Skill Creator Claude Code Jobs in Usa
18,747 positions found — Page 2
Up to $50K Sign On Bonus – Redding, CA – Seeking Skilled Nursing Facility Physicians
Join the Physician Partnership Where You Can Increase Your Impact
Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.
Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
- Up to $50k sign-on bonus for qualified candidates.
- Seeking Board Eligible/Certified Skilled Nursing Facility physicians.
- Current CA state license is a plus.
The Practice
Vibra Hospital of Northern California – Redding, California
- Vituity’s physician partnership culture inspires clinician retention and engagement, and supports autonomy to make local decisions.
- Equal distribution among all practicing physicians.
- No outside investors, external stakeholders, or long-term debt.
The Community
- Redding, California, nestled in Northern California’s Shasta County, is a vibrant city surrounded by natural beauty.
- It offers a balance of small-town charm and modern conveniences, making it an appealing place to live and work.
- Famous for the iconic Sundial Bridge, Redding is a gateway to outdoor adventures.
- Nearby, Shasta Lake and Lassen Volcanic National Park provide stunning landscapes for hiking, fishing, and camping.
- Whiskeytown National Recreation Area, with its pristine lake and waterfalls, is another local treasure.
- Redding boasts a tight-knit community, quality schools, and a relaxed lifestyle.
- The region enjoys warm, dry summers and mild, wet winters, with snow-dusted mountains in the distance.
- Its location, 160 miles north of Sacramento, provides easy access to urban amenities and serene escapes.
- A haven for nature lovers and families, Redding stands out for its rich history, scenic charm, and vibrant arts scene.
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
- Superior Health Plan Options
- Dental, Vision, HSA, life and AD&D coverage, and more
- Partnership models allows a K-1 status pay structure, allowing high tax deductions
- Extraordinary 401K Plan with high tax reduction and faster balance growth
- Eligible to receive an Annual Profit Distribution/yearly cash bonus
- EAP and travel assistance included
- Student loan refinancing discounts
- Purpose-driven culture focused on improving the lives of our patients, communities, and employees
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
*Visa status applicants benefits vary. Please speak to a recruiter for more details.
Applicants only. No agencies please.
e.
Join Team Touchstone and Make Lives Better!
Staffing Coordinator/Workforce Manager (CNA required)
Are you passionate about creating smooth, efficient schedules that keep a skilled nursing team running at its best? Do you thrive in a fast-paced environment where your organizational skills truly make a difference? If so, The Heights of Magnolia, Magnolia TX wants YOU on our team!
We’re seeking an experienced Workforce/Staffing Coordinator who understands the critical role scheduling plays in delivering exceptional care. This is your chance to be part of a culture that values teamwork, compassion, and excellence—where every voice matters and every role impacts lives.
What You’ll Do:
- Own the scheduling process for clinical staff, ensuring accuracy and compliance with company standards and regulatory requirements.
- Revise and review clinical schedules and hiring templates to keep operations running smoothly.
- Fill open shifts quickly by coordinating with PRN team members and managing call-ins or staffing fluctuations.
- Maintain and post daily/monthly schedules in OnShift (experience preferred).
- Partner with leadership to ensure staffing ratios meet quality care standards.
What We’re Looking For:
- High School diploma required, additional education a plus.
- Minimum 1 year of staffing/labor management experience in a skilled nursing community—this is a MUST.
- Texas CNA and Certified Medication certification is a MUST
- Experience with OnShift scheduling software is a big plus!
- Strong communication and customer service skills—you’ll be the go-to person for scheduling needs.
Why Join Touchstone?
- A workplace where your voice matters and your contributions are valued.
- Competitive pay and benefits, including:
- Paycheck advances
- Tuition reimbursement
- 401(k) matching
- Paid time off accrued starting Day 1
- Numerous bonus opportunities
- Touchstone Emergency Assistance Foundation Grants
- Be part of The Touchstone Experience—a culture built on compassion, integrity, and excellence.
If your purpose is to Make Lives Better, we invite you to Join Team Touchstone today and help us deliver a Best In Class Healthcare Experience to our patients, residents, and veterans.
Apply now and be part of something meaningful!
Treatment Nurse (LVN or RN)
The Heights at Medical Center located at 3935 Medical Dr., San Antonio, Tx
Serve with Purpose. Heal with Excellence. Glorify God Through Care.At Touchstone Communities, every interaction is an opportunity to Make Lives Better — for our residents, their families, and each other. As a Treatment Nurse, you’ll play a vital role in supporting healing, preventing complications, and bringing comfort to those entrusted to our care. This role is perfect for a nurse who brings critical thinking, clinical precision, and a heart for service to every shift.
If you feel called to use your skills to honor God through compassionate wound care, we would be blessed to have you on our team.
What You’ll DoAs a Treatment Nurse, you are the guardian of skin integrity and a trusted clinical leader. In this focused and meaningful role, you will:
- Provide individualized wound and treatment care with excellence and compassion.
- Assess and monitor skin integrity, ensuring early identification and timely intervention.
- Collaborate with physicians, licensed nurses, and the care team to support optimal healing.
- Document clearly, accurately, and thoughtfully — with strong attention to detail.
- Educate residents, families, and team members on wound prevention and care best practices.
- Promote a positive, faith‑grounded culture that reflects our mission and values.
- Current and valid Texas RN or LVN license, or Compact State equivalent
- Strong clinical judgment, critical‑thinking ability, and a meticulous eye for detail
- Experience in wound care or skilled nursing preferred
- Excellent communication and relationship‑building skills
- A compassionate spirit and desire to Make Lives Better every day
We offer more than a job — we offer a place where your purpose, dedication, and care truly matter.
- Comprehensive health benefits including medical, dental, and vision
- Company‑paid life insurance ($20,000)
- Supplemental insurance options , including pet insurance
- Competitive pay + paycheck advances when needed
- Tuition reimbursement to help you grow
- 401(k) matching
- PTO that starts accruing on day one
- Touchstone Emergency Assistance Foundation grants for team support
When you join Team Touchstone, you step into a community committed to best‑in‑class care, Christ‑centered service, and genuine relationships . Here, your work as a Treatment Nurse becomes ministry — providing healing, offering comfort, and honoring the families who trust us with their loved ones.
Make an Impact at Sandridge Crafted Foods!
Now Hiring: Machine Operators & General Laborers
$1,000 Sign-On Bonus – Attendance Bonus
At Sandridge, we do more than produce food—we create fresh, high-quality products that customers love and trust. Every item is made with carefully selected ingredients, innovative thinking, and a strong commitment to consistency and excellence. From chef-inspired recipes to small-batch attention, delivering great flavor is at the heart of everything we do.
We’re looking for dedicated Machine Operators and General Laborers to join our team. In this role, you’ll work with modern equipment and play a key part in keeping our production lines running efficiently. Your contributions will help bring our products from concept to completion.
Why You’ll Enjoy Working Here
- A fast-paced environment where no two days are the same
- A supportive team that values collaboration and respect
- Opportunities to learn new skills and grow within the company
- Perks that help make your workday more enjoyable
If you’re dependable, hands-on, and ready to grow with a company that values your contributions, we’d love to connect with you.
Bring your motivation. Bring your work ethic. Let’s build something great—together.
Compensation:$20.97 - $22.47 hourly
Responsibilities:What You’ll Do:
As a Machine Operator, you’ll be at the heart of our production process, running the machines that turn fresh ingredients into crave-worthy dishes. You’ll:
- Set up and operate a variety of food processing equipment — from mixers to fillers and more
- Keep things running smoothly by monitoring equipment and making quick adjustments
- Ensure every product is perfect, meeting our high standards for quality, consistency, and safety
- Stay sharp by identifying issues before they become problems and working with the maintenance team when needed
- Support a hygienic and hazard-free production environment, because food safety is everything
- Document your work accurately so we can keep improving every day
- Work with a tight-knit team that has your back and celebrates your wins
What We’re Looking For:
- A go-getter with a strong work ethic and a positive attitude
- Previous machine operation experience in a manufacturing setting or food manufacturing experience is a plus
- High school diploma or GED required, and the ability to follow verbal and written work instructions
- Previous experience in a food manufacturing or industrial setting is awesome, but not required — we’ll train the right person
- Comfortable working in a fast-paced, physical environment (lift up to 50 lbs, stand for extended periods)
- Basic mechanical skills and a knack for solving problems
- Ability to follow directions and take pride in doing the job right
- Willingness to work flexible hours, including weekends and overtime when needed
Take Pride in Your Work
At Sandridge, the food we make ends up on tables across the country. Your work helps deliver the fresh, delicious meals that our customers rely on every day.
Agency Disclaimer:
We are not accepting unsolicited resumes from search firms or staffing agencies. Any resumes submitted without a prior written agreement will be considered property of Sandridge Crafted Foods, and no fees will be paid in the event a candidate is hired as a result of the referral.This position is open to direct applicants only.
#WHGEN2
Compensation details: 2 Hourly Wage
PIf39d07eda661-3631
Skilled Printing Press Operators – Wages start at $21.00 or more, depending on your print experience.
Quad is seeking Skilled Print Operators for multiple roles within our Wisconsin Press Departments. Positions include, but are not limited to, Offset, Sheetfed, and Digital First and Second Press Operators, & Die Cutter Operators.
Paid relocation may be available for highly qualified candidates 100+ miles from the plant. Your recruiter will provide you with details.
Headquartered in Wisconsin, Quad is a marketing experience company that helps brands make direct consumer connections, from household to in-store to online. The company does this through its MX Solutions Suite, a comprehensive range of marketing and print services that seamlessly integrate creative, production, and media solutions across online and offline channels. Supported by state-of-the-art technology and data-driven intelligence, Quad simplifies the complexities of marketing by removing friction wherever it occurs along the marketing journey. With approximately 11,000 employees in 11 countries, we serve around 2,100 clients, including industry-leading blue-chip companies that serve both business and consumers in multiple industry verticals, with a particular focus on commerce, including retail, consumer packaged goods, and direct-to-consumer; financial services; and health. Quad is ranked among the largest agency companies in the U.S. by Ad Age, buoyed by its full-service media agency, Rise, and creative agency, Betty. Quad is also one of the largest commercial printers in North America, according to Printing Impressions.
Due to new and renewed business, Printing Press Operators are needed in the following plants in Wisconsin:
- Burlington, WI - Sheetfed Operators
- Franklin, WI - Sheetfed Operators
- Hartford, WI - Web Offset Operators
- Sussex, WI - Web Offset Operators
We offer:
- Competitive Pay - depending on position, experience, and location.
- Excellent Benefits.
- Shift options vary per plant to include 8, 10, or 12-hour shifts, including nights, weekends, and holidays, and the opportunity for overtime.
- Great work environment, team culture, and caring co-workers!
Do you have experience with the following equipment?
- Harris, Heidelberg, Goss, and/or Manroland Offset Presses?
- Bobst 106 Expertcut, Spanthera, or Vision Cut Die Cutters?
- KBA, Heidelberg, or Komori Sheetfed Presses?
- Indigo, Richoh, FUJI, or Landa Digital Presses?
- Other makes and models will also be considered.
In this position, you will need:
- Make ready and operate equipment based on the written instructions provided.
- Establish and maintain color and/or fold and mechanical quality to BPC standards.
- Continuously monitor the product for quality and approve or reject.
- Direct, guide, and coordinate the activities of assigned crew members to exceed production standards while maintaining customer quality.
- Perform assigned make-ready duties.
- Complete required general maintenance and lubrication assignments.
- Complete required documentation, electronic and paper, for an assigned job.
- Perform duties of other Print Service manufacturing positions as needed, following requisite training.
Required Qualifications
- 2-3 years of previous Print Operator experience, including setup and operation.
- Strong mechanical aptitude is required.
- Observe and monitor machine operations to determine whether adjustments are needed to run the product for the highest quality in the safest manner.
- Perform basic maintenance and troubleshooting.
- Must have the ability to utilize a computer to ensure the quality of the product.
- Ability to lift 10-15 pounds continuously, ability to lift to 50 pounds occasionally, stand for long hours, use hands and wrists continuously in controlled movement, receive and follow instructions, and use vision to identify defects.
Additional Information
The actual rate of pay offered will vary based upon, but not limited to: education, skills, experience, proficiency, performance, shift, and location. In addition to base salary, depending on the role, the total compensation package may also include overtime and shift differentials. Quad offers benefits including medical, dental, and vision coverage, paid time off, disability insurance, annual discretionary match to 401(k) based on company performance, life insurance, and other voluntary supplemental insurance coverages, plus childbirth short-term disability insurance, paid parental leave, adoption & surrogacy benefits, pet insurance, and more!
If you're ready to take the next step in your career with Quad, apply today and become part of a team that values growth, innovation, and your potential to excel.
We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more.
Quad is proud to be an equal opportunity employer. We are committed to creating a place of belonging — a space where employees do not need to sacrifice who they are to exist and grow in our workplace. Quad does not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. Quad also prohibits harassment of applicants and employees based on any of these protected categories.
Drug-Free Workplace
Do you want meaningful work you can feel proud of? Do you find joy in caring for others? Join Bishop Spencer Place , Kansas City's premier non-profit Life Care retirement community. We areseeking a compassionate and dedicated Licensed Practical Nurse (LPN) to join our Skilled Nursing Facility.
Position Details :
Licensed Practical Nurse (LPN) - Skilled Nursing Unit
Schedule: Full Time; Days ; 3x12 shifts
Supportive environment where residents and staff are valued.
Our LPN's provide direct nursing care to residents and supervise the day-to-day nursing activities performed by CNA's. Specific duties include:
* Meeting with assigned nursing personnel to plan the shifts' services, programs, and activities. Overseeing the activity of assigned nursing assistants
* Administration of professional nursing services and medication to residents. Ensuring residents receive services in accordance with their care plan
* Assisting with new admissions and discharges
* Consulting with residents, family members, and physicians in planning the resident's care, treatment, and rehabilitation
* Medication administration
* Visiting residents to observe and evaluate their physical and emotional status.
* Notifying the resident's attending physician and next-of-kin when there is a change in the resident's condition
* Reporting problem areas to the RN Supervisor or Clinical Director
Provides professional nursing care for clinic patients following established standards and practices. Responsible for screening walk-in patients, telephone screening (with protocols), medication/injection education, assist with procedures, cleaning wounds, dressing changes, suctioning, catheter insertion, tracheostomy care, biopsies, diabetic nail care, and other duties as assigned by respective clinic . Able to work in a team atmosphere, as well as, autonomously. Excellent customer service skills and professional demeanor at all times. Delegates tasks to unlicensed assistive personnel UAP in accordance with demonstrated competencies and consideration to Scope of Practice. May be responsible for covering Medical Assistant job duties as needed.
Job Requirements
Applicable Experience:
Less than 1 year
Basic Life Support - American Heart Association or Red Cross, Licensed Practical Nurse - Various
Job Details
Full Time
Day (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
Powered by SonicJobs (an advertiser on Get It). By applying, you consent to share your data with SonicJobs and the employer. Get It or SonicJobs does not store or use your application data beyond facilitating the application.
See SonicJobs Privacy Policy at and Terms of Use at
Quad's Chalfont facility is seeking Night Shift Part ‑ Time 1 st Pressman and Press Assistants (with the chance of becoming full time) to join our growing team! This is an excellent opportunity to learn the Printing/Finishing process from the ground up in a progressive, high ‑ tech manufacturing environment. Many employees who start in this role advance into full ‑ time Machine Operator positions, making this an ideal entry point for individuals seeking long ‑ term career growth.
Work Schedule (Required - No Exceptions)
This position follows a 2-3 (day) workweek with working every other weekend 7am-7pm
Or
Follows an every Sun-Tuesday night every other Sat. night or every Wednesday -Friday every other Sat. night 7pm-7am
Also once interviewed Part time schedules could be modified
If you are unable to commit to one of these schedules reliably, please do not apply.
Attendance and schedule consistency are crucial for effective training, seamless team coverage, and operational success.
Compensation
Starting wages: $18.00 for press assistants( based on experience and employment history)
Starting wages: $ 21-24 for 1 st pressman (based on experience and employment history)
Additional $1.25/hour night shift differential
Career Growth
Press/Finishing Employees who demonstrate strong performance, reliability, and mechanical aptitude can move into:
Skilled Machine Operator positions
Production leadership opportunities
Quad invests in training and provides a clear pathway for motivated individuals to grow their careers in manufacturing and printing.
Essential Duties & Responsibilities
Press assistant
Hanging rolls of Pre-printed paper
Work with glue/ink and maintain glue/ink pockets
Scanning and tracking rolls
Follow all quality, safety, and production guidelines
Communicate effectively with team members
Assist with special handwork, and customer ‑ specific requests
Maintain clean and orderly work areas
First Pressman
Setting/monitoring/maintaining register and folds/perfs/die cuts
Setting up computers, units/folders and auxillary equipment
Assisting in preventive maintenance
Follow all quality, safety, and production guidelines
Communicate effectively with team members
Assist with special handwork, and customer ‑ specific requests
Maintain clean and orderly work areas
Qualifications
Must be 18 years of age or older
Printing, factory, or mechanical experience is a plus
Strong mechanical aptitude
Ability to read/write measurements
Ability to follow written and verbal instructions
Basic computer/touchscreen skills
Ability to perform repetitive hand/wrist movements
Ability to lift 10-20 lbs regularly and handle materials up to 80 lbs
Ability to move materials from pallets (up to 48") to work surfaces (42")
Ability to multitask in a fast ‑ paced, detail ‑ oriented environment
Strong teamwork and independent ‑ work capabilities
We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more.
Quad is proud to be an equal opportunity employer. We are committed to creating a place of belonging — a space where employees do not need to sacrifice who they are to exist and grow in our workplace. Quad does not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. Quad also prohibits harassment of applicants and employees based on any of these protected categories.
Drug-Free Workplace
Job Description
Quad is currently seeking experienced Finishing Operators to work at our Wisconsin locations, such as Sussex, Hartford and Lomira. These operators are responsible for set up and operation of Finishing equipment to customer specifications. In addition, the individual selected for this role will be expected to lead by example by holding employees accountable to Quad's safety initiatives. Starting wage for these roles start at $21+
Paid relocation may be available for highly qualified candidates 100+ miles from the plant . Your recruiter will provide you with details.
Headquartered in Wisconsin, Quad is a global marketing experience company that helps brands connect with consumers through state-of-the-art technology and data-driven intelligence. With approximately 12,000 employees in 14 countries, we serve around 2,500 clients, including industry-leading blue-chip companies that serve both business and consumers in multiple industry verticals, with a particular focus on commerce, including retail, consumer packaged goods, and direct-to-consumer; financial services; and health. Quad is ranked among the largest agency companies in the U.S. by Ad Age, buoyed by its full-service media agency, Rise, and creative agency, Betty. Quad is also one of the largest commercial printers in North America, according to Printing Impressions.
The Finishing machines included are:
* Stitcher Operator
* Binder Operator
* Gather Operator
* Polywrap Operator
* Perfect Binder Operator
We Offer:
Competitive Pay - depending on position, experience, and location.
* Excellent Benefits.
* Shift options vary per plant to include 8, 10, or 12-hour shifts, including nights, weekends, and holidays, and the opportunity for overtime.
* Great work environment, team culture, and caring co-workers!
Qualifications
Candidates must have experience operating machinery. The ability to bend and lift 10-15 pounds continuously, ability to lift up to 70 pounds occasionally, stand long hours, use hands and wrists continuously in controlled movement, receive and follow instructions and use vision in order to identify defects, performing repetitious tasks in a fast-paced atmosphere with or without a reasonable accommodation is necessary. Ability to work 12 hour rotating shifts including days, nights, evenings and weekends is required. Mechanical aptitude and excellent communication skills, including good verbal and written comprehension is required. The ability to perform basic math calculations is essential. Prior Finishing Operator experience and proven familiarity of Finishing equipment is desired.
We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more.
Quad is proud to be an equal opportunity employer. We are committed to creating a place of belonging — a space where employees do not need to sacrifice who they are to exist and grow in our workplace. Quad does not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. Quad also prohibits harassment of applicants and employees based on any of these protected categories.
Drug-Free Workplace
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
As a dedicated Sr. Field Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Accountable for delivering exceptional member service through setting appropriate expectations, proactive communications, advice, and empathy.
What you'll do:
With the use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and regulations.
Investigates claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members and third parties.
Reviews facts of loss and vehicle damage to determine if subrogation opportunities exist and ensures all supporting physical damage documentation is in the claim.
Demonstrates advanced knowledge of P&C insurance industry products, services, contracts, and internal processes/systems/procedures to ensure compliance with laws, regulations, and policy provisions.
Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable.
Maintains accurate and current claim file documentation throughout the claims process for complex claims.
Maintains high standards of productivity through effective desk management, timely follow ups, and accurate mapping of repair plan and timeline for repair in support of fast and accurate claims adjudication.
Responsible for reviewing additional damages received from repair facilities to either complete a supplement or triage to field provider method of inspection.
May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated issues of a routine nature.
Partners with vendors and internal business partners to facilitate the highest complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Proactively provides policyholders with information regarding their coverage, repair estimate or total loss valuation, and claims/repair process while setting appropriate expectations.
Supports workload surges and catastrophe (CAT) response operations as needed, including required on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
May be assigned CAT deployment travel with minimal notice during designated CATs.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Ensures 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 General Equivalency Diploma.
2 years of auto appraising experience.
Proficient knowledge of P&C insurance policy contracts and coverages, auto parts distribution process and claim appraisal process and procedures.
Advanced working knowledge of estimating losses using CCC or similar estimating platforms.
Demonstrated written and verbal skills to communicate with members, claimants, repair facilities, and other internal and external stakeholders.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
What sets you apart:
I-Car Platinum™ designation
Solid understanding of repair methods for Luxury, Hybrid and all Electric vehicles.
Partners with vendors and internal business partners to facilitate the highest complexity claims.
Physical Demand Requirements:
May require the ability to operate a company vehicle within assigned territory.
May require the ability to reach, handle, squat, bend, climb, and keen as needed to complete inspections of damaged vehicles.
May require the ability to work outdoors in inclement weather conditions; May be exposed to working in body shop and/or salvage yard environments up to 25% of the time.
May be required to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.
Compensation range: The salary range for this position is: $63,590 - $121,530.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
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.
Make a Real Difference—One Patient at a Time
Join Aveanna’s Home Health team and deliver personalized care that empowers patients and supports their independence as Registered Nurse. We serve a diverse population with a wide range of skilled nursing needs with a focus on dignity, outcomes, and continuity.
Sshedule: Monday - Friday visits
Territory: Georgetown and the surrounding communities
Why Join Us?
- Organization focused on creating great clinical outcomes for our patients
- Most of our home health locations are rated as 4+ stars for quality and satisfaction
- Directly impact the lives of patients in your local community
- Flexible scheduling that gives you the opportunity for better work-life balance
What You’ll Do:
- Provide and document skilled nursing care based on individualized care plans and physician orders
- Perform patient assessments and create personalized care strategies that support recovery and independence
- Educate patients and families on specific medications, symptom management and lifestyle changes to promote better patient outcomes and independence in the home
- Train and support caregivers to ensure safe and effective care at home
- Deliver a broad range of hands-on care, including wound care, infusions, catheter care, pain management, medication management, vital signs, post-operative care, etc.
- Collaborate closely with physicians and care teams to ensure coordinated, high-quality outcomes
Benefits Offerings:
- 401(k) with company match
- Health, dental, vision, life, and pet insurance
- Mileage reimbursement and cell phone allowance
- Generous PTO, sick time, and paid holidays
- Inclusion Day to celebrate what matters to you
- Float Day for extra flexibility and balance
- Up to 8 Hours of Paid Volunteer time yearly
- No-Cost Employee Assistance Program (EAP) - unlimited mental health telephonic counseling sessions, support with identity left, Will preparation and travel assistance
- Robust DEI company program because Inclusion is an Aveanna Core Value
- Tuition discounts and reimbursement
What You Need:
- Active RN license in state of residence
- Current CPR certification
- Valid driver’s license, current car insurance and reliable transportation
- At least 1 year of nursing experience in home health (OASIS), med surge, ER or hospice
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
The Home Health Registered Nurse is responsible for providing and documenting skilled nursing care in accordance with the developed care plan and physicians’ orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
Schedule: Regular visits Monday - Friday with weekend on-call rotation.
Territory: Anderson, Killen, Rogersville
Essential Job Functions:
- Develop a plan of care through physician orders, client input, and nursing assessment to include medical interventions and measurable goals and outcomes.
- Educate clients and their family members based on client’s specific needs.
- Properly orient and train primary caregivers to ensure the most optimal functioning level for each client.
- Coordinate the continuum of hands on client care through documentation and timely communication with the client's physician and other caregivers.
- Provide care in patients home using a variety of skills such as phone triage, patient education, observation/assessment, wound care, infusions, catheter care, PICC line dressing changes etc.
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- An active RN License in the state of application
- Valid CPR, Drivers License and Proof of Automobile Insurance
Preferred:
- Medicare Skilled Nursing experience
- Basic understanding of OASIS
- 1-year RN experience in a health care setting
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
Unit Description:
The Skilled Nursing Facility (SNF) at Champlain Valley Physicians Hospital is located on our 5th floor and accommodates 34 residents. Our facility serves a diverse range of patients, spanning from middle-aged adults to geriatric residents. We maintain a balance between long-term care and subacute care, striving for a ratio of 14 short-stay patients to 20 long-term residents. Our short-stay patients typically stay with us for 1 to 6 weeks on average, receiving specialized care for conditions such as sepsis, post-orthopedic surgery recovery, and wound care. For our subacute population, we provide a spectrum of skilled nursing and therapy services, including wound care with advanced techniques like wound vacuums, antibiotic therapy, and comprehensive physical, occupational, and speech therapy. Our long-term residents exhibit a wide range of needs, from those requiring minimal assistance with daily activities to others who rely completely on our care and support. Working with us offers a unique experience where healthcare professionals form meaningful relationships with patients. It also provides opportunities to enhance medical-surgical skills and actively contribute to discharge planning processes to ensure successful transitions for our short-term patients returning home. We are dedicated to delivering compassionate, individualized care while supporting residents in achieving their highest level of health and independence.
BLS or ACLS required with ACLS certification must be achieved within 6 months of hire.
One year of nursing experience is preferred but not required.
Per the Collective Bargaining Agreement, current bargaining unit employees have priority consideration for this position if they apply within seven (7) days of the posting date. We are past this period now and all applicants will be considered equally.
This Category C part-time position is eligible for benefits and will be scheduled to work 40-56 hours per 2-week pay period with every-other weekend.
Requirements:
- Current RN licensure recognized by the State of New York required.
- Appropriate experience in specific clinical area. Varies by unit.
Our Total Rewards Package includes:
- Health Care (Medical, Dental, Vision)
- Flexible Spending Account
- Retirement Benefits (403b)
- Insurance Benefits (Life, Long-Term, Short-Term)
- Paid time Time Off
Joining our team has its perks:
- We encourage professional growth and development
- We ensure our nurses are truly happy and feel valued
- We offer structured preceptorships and continuing education
- We are committed to great patient ratios
- Our team culture is unlike what you'll find at other hospitals
- We've made significant investments in safe patient handling and mobility equipment
- Nurses truly have a voice here through our shared governance
About the Area:
The Champlain Valley is characterized by its working landscapes; undulating hills, meadows and pastures rolling down to the waters of giant Lake Champlain, the largest lake in the U.S. behind the Great Lakes. Plattsburgh, a picturesque community of 38,000, offers a cost of living just below the national average. The perfect place to raise a family, the area features excellent schools both public and private. The State University of New York also has a branch here with 6,200 students boasting a large international population and solid nursing program. Site Selection Magazine has chosen Plattsburgh as a top city in the nation for business development for the past eight years.
In addition, Policom Corp has ranked Plattsburgh as the top micropolitan in New York and the 27th in the nation. As far as recreational opportunities, Plattsburgh and the Champlain Valley offer incredible year-round activities. From boating, biking, and fishing in the summer, to skiing and ice skating in the winter months. Nearby Lake Placid, host of the 1980 Winter Olympics and 2023 FISU World University Games, is a hub for recreation. The historic Strand Theater serves as the anchor of downtown Plattsburgh, and dozens of museums and historic attractions share the region's rich history.
With exciting relocation and signing incentives and assistance, moving to upstate New York has never been an easier decision.
Immediate positions available to work with children with autism spectrum disorder and their families!
At ABS Kids we find our purpose in the wow moments our clients experience each day, learning new skills and reaching new goals. Join us as a Behavior Technician and discover wow for yourself in your career path. #WorkInWow
Benefits and Compensation:
- $20.00 - $24.50 / hour
- Earn an additional $2.00 /hour (premium pay) for weekends and holidays
- Increase for RBT certification
- Paid drive time / mileage reimbursement
- 401(k) plus company match
- Paid time off earned for every hour worked!
- Paid training
We also support you with:
- LAUNCH career path - clear milestones with rewards including bonuses and promotions
- Referral bonus program
- Free continuing education opportunities
- Free CPR and safety training
- Employee assistance program including free financial advice, free counseling support, mental health resources
- Virtual office connection to hundreds of colleagues nationwide, and fun local events with colleagues in your area
- Learn transferable skills which open the door to great careers in behavior health
What You Will Do:
- Teach kids while playing, and following a treatment plan specific to that child
- Observe, play and collect data so you can write a progress note
- Help kids learn essential life skills such as motor skills, social skills, emotional skills and more
- Work on goals with child that help shape challenging behaviors into communication skills
- Make a difference in the life of a child!
Skills and Qualities We Are Looking For:
- Paid prior experience working with kids (i.e. Camp counselor, daycare, nanny, school setting, ABA, etc) preferred
- Lots of energy, playful, creative, able to think on your feet
- Dependable - someone your client and their family can count on
- Ability to constantly get up and down off floor, move quickly
- Tech savviness - comfortable learning our data collection software and using Microsoft Office 365 (Excel, Outlook, Teams)
- Desire to learn, work independently, and provide the best quality care to our clients
- Interested in working with evidence-based methods based in science and proven effective
Who We Are
- Its in the wow moments that we find our purpose at ABS Kids. Our shared experiences are the milestones that influence our work. The mission of our work with children with autism and their families feeds our spirit. With every wow moment, we can see our impact grow.
- At ABS Kids we are empowered by the breadth of our differences. Our mission is to create a culture where all people thrive because their diverse stories are heard and celebrated. We commit to an evolving understanding of diversity as we learn from one another.
- We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
CA Job Applicant Privacy Notice
IBTI
Position Summary:
We are seeking a skilled and safety-conscious Copper Brazing Technician to join our manufacturing team. This role is responsible for performing precision brazing of copper components, interpreting blueprints, operating torches (Oxygen/Acetylene), and ensuring high-quality standards in product assembly. The technician will follow controlled brazing procedures/work instructions, maintain required documentation/traceability, and support leak/pressure testing and rework verification as part of production builds.
Key Responsibilities:
- Join copper components by heating them and applying filler metal to create strong, leak-proof bonds.
- Interpret blueprints and written instructions to ensure accurate assembly and placement of copper parts.
- Operate single- and dual-tip torches safely and effectively, maintaining precise heat control throughout the brazing process.
- Clean, prepare, and assemble copper pipes and fittings prior to brazing.
- Follow strict safety procedures, including proper handling of compressed gases and maintaining a safe, organized workspace.
- Operate and monitor brazing furnaces and other related equipment as needed to support production.
- Assist with basic equipment maintenance and promote good housekeeping practices in your work area.
- Apply fluxing techniques to chemically remove oxides, provide a protective barrier against atmospheric gases, and facilitate the flow and wetting of filler metals.
- Monitor joint temperature visually during brazing.
- Utilize induction heating as an alternative method when appropriate.
- Follow documented brazing procedures/work instructions, complete travelers, and record in-process/finish inspection results.
- Maintain cleanliness of tubing/lines (cap/plug open lines as required) and prevent contamination/foreign material during assembly.
- Set up and perform dry nitrogen purge during brazing when required to minimize internal oxidation/scale and maintain internal cleanliness.
- Select and use appropriate filler metals, fluxes, and joint configurations based on drawings/specifications and approved processes.
- Support pressure/leak testing per specification; troubleshoot leaks/defects, perform approved rework, and verify repair effectiveness.
- Troubleshoot brazing defects (e.g., porosity, lack of fill, overheating, pinholes) and support root-cause/corrective action with Quality/Engineering.
- Use approved temperature indicators and measurement tools (e.g., temperature crayons/IR thermometer/fixtures) when required to ensure repeatable joints.
- Comply with site hot-work controls (e.g., hot-work permits, ventilation, and fire-watch requirements) as applicable.
Essential Skills & Knowledge:
- Brazing Techniques: Solid understanding of copper brazing processes and applications (3 years minimum).
- Torch Handling: Proficiency in using oxy-fuel and other torches with precision (3 years minimum).
- Blueprint Reading: Ability to interpret technical drawings and specifications.
- Metallurgy: Knowledge of metal properties to ensure proper bonding and joint integrity.
- Fluxing Knowledge: Understanding of flux behavior and its role in joint preparation and filler metal flow.
- Induction Heating: Familiarity with induction brazing equipment and its safe operation.
- Safety Awareness: Strong commitment to safety procedures and proper use of equipment.
- Attention to Detail: Meticulous work habits to ensure high-quality, leak-proof joints.
- Manual Dexterity: Fine motor skills for handling small parts and performing intricate tasks.
- Qualification/Certification: Must be able to qualify and maintain brazer qualification to ISO 13585:2012 (or equivalent) per company procedure, as required for the product/process.
- Process Discipline & Documentation: Ability to follow controlled procedures/work instructions and accurately complete travelers, inspection records, and traceability requirements.
- Cleanliness & Purge Practices: Understanding of internal cleanliness requirements and nitrogen purging practices for copper piping assemblies when specified.
- Leak Test & Rework Skills: Experience supporting pressure/leak testing, diagnosing failures, and executing approved repair/rework processes.
- Filler Metal/Flux Selection: Working knowledge of common copper brazing filler metals/fluxes and the impact of joint fit-up, heat input, and position on joint quality.
- Positional/Tight-Access Brazing: Ability to braze in multiple positions and within constrained assemblies while maintaining joint quality.
Preferred Certifications:
- AWS B2.2 (or equivalent) for brazing qualification.
- ISO 13585:2012 (or equivalent) brazing qualification.
- EPA Section 608 (preferred if the role interfaces with refrigerant circuits; or ability to obtain as required).
Preferred Experience:
- Experience in HVAC/R, industrial refrigeration, heat exchanger, or chiller manufacturing environments.
- Experience working in a regulated production environment requiring documentation, traceability, and defined acceptance criteria.
Day Shift: 6a-2:30p or 8a-5p
In this role you will work within a team of 5 performing facilities maintenance and repairs throughout a campus of four buildings. This is a great opportunity for someone looking to learn and grow in the field of facility maintenance.
Perform electrical, painting, and/or carpentry repairs of fixtures and equipment on company premises.
Oversee installation, relocation and re-installation of new and/or existing equipment.
Maintain and repair production support air compressors, air dryers, and vacuum systems.
Perform simple engineering calculations for proposed new equipment.
Update mechanical prints when changes mandate.
Maintain all air conditioning and ventilation equipment within manufacturer specifications.
Maintain maintenance records for each piece of equipment responsible for.
Troubleshoot and conduct periodic inspections to determine maintenance work required.
Follow Preventive Maintenance Instructions and ensure that the records for such are properly documented.
Comply and follow all procedures within the company security policy.
High school diploma or equivalent required; and 3 years of work experience preferably industrial environment; Skills or exposure to carpentry, plumbing, low voltage electrical, and/or HVAC a plus
Along with growth, stability, and the opportunity to be challenged, Jabil offers a competitive benefits package that includes:
~ Medical, Dental, Prescription Drug, and Vision Insurance with HRA and HSA options
~Employee Stock Purchase Plan
~ Tuition Reimbursement
~ Life, AD&D, and Disability Insurance
~ Employee Assistance Program
~ Community Volunteer Opportunities
Preferred Healthcare Staffing is seeking a travel Skilled Nursing Facility (SNF) Speech Language Pathologist for a travel job in Bakersfield, California.
Job Description & Requirements
- Specialty: Speech Language Pathologist
- Discipline: Therapy
- Start Date: ASAP
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours
- Employment Type: Travel
Speech-Language Pathologist (SLP) - Skilled Nursing Facility
SLP Job Summary:
We are looking for a talented Speech-Language Pathologist with Skilled Nursing Facility experience to work at an excellent healthcare facility in Bakersfield, California. This is a fantastic opportunity to build upon your speech-language pathology skills while advancing your SLP career. The job will entail providing speech therapy and rehabilitation services to patients at the facility. You care about people and are committed to helping each patient make progress towards achieving the optimal outcome, given the circumstances of each case.
Job Responsibilities:
- Assess, diagnose, and treat speech, language, communication, and swallowing disorders.
- Recognize indications and contradictions to treatment, modify treatment programs, and be familiar with normal and abnormal patient responses.
- Instruct patient/family as needed, adapt conventional speech therapy techniques to meet the needs of the patients.
- Document concisely, accurately, and legibly all appropriate charting and paperwork.
- Follow ASHA guidelines for ethical and high-quality job performance.
Job Requirements:
- Active state license as a speech-language pathologist
- Current BLS/CPR certification
- 6 months of SLP experience within the last 5 years
What We Offer:
- Competitive pay package
- Medical, dental, vision, and 401(k) matching
- Retirement planning and savings options
- Continuing Education reimbursement
- Ability to make an impact in the communities we serve
#featured opportunity
Preferred Healthcare is a well-established and highly reputable staffing agency that specializes in placing therapy and allied health professionals in positions carefully aligned with their skills and career goals. We pride ourselves on honesty, building lasting relationships, and genuinely taking care of our HCPs. We believe this helps to achieve our mutual goal: better patient care. Awarded Best of Staffing (6 years straight!) and Certified by The Joint Commission. For immediate consideration, please call or apply to this job.
Preferred Healthcare Staffing is an Equal Opportunity Employer
We are committed to the hiring, advancement and fair treatment of all individuals and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other protected status as designated by federal, state, or local law.
Preferred Healthcare Staffing Job ID #1154793. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About Preferred Healthcare Staffing
“We care for you, so you can care for others”
When you decide to join Preferred, you get a partner working tirelessly by your side to ensure all your needs are met. From the outset and throughout your tenure with us, you’ll receive personalized service and be treated with kindness and respect. This exclusive treatment is what distinguishes us from the rest. Don’t just take our word for it, Preferred has won ClearlyRated’s Best of Staffing in both Client and Talent Satisfaction for eight straight years, earning us the coveted diamond award in each category. Experience the Preferred touch today!
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401k retirement plan
TheraEx Therapy is seeking a travel Skilled Nursing Facility (SNF) Occupational Therapist for a travel job in Thermopolis, Wyoming.
Job Description & Requirements
- Specialty: Occupational Therapist
- Discipline: Therapy
- Duration: 14 weeks
- 40 hours per week
- Shift: 8 hours
- Employment Type: Travel
Occupational Therapist – HIRING!
Job Details:
Weekly Gross:$2,160.00
Thermopolis, WY
14-week contract
Setting: SNF
Requirements:
1 year of recent experience
Active Physical Therapist License
Current BLS/BCLS Certification
Experience with EPIC EMR preferred
Education:
Bachelor’s or Master’s Degree in Physical Therapy from an accredited PT program
TheraEx Therapy Job ID #25-58416. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About TheraEx Therapy
TheraEx Staffing Services is a leading name in healthcare staffing solutions. We enroll talented professionals to provide temporary staff to fill the needs of healthcare facilities across the nation.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- Health Care FSA
- 401k retirement plan
- Life insurance
- Sick pay
- Holiday Pay
- OB/Call is 1:6
- and C-Section Call is 1:3 Rotation in Urgent Care on Saturday Mornings when Primary is on-Call Outpatient Mainly with Deliveries in the Hospital 15-20 PPD New Grad Friendly EMR: Meditech Expanse 2 Year Contract
- Transition to Production in Year 3 Salary and Great Benefits Package with $10K Relo and Loan Options near $150K over 5 Years Job ID# 4747
Physician s responsibilities:
* Performs initial assessment, including comprehensive history and physical, of assigned participants at intake and at least quarterly in cooperation with family member and/or caregiver and Interdisciplinary Team members.
* Provides evaluation, treatment and ongoing monitoring of episodic illness.
* Refers participants to medical specialist as indicated with Interdisciplinary Team input.
* Provides daily oversight of hospitalized participants including: providing primary care (attending) responsibilities for management; providing updates to the team; coordinating discharge planning with the Interdisciplinary Team.
* Provides primary care to participants in a manner consistent with professional standards and regulations, including: providing regular visits; making telephone contacts with nursing home staff as required; and conducting hospital admissions as necessary.
* Collaborates with and supervises Nurse Practitioner/PA activities including: reviewing quarterly participant assessments and co-signing Plans of Care; providing consultation, reviewing evaluations and co-signing intervention plans for episodic illness; and performing formal assessment and physical exams.
Experience and Skills
* Graduate of an accredited School of Medicine. Board certified in Internal Medicine
* At least two years experience in caring for seniors, with a minimum of one year of experience working with the frail elderly in a long-term care setting.
* Medical knowledge and skills necessary to treat participants and manage complex medical problems. Ability to provide care for the frail elderly. Ability to provide leadership and interact effectively with an Interdisciplinary Team. Good organization and supervisory skills.
* Seeking a highly-skilled, patient-centered Plastic Surgeon to join our established, growing practice
* Work alongside our General Surgery team and a robust nursing staff as part of an integrated healthcare system
* 1.0 FTE, full-time
* Referral network comprised of Health s multispecialty clinic as well as the large primary care network of the surrounding communities
* Practice a wide spectrum of plastic surgery including cosmetic and medical surgery
* Clinic and surgical services performed within one facility
* Nationally accredited breast cancer facility
* Anticipated weekly work schedule at base location: 8am-5pm, Monday through Friday, 36 patient contact hours; 1:2 call
* Anticipated volume of office patients per day at base location: 8-16
REQUIREMENTS
* BC/BE in Plastic Surgery