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Anotech, an Alten group company, specializes in engineering consulting for the energy, infrastructure and process industries. Present in 40 countries, we offer reliable and efficient support to our clients in the realization of their large-scale projects, while maintaining compliance with local and international regulations, by presenting them to the highest qualified industry talent. Our goal is to deliver tailor-made engineering services to major industry projects that will shape tomorrow.

Our team is currently looking for a Cost Controller for a critical greenfield construction project. This role is responsible for managing and overseeing cost control processes across a new drug production facility to provide actionable insights to stakeholders and support informed project decision making.

About you:

• Bachelor’s degree in Finance, Accounting, Business Administration, or a related field (Master’s degree or professional certifications such as CPA, CMA, or ACCA are a plus).
• Proven experience in cost control, financial analysis, or project management, with 5-7 years in a leadership role.
• Strong knowledge of cost management principles, budgeting, forecasting, and financial reporting.
• Expertise in financial software (e.g., SAP, Oracle, or similar tools) and advanced proficiency in Microsoft Excel.
• Strong preference for candidates with background in pharma, bio-tech, or nuclear industries
• Exceptional analytical and problem-solving skills, with an ability to interpret complex data and provide actionable insights.
• Strong leadership and team management abilities, with a track record of driving results through collaboration.
• Excellent communication and presentation skills, with the ability to convey financial concepts to non-finance stakeholders.
• Proactive and detail-oriented, with an ability to manage multiple priorities in a fast-paced environment.

About the role:

• Cost Management and oversight, including developing and implementing cost control plans and processes
• Monitor and analyze project budgets, expenditures and forecasts
• Identify cost saving opportunities, risks and variances
• Prepare cost reports based on dashboards, conducting financial analysis insights to leadership and stakeholders
• Work closely with project managers, engineering teams, procurement teams and finance tems to ensure cost control practices

Due to business need, all candidates must be local to the area and have valid US work authorization. Sponsorship will not be offered at this time.

Role Overview:

We are looking for a Production & Costing Associate, Women's Wholesale Apparel to join our team.Responsibilities include, but are not limited to the following:

• Build and maintain seasonal cost logs by entering and analyzing the costing components and cost history
• Ensure all design and fabric team updates are entered in cost logs and shared w/costing managers and factories.
• Navigate through RLM and Centric to extract data, run reports and pivot tables from reports weekly to help team analyze capacity and business.
• Run weekly reports for team to confirm costing is finalized before ship window in RLM
• Assist team in collecting the information to reach out to factory for costing/delivery ie tech packs from centric and patterns from tech/shared files.
• Update PLM with allocations from managers

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s degree preferred
• 2 years minimum experience
• Ability to work with mathematical concepts such as probability and statistical
• Proficient in Microsoft Office
• SAP and/or PLM a plus

Salary Range: 70-80K *Actual base salary for this role within the above range will be based upon experience, qualifications and/or assigned unit.

We are an EEO/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status.

Company Description

Tarr, LLC is a full-service independent distributor of chemicals, dedicated to superior service and innovation. Headquartered in Portland, Oregon, with additional facilities in the Pacific Northwest and Phoenix, the company provides tailored solutions to customers across the western U.S. and the Pacific Rim. Tarr delivers 95% of orders through its own fleet, ensuring efficiency and reliability. As a founding member of OmniChem and an ISO 9001:2015 certified organization, Tarr prioritizes quality and environmental safety. With over half a century of expertise, Tarr remains committed to being a leading independent chemical distributor on the West Coast.

Role Description

Perform duties necessary to monitor accurate tracking and valuation of product inventory. Includes other duties related to inventory consisting of reporting, analysis, and support and training for other staff.

Duties and Responsibilities

• Responsible for managing the Inventory Master file and ensuring compliance to policy and procedure. Reviewing for consistency and identification of discontinued products.
• System Administration for the Warehousing and Manufacturing Modules of the ERP.
• Data Extraction from ERP System for Inventory Transactions and Troubleshooting.
• Set up of new process in ERP system for tracking of Inventory. System enhancements, updates, and conversions.
• Prepares and directs routine cycle counts of specific inventory products and consumable supply items. This includes all ethanol inventories required for external reporting compliance at least monthly.
• Directs full physical count of all inventories (Finished Good, Raw Materials, Packaging, and Consumable Supply Items) on a scheduled basis. Reconciles physical count to perpetual count in accounting system. Requires travel to facilities.
• Research with operations reported or identified inventory discrepancies to determine root cause and process improvements for product quantities and costing.
• Responsible to determine the need to make adjusting transactions to correct inventory balances, correcting either on hand quantities and/or average cost as needed, ensuring lot numbers and representation in transaction history is properly documented.
• Prepares and reviews the Dead Stock/Slow Moving/NC Report and works with operations to formulate a game plan for the use or disposal of the products.
• Responsible for maintenance of product formulas and their revisions in the ERP system at the direction of production, sales, and/or quality control. This includes the listing of specific work instructions and process/product related notations.
• Responsible for understanding tracking and reporting requirements of TTB and preparation of monthly ethanol flow reports.
• Sets up new products, blend products and packaging items applying standard procedures for required fields in ERP system. Verifies that existing product codes do not already exist and explores other options like the addition of a formula version or a customer-product as an alternative. Distributes product information and product codes to sales, purchasing, compliance and customer service.
• Routinely reviews labor and overhead costing rates and application to production formulas. Through observation and discussion with operations and sales personnel, tracks and analyze the labor, analytical costs, other consumable elements associated with completion of production activities.
• Confers and coordinates with CFO and other interested parties to prepare for absorption rate changes.
• Provides training, support and backup as needed to employees interacting with inventory transactions from Receiving to Invoicing, and product returns for all facilities.
• Audits inventory related transactions to ensure proper recording in system, to include receivers, production posting, location transfers, lot identification and labeling.
• Works with various departments, including Purchasing, Production, Accounts Payable and General Ledger to resolve inventory processing questions and issues.
• Conduct root cause analysis to identify when more information is required and where processes can be improved.
• Assists Sales and Management with various reports and information when needed for gross margin impact.
• Monthly Inv Variance/PPV/Disposal/Freight Variance Recons
• Must comply with all company safety, quality and environmental standards.
• Works within the Tarr Systems Manual built upon the framework of ISO 9001 Quality Management System and Responsible Distribution Process requirements.
• Performs other duties as assigned by management.

This description reflects the general details considered necessary to describe the principal functions of the job identified for the purpose of job evaluation. It should not be construed as a detailed description of all work requirements that may be inherent in the job, nor should it be construed as giving exclusive title to every function described.

Qualifications

• Accounting Education – minimum two-year associates degree or equivalent work experience with perpetual computerized inventory and product costing.
• Work experience with inventory management systems in automated lot-controlled batch manufacturing environment, where troubleshooting inventory accuracy and standard product costing were prevalent responsibilities.
• Intermediate to Excellent skills with Microsoft Office products including word, excel and outlook email required. Extracting Data from Tables, creating Pivot Tables, VLookups.
• Experience with ERP Systems, integrated computer systems to include order entry, inventory control, and production modules is required.
• Previous experience and knowledge of excise taxes preferred.
• Willing to travel to other sites or conferences on a scheduled basis.
• Requires solid math aptitude, calculating avg unit cost and conversion factors.
• Must possess problem-solving, troubleshooting, and accounting reconciliation skills.
• Ability to work with little supervision while handling multiple priorities.
• Ability to prioritize workload and utilize time management skills to meet deadlines.
• Detail oriented with an acumen for accuracy and thoroughness.
• Excellent oral and written communication skills and etiquette over the phone, email, meetings, and individually with others.
• Chemical product knowledge preferred and/or a willingness to learn required.
• Positive, personable, demonstrating a professional demeanor and appearance.

Warranty & Cost Recovery Analyst

Bergen County, NJ | $60–80K | Onsite

Ready to step into a high visibility role where your Excel skills actually matter? Our client needs someone who can own Cost Recovery and support Warranty—not the other way around. If you love digging into data, finding money on the table, and keeping vendors honest, keep reading.

What You’ll Do

• Drive Cost Recovery efforts (your main focus—about 60–70%).
• Pull, analyze, and present data using pivot tables, VLOOKUPs, charts, and graphs.
• Build and refine reports for leadership.
• Manage vendor and customer follow up to resolve disputes.
• Support the Warranty team as needed on claims, documentation, and coverage decisions.
• Communicate professionally across all levels—from production staff to VPs.

What You Bring

• Strong Excel skills (non negotiable).
• Experience in Cost Recovery, Warranty, Claims, or Customer Service with financial follow up.
• Ability to write clean reports and explain the story behind the numbers.
• Comfortable working independently and jumping into complex issues.
• Microsoft 365 experience.
• Bonus: SAP, aviation or automotive industry experience

Why This Role

• You’ll be joining a department that’s growing—not stagnant.
• Leadership wants someone who’ll make this a long term career move.
• Real room to expand, own processes, and elevate the function.
• OT available case by case.

Schedule

• 8:30 AM–5:00 PM

The client offers medical, dental, vision, HSA, FSA, 401K, 15 days of PTO to start, 6 sick days, and 16 company paid holidays!!!

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance

Senior Estimator | Elford Construction | Columbus

Elford Construction is looking for a Senior Estimator (10+ years) to help lead pursuit strategy and pricing across major projects in the Columbus market. This role is about more than takeoffs. Our estimators help shape how projects are pursued, priced, and won — working closely with operations, trade partners, and clients from early concept through final submission.

If you enjoy building accurate budgets, solving complex pricing challenges, and helping teams win meaningful work, this could be a great fit.

At Elford, estimators are trusted partners in the pursuit process — bringing market insight, strong subcontractor relationships, and creative problem-solving to every project.

What You’ll Do

• Lead estimating efforts from conceptual budgeting through final pricing and subcontractor buyout
• Develop conceptual and detailed cost estimates based on schematic, design development, and construction documents
• Perform quantity takeoffs, cost analysis, and pricing evaluations across all major scopes of work
• Build and maintain strong relationships with subcontractors, vendors, and trade partners
• Coordinate with operations, project management, and field leadership to align estimating strategies with project execution
• Evaluate subcontractor proposals, conduct bid reviews, and prepare bid leveling and award recommendations
• Identify opportunities for value engineering, cost efficiencies, and schedule improvements
• Prepare clear and well-organized estimate presentations for leadership and clients
• Participate in project pursuits, proposals, and client presentations
• Track market trends, trade partner capacity, and material pricing that impact project costs

What We’re Looking For

• 10+ years of construction estimating experience, preferably in commercial construction
• Experience estimating negotiated work, GMP projects, and competitive bids
• Strong knowledge of construction means, methods, materials, and labor productivity
• Ability to prepare conceptual budgets and detailed estimates from incomplete design information
• Experience managing the bidding process, subcontractor outreach, and bid evaluations
• Strong communication skills and the ability to work collaboratively with internal teams and external partners
• Proficiency with estimating software and digital takeoff tools
• Experience with Microsoft Office and construction management software
• Bachelor’s degree in Construction Management, Engineering, or related field is a plus

Why Elford

Elford Construction is a trusted builder with deep roots in Central Ohio, known for delivering complex projects while maintaining a strong culture of collaboration and craftsmanship.

Our teams work across a diverse portfolio of commercial construction projects, and we’re committed to providing opportunities for experienced professionals to lead, mentor, and grow their careers while building meaningful projects in the communities we serve.

If you are someone who pays attention to detail, is self-motivated and have the ability to stay on task, don't mind traveling between our Raleigh - Durham locations and you are willing to work the overnight shift this job could be for you!

Our Food Cost Truck Manager is responsible for:

• Checking off food truck items as they arrive at our stores.
• Verifying and reporting errors.
• Communicating daily with your supervisor through phone, email & text.
• Servicing our 13 restaurants across Raleigh - Durham in your personal vehicle - reliable transportation is a must. The North Raleigh area is fairly centrally located to our locations.

We're looking for positive people who like to have fun and who have the desire to work at our famously fast paced McDonald's environments. You must be 18 years or older to be a manager in our restaurants.

Additional Info:

Along with competitive pay, a Food Cost Manager at a 1020 Enterprises owned McDonald's is eligible for benefits including:

• Paid vacation
• Education through Archways to Opportunity including opportunities to earn a High School degree, college tuition assistance and English classes as a second language
• Medical, dental and vision coverage
• Short and Long-Term Disability, life and accident insurance
• You'll also have access to McDperks discounts which include AT&T, Sprint, Verizon, Apple, Target and many others.

By applying to this position, I understand that I am applying to work at a restaurant that is owned and operated by an independent franchisee, not McDonald's USA. I understand that this franchisee is a separate company and a separate employer from McDonald's USA. Any information I provide in this application will be submitted only to the independent franchisee, who is the only company responsible for employment matters at this restaurant. I recognize that the independent franchisee alone will make all decisions concerning employment matters, including hiring, firing, discipline, supervision, staffing and scheduling. By applying for a job at a franchisee operated restaurant, I understand that the information I provide will be forwarded to the franchisee organization in order for that organization to reach out to me and process and evaluate my application. I acknowledge that McDonald's USA will not receive a copy of my employment application and will have no involvement in any employment decisions regarding me, including whether I receive an interview or whether I am hired to work for the franchisee. I understand that I need to contact the franchise organization for information about its privacy practices.

We are seeking experienced Senior Cost Manager based in the UK who are ready to relocate to the United States and take on high-value, technically complex construction projects.

You will join a leading international contractor delivering large-scale builds across rapidly expanding U.S. markets. This role offers significant career acceleration, leadership exposure, and a substantial uplift in earning potential.

The Role

As Senior Cost Manager, you will take full commercial responsibility for major project packages or entire mid-sized schemes, reporting to the Commercial Manager or Project Director.

Key responsibilities include:

• Lead commercial management of large construction projects
• Cost planning, forecasting, and financial reporting
• Procurement strategy and subcontractor negotiation
• Managing variations, claims, and change control
• Risk management and value engineering
• Mentoring and supporting junior QS team members
• Driving commercial performance and protecting margin

What We’re Looking For

• Degree qualified in Quantity Surveying or Commercial Management
• 5+ years’ post-graduate experience (Senior QS level)
• Proven experience managing major construction packages (£20m+ desirable)
• Strong contractual and commercial acumen
• Experience in complex builds (commercial, infrastructure, MEP-heavy, industrial, healthcare, etc.)
• Clear ambition to relocate and develop an international career

What’s on Offer

• Full visa sponsorship (subject to eligibility)
• Comprehensive relocation support (flights, accommodation assistance, relocation allowance)
• Highly competitive U.S. salary (significant uplift vs UK market)
• Performance-based bonus
• Private healthcare

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

It is all about learning and growing. Our Insurance Professional role may be a new career for you. There’s a lot to learn, but the journey is mapped out and USAA is willing to invest in you! Our comprehensive, fully paid six-month training program includes all training materials, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our membership independently. We also pay for all licensing costs! We have new training classes starting every month.

Our in-office development program provides the training you need and the encouragement to create a proactive and independent support style to service our membership. After six months in-office, you’ll have the opportunity to work offsite 2 days a week. The actual onsite days are settled between each employee and their manager. This schedule may require working evenings up to 8:00PM Local Time to include a permanent Saturday or Sunday. These roles include a shift differential of 15% for hours worked after 6:00pm EST and any hours worked on Saturday or Sunday. Military veterans and spouses are highly encouraged to apply. Relocation assistance is not available for this position.

As part of our licensing training program, you are required to obtain a property and casualty license for your state of residency by your third week of employment. We provide all study materials and pay for up to 3 licensing exam attempts. During your first 90 days, we will also provide you with resources to acquire additional state licenses to better serve our members.

We are currently seeking dedicated insurance professionals to work in both Tampa Offices New Tampa: 17200 Commerce Park Blvd and Brandon: 9527 Delaney Creek Blvd for future insurance opportunities in 2026. As an Insurance Professional, you'll work within defined guidelines to provide customer service, sales, and retention activities for multiple USAA Property & Casualty personal line products. You will assist members with new and existing USAA policies to deepen their relationship with the company. Representatives interact with our members across multiple contact channels to provide members adequate coverage and advice to help ensure their financial security.

What you'll do:

• Maximize Property & Casualty sales potential by expertly handling member inquiries, identifying cross-selling opportunities, and providing exceptional service through various communication channels.
• Apply developing knowledge of personal lines' insurance to assist members with foundational to moderately complex quotes, binding new business, rating, policy, billing, payment, underwriting, contract and coverage provisions, and premium changes for insurance products and services. Also, maintain respective trailing documents for all states.
• Identify, evaluate and understand member needs to consistently provide complete and accurate advice and solutions for insurance products and services. Provide detailed issue diagnosis while minimizing member transfers, escalations and call backs.
• Efficiently operate in a contact center environment and navigate multiple systems and programs while maintaining an engaging member interaction that may occur across multiple channels.
• Maintain required Property & Casualty license and state registrations.
• Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

• High School Diploma or GED equivalent
• Ability to provide exceptional sales for our members by communicating clearly and professionally by phone, and email to process information related to insurance products
• Ability to prioritize and multi-task, while navigating through multiple business applications
• Ability to apply knowledge and understanding of insurance regulatory and compliance requirements
• Acquire Property & Casualty license and state registrations before hire (USAA provides licensing prep course, licenses and state exam fees up to three attempts.)

What sets you apart:

• 1 year of customer contact experience in a needs-based sales environment
• 6 months experience frequently communicating (minimum 60 percent of the time) with customers by phone, e-mail, and/or face to face
• US military experience through military service or a military spouse/domestic partner

Salary: The hiring range for this position is:$45,010 - $46,010.

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Want to learn more about MercyOne Dubuque? Click here:

Find a Location Dubuque, Iowa (IA), MercyOne Dubuque  

Join the MercyOne Family! We are looking to hire a Registered Nurse!

An Operating Room Registered Nurse at MercyOne provides perioperative patient care, specifically in the intraoperative phase, in both the scrub and circulating roles according to established guidelines. Serves the population from neonate, infant, pediatric, adolescent, adult and geriatric. 

Essential Functions: 

• Scrubs and circulates on cases independently, with minimal direction. 

• Prepares for surgical cases in an efficient manner, anticipating needs of patient, surgeon, anesthesia and other O.R. team members. 

• Provides a safe environment for patient and staff by implementing standards of aseptic technique and by controlling the physical and psychological aspects of that environment. 

• Collects and analyzes data and assesses patient in developing nursing diagnosis. 

• Communicates effectively with the patient, staff, physicians, and families. 

• Maintains knowledge of equipment set-up and function. 

• Initiates and directs room clean up and turnover 

Schedule:  

• 36 hours per week  

• Day shift: 6:30 am – 5:30 pm with flex to evening shift hours.

• On call rotation for weekend, holiday and night hours with a 30-minute response time​​

Minimum Qualifications:  

• Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa.   

• Operating Room experience preferred. 

• Basic Life Support certified within six (6) weeks of hire.  Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers. 

• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.  

• Ability to read, write and speak English language. 

• Ability to maintain a high standard of courtesy and cooperation in dealing with co-workers, patients and visitors, and perform job functions satisfactorily despite the stress of a hospital work environment. 

• Adaptability to perform a variety of duties, often changing from one task to another without loss of composure or efficiency. 

• Ability to perform in situations requiring set limits, standards and strict adherence to established procedures and guidelines. 

• Ability to perform under stress when confronted with emergency, critical or unusual situations. 

• Ability to take direction but also to work independently when appropriate. 

• Adaptability to situations involving the interpretation of feelings, ideas, or facts in terms of personal viewpoint.  

• Ability to influence people in their opinion, attitudes or judgments about ideas or things. 

• Ability to make generalizations, evaluations or decisions based on sensory or judgmental criteria. 

• Ability to make generalizations, evaluations or decisions based on measurable or verifiable criteria. 

• Ability to deal with people beyond giving and receiving instructions.

• Ability to accept responsibility for the direction, control or planning of an activity. 

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system! 

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

RN

Pediatrics

Status: .9/FT (36 hours a week)

Shift: Nights

Hours: 6pm-6:30am

As the only Pediatric inpatient unit in the Dubuque area, pediatric staff provide family centered care to pediatric patients up to the age of 18. This includes conducting physical assessments, monitoring and administration of medications, creating care plans and providing relevant patient education. Pediatric staff work closely with physicians, respiratory therapists and laboratory personnel to fulfill each patient’s plan of care.

Working a primarily night position, staff are assigned every third weekend and have an assigned holiday rotation. Working primarily 1800-0630, schedule is otherwise created utilizing self-scheduling with the guidance of the unit based staffing committee.

Pediatric staff will be cross-trained to the Level 2 NICU to take patients admitted to that unit, in addition to crosstraining to care for postpartum couplets. Opportunities to assist in the Emergency Department with pediatric patients as well, including assessments and cares. All Pediatric staff are certified in NRP and PALS onsite, and are also required to be certified in BLS and mandatory reporter.

Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required.  

POSITION PURPOSE:
Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

MINIMUM QUALIFICATIONS:

1. Associate degree in nursing required

2. Bachelor of Science in Nursing (BSN) preferred.

3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required.

4. American Heart Association Basic Life Support (BLS) required.

5. Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.

6. High language, intermediate to high math, high critical thinking ability.

7. Basic computer skills required.

ESSENTIAL FUNCTIONS:
1. Conducts an initial assessment to gather data.

• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.

• Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.

• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.

• Determines nursing interventions to achieve those outcomes/goals.

• Prioritizes care needs for both mother and infant.

• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).

3. Implements the outcome/goal-based plan of care

• Assigns and coordinates patient care based on acuity and team member competencies.

• Organizes and prioritizes care for mothers, newborns, and pediatric patients.

• Delegates tasks appropriately to other team members.

• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.

• Coordinates implementation with Case Manager, Social Worker, and other disciplines.

• Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.

• Uses nursing judgment to determine frequency and components of reassessment.

• Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.

• Documents discharge instructions for mother, infant, and/or caregiver.

4. Evaluates patient progress and revises the plan as needed

• Evaluates maternal and pediatric response(s) to interventions.

• Updates the plan of care based on ongoing reassessments.

• Revises problem list and outcomes/goals as conditions change.

5. Evaluates patient progress and revises the outcome/goal-based plan as needed.

• Evaluates patient response(s) to interventions.

• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

• Updates the problem list and outcomes/goals.

6. Communicates relevant clinical information to optimize outcomes

• Communicates maternal and pediatric status to physicians and team members.

• Reports progress toward outcomes/goals and changes in condition promptly.

• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.

• Documents completely and accurately per policy.

7. Demonstrates clinical competence

• Utilizes Women & Children-specific policies and procedures to guide practice.

• Ensures medication safety following the “5 Rights.”

• Demonstrates competency in electronic health record systems.

• Processes and implements physician orders accurately.

• Maintains communication with leadership regarding admissions, acuity, and significant events.

• Completes assigned shift duties and resolves discrepancies.

8. Manages fetal and neonatal monitoring when applicable

• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.

• Responds appropriately to changes in maternal or neonatal condition.

• Provides interventions for obstetric or neonatal emergencies.

• Serves as a resource for other hospital services and participates in quality improvement initiatives.

9. Provides age-appropriate care based on principles of growth and development

• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.

• Performs tasks and uses equipment in an age-appropriate manner.

• Communicates effectively with patients and families at their developmental level.

10. Adheres to safety and infection control standards

• Attends required safety programs.

• Uses appropriate PPE consistently.

• Demonstrates emergency procedures for obstetric and pediatric emergencies.

• Maintains a safe environment for mothers, infants, and staff.

11. Maintains compliance with laws, regulations, and organizational standards

• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.

2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.

3. Stand; Walk/Move About 76-100% of the time

4. Must possess the ability to comply with Trinity Health policies and procedures.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orie