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Title: Adjunct Instructor – Clinical Nursing
Required Documents Needed to Upload at Time of Application: • Resume • Unofficial Transcripts
Position Summary: Provide guidance, instruction, and leadership to registered nursing enrolled in the clinical component of the Associate of Applied Science in Nursing program. Assists with evaluation, scheduling, and advising of students. Demonstrated ability to communicate and work effectively with college faculty, staff, students, the general public, program advisory committees, and other health care professionals. Endorsed with appropriate credentials of RN licensure in Tennessee, CPR certification for health care professionals and advanced preparation and experience in one of following areas: Pediatrics, Obstetrics, Psychiatric/Mental Health or Adult Acute Care.
Department: Nursing
Duties and Responsibilities: 1. Instruction and supervision of registered nursing students in the clinical agency in one of the following nursing areas: Medical-Surgical, Obstetrics and Women’s Health, Pediatrics, Mental Health/Psychiatric, Geriatrics. 2. Instruct and supervise R.N. nursing students in the clinical agency. 3. Function under the direction of the course faculty or Dean of Nursing for the course. 4. Participate in departmental activities associated with the instructional program. 5. Participate in departmental activities associated with the instructional program. 6. Participate in departmental activities associated with the instructional program needs. 7. Communicate clearly with students and colleagues. 8. Work effectively with traditional and non-traditional students including but not limited to the culturally and ethnically diverse. 9. Participate in professional organizations related to nursing and teaching. 10. Adapt to changes in the nursing program. 11. Schedule two office hours.
Required Qualifications: A. RN with a Bachelor’s degree in Nursing from a regionally accredited college/university required B. Three years’ clinical experience required
Availability/Closing Date: This posting is not a guarantee of an open position. Applications for adjunct faculty positions are accepted continuously and reviewed by the department if openings are available. Adjuncts are hired on an as-needed basis. Future teaching assignments are on a term-by-term basis, which may include fall, spring, and summer. Postings close yearly on January 31; to maintain your application within the system, you will need to re-apply each year.
Special note: Employment is not guaranteed and is contingent upon successful completion of a background check, including a drug screening.
Special Instructions to Applicants: To be considered for a position at Pellissippi State, you must create an on-line application. Your skills, abilities, qualifications, and years of experience will be evaluated using only what is recorded on your application. Please note: attaching a resume does not substitute for completion of the application form. Part-time work experience is calculated at 50% of full-time experience.
Please note: to scan, upload, or attach documents, a computer and scanner are available at the Hardin Valley Campus Educational Resources Center, if needed.
Pellissippi State Community College is an EEO/AA/Title VI/Title IX/Section 504/ADA employer
If you have any problems or questions please contact Pellissippi State Community College’s Human Resource Office at 865-694-6607 or by email at <a href="mailto:recruiting@pstcc.edu" target="_blank">recruiting@pstcc.edu</a>.
If you are interested in this position, click on the link to the “right” to apply. #mrp

Motlow State Community College


      Adjunct Instructor – Clinical Nursing
    

Southwest Tennessee Community College is a comprehensive, multicultural, public, open—access college. Southwest has 6 campuses/centers from which it offers over 100 programs and over 20 technical certificate programs.
We foster student success, transform lives, and increase the educational level of a growing community in Shelby County. Southwest is a Tennessee Board of Regents institution, accredited by the Commission on Colleges of the Southern Association of Colleges and Schools.

We invite you to become a part of the Southwest Team!

Title: Adjunct Faculty Pool - Nursing
Employee Classification:&nbsp;Faculty
Institution:&nbsp;Southwest Tennessee Community College
Department: Nursing
Campus Location: STCC - Multiple Campus Locations
Job Summary
This is a part-time, Adjunct Faculty position in the Department of Health and Natural Sciences. THIS POSTING IS NOT A GUARANTEE OF AN OPEN POSITION. Applications for part-time faculty positions are accepted on a continuous basis and reviewed by the department chair when openings become available. Future teaching assignments are on a term-by-term basis, which may include fall, spring and summer. Postings close yearly on January 31; to maintain your application within the system, you will need to re-apply each year. At the time of application, applicants should be prepared to upload a cover letter, resume/CV, references list, statement of teaching philosophy, &amp; an unofficial transcript. The Adjunct Instructor is responsible for the coordination, planning, preparation, presentation, and evaluation of classroom instruction and related activities. The Instructor is responsible for performing assigned teaching duties during the day, evening, or weekend on any Southwest Tennessee Community College campus. The adjunct instructor is responsible for performing assigned duties during the day, evening, or weekend on any Southwest Tennessee Community College campus. At a minimum, the related activities include instruction, academic advising, serving on various committees, participating in professional activities and organizations.
Job Duties
<ul>
<li>Prepares and delivers instruction on topics in Nursing.</li>
<li>Compiles, administers, evaluates and grades students' class work, laboratory work, assignments, tests, and papers fairly and consistently; and keep students informed about their progress through the prompt grading of papers and other work.&nbsp;</li>
<li>Develops curricula and instructional material such as syllabi, homework assignments, and handouts.&nbsp;</li>
<li>Maintains office hours for students seeking academic advice, assists in student recruitment and retention; and assists students with course-related problems outside of the classroom.&nbsp;</li>
<li>Maintains accurate student attendance records, grades, and other required records in compliance with federal FERPA regulations.</li>
<li>Attends all faculty meetings, college assemblies, professional development and orientation activities, and other meetings as called by the President, Dean or Department Chair.</li>
<li>Keeps abreast of developments in the field by reading current literature, talking with colleagues, and participating in professional conferences.</li>
<li>Participates in departmental and college committees; and provides outreach service to the community.</li>
<li>May perform other duties as assign by Department Head/Dean.</li>
</ul>
Minimum Qualifications
<ul>
<li>Master’s degree in the teaching discipline or master’s degree in another discipline with 18 hours of graduate work in the teaching discipline.</li>
<li>Minimum two (2) years teaching experience in higher education or one (1) year teaching experience and three (3) years employment in the field.</li>
</ul>
Knowledge, Skills, and Abilities
<ul>
<li>Knowledge of current teaching and learning strategies to facilitate student-centered learning; experience interacting successfully with an ever-growing student population.</li>
<li>Skill in selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.</li>
<li>Ability to integrate technology into course delivery.</li>
<li>Ability to communicate information and ideas in writing so others will understand.</li>
<li>Willingness and flexibility to teach classes using various instructional delivery methods at any of the four locations.</li>
</ul>
The intent of this job description is to provide a representation of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Candidates who are called for an interview must notify Human Resources in writing at least five (5) days in advance of any reasonable accommodation needed prior to the date of the interview.
First consideration will be given to current Southwest Tennessee Community College employees who meet the minimum qualifications for the position.
In order to be considered for the position, the following items must be uploaded:
<ul>
<li>Resume</li>
<li>Cover letter</li>
<li>Unofficial Transcripts</li>
</ul>
A summary of our benefits can be found below:&nbsp;
<a href="https://www.southwest.tn.edu/hr/benefits-overview.php" target="_blank">https://www.southwest.tn.edu/hr/benefits-overview.php</a>
Incomplete applications will not be considered.
The TBR does not discriminate on the basis of race, color, religion, creed, ethnicity, or national origin, sex, disability, age, status as a protected veteran or any other class protected by Federal or State laws and regulations and by Tennessee Board of Regents policies with respect to employment, programs, and activities.&nbsp; 
The following person has been designated to handle inquiries regarding nondiscrimination policies:&nbsp; LeVetta Hudson, Vice President of People &amp; Culture, <a href="mailto:myhr@southwest.tn.edu" target="_blank">myhr@southwest.tn.edu</a>, 737 Union Ave, Memphis, TN 38103, 901-333-5000. <a href="https://tbr.navexone.com/content/dotNet/documents/?app=pt&amp;source=unspecified&amp;docid=272&amp;public=true" target="_blank">See the full non-discrimination policy</a>.


      Adjunct Faculty Pool - Nursing (2025)
    

Position SummaryThe RN performs pre-surgical nursing assessments and provides education to the patient prior to admission at the Ambulatory Surgery Center.&nbsp; The RN assesses and evaluates the care needs of the patient, requests necessary pre-surgical clearances and diagnostics, and communicates the patient's plan of care to the ASC.Schedule: 4x10s, Tuesday through Friday&nbsp;(no nights, no call, no weekends)Key Duties and ResponsibilitiesThe key duties and responsibilities of the RN include, but are not limited to:<ul><li>Work with all members of the health care team to provide optimal care to the patient throughout their surgical experience</li><li>Maintain a friendly, positive and caring attitude with all patients, physicians and staff</li><li>Assist in patient education during all phases of their experience at the Center</li><li>Assist in assuring that the proper supplies, instruments and equipment are available for the procedure</li><li>Assist in assuring that equipment is functioning properly</li><li>Monitor use of all supplies. Assist with inventory control by proper count of supplies/time used.</li><li>Document appropriately the care that is given to the patient</li><li>Continuing education to meet State requirements and keep current with health care changes.</li><li>Display professionalism at work and in the community as a representative of the Center</li><li>Take an active role on committees within the department</li><li>Identifies actual and potential risk to patients and others and takes action to minimize or eliminate risk and maximize safety</li><li>Performs charge nurse responsibilities as staffing demands and as requested</li></ul>Education/Experience<ul><li>Graduation from an accredited school of nursing </li><li>Current State licensure and CPR, ACLS and PALS accreditation </li><li>Two years of OR, Recovery Room, Intensive Care or Emergency Room experience is desired </li></ul>Knowledge, Skills and Abilities<ul><li>Problem solving skills</li><li>Skill in using a computer</li><li>Knowledge of applicable specialties</li><li>Outpatient clinical organizational ability</li><li>Ability to remove oneself personally from given situations, remaining objective</li><li>Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff</li><li>Ability to multi-task</li><li>Skill in organizing and reporting information that is accurate and complete</li><li>Understanding of the need for and evidence of consistent respect for confidentiality/HIPAA </li><li>Ability to maintain composure in stressful situations</li><li>Skill in establishing and maintaining effective working relationships with all staff</li><li>Ability to prepare records in accordance with detailed instructions</li><li>Ability to communicate clearly</li><li>Consistency and timeliness in attendance</li></ul>Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Proliance Surgeons

Recovery Registered Nurse (RN) PACU

SUMMARYThe Acute Registered Nurse provides acute dialysis care and treatment to patients within a hospital environment. This position performs duties as assigned by the Charge Nurse or Acute Manager, including assisting and supervising Patient Care Technicians and Licensed Vocational Nurses. Acute nurses may report directly to an Acute Manager, Administrator or the first line of regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.GROWTH· Assist with clinical and operational processes to improve patient health and minimize hospitalizations and rehospitalization.· Ensure patient and treatment charge information and other related data are accurate and submitted appropriately. · Demonstrate effective use of supplies and staff labor hours.· May participate in inventory management, including end-of-month inventory reporting and adherence to company purchasing protocols.· Perform duties as assigned to meet the patient care or operational needs.OUTCOMES· Administer medications as ordered by the physician..· Provide patient education and follow up as needed.· Assist with program's target goals in meeting quality metrics for patient outcomes in accordance with quality patient care and Company goals.OPERATIONALREADINESS· Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements.· Perform duties at all times within limitations established by and in accordance with company policy and procedures, hospital policy, applicable state and federal laws and regulations.· Complete water quality verification and equipment safety checks prior to each treatment, to include second verification as required.· Complete pre and post treatment physical assessments.· Complete pre and post Handoff Communication with hospital nurses.· Initiate and terminate patient treatments to include connecting and disconnecting catheters and cleaning catheter sites.· Set up dialysis machines; report machine problems to biomedical technician and/or Acute Manager as appropriate.· Clean, disinfect and provide quality control of dialysis machines as required by policy and procedures.· Participate in infection control monitoring, implementation, and recording as requested.· Use personal protective equipment as necessary.· Be familiar with emergency equipment and all emergency operational procedures, as required by hospital.OPERATIONALREADINESS (cont.)· Demonstrate effective staffing based on acuity, skill mix and company guidelines.· Ensure provision of dialysis related services such as Hemodialysis, Peritoneal dialysis, Continuous Renal Replacement Therapy (CRRT) and Plasmapheresis (TPE) if contracted to do so.· Participate in all surveys as required.· Ensure nursing care is carried out as directed and treatment is administered in accordance with physician orders.· Ensure appropriate and required information is documented in patient records.· Inform Supervisor, Medical Director or Physician and Hospital Liaison of all incidents, conditions, and concerns related to patient care, staff and patient safety, and in accordance with company policy.· Prepare and maintain dialysis machines and systems per policy: maintain dialysis records, prepare dialysis water treatment system for use according to established procedure and understand technical operations to troubleshoot problems independently.· Notify Bio-Medical Technician regarding machine or water treatment malfunctions, values out of parameters and document as required. PARTNERSHIPS· Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician.· Maintain collaborative working relationship with physicians, nurse practitioners, and other hospital healthcare professionals.· Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.· Address patient concerns timely and professionally; following hospital policy.STAFF DEVELOPMENT/ RETENTION· Participate in staff meetings as required. Attend and complete all company and hospital required in-service and continuing education.· May delegate tasks to competent licensed and unlicensed staff per applicable state practice act.· Assist with staff training as requested.· Lead staff in team concepts and promote a team effort.

U.S. Renal Care

Dialysis Registered Nurse - Carswell Acutes

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!Role: The RN, Hospice House is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.Qualifications: • Current license as RN in the state providing care, current active single-state out-of-state nurse license, or current active multistate/compact nurse license • Minimum one (1) year in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate. New grads may be considered in IPU only. • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system preferred • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Flexible schedule to meet the needs of Hospice House patients • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation•&nbsp;Active BLS for healthcare professionals from the American Heart Association or Red Cross. Employees hired prior to 12/31/2022 must obtain certificate prior to 3/31/2023- Intermittent Driver – Valid driver’s license and automobile insurance per Company policy. Ability to travel off-site to meet business needs Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices. • Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals. • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness. • Attends patient deaths; prepares body for transport; oversees disposal of medications. • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff. • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses). • Performs other duties as assigned.Some locations may require:<ul><li>Cross training to field (home/facility/admission) positions of equal licensure/certification and scope when hospice house census calls for flexible staffing.</li></ul> Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

Chapters Health System

Registered Nurse - Nights - Orlando Hospice House

Current employees: Please apply through the employee portal to be considered for this opportunity.Pay Range:$28.69 - $37.38 HourlyDepartment:Health DepartmentJob Type:Regular RepresentedExemption Status:United States of America (Non-Exempt)Closing Date (Open Until Filled if No Date Specified):January 16, 2025 The Opportunity:Overview:THIS WORK MATTERS!We’re currently looking for two part-time Licensed Practical Nurses!Premiums: Corrections Health Nurses receive an additional 10% hourly premium and hourly differentials for working swing ($2.50/hr), graveyard ($5.50/hr), weekends ($3.50/hr) shiftsPublic Service Loan Forgiveness (PSLF) Full Time Employees of the Multnomah County Health Department qualify for the&nbsp; Federal Student Aid U.S Department Of Education Public Service Loan Forgiveness program. To learn more about&nbsp; Public Service Loan Forgiveness please visit Public Service Loan Forgiveness (PSLF).Corrections Health provides medically needed health care to adults in custody of Multnomah County Jails and Juvenile Detention Facility, including the treatment of Opioid Use Disorder (OUD) with medications such as Suboxone (Buprenorphine/Naloxone). The Medication Supported Recovery (MSR), Licensed Practical Nurse (LPN) in Corrections Health is primarily tasked with the administration of MSR medications (Subxone, Subutex) to incarcerated patients under supervision of a Community Health Nurse (CHN) and supervisor. The MSR LPN also will assist with reviewing MSR referrals, and refer to a nurse or providers as appropriate. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment. The employee holding this position is designated as an Essential Employee under Multnomah County Personnel Rule 3-15-015, Essential Employees. This position is essential to the public health and safety, and required to report for duty regardless of County decisions to close or curtail other county operations. This position is located at the Justice Center.&nbsp;Come join us in doing work that matters.Other duties include but are not limited to the following::Medications-Stock carts with prescription and other medications, removing expired medication from the carts, pushing heavy carts to assigned housing units, opening multiple heavy doors, identification of correct client, read medication administration records (MAR), pass out correct medication to the correct patient at the correct time, access clients on upper floors (stairs) as necessary, documenting medications. Identify untoward effects of medications that need follow up by a nurse. Other duties include working in the medication room in consultation with the CHN to manage incoming medication, order refills, and inventory and return medications to the pharmacy.Panel Management and Referral Processing-Utilizes electronic reports and review of provider schedules to proactively assess needs for prevention screening and communicates via EHR. Pro-actively performs pre-visit activities (e.g. scrubbing and huddling) for client visits, as needed. Works with Providers and team to monitor chronic disease and prevention reports and initiates follow-up with clients or ensures appropriate referrals as needed. Forecasts immunizations. Leads the team and directs staff to complete duties, within scope, to support smooth clinic flow. Review MSR referrals and start clients on MSR, based on criteria and established protocols. Schedule follow-up as appropriate and assist TSP CHN/RN with MSR referral follow-up and care coordination needs in the community. Collaborates with administrative staff to ensure appropriate tracking and follow-up of referrals.&nbsp;Emergency Medical Response-Responding to medical and custody emergencies by pushing emergency cart, perform CPR if needed, carry equipment up/down stairs, duties as directed by CHN in life threatening emergency situations.Communicating Client Needs-Reporting to and consulting with assigned CHN about any problems, adverse reactions from medications or unstable patients that the LPN may have identified during the medication rounds. Provides patient education. Reviews cases with the providers and team as needed. Works with RN to contribute to the plan of care. Follows an established plan of care. Seeks expert advice on issues for clients and provides input to providers and nurses on client response.&nbsp;Patient Care-Duties delegated by the CHN may including measuring and recording complete vital signs, blood sugars; checking dressings, answering phones, assisting with assistive devices, such as wheelchairs, stretchers, walkers; assisting with infirmary patients; such as personal grooming, dressing, bathing, feeding, transporting, lifting, turning, and other duties as assigned. Supports back office clinic flow by direct provider support as needed including rooming patients, ordering labs as directed. Assists clinicians with procedures. Provides after visit instructions based on nursing experience and understanding of client needs; makes follow-up appointments, if necessary. Prepares patients for exams, and procedures, including equipment set-up and specimen collection. Performs diagnostic tests such as labs, phlebotomy, EKG, etc. Completes Nurse standing orders per assignment. Maintains clinical skills as dictated by the client population and the clinical practice. Completes competencies required for the position. Completes documentation and charting as required by policy.&nbsp;TO QUALIFY:We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview ofthe selection processpage.Minimum Qualifications/Transferable Skills*:<ul><li>Completion of an Oregon State Board of Nursing approved program at the certificate level or higher and a license to practice as a Licensed Practical Nurse as outlined by Oregon Revised Statutes (ORS)&nbsp; 678.021</li><li>Valid CPR/BLS certification upon hire.</li></ul>COVID-19 Vaccination Requirement: To protect the health of the community and employees, Multnomah County requires employees to be fully vaccinated against COVID-19 or have an approved medical or religious exemption as a qualification of employment.&nbsp;Other:&nbsp;<ul><li>This position requires a background investigation, which may include being fingerprinted. Employment is contingent on passing a background investigation.</li><li>The employee holding this position is designated as an Essential Employee under Multnomah County Personnel Rule 3-15-015, Essential Employees.</li></ul>Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.<ul><li>Ability to make observations concerning patients' general health conditions.</li><li>Working knowledge of basic medication passing rules and protocols for patient safety, infection control and the limits of care governed by Medication Aide certifications.&nbsp;</li><li>Ability to communicate clearly and effectively both orally and in writing.</li><li>Experience working in a Correctional Health Facility.</li></ul>*Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.REQUIRED APPLICATION PACKET:The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.1. Attach a Resume demonstrating you meeting minimum qualifications; AND2. Attach a Cover Letter addressing the following:&nbsp;<ul><li>Demonstrate your experience working with diverse vulnerable populations; and</li><li>How you meet the qualifications for this position; and&nbsp;</li><li>Why you are interested in the position</li></ul>Note:The application, resume and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process.&nbsp;The Selection Process: For details about how we typically screen applications, review our overview ofthe selection processpage. We expect to evaluate candidates for this recruitment as follows:<ul><li>Initial review of minimum qualifications</li><li>Resume and Cover Letter Review&nbsp;</li><li>Phone screen</li><li>Consideration of top candidates</li><li>Background, reference</li></ul>Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.ADDITIONAL INFORMATION:Type of Position: This position is eligible for overtime.Type: RepresentedFLSA: Non-Exempt Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.Questions?Recruiter:Amanda ArmstrongEmail:<a href="mailto:amanda.armstrong@multco.us" target="_blank">amanda.armstrong@multco.us</a>Phone:+1 (971) 5001688Application information may be used throughout the entire selection process. This process is subject to change without notice.Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.Job Profile:6303 - Licensed Community Practical Nurse

Corrections Health Licensed Practical Nurse MSR (Additional 10% hourly Correction Nurse premium)

Current employees: Please apply through the employee portal to be considered for this opportunity.Pay Range:$28.69 - $37.38 HourlyDepartment:Health DepartmentJob Type:Regular RepresentedExemption Status:United States of America (Non-Exempt)Closing Date (Open Until Filled if No Date Specified):January 16, 2025 The Opportunity:Overview:THIS WORK MATTERS!Premiums: Corrections Health Licensed Practical Nurses receive an additional 10% hourly premium and hourly differentials for working swing ($2.50/hr), graveyard ($5.50/hr), weekends ($3.50/hr) shiftsublic Service Loan Forgiveness (PSLF) Full Time Employees of the Multnomah County Health Department qualify for the&nbsp; Federal Student Aid U.S Department Of Education Public Service Loan Forgiveness program. To learn more about&nbsp; Public Service Loan Forgiveness please visit Public Service Loan Forgiveness (PSLF).At Corrections Health, we provide medically needed health care to adults and youth in custody at Multnomah County Jails and Juvenile Detention Facility. Come join our team of Portland's most outstanding health care professionals providing exceptional services to our diverse community!The Licensed Practical Nurse works within the healthcare team and provides focused community and clinic health services directed towards the prevention of disease, the promotion of health, improving clients self-care, using professional judgment, screening, contributing to care planning, intervention, and provides health information/education to patients.&nbsp;In the Licensed Community Practical Nurse role you will:<ul><li>Utilizing electronic reports and review provider schedules to proactively assess needs for prevention screening and communicating via EHR.&nbsp;</li><li>Pro-actively performs pre-visit activities (e.g. scrubbing and huddling) for client visits as needed, As well as preparing patients for exams, and procedures, including equipment set-up and specimen collection.&nbsp;</li><li>Working with providers and teams to monitor chronic disease and prevention reports and initiates follow-up with clients or ensures appropriate referrals as needed.&nbsp;</li><li>Following up on specialty referral reports, clinical treatments, prescriptions, medication cancellations, etc.&nbsp;</li><li>Documenting clearly in the patient chart, using the SOAP method, if indicated, and EPIC "dot-phrases" and "smart phrases" as deemed appropriate per patient encounter.&nbsp;</li><li>Supporting back office clinic flow by direct provider support as needed including rooming patients, ordering labs as directed.</li><li>Providing after visit instructions based on nursing experience and understanding of client needs; makes follow-up appointments, if necessary.&nbsp;</li><li>Administering medical treatments such as cleaning and dressing wounds, ear irrigations, suture removal, catheterizations, fluoride treatments, etc. Performs diagnostic tests such as labs, phlebotomy, EKG, etc.&nbsp;&nbsp;</li><li>Work with RN and PCP to contribute to the plan of care.&nbsp;</li><li>Completing documentation and charting as required by policy.&nbsp;</li><li>Troubleshooting equipment issues and reporting necessary repairs as needed.</li><li>Completing assigned Quality Control/Assurance activities.&nbsp;</li></ul>TO QUALIFY:We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview ofthe selection processpage.Minimum Qualifications/Transferable Skills*:<ul><li>An Associate's or Bachelor's degree in nursing from an accredited nursing program</li><li>Possession of, or ability to obtain, an appropriate and valid license to practice as a Licensed Practical Nurse issued by the Oregon State Board of Nursing at the time of hire</li><li>A minimum one (1) year of nursing experience&nbsp;</li><li>Valid CPR/BLS certification upon hire</li></ul>COVID-19 Vaccination Requirement: To protect the health of the community and employees, Multnomah County requires employees to be fully vaccinated against COVID-19 or have an approved medical or religious exemption as a qualification of employment.&nbsp;Other:&nbsp;<ul><li>This position requires a background investigation, which may include being fingerprinted. Employment is contingent on passing a background investigation.</li><li>The employee holding this position is designated as an Essential Employee under Multnomah County Personnel Rule 3-15-015, Essential Employees.</li></ul>Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.<ul><li>Ability to make observations concerning patients' general health conditions.</li><li>Working knowledge of basic medication passing rules and protocols for patient safety, infection control and the limits of care governed by Medication Aide certifications.&nbsp;</li><li>Ability to communicate clearly and effectively both orally and in writing.</li><li>Experience working in a Correctional Health Facility</li></ul>*Transferable skills:Your transferable skills are any skills you have gained through education, work experience (including the military) or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.REQUIRED APPLICATION PACKET:The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.1. Attach a Resumedemonstrating you meeting minimum qualifications; AND2. Attach a Cover Letter addressing the following:&nbsp;<ul><li>Demonstrate your experience working with diverse vulnerable populations; and</li><li>How you meet the qualifications for this position; and&nbsp;</li><li>Why you are interested in the position</li></ul>Note:The application, resume and cover letter should clearly demonstrate your work experience/skills and how they relate to the descriptions provided in the ‘Overview’ and ‘To Qualify’ sections of the job announcement. Please be thorough, as these materials will be scored and determine your eligibility to advance in this recruitment process.&nbsp;-- Only apply ONCE for this opportunity. Duplicate applications CANNOT be submitted in Workday. --<ul><li>Internal applicant:If you are an internal candidate (current employee, including on-call, regular, probationary, limited duration, and temporary employee), your job application will consist of the career profile that you complete in Workday.&nbsp; Before you apply, please make sure to do the following:<ul><li>Navigate to your profile in Workday (see:My Career Profile) and click on the “Career” section of your profile.&nbsp; Complete all sections of your career profile that you want to have included in your application (Job History, Education, Skills, Languages, Certifications, etc.).</li><li>When completing the application on Workday as an internal candidate, you will need to scroll down to see the “Resume/Cover Letter” section on your screen.&nbsp; This is the place where you may upload your resume and cover letter by clicking the “Upload” button for EACH document you’d like to upload.&nbsp; There will be no other prompts for you to upload your resume and cover letter.</li></ul></li><li>External applicant: When completing the application on Workday as an external candidate (including volunteers, unpaid interns, contractors, and community partners) through <a href="https://multco.us/jobs" target="_blank">https://multco.us/jobs</a>, you will come to a page where you will see the "Resume/CV" section. This is the place where you may upload your resume and cover letter by clicking the “Upload” button for EACH document you’d like to upload.&nbsp; There will be no other prompts for you to upload your resume and cover letter.</li><li>Do not click the “Submit” button before you upload your documents.</li></ul>After You Apply:<ul><li>Please save a copy of this job posting for your reference, as it will not be available for you to view online after the job posting closes.</li><li>Log in to your Workday account before the job posting closes to see if you have any pending tasks or actions to complete. These can be found under the “My Applications” section.&nbsp; You must complete these tasks or actions before the job posting closes.</li><li>Check both your email and Workday account for updates regarding this recruitment.</li></ul>The Selection Process: For details about how we typically screen applications, review our overview ofthe selection processpage. We expect to evaluate candidates for this recruitment as follows:<ul><li>Initial review of minimum qualifications</li><li>Resume and Cover Letter Review&nbsp;</li><li>Phone screen</li><li>Consideration of top candidates</li><li>Background, reference</li></ul>Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.ADDITIONAL INFORMATION:Type of Position: This position is eligible for overtime.Type: RepresentedFLSA: Non-Exempt Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.Questions?Recruiter:Emily RhodesEmail:<a href="mailto:emily.rhodes@multco.us" target="_blank">emily.rhodes@multco.us</a>Phone:+1 (503) 9888222 x88222Application information may be used throughout the entire selection process. This process is subject to change without notice.Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.Job Profile:6303 - Licensed Community Practical Nurse

Corrections Health Licensed Practical Nurse(Additional 10% hourly Corrections Nurse Premium)

Current employees: Please apply through the employee portal to be considered for this opportunity.Pay Range:$46.41 - $59.65 HourlyDepartment:Health DepartmentJob Type:Regular RepresentedExemption Status:United States of America (Non-Exempt)Closing Date (Open Until Filled if No Date Specified):January 16, 2025 The Opportunity:<h4>Discover a Career in Correctional Nursing</h4>Watch a video on Careers in Correctional Nursing Highlighting Benefits of Working in Our FieldWATCH HERE<h4>Public Service Loan Forgiveness (PSLF)</h4>An additional benefit to being a full time employee with the Multnomah County Health Department is that you will qualify for the Federal Student Aid U.S Department Of Education Public Service Loan Forgiveness program. Essentially this is a program that allows those that work for a qualifying employer for a period of at least 10 years to have their student loans forgiven. To learn more about&nbsp; Public Service Loan Forgiveness please visitPublic Service Loan Forgiveness (PSLF).Overview:<h4>Additional Compensation:</h4><ul><li>Premiums: Corrections Health Nurses receive an additional 10% hourly premium and hourly differentials for working swing ($2.50/hr), graveyard ($5.50/hr), weekends ($3.50/hr) shifts.</li></ul><ul><li>Mandatory Overtime*: The first 4 hours of the mandated shift will be paid at an overtime rate (1.5x), and the remaining hours of the mandated shift will be paid at a double-time rate (2.0x). In addition, if you are scheduled to work the following day after a mandated shift, then that schedule shift will be paid at an overtime rate (1.5x).</li></ul><ul><li>Benefits:&nbsp; Multnomah County offers generous vacation and sick leave, exceptional medical and dental plans, and pension. For more information about our benefit offerings, please visit: <a href="https://multco.us/benefits/new-employee-benefits" target="_blank">https://multco.us/benefits/new-employee-benefits</a></li></ul>THIS WORK MATTERS!This recruitment will be used to fill various types of positions as positions become available. Types of jobs may include regular full time or part time positions, on-call positions (up to 20 hours per week) or temporary positions (up to 40 hours a week for up to 6 months).&nbsp;<h4>If you are interested in this opportunity, please apply immediately as we are scheduling interviews!</h4>Our facilities collectively house almost 800 adults and nearly 30 juveniles. Over 36,000 adults and over 2,000 juveniles are cared for each year.As a Community Health Nurse (CHN)you will provide professional and compassionate healthcare services to detained individuals starting at intake with triage, care planning and management of their care while in custody,&nbsp; until they are released to the community or transferred to another facility. Corrections Health personnel provide comprehensive assessments and treatment that reflects the standard of care in the community. Our medical team&nbsp; partners with the Multnomah County Sheriff Deputies to prioritize safety and care for our staff and detainees.As a community health nurse in Corrections Health, you will help serve in our three Correctional Health facilities.1. The Multnomah County Detention Center (downtown)2. Inverness Jail (near PDX airport)3. The Juvenile Detention Center (NE Portland)Other duties include but are not limited to the following:<ul><li>Respond to acute medical and mental health events</li><li>Evaluate, monitor, and treat drug and alcohol withdrawal</li><li>Wound care</li><li>Delegate Certified Medication Aides</li><li>Health education</li><li>Facilitate transition planning for release to the community</li></ul><h4>TO QUALIFY:</h4>We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant. For details about how we typically screen applications, review our overview ofthe selection processpage.Minimum Qualifications/Transferable Skills*:<ul><li>Possession of an appropriate and valid license to practice as a Registered Nurse issued by the Oregon State Board of Nursing.</li><li>And the following:<ul><li>A Associate's degree in nursing from an accredited nursing program&nbsp;</li><li>BLS/CPR certification required</li></ul></li><li>Must be able to pass a Multnomah County Sheriff's Office Background Check</li><li>Ability to work independently&nbsp;</li><li>Ability to work in an interdisciplinary setting fostering a safe, welcoming and inclusive environment&nbsp;</li><li>Experience providing services to diverse and vulnerable communities</li></ul>Multnomah County COVID-19 Vaccination Requirement: To protect the health of the community and employees, Multnomah County requires employees to be fully vaccinated against COVID-19 or have an approved medical or religious exemption as a qualification of employment. The rule applies to all employees, as allowable by law. Candidates who receive an offer of County employment must provide proof of vaccination upon hire or submit an exception request prior to their start date.&nbsp;Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/ transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.<ul><li>Experience working in a correctional facility</li><li>Demonstrated experience working with a diverse and underserved population</li></ul>Transferable skills:Your transferable skills are any skills you have gained through education, work experience (including the military), or life experience that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.<h4>SCREENING &amp; EVALUATION:</h4><h4>REQUIRED:&nbsp;</h4>The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.1. Attach a Resume demonstrating you meeting minimum qualifications; AND2. Attach aCover Letter addressing the following:&nbsp;<ul><li>Demonstrate your experience working with diverse/vulnerable populations; and</li><li>How you meet the qualifications for this position; and&nbsp;</li><li>Why are you interested in the position?</li></ul>The Selection Process: For details about how we typically screen applications, review our overview of the selection process page. We expect to evaluate candidates for this recruitment as follows:<ul><li><h4>Initial review of minimum qualifications</h4></li><li>Resume and Cover Letter Review&nbsp;</li><li>Phone screen</li><li>Consideration of top candidates</li><li>Background and reference check</li></ul>Note: Application information may be used throughout the entire selection process. This process is subject to change without notice.<h4>Corrections Health Staff Testimonial:</h4>“I have worked for Multnomah County Corrections for the past 8 years. I love it and don't want to be anywhere else. Though the hospital is more skills-heavy, I love the autonomy that working in Corrections gives me. I get to work with a great team who is always willing and able to offer support when I need it, and I love working with Multnomah County's most underserved and disadvantaged population.&nbsp; Multnomah County offers better benefits, and the stress and burnout from COVID has not hit us nearly as hard as the hospitals. We have had very little staff turnover in the past 2 years, and I don't see that changing any time soon.”- A.W., RN Evening Shift Lead Nurse“I have been an RN for nearly 7 years. In that time I have worked in both clinic and hospital settings. I’ve been with Multnomah County Correction Health for almost one year- and so far in my nursing career, this has been the job that I have enjoyed the most. It comes down to a good team that supports each other and works together. We have a good balance with the workflow—and we’re not constantly patient-facing, which for me means less burn out. It’s rarely, if ever, boring and we see a wide range of ailments so the opportunity to learn something new is almost constant. Asking for help is encouraged here and not only are the fellow nurses willing to help, but we work with great providers who give us excellent education. It’s important for people to receive good healthcare, especially when, for a lot of our patients here, they are at rock bottom. And we get to provide that. It’s pretty cool. This seems like a good place to add that we work with a good team of deputies who put our safety first. And last but not least, compensation is satisfactory with overtime opportunities as well!”- K.U., RN, Swing Shift RN Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.Questions?Recruiter:Emily RhodesEmail:<a href="mailto:emily.rhodes@multco.us" target="_blank">emily.rhodes@multco.us</a>Phone:+1 (503) 9888222 x88222Application information may be used throughout the entire selection process. This process is subject to change without notice.Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.Job Profile:6315 - Community Health Nurse

Corrections Health Nurse (Additional 10% Corrections Nurse Premium)

<h4>Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!</h4>Everywhere you turn, you can feel the immeasurable level of enthusiasm here at NeighborHealth! We are one of the largest community health centers in the country, supporting the greater Boston area and focusing on the well-being of our patients and local community. From the nurses and physicians on the front line of patient care, to the managers who lead and guide our staff, to the many support roles that keep our facilities running smoothly - everyone plays a vital role in improving medicine for our patients.Interested in this position? Apply online and create a personal candidate account!Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.Time Type: Full timeDepartment: PACE Primary CareAll Locations: 26 Sturgis Street - PACE WinthropPosition Summary: Full-time nurse practitioner position available immediately to provide primary care services to frail participants of the Neighborhood PACE of East Boston program. Neighborhood PACE is a founding member of the national PACE program (Program of All-Inclusive Care for the Elderly), now in operation for 34 years. Candidate will serve as an independent primary care provider (PCP) for a panel of PACE participants in multiple geriatric settings, including home care, nursing homes and a day center. Care in all settings is provided in concert with an interdisciplinary care team of health professionals in a progressive health care organization. Strong preference for a candidate with significant experience as a practitioner for frail adults. Candidates with Adult or Family Medicine certification will be considered. Competitive salary with excellent benefits.Essential Duties &amp; Responsibilities:<ul><li>Obtains comprehensive and problem focused health history</li><li>Performs a comprehensive and problem focused physical exam</li><li>Orders and interprets screening and diagnostic tests</li><li>Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making.</li><li>Communicates with patients re: clinical findings</li><li>Initiates appropriate and timely consultations (NP, PA &amp; MD)</li></ul><ul><li>Qualifications and Requirements:<ul><li>MA License as NP</li><li>BLS, ACLS, PALS Certification, as required by department</li><li>1 year relevant experience preferably in a community health setting</li></ul></li></ul>

NeighborHealth

NeighborhoodHealth

Nurse Practitioner - PCP PACE

Position SummaryWe are currently seeking dynamic, experienced professionals to join our treatment team located in &nbsp;Edmonds. Are you a leader, can you share your knowledge to grow an even stronger team? If so, we want you! Come be a part of a team where bi-directional feedback, innovation, and patient outcomes are paramount, join us today!Benefits of joining the Proliance team:<ul><li>Productivity Bonus plan</li><li>Continuing education allocation and paid days</li><li>Proliance is the most prestigious and comprehensive, integrated approach to orthopedic care in Washington.</li><li>Enjoy a collaborative learning environment that fosters personal and professional growth.</li><li>Available opportunities in mentorship and/or leadership programs.</li><li>You and your family will enjoy all the benefits of the multi-season, Washington lifestyle.</li></ul>Mission Driven Culture:&nbsp;“To better the orthopedic health and overall well-being of the communities in which we live and whom we serve.”HAND THERAPISTBENEFITS:<ul><li>Medical, Dental and Vision Insurance</li><li>Generous PTO package and paid holidays</li><li>Company-paid life insurance and long term disability insurance</li><li>Ability to purchase accident insurance, short and long-term disability insurance.</li><li>Opportunities for internal training and development</li><li>Annual stipend for continuing education</li><li>Retirement Plan eligibility after one year of service with eligibility in company profit sharing</li></ul>HAND THERAPIST QUALIFICATIONS AND SKILLS:<ul><li>Current state licensure from Washington.</li><li>Current BLS certification within 60 days from hire.</li><li>Strong verbal and written communication skills.</li><li>CHT certification or 3 + years of hand therapy experience</li></ul>Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.&nbsp; Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

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