Endoscopy Unit preferred* GI Tech experience preferred
Licenses, Registrations, or Certifications
* BLS required* GI certification from SGNA Associates preferred
Work Schedule:
MULTIPLE SHIFTS AVAILABLEWork Type:
Full Time
Summary:Assists with the coordination of care for patients in the endoscopy department. Responsible for the preparation, maintenance, and cleaning of equipment and supplies and may assist in performing invasive endoscopic procedures.Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Provides various service related activities to the delivery of direct and assistive patient care in the endoscopy service of the operating room prior to and during any endoscopic procedure.
Required to rotate shifts and accept on-call assignments.
Adept at establishing and maintaining sterile fields, ability to pull cases, capable in assisting for endoscopy procedures.
Knowledge of sterilization concepts and methods, aseptic techniques and endoscopy instruments.
Job Requirements:
Education/Skills
* High School Diploma or equivalent preferred
Experience
* Previous experience working in the Operating Room or Endoscopy Unit preferred* GI Tech experience preferred
Licenses, Registrations, or Certifications
* BLS required* GI certification from SGNA Associates preferred
Work Schedule:
MULTIPLE SHIFTS AVAILABLEWork Type:
Full Time
permanent
Coordinator Medical Staff - Med Staff Administration - Full Time
🏢 Christus Health
Salary not disclosed
Description
Summary:Assures the proper credentialing of physicians, professionals, and paraprofessional individuals with staff privileges. Provides administrative and secretarial support to the medical staff. Records, transcribes, and maintains all necessary records.Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
The Credentials Verifications Office (CVO) Medical Staff Coordinator is responsible for the coordination of medical Staff credentialing and privileging.
The CVO Medical Staff Coordinator prioritizes the work processes and monitors the performance of the Credentialing Specialist
Process and expedite the CVO credentialing of Medical Staff and Allied Health Professional applications, appointments, reappointments, requests for change in privileges, and changes in status.
Maintain credentials files, reflecting current licensure, liability insurance, board certification, etc.
Maintain current data in credentialing software system for easy and accurate access upon request.
Prepare reports from credentialing software as requested.
Act as liaison to all members of the Medical Staff by handling telephone and written requests for verification information.
Other duties as assigned.
Requirements:Education/Skills
* High School Diploma or equivalent
Experience
* 1-3 years' experience preferred
Licenses, Registrations, or Certifications
* Certified Provider Credentialing Specialist (CPCS) certification within 2 years of hire.
Work Schedule:
8AM - 5PM Monday-FridayWork Type:Full Time
Summary:Assures the proper credentialing of physicians, professionals, and paraprofessional individuals with staff privileges. Provides administrative and secretarial support to the medical staff. Records, transcribes, and maintains all necessary records.Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
The Credentials Verifications Office (CVO) Medical Staff Coordinator is responsible for the coordination of medical Staff credentialing and privileging.
The CVO Medical Staff Coordinator prioritizes the work processes and monitors the performance of the Credentialing Specialist
Process and expedite the CVO credentialing of Medical Staff and Allied Health Professional applications, appointments, reappointments, requests for change in privileges, and changes in status.
Maintain credentials files, reflecting current licensure, liability insurance, board certification, etc.
Maintain current data in credentialing software system for easy and accurate access upon request.
Prepare reports from credentialing software as requested.
Act as liaison to all members of the Medical Staff by handling telephone and written requests for verification information.
Other duties as assigned.
Requirements:Education/Skills
* High School Diploma or equivalent
Experience
* 1-3 years' experience preferred
Licenses, Registrations, or Certifications
* Certified Provider Credentialing Specialist (CPCS) certification within 2 years of hire.
Work Schedule:
8AM - 5PM Monday-FridayWork Type:Full Time
permanent
Physical Therapist - Physical Therapy Rehab - Full Time
✦ New 🏢 Christus Health
Salary not disclosed
DescriptionSummary:Provides physical therapy services.
Evaluates patients, sets goals, plans programs, and treats patients according to the physician's orders; maintains required records and notes; assists with directing technicians and support personnel; assumes responsibility for physical therapy charges; participates in educational programs, follows all CHRISTUS St.
Michael and departmental policy and procedures.
Responsibilities:Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.Performs professional duties related to patient care in order to restore the patient to his/her maximum level of independence and functions according to accepted standards of ethical conduct for the physical therapist.Clinical competencies in physical therapy skills and techniques are demonstrated in a manner that promotes quality patient care.Participates in established inter-departmental and intra-departmental communication systems and methods to achieve departmental, hospital and corporate goals.Maintains required records/documentations as specified in department policy and procedures manual.Participates in maintaining\improving the effectiveness of the services provided by the physical therapy department.Assumes responsibility for therapeutic equipment safety, operation and maintenance.Requirements:Education/SkillsDoctorate of Physical Therapy preferredBasic Computer KnowledgeAbility to communicate effectively, both verbally and written.ExperienceNew graduate entry level or any amount of experience in physical therapy is acceptable.Licenses, Registrations, or CertificationsMaintain current registration license in Texas and provide the hospital with a copy.Maintain BCLS certification.Work Schedule:7AM
- 5PMWork Type: Full Time
Evaluates patients, sets goals, plans programs, and treats patients according to the physician's orders; maintains required records and notes; assists with directing technicians and support personnel; assumes responsibility for physical therapy charges; participates in educational programs, follows all CHRISTUS St.
Michael and departmental policy and procedures.
Responsibilities:Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.Performs professional duties related to patient care in order to restore the patient to his/her maximum level of independence and functions according to accepted standards of ethical conduct for the physical therapist.Clinical competencies in physical therapy skills and techniques are demonstrated in a manner that promotes quality patient care.Participates in established inter-departmental and intra-departmental communication systems and methods to achieve departmental, hospital and corporate goals.Maintains required records/documentations as specified in department policy and procedures manual.Participates in maintaining\improving the effectiveness of the services provided by the physical therapy department.Assumes responsibility for therapeutic equipment safety, operation and maintenance.Requirements:Education/SkillsDoctorate of Physical Therapy preferredBasic Computer KnowledgeAbility to communicate effectively, both verbally and written.ExperienceNew graduate entry level or any amount of experience in physical therapy is acceptable.Licenses, Registrations, or CertificationsMaintain current registration license in Texas and provide the hospital with a copy.Maintain BCLS certification.Work Schedule:7AM
- 5PMWork Type: Full Time
permanent
Delivery Driver **FULL-TIME PERMANENT POSITION**
✦ New 🏢 Doordash
Salary not disclosed
Why Deliver with DoorDash? DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, youll stay busy with a variety of earnings opportunities and can work when it works for you.
Whether youre looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
Multiple ways to earn: Whether youre delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
Total flexibility: Dash when it works for you.
Set your own hours and work as muchor as littleas you want.
Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
Instant cash flow: Get paid the same day you dash with DoorDash Crimson
*.
No deposit fees, no waiting.
Quick and easy start: Sign up in minutes and get on the road fast.
** Simple Process: Just pick up, drop off, and cash out.
Payday is in your back pocket.
Basic Requirements ~18+ years old
*** (21+ to deliver alcohol)~ Any car, scooter, or bicycle (in select cities)~ Driver's license number ~ Social security number (only in the US)~ Consistent access to a smartphone How to Sign Up Click Sign UpApply Now and complete the sign up process Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification.
The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC.
The DoorDash Crimson Visa Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig.
Deliver with DoorDash and earn extra cash while being your own boss.
Dash when it works for you.
Sign up today.
by Jobble
As a Dasher, youll stay busy with a variety of earnings opportunities and can work when it works for you.
Whether youre looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
Multiple ways to earn: Whether youre delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
Total flexibility: Dash when it works for you.
Set your own hours and work as muchor as littleas you want.
Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
Instant cash flow: Get paid the same day you dash with DoorDash Crimson
*.
No deposit fees, no waiting.
Quick and easy start: Sign up in minutes and get on the road fast.
** Simple Process: Just pick up, drop off, and cash out.
Payday is in your back pocket.
Basic Requirements ~18+ years old
*** (21+ to deliver alcohol)~ Any car, scooter, or bicycle (in select cities)~ Driver's license number ~ Social security number (only in the US)~ Consistent access to a smartphone How to Sign Up Click Sign UpApply Now and complete the sign up process Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification.
The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC.
The DoorDash Crimson Visa Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig.
Deliver with DoorDash and earn extra cash while being your own boss.
Dash when it works for you.
Sign up today.
by Jobble
permanent
Delivery Driver Full-Time (Weekends
✦ New 🏢 Doordash
Salary not disclosed
Why Deliver with DoorDash? DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, youll stay busy with a variety of earnings opportunities and can work when it works for you.
Whether youre looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
Multiple ways to earn: Whether youre delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
Total flexibility: Dash when it works for you.
Set your own hours and work as muchor as littleas you want.
Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
Instant cash flow: Get paid the same day you dash with DoorDash Crimson
*.
No deposit fees, no waiting.
Quick and easy start: Sign up in minutes and get on the road fast.
** Simple Process: Just pick up, drop off, and cash out.
Payday is in your back pocket.
Basic Requirements ~18+ years old
*** (21+ to deliver alcohol)~ Any car, scooter, or bicycle (in select cities)~ Driver's license number ~ Social security number (only in the US)~ Consistent access to a smartphone How to Sign Up Click Sign UpApply Now and complete the sign up process Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification.
The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC.
The DoorDash Crimson Visa Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig.
Deliver with DoorDash and earn extra cash while being your own boss.
Dash when it works for you.
Sign up today.
by Jobble
As a Dasher, youll stay busy with a variety of earnings opportunities and can work when it works for you.
Whether youre looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
Multiple ways to earn: Whether youre delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
Total flexibility: Dash when it works for you.
Set your own hours and work as muchor as littleas you want.
Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
Instant cash flow: Get paid the same day you dash with DoorDash Crimson
*.
No deposit fees, no waiting.
Quick and easy start: Sign up in minutes and get on the road fast.
** Simple Process: Just pick up, drop off, and cash out.
Payday is in your back pocket.
Basic Requirements ~18+ years old
*** (21+ to deliver alcohol)~ Any car, scooter, or bicycle (in select cities)~ Driver's license number ~ Social security number (only in the US)~ Consistent access to a smartphone How to Sign Up Click Sign UpApply Now and complete the sign up process Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification.
The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC.
The DoorDash Crimson Visa Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig.
Deliver with DoorDash and earn extra cash while being your own boss.
Dash when it works for you.
Sign up today.
by Jobble
permanent
Supervisor Registered Nurse - Dialysis - Full Time
✦ New 🏢 Christus Health
Salary not disclosed
Description
Summary:
The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the Director for analyzing, planning, implementing, evaluating, and communicating processes and programs which enhance, strengthen and integrate the services comprising the nursing department. Responsible for participation in the development and implementation of the service line strategic business plans; and for creating an environment, which continuously supports improvement of operational, financial, and clinical components.
Assumes primary responsibility for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established quality and productivity standards. Provides feedback and assistance concerning customer satisfaction, staff development, and associate performance and satisfaction.
The Supervisor is responsible for the daily operations of a Nursing department on a 24-hour basis. The Supervisor collaborates with other clinical and ancillary departments to meet organizational and department-specific Quality and Safety Measures, Community Values, Business Literacy, and Service Excellence goals.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Implementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families.
Ensuring consistent application of nursing services policies and standards throughout the organization.
Monitoring patient outcomes and quality and effectiveness of nursing care.
Overseeing the performance of teams; identifying and addressing staff training and development needs.
Job Requirements:
Education/Skills
Bachelor of Science Degree in Nursing preferred
Experience
2 years of clinical patient care experience in a relevant setting
Previous Lead or Supervisor experience overseeing work of assigned units, preferred
Previous healthcare management experience preferred
Licenses, Registrations, or Certifications
BLS required
RN License in state of employment or compact
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Summary:
The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the Director for analyzing, planning, implementing, evaluating, and communicating processes and programs which enhance, strengthen and integrate the services comprising the nursing department. Responsible for participation in the development and implementation of the service line strategic business plans; and for creating an environment, which continuously supports improvement of operational, financial, and clinical components.
Assumes primary responsibility for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established quality and productivity standards. Provides feedback and assistance concerning customer satisfaction, staff development, and associate performance and satisfaction.
The Supervisor is responsible for the daily operations of a Nursing department on a 24-hour basis. The Supervisor collaborates with other clinical and ancillary departments to meet organizational and department-specific Quality and Safety Measures, Community Values, Business Literacy, and Service Excellence goals.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Implementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families.
Ensuring consistent application of nursing services policies and standards throughout the organization.
Monitoring patient outcomes and quality and effectiveness of nursing care.
Overseeing the performance of teams; identifying and addressing staff training and development needs.
Job Requirements:
Education/Skills
Bachelor of Science Degree in Nursing preferred
Experience
2 years of clinical patient care experience in a relevant setting
Previous Lead or Supervisor experience overseeing work of assigned units, preferred
Previous healthcare management experience preferred
Licenses, Registrations, or Certifications
BLS required
RN License in state of employment or compact
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
permanent
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