Information Technology Jobs in De

• Provide advanced medical care and operational services for Marine Reconnaissance, USMC Special Operations Forces and Navy Special Operations Command personnel, like SWCC and SEALs
• Engage as a team member in direct action, special reconnaissance, foreign internal defense and unconventional warfare

• Rescue patients and deliver emergency care from the back of a helicopter
• Perform aircrew duties and En Route Care (ERC) for routine illness and emergent patients
• Provide relief and assistance in areas ravaged by catastrophic natural disasters
• Support Search and Rescue (SAR), tactical evacuation (TECEVAC), Medical Evacuation (MEDEVAC), casualty evacuation (CASEVAC) and Combat Search & Rescue (CSAR) for Navy and Marine Corps Aviation

• Provide basic medicine and assist medics in prevention and treatment of diving related illnesses, injuries associated with deep sea diving and hyperbaric conditions
• Operate, test and repair all Navy diving equipment
• Perform underwater inspections, harbor/port/ship security inspections, conduct ordnance searches, rescue personnel, engage in special warfare and small boat operations
• Operate Swimmer Delivery Vehicle Dry-Deck Shelter system and submarine Lock-in/Lock-out systems

• Special Operations Independent Duty Corpsman Pipeline (121 weeks)
  Areas of training include but are not limited to basic reconnaissance, airborne operations, combatant diving, demolitions, clinical diagnostics, advanced trauma skills, Advanced Cardiac Life Support (ACLS), basic surgical anesthesia, basic veterinary medicine and basic dental exams.
• Search and Rescue Medical Tech Pipeline (27 weeks)
  Areas of training include but are not limited to advanced fluid resuscitation, administration and management of Advanced Life Support medications, use of emergency medical equipment, rescue and recovery devices and patient handling.
• Medical Deep Sea Diving Tech Pipeline (28 weeks)
  Areas of training include but are not limited to diving physics, scuba and surface-supplied air diving, recognition and treatment of diving related illnesses.

• Vision correctable to 20/20
• Normal color perception
• Pass a physical examination
• 28 years of age or younger
• U.S. citizen eligible for security clearance

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today!

Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions.

Don't miss out on this chance to turn your free time into valuable earnings!

Participants are needed on a wide range of topics such as:

• Health Issues (Research for cures and new medications to treat ailments)
• Consumer Products (Your experience with consumer products)
• Shopping (Shopping experiences)
• Internet Usage (How you use the internet)
• Vehicles (recreational vehicles and automobiles)
• Employment (Various types of jobs or career fields)
• Food & Beverages (the consumption of various foods and beverages)
• Entertainment (About TV, movies or video games)
• Social Media (the use of different social media platforms)
• Financial (Banking and investing)
• Retirement (Planning what, when and how)
• Gender (studies based on your gender)
• Housing (Renters or Homeowners)

Compensation:

• Earn up to $250+ in Just ONE Hour! (Focus Group Session)
• Earn up to $3,000+ (Multi-Session Studies)

Benefits:

• Flexibility to take part in discussions online or in-person.
• No commute needed if you choose to work from home.
• No minimum hours. You can do this part-time or full-time
• Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
• You get to review and use new products or services before they are launched to the public.

Qualifications:

• Speak and/or read English
• Must be 18yrs old or older
• Must have either a phone, computer or tablet with internet connection

Experience:

• Start Immediately - No Experience Needed! Anyone Can Participate!

Education:

• Open to all education levels - Your opinion matters!

Border Patrol Agent (BPA) Entry Level A MISSION WORTHY OF A CAREER! If you're looking for "just a job," then stop reading right now.

But, if you're looking for a long-term federal law enforcement career, one that makes a difference every day to our country and its citizens, then the U.S.

Border Patrol (USBP) would like you to take the first step to becoming an entry level Border Patrol Agent.

USBP is hiring immediately to fill full-time, entry-level, career positions in federal law enforcement.

Train and work with an elite team of professionals whose camaraderie, pride, and sense of purpose are hallmarks of their daily mission of protecting America.

Now is the time to make your move because, along with excellent base pay, exceptional benefits, and job stability, USBP is offering up to $60,000 in additional incentives (see details below) .

Salary and Benefits Annual base salary for newly appointed BPAs varies per grade, as follows: GL-5/GL-7 $49,739
- $89,518 per year.

Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.
*Recruitment Incentive
* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be eligible for up to $20,000 in incentives.

The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location such as Sierra Blanca, Presidio, Sanderson, Comstock, Freer or Hebbronville, TX; Lordsburg, NM; or Ajo, AZ.
*Retention Incentive
* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.

Duty Locations IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.

U.S.

Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences.

Relocation may be required.

Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others.

A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014.

This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12.

You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.

Duty Locations: You will be asked to select your preferred location for one of the following mission critical locations: Big Bend Sector Stations
-
*Presidio, Van Horn,
*Sanderson, Alpine,
*Sierra Blanca, Marfa Buffalo Sector Stations
- Wellesley Island Del Rio Sector Stations
- Del Rio, Brackettville,
*Comstock, Eagle Pass North, Eagle Pass South, Carrizo Springs, Uvalde El Paso Sector Stations
- Alamogordo, Clint, Deming, El Paso, Fort Hancock, Las Cruces,
*Lordsburg, Santa Teresa, Ysleta El Centro Sector Stations
- El Centro, Indio, Calexico Grand Forks Sector Stations
- Pembina Havre Sector Stations
- Havre, Malta, Plentywood, Scobey, Sweetgrass Houlton Sector Stations
- Calais, Fort Fairfield, Jackman, Rangeley, Van Buren Laredo Sector Stations
- Laredo South, Cotulla,
*Hebbronville, Laredo West,
*Freer, Laredo North, Zapata Rio Grande Valley Sector Stations
- Rio Grande City, Fort Brown, McAllen, Brownsville, Falfurrias, Weslaco, Kingsville, Harlingen San Diego Sector Stations
- Boulevard, Brownfield, Campo, Chula Vista, Imperial Beach, Murrieta, San Clemente Spokane Sector Stations
- Colville, Curlew, Metaline Falls, Oroville Swanton Sector Stations
- Beecher Falls, Burke, Champlain, Newport, Richford Tucson Sector Stations
-
*Ajo, Tucson, Nogales, Douglas, Brian A Terry, Sonoita, Casa Grande, Three Points Substation, Willcox Yuma Sector Stations
- Blythe, Yuma, Wellton Duties and Responsibilities As a BPA, you will be part of our 60,000 workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity.

Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.

Typical assignments include: Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband Performing farm checks, building checks, traffic checks, city patrols, and transportation checks Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.

Qualifications You qualify for the GL-5 grade level if you possess one of the following: Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; OR Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR Combination of Experience and Education: A combination of general work experience AND successfully completed college education.

This will be calculated using your resume and official or unofficial transcripts submitted with your application.

You qualify for the GL-7 grade level if you possess one of the following: Experience: One year of specialized work experience that shows you have the skills necessary to: Make sound judgments and decisions in the use of firearms.

Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.

Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.

The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.

Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership.

Or will receive a bachelor's degree with Superior Academic Achievement.

Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.

Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level.

Please refer to the BPA GL-9
- 11 announcement.

Other Requirements Citizenship : You must be a U.S.

Citizen to apply for this position.

Residency : You must have had primary U.S.

residency (includes protectorates as declared under international law) for at least three of the last five years.

Age Restriction : In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions.

Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03.

The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C.

8336(c) or Title 5 U.S.C.

8412(d).

Veterans' Preference : You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA).

The age restriction does not apply if you are Veterans' Preference eligible.

Formal Training : After you are hired, you will be detailed to the U.S.

Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses.

Border Patrol work requires the ability to speak and read Spanish, as well as English.

Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.

How to Apply: Click the Apply button on this site.

You will be linked to the CBP Talent Network registration page.

For Position of Interest, select Border Patrol Agent, then complete the pre-screening questions.

You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application.

Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit.

You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam .

If you have questions about the application process, contact a recruiter through the U.S.

Border Patrol page: /s/usbp .

As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.

Securian Financial is seeking an experienced, collaborative, and highly detail-oriented Senior Paralegal to join our Investments Legal team. This role supports a growing platform focused on private placement bonds and private equity / alternative investments.

This position serves as a key liaison among internal partners, external counsel, portfolio managers, and business counterparties. The ideal candidate brings deep transactional experience, strong commercial judgment, and a high level of ownership in managing all stages of sophisticated investment transactions from closing through payoff.

Ideal Work Style

• Collaborative and team-oriented
• Self-directed and highly motivated
• Intellectually curious and solutions-focused
• Comfortable managing multiple complex transactions under tight deadlines with minimal oversight

Key Responsibilities

• Serve as a trusted legal partner to senior-level portfolio managers by clearly analyzing and explaining legal and operational considerations in a practical, business-oriented manner.
• Independently manage all aspects oftransaction closings and fundings, including:
  • Preparing purchaser information
  • Completing complex subscription agreements for multiple investor types
  • Facilitating and managing KYC diligence
  • Coordinating execution and funding logistics
• Analyze sophisticated legal documents (e.g., note purchase agreements, indentures, limited partnership agreements, amendments, waivers) and summarize relevant key terms, identify issues, and drive resolution.
• Draft and negotiate a wide range of legal documents, including:
  • Confidentiality agreements
  • Purchase and sale agreements governing secondary trades of private placements
  • Bond powers and certificates
  • Side letters with fund general partners
• Proactively collaborate with internal and external stakeholders, anticipate needs, and continuously re-prioritize work in a fast-paced, transaction-driven environment.
• Stay current on industry trends, regulatory developments, and legal best practices; proactively identify risks and recommend process improvements.
• Demonstrate a strong "one-team" mindset by mentoring colleagues, supporting cross-training efforts, and contributing to special projects and temporary assignments as needed.

Qualifications

Required

• Paralegal certification with 5+ years of investments transactional experience, gained in a law firm and/or in-house environment at a registered investment adviser, insurance company, or similar financial institution.
• Subject matter expertise in private placement bond transactions, particularly physically-certificated Section 4(a)(2) offerings, and/or private equity or alternative investments.
• Strong working knowledge of:
  • NAIC requirements and risk-based capital considerations
  • Federal and state securities and investment laws and regulations (e.g., Securities Act, Investment Advisers Act)
  • General corporate law principles, applied in a practical, business-focused manner
• Exceptional written and verbal communication skills, with the ability to project professionalism and independently negotiate and resolve complex issues.
• Advanced organizational skills and the ability to manage multiple high-priority transactions simultaneously.
• Proficiency in Microsoft Office and strong aptitude for learning new technology platforms and document management systems.

Preferred

• Experience with:
  • NAIC ratings processes
  • Cross-border tax implications and related filings
  • Foreign currency swapped private placements
  • Secondary trades
  • Regulation U and Sections 13/16 reporting requirements
    
• Experience with AI-enabled tools and/or financial and legal platforms such as Clearwater, Snowflake, Privatei, HotDocs, or similar automation solutions.

The estimated base pay range for this job is:

Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information on base pay and incentive pay (if applicable) can be discussed with a member of the Securian Financial Talent Acquisition team.

Be you. With us. At Securian Financial, we understand that attracting top talent means offering more than just a job - it means providing a rewarding and fulfilling career. As a valued member of our high-performing team, we want you to connect with your work, your relationships and your community. Enjoy our comprehensive range of benefits designed to enhance your professional growth, well-being and work-life balance, including the advantages listed here:

Paid time off:

• We want you to take time off for what matters most to you. Our PTO program provides flexibility for associates to take meaningful time away from work to relax, recharge and spend time doing what's important to them. And Securian Financial rewards associates for their service by providing additional PTO the longer you stay at Securian.

• Leave programs: Securian's flexible leave programs allow time off from work for parental leave, caregiver leave for family members, bereavement and military leave.

• Holidays: Securian provides nine company paid holidays.

Company-funded pension plan and a 401(k) retirement plan: Share in the success of our company. Securian's 401(k) company contribution is tied to our performance up to 10 percent of eligible earnings, with a target of 5 percent. The amount is based on company results compared to goals related to earnings, sales and service.

Health insurance: From the first day of employment, associates and their eligible family members - including spouses, domestic partners and children - are eligible for medical, dental and vision coverage.

Volunteer time: We know the importance of community. Through company-sponsored events, volunteer paid time off, a dollar-for-dollar matching gift program and more, we encourage you to support organizations important to you.

Associate Resource Groups: Build connections, be yourself and develop meaningful relationships at work through associate-led ARGs. Dedicated groups focus on a variety of interests and affinities, including:

• Mental Wellness and Disability

• Pride at Securian Financial

• Securian Young Professionals Network

• Securian Multicultural Network

• Securian Women and Allies Network

• Servicemember Associate Resource Group

For more information regarding Securian's benefits, please review our Benefits page.

This information is not intended to explain all the provisions of coverage available under these plans. In all cases, the plan document dictates coverage and provisions.

Securian Financial Group, Inc. does not discriminate based on race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, marital or familial status, pregnancy, disability, genetic information, political affiliation, veteran status, status in regard to public assistance or any other protected status. If you are a job seeker with a disability and require an accommodation to apply for one of our jobs, please contact us by email at , by telephone (voice), or 711 (Relay/TTY).

To view our privacy statement click here

To view our legal statement click here

The Cardiac Device Nurse plays a critical role in the comprehensive care of patients with implanted cardiac devices, including pacemakers, implantable cardioverter-defibrillators (ICDs), and insertable cardiac monitors (ICMs). This position involves direct patient care, device interrogation and programming, patient education, and collaboration with cardiologists and other healthcare professionals to optimize patient outcomes. The ideal candidate will possess specialized knowledge in cardiac electrophysiology and a strong commitment to patient safety and education.

Key Responsibilities:

• Device Interrogation and Programming:
  • Perform in-person and remote interrogations of pacemakers, ICDs, and ICMs according to established protocols and physician orders.
  • Analyze device data, including electrograms, trends, and diagnostic information, to identify arrhythmias, lead issues, and device malfunctions.
  • Program devices based on physician orders and patient needs, ensuring optimal device function and appropriate therapy delivery.
  • Document all device interrogations, programming changes, and patient responses accurately and thoroughly in the electronic health record (EHR).
• Patient Education and Support:
  • Provide comprehensive education to patients and their families regarding their cardiac device, including its function, potential alarms, lifestyle modifications, follow-up schedules, and emergency protocols.
  • Address patient questions and concerns with empathy and clarity.
  • Monitor patient symptoms and device performance, providing guidance and escalating issues to the physician as needed.
• Clinic Operations:
  • Schedule and coordinate in-person and remote device follow-up appointments.
  • Manage device alerts and transmissions from remote monitoring systems, triaging and escalating urgent findings to the cardiologist.
  • Assist with device recalls and advisories, ensuring timely patient notification and appropriate action.
  • Maintain device clinic equipment and inventory.
  • Collaborate with device company representatives for technical support, education, and access to new technologies.
• Collaboration and Communication:
  • Work closely with cardiologists, electrophysiologists, medical assistants, and other clinic staff to ensure coordinated and efficient patient care.
  • Communicate effectively with patients, families, and healthcare team members.
  • Participate in team meetings, quality improvement initiatives, and continuing education pertinent to cardiac device management.
• Documentation and Compliance:
  • Maintain accurate, complete, and timely documentation of all patient encounters, device data, and communications in the EHR, adhering to clinic policies and regulatory standards.
  • Ensure compliance with all relevant policies, procedures, and regulatory requirements (e.g., HIPAA, JCAHO).

Qualifications:

• Education: Graduate of an accredited school of nursing (BSN Preferred)
• Licensure: Current, unencumbered Registered Nurse (RN) license in Iowa
• Experience: Minimum of 2 years of clinical nursing experience, with at least 1 year specifically in cardiac device management (pacemakers, ICDs, ICMs) in a clinic or hospital setting.
• Certifications:
  • Basic Life Support (BLS) certification required.
  • Advanced Cardiovascular Life Support (ACLS) certification preferred.

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.

The Cardiac Device Nurse plays a critical role in the comprehensive care of patients with implanted cardiac devices, including pacemakers, implantable cardioverter-defibrillators (ICDs), and insertable cardiac monitors (ICMs). This position involves direct patient care, device interrogation and programming, patient education, and collaboration with cardiologists and other healthcare professionals to optimize patient outcomes. The ideal candidate will possess specialized knowledge in cardiac electrophysiology and a strong commitment to patient safety and education.

Key Responsibilities:

• Device Interrogation and Programming:
  • Perform in-person and remote interrogations of pacemakers, ICDs, and ICMs according to established protocols and physician orders.
  • Analyze device data, including electrograms, trends, and diagnostic information, to identify arrhythmias, lead issues, and device malfunctions.
  • Program devices based on physician orders and patient needs, ensuring optimal device function and appropriate therapy delivery.
  • Document all device interrogations, programming changes, and patient responses accurately and thoroughly in the electronic health record (EHR).
• Patient Education and Support:
  • Provide comprehensive education to patients and their families regarding their cardiac device, including its function, potential alarms, lifestyle modifications, follow-up schedules, and emergency protocols.
  • Address patient questions and concerns with empathy and clarity.
  • Monitor patient symptoms and device performance, providing guidance and escalating issues to the physician as needed.
• Clinic Operations:
  • Schedule and coordinate in-person and remote device follow-up appointments.
  • Manage device alerts and transmissions from remote monitoring systems, triaging and escalating urgent findings to the cardiologist.
  • Assist with device recalls and advisories, ensuring timely patient notification and appropriate action.
  • Maintain device clinic equipment and inventory.
  • Collaborate with device company representatives for technical support, education, and access to new technologies.
• Collaboration and Communication:
  • Work closely with cardiologists, electrophysiologists, medical assistants, and other clinic staff to ensure coordinated and efficient patient care.
  • Communicate effectively with patients, families, and healthcare team members.
  • Participate in team meetings, quality improvement initiatives, and continuing education pertinent to cardiac device management.
• Documentation and Compliance:
  • Maintain accurate, complete, and timely documentation of all patient encounters, device data, and communications in the EHR, adhering to clinic policies and regulatory standards.
  • Ensure compliance with all relevant policies, procedures, and regulatory requirements (e.g., HIPAA, JCAHO).

Qualifications:

• Education: Graduate of an accredited school of nursing (BSN Preferred)
• Licensure: Current, unencumbered Registered Nurse (RN) license in Iowa
• Experience: Minimum of 2 years of clinical nursing experience, with at least 1 year specifically in cardiac device management (pacemakers, ICDs, ICMs) in a clinic or hospital setting.
• Certifications:
  • Basic Life Support (BLS) certification required.
  • Advanced Cardiovascular Life Support (ACLS) certification preferred.

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.

The Cardiac Device Nurse plays a critical role in the comprehensive care of patients with implanted cardiac devices, including pacemakers, implantable cardioverter-defibrillators (ICDs), and insertable cardiac monitors (ICMs). This position involves direct patient care, device interrogation and programming, patient education, and collaboration with cardiologists and other healthcare professionals to optimize patient outcomes. The ideal candidate will possess specialized knowledge in cardiac electrophysiology and a strong commitment to patient safety and education.

Key Responsibilities:

• Device Interrogation and Programming:
  • Perform in-person and remote interrogations of pacemakers, ICDs, and ICMs according to established protocols and physician orders.
  • Analyze device data, including electrograms, trends, and diagnostic information, to identify arrhythmias, lead issues, and device malfunctions.
  • Program devices based on physician orders and patient needs, ensuring optimal device function and appropriate therapy delivery.
  • Document all device interrogations, programming changes, and patient responses accurately and thoroughly in the electronic health record (EHR).
• Patient Education and Support:
  • Provide comprehensive education to patients and their families regarding their cardiac device, including its function, potential alarms, lifestyle modifications, follow-up schedules, and emergency protocols.
  • Address patient questions and concerns with empathy and clarity.
  • Monitor patient symptoms and device performance, providing guidance and escalating issues to the physician as needed.
• Clinic Operations:
  • Schedule and coordinate in-person and remote device follow-up appointments.
  • Manage device alerts and transmissions from remote monitoring systems, triaging and escalating urgent findings to the cardiologist.
  • Assist with device recalls and advisories, ensuring timely patient notification and appropriate action.
  • Maintain device clinic equipment and inventory.
  • Collaborate with device company representatives for technical support, education, and access to new technologies.
• Collaboration and Communication:
  • Work closely with cardiologists, electrophysiologists, medical assistants, and other clinic staff to ensure coordinated and efficient patient care.
  • Communicate effectively with patients, families, and healthcare team members.
  • Participate in team meetings, quality improvement initiatives, and continuing education pertinent to cardiac device management.
• Documentation and Compliance:
  • Maintain accurate, complete, and timely documentation of all patient encounters, device data, and communications in the EHR, adhering to clinic policies and regulatory standards.
  • Ensure compliance with all relevant policies, procedures, and regulatory requirements (e.g., HIPAA, JCAHO).

Qualifications:

• Education: Graduate of an accredited school of nursing (BSN Preferred)
• Licensure: Current, unencumbered Registered Nurse (RN) license in Iowa
• Experience: Minimum of 2 years of clinical nursing experience, with at least 1 year specifically in cardiac device management (pacemakers, ICDs, ICMs) in a clinic or hospital setting.
• Certifications:
  • Basic Life Support (BLS) certification required.
  • Advanced Cardiovascular Life Support (ACLS) certification preferred.

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.

The Cardiac Device Nurse plays a critical role in the comprehensive care of patients with implanted cardiac devices, including pacemakers, implantable cardioverter-defibrillators (ICDs), and insertable cardiac monitors (ICMs). This position involves direct patient care, device interrogation and programming, patient education, and collaboration with cardiologists and other healthcare professionals to optimize patient outcomes. The ideal candidate will possess specialized knowledge in cardiac electrophysiology and a strong commitment to patient safety and education.

Key Responsibilities:

• Device Interrogation and Programming:
  • Perform in-person and remote interrogations of pacemakers, ICDs, and ICMs according to established protocols and physician orders.
  • Analyze device data, including electrograms, trends, and diagnostic information, to identify arrhythmias, lead issues, and device malfunctions.
  • Program devices based on physician orders and patient needs, ensuring optimal device function and appropriate therapy delivery.
  • Document all device interrogations, programming changes, and patient responses accurately and thoroughly in the electronic health record (EHR).
• Patient Education and Support:
  • Provide comprehensive education to patients and their families regarding their cardiac device, including its function, potential alarms, lifestyle modifications, follow-up schedules, and emergency protocols.
  • Address patient questions and concerns with empathy and clarity.
  • Monitor patient symptoms and device performance, providing guidance and escalating issues to the physician as needed.
• Clinic Operations:
  • Schedule and coordinate in-person and remote device follow-up appointments.
  • Manage device alerts and transmissions from remote monitoring systems, triaging and escalating urgent findings to the cardiologist.
  • Assist with device recalls and advisories, ensuring timely patient notification and appropriate action.
  • Maintain device clinic equipment and inventory.
  • Collaborate with device company representatives for technical support, education, and access to new technologies.
• Collaboration and Communication:
  • Work closely with cardiologists, electrophysiologists, medical assistants, and other clinic staff to ensure coordinated and efficient patient care.
  • Communicate effectively with patients, families, and healthcare team members.
  • Participate in team meetings, quality improvement initiatives, and continuing education pertinent to cardiac device management.
• Documentation and Compliance:
  • Maintain accurate, complete, and timely documentation of all patient encounters, device data, and communications in the EHR, adhering to clinic policies and regulatory standards.
  • Ensure compliance with all relevant policies, procedures, and regulatory requirements (e.g., HIPAA, JCAHO).

Qualifications:

• Education: Graduate of an accredited school of nursing (BSN Preferred)
• Licensure: Current, unencumbered Registered Nurse (RN) license in Iowa
• Experience: Minimum of 2 years of clinical nursing experience, with at least 1 year specifically in cardiac device management (pacemakers, ICDs, ICMs) in a clinic or hospital setting.
• Certifications:
  • Basic Life Support (BLS) certification required.
  • Advanced Cardiovascular Life Support (ACLS) certification preferred.

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.

Knows, understands, incorporates and demonstrates the mission, vision and core values of Trinity Health and the Ministry Organization in leadership behaviors, practices and decisions.

Maintains a working knowledge of applicable federal, state and local laws, regulations and industry standards.  Complies with Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects ethical and professional integrity.

Performs PM procedures on multiple types of general and specialized clinical equipment.

Performs PM procedures using manufacturer’s recommendations, standards or code requirements, as well as industry acceptable processes as guidelines.

Performs services on specialized equipment in one or more of the following categories:  anesthesia machines, sterilizers, ventilators, ultrasound, laser, laboratory analyzers, etc.

Performs corrective maintenance procedures including diagnosing problems using thermodynamic, electronic/electrical, mechanical, pneumatic, hydraulic, and/or other sciences and documents results of activities performed to comply with all regulatory and standard requirements.

Notifies equipment users and Clinical Engineering Management of repair status and delays as necessary.

Interacts with clinical staff to understand and resolve operational problems in scheduling and completing PM procedures while minimizing interference to hospital departments.

Determines need for replacement parts and supplies, selects the most cost effective source, and submits properly completed parts request using established policies and guidelines.

Completes corrective and planned maintenance work order documentation per policy.

Promotes teamwork by keeping others informed, participating effectively in group decision making, while working to accomplish team objectives and projects, and by soliciting feedback about one's effectiveness as a team member. 

Continually improves processes by seeking ways to eliminate and reduce waste.

Has authority (based on deprartment guidelines)  to order parts and supplies required for  emergency service or repair of  radiological and general medical equipment. Recommends  test equipment and spare equipment parts to the CE Manager or Lead Technician.

Provide on-call service coverage after normal business hours on a rotating basis.

Provides assistance and training to Bio-Medical Equipment Techs I and II as assigned by Clinical Engineering Manager.

May be assigned duties as Lead Bio-Medical Equipment Technician, as needed.

Performs other duties as assigned or requested by the CE Manager.

Minimum of an Associates of Applied Sciences Degree in related field of medical electronics, electronic technology or equivalent military related training required.  CBET or CLET certification preferred.

Five or more years experience or equivalent performing corrective and planned  maintenance on medical devices and/or clinical equipment.

Specialized training by manufacturer or third party equipment repair in such areas as

      anesthesia machines, sterilizers, ultrasound, ventilators, laser, laboratory analyzers, etc.

Ability to demonstrate a high level of proficiency in specialty area.

Must have a basic understanding of anatomy, physiology, and medical terminology.

Working knowledge  and ability to use basic hand tools and  test equipment specific to the field.  Ability to train CE associates on  use and application of test equipment.

Must have knowledge and understanding of OSHA, NFPA, The Joint Commission, EOC, and other specific regulations and standards pertaining to clinical equipment service and repair.

Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with  ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health, Ministry Organizations, and Clinical Engineering. 

Ability to operate complex test equipment, analyze and interpret information provided by equipment and clinical staff to determine equipment operational condition.

Must have basic understanding of personal computer operation, applications, and the ability to input data using keyboard.  Technician must be able to  follow complex written instructions, perform tasks and document actions taken.

 Strong customer service and communications skills are required to interact with hospital  personnel and vendors to achieve positive outcomes.

Maintain up to date understanding of The Joint Commission and NFPA standards as well as state and federal regulations.

Ability to provide or coordinate in-service training to clinical/professional staff on medical device  operations and safety functions.

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Must be physically able to balance, bend, climb, crawl, crouch, kneel, reach, sit, squat, stand, twist, and walk.

Possess ability to mentally concentrate while being subject to stress, interruptions and changing work priorities.

Must be able to work and follow OSHA guidelines while in a hazardous environment(s) such as electrocution potentials, mechanical energies, bloodborne/airborne pathogens, dust and inclement weather, marked changes in temperature and/or humidity, radiation, fumes/vapors, sharp instruments/tools, hazardous liquids, and operating devices. 

Must be able to hear speech, distinguish sounds, and speak.

Must have near vision, far vision, depth perception, and be able to distinguish colors.

Must have sensory ability to distinguish hot, cold, range of temperature, surfaces, fine motor skills, manual dexterity, and detect/distinguish odors.

Must be able to carry or lift up to 50 pounds routinely (50% of the time) and on occasion (5% of the time) up to 100 pounds.

Must be able to push or pull over 100 pounds frequently (20% of the time). Maintains safe working environment for self, other associates, patients, visitors, and medical staff in accordance with applicable standards and procedures relevant to  job duties.

Must be able to adapt to frequently changing work priorities.

Must be able to travel to the various Trinity Health, Ministry Organizations, subsidiaries, and/or training facilities.

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.