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Join the Clean Energy RevolutionBecome an Underground General Foreman at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll oversee distribution crews responsible for installing, removing, maintaining, and repairing underground distribution and communication systems. As an&nbsp;Underground General Foreman, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?<h4>Responsibilities</h4><ul><li>Reviews daily construction plans and materials needs with crews and conducts site inspections to verify safe work methods are used</li><li>Collaborates with internal and external customers regarding daily work activities and short and long term projects</li><li>Enforces strict compliance with safety protocols and resolves any identified issues promptly and effectively</li><li>Ensures all work orders in the field align with standards and are designed per the Transmission Overhead Construction, Distribution Design Standard, Overhead and Underground Construction Standards manuals</li><li>Ensures in-field and on-site adherence to company policies and environmental guidelines on the job site, following proper accounting procedures for all project materials and ensuring they are correctly accounted for in the work order</li><li>Acts as a Duty Supervisor and responds to after-hours outage and emergency repair calls, supervising proper commissioning and testing prior to re-energization</li><li>Ensures adherence to all aspects directly related to material management, as well as environmental guidelines relating to proper handling and disposal</li><li>Provides applicable training and development opportunities to employees and crew members, facilitating training sessions and offering feedback as appropriate</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Two or more years of combined experience performing/supervising underground and overhead construction, maintenance, operation of the electrical distribution system (including outages and switching procedures).</li><li>Possess a valid Class C Driver's License.</li></ul>Preferred Qualifications<ul><li>Knowing the fundamentals of electricity, electrical circuitry, and operation of electrical equipment.  </li><li>Dedication to working safely and skillfully. </li><li>Great at giving instructions in written, oral, or diagrammatic form. &nbsp;</li><li>Experience with State General Orders 95 and 128.</li><li>Ability to collaborate and work well with others.&nbsp;</li></ul>Additional Information&nbsp;<ul><li>This position’s work mode is&nbsp;on-site. The employee will report to an SCE facility or in the field location.&nbsp; Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li><li>Position will require up to 50%&nbsp;traveling and being out in the field throughout the&nbsp;SCE service territory.&nbsp;</li><li>Relocation does not apply to this position.</li></ul>About Southern California EdisonThe people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.

Southern California Edison

Underground General Foreman

Visalia, CA – Seeking Emergency Medicine Physicians for Clinical Teaching and Simulation FellowshipJoin the Physician Partnership Where You Can Increase Your ImpactVituity’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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Seeking highly competitive and motivated candidates with strong interest in medical education and simulation.</li><li>One year clinical teaching and simulation fellowship, available for the 2026 -2027 academic year.</li><li>Program includes dedicated hours to academics, clinical hours with EM residency at Kaweah Delta Medical Center as well as surrounding sites, and opportunity to lead educational sessions for a variety of learners, including residents of multiple specialties, high school students and ancillary staff.</li></ul>Required Experience and Competencies<ul><li>Graduate of an accredited Emergency Medicine residency program required.</li><li>Board Certified/Eligible in Emergency Medicine.</li><li>Able to obtain a CA state medical license.</li><li>Interest in simulation and medical education.</li></ul>The PracticeKaweah Health Medical Center – Visalia, California<ul><li>A 250-bed facility and Level III Trauma Center.</li><li>STEMI Receiving Center and Stroke Center.</li><li>74-bed Emergency Department with 98,000 annual visits.</li><li>24/7 case management, social work, and in-house interpreters.</li><li>Kaweah Health Medical Center operates an ACGME accredited 3-year EM residency with 18 residents per year, ACGME accredited Sim/US/education/admin EM fellowships, and an AP fellowship program, taking rolling admission with up to 4 AP fellows per year.</li></ul>The Community<ul><li>Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.</li><li>As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.</li><li>Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.</li><li>The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.</li><li>Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.</li></ul>Benefits &amp; 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.<ul><li>Superior Health Plan Options.</li><li>Dental, Vision, HSA/FSA, life and AD&amp;D coverage, and more.</li><li>Partnership models allows a K-1 status pay structure, allowing high tax deductions.</li><li>Extraordinary 401K Plan with high tax reduction and faster balance growth.</li><li>Eligible to receive an Annual Profit Distribution/yearly cash bonus.</li><li>EAP, travel assistance, and identify theft included.</li><li>Student loan refinancing discounts.</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees.</li></ul>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.#physicianfellow

Vituity

Physician Fellow - Clinical Teaching & Simulation - Kaweah Health Medical Center

Selma, CA – Seeking Emergency Medicine Advanced ProvidersBecome a Valued Member of Your Emergency TeamAs an Advanced Provider, you play a critical role in our mission to improve lives in the Emergency Department and are a valued member of the full care team. At Vituity we know the impact you can have.Join the Vituity Team. 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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Seeking Emergency Department/Urgent Care Center physician assistants and nurse practitioners.</li><li>Previous ED/UCC experience preferred.</li><li>New grads welcome to apply.</li><li>Candidates wanting to work in an academic setting with current residents desired.</li><li>Vituity offers an internship program at all 4 Adventist Health Hospital locations for those inexperienced in Emergency Medicine. This Vituity internship/new grad training program is up to three months long and involves both clinical and didactic experiences to help focus on learning good, quality medicine, so you can be a safe and confident Advanced Provider.</li><li>Current DEA, ACLS, PALS, and BLS are required.</li><li>Current CA state license is a plus.</li><li>H1-B/H1B Visa applicants are encouraged to apply.</li></ul>The Practice – A Four – Hospital SystemAdventist Health Hanford – Hanford, CaliforniaAdventist Health Tulare – Tulare, CaliforniaAdventist Medical Center – Reedley, CaliforniaAdventist Health Selma – Selma, California<ul><li>A small, community hospital with a well-equipped ER and hardworking staff and great team culture.</li><li>45-bed facility with 10 ED beds and six other patient care areas.</li><li>Annual volume of 45,000 with a 5% admit rate.</li><li>Site utilizes PA/NP’s for Rapid Medical Evaluation® (RME) to reduce wait times and increase patient satisfaction.</li><li>Previously granted Vituity’s Practice of the Year award.</li></ul>The Community<ul><li>Selma, California, located in the heart of Fresno County, is a charming community known as the “Raisin Capital of the World.”</li><li>Its agricultural heritage is reflected in its picturesque vineyards and orchards, which play a vital role in the local economy.</li><li>The city hosts annual events like the Raisin Festival, celebrating its rich farming traditions.</li><li>Nearby, residents can explore the Blossom Trail, a scenic route showcasing vibrant spring blooms.</li><li>Selma offers small-town charm with easy access to larger cities like Fresno and landmarks such as Yosemite, Sequoia, and Kings Canyon National Parks for outdoor adventures.</li><li>The Mediterranean climate brings hot, dry summers and mild winters, perfect for enjoying outdoor activities year-round.</li><li>With a friendly community, affordable living, and a strong sense of tradition, Selma provides a peaceful yet connected lifestyle that appeals to families and professionals alike.</li></ul>Benefits &amp; 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.<ul><li>Superior health plan options</li><li>Dental, Vision, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Variety of Pre-Tax Savings Accounts including HSA, FSA, Dependent Care and Commuter Benefits</li><li>Time Off when you need it: Start with 4 weeks PTO annually and increase to 6 weeks with tenure, plus generous sick leave</li><li>Flexible scheduling for work/life balance</li><li>Yearly annual cash bonus</li><li>Professional Expense Reimbursement for medical staff dues, states licenses, DEA license, and national recertification fees</li><li>Up to $1,500 annual allowance for medical education courses and professional memberships.</li><li>Student Loan Refinancing Discounts</li><li>EAP, travel assistance and identify theft included</li><li>Free education opportunities for personal and professional growth</li><li>Several wellness programs that focus on provider wellbeing and health</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>Salary range for this role is $65 - $85 per hour. Please speak with a recruiter for more information.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.*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.Applicants only. No agencies please.

Advanced Provider - Emergency Medicine - Adventist Health Selma

Hiring Manager:&nbsp;Fernando Pena&nbsp;Job Abbreviation:&nbsp;ENG900_P1_E&nbsp;Pay Grade:&nbsp;&nbsp;Exempt - 30&nbsp;Pay Range:&nbsp;$77,200.00&nbsp;-$115,800.00&nbsp;Join the Clean Energy RevolutionBecome aDistribution Engineer 1at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll work on grid hardening and resiliency activities as well as plan for our future growth to serve SCE customers. As a&nbsp;Distribution Engineer 1, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?<h4>Responsibilities</h4><ul><li>Prepares technical engineering evaluations and supports the inspections of equipment and operations</li><li>Assists in the review and applications of new technologies to improve quality of service to customers</li><li>Maintains records and documentation on relevant engineering procedures and preventative/ demand maintenance</li><li>Assists with engineering projects using existing procedures to investigate, evaluate and assist in producing technically correct and cost-effective designs and solutions</li><li>Supports the document lifecycle within assigned projects according to defined organizational processes</li><li>Provides operational support to improve customer satisfaction and reliability performance; monitors the trending of electrical system health</li><li>Assists with Root Cause Analysis (RCA), Apparent Cause Analysis (ACA), and miscellaneous investigations to troubleshoot problems, making changes to correct them</li><li>Observes all safety policies during the execution of required tasks and ensures safety standards are met and safe working practices are adhered to</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Bachelor’s degree or higher in Engineering or Bachelor's Degree in a scientiﬁc/technical/math ﬁeld, or expected graduation with such a degree within the next six months.</li><li>Possess a valid Class C Driver's License.</li></ul>Preferred Qualifications<ul><li>Bachelor's Degree in Electrical Engineering with a Power Emphasis</li><li>Experience with CYME</li><li>Experience with AutoCAD</li></ul>Additional Information<ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li><li>This position has been identified as a NERC/CIP impacted position - Prior to being hired, the successful candidate must pass a Personnel Risk Assessment (PRA) or Background Investigation.&nbsp; Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.</li><li>Relocation does not apply to this position.</li></ul>About Southern California EdisonThe people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.

Distribution Engineer 1

Pay Range:&nbsp;$17.00&nbsp;-$28.00&nbsp;Join the Clean Energy Revolution&nbsp;Become a summer intern at Southern California Edison (SCE) and build a better tomorrow. In this 12-week internship, you’ll gain hands on experience with meaningful work while developing essential skills and building your professional network. We’re big believers that diversity leads to innovation, creativity, and collaboration. As a summer intern, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?&nbsp;Responsibilities&nbsp;<ul><li>Come prepared to work on real world challenges within the utility/energy sector&nbsp;</li></ul><ul><li>You’ll be paired with a mentor and work collaboratively to apply your knowledge, grow your skills and make an impact&nbsp;</li></ul><ul><li>Build your professional network through various intern events&nbsp;</li></ul><ul><li>Work with cross functional teams on projects&nbsp;</li></ul><ul><li>Ongoing support to grow personally and professionally&nbsp;</li></ul><ul><li>Present in annual Intern Expo to showcase assigned internship project&nbsp;</li></ul><ul><li>Gain hands-on experience with industry-relevant software and tools aligned within your field of study&nbsp;</li></ul><ul><li>Effective and open communication&nbsp;</li></ul>Minimum Qualifications&nbsp;<ul><li>Currently pursuing a Bachelor’s Degree or higher in Electrical or Mechanical Engineering at an accredited institution with a graduation date of December 2026 or later&nbsp;</li></ul><ul><li>2.8 GPA or higher&nbsp;</li></ul><h4>Responsibilities</h4><h4>Minimum Qualifications</h4>Additional Information<ul><li>This position’s work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to reside in the state of California.  Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.&nbsp;</li></ul><ul><li>The internship has a start date of May/June 2026 and end date of August/September 2026.&nbsp;</li></ul><ul><li>Official transcripts will be verified during the on-boarding process.&nbsp;</li></ul><ul><li>We require you to be legally authorized to work for any employer in the United States without visa sponsorship.&nbsp;</li></ul><ul><li>Visit our Candidate Resource page to get meaningful information related to resources, testing information, the hiring process, and more! · Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!&nbsp;</li></ul><ul><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.&nbsp;</li></ul>Relocation&nbsp;&nbsp;<ul><li>Relocation or housing does not apply to this position.&nbsp;</li></ul>About Southern California Edison&nbsp;The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.&nbsp;At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.&nbsp;We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.&nbsp;

2026 Summer Internship - Electrical/Mechanical Engineering

Tulare, CA – Seeking Hospital Medicine PhysiciansJoin the Physician Partnership Where You Can Increase Your ImpactVituity’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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Seeking Board Eligible/Certified Hospital Medicine physicians.</li><li>Current CA state license is a plus.</li><li>Candidates wanting to work in an academic setting with current residents desired.</li><li>Visa Candidates encouraged to apply.</li></ul>The PracticeAdventist Health Tulare – Tulare, California<ul><li>Primary Stroke Center.</li><li>73-bed closed ICU with 10 inpatient beds.</li><li>Annual volume of 10,000.</li><li>12-15 encounters per day per hospitalist and 3-6 encounters per night per nocturnist.</li><li>ER runs codes, no procedures or vent management required.</li></ul>The Community<ul><li>Tulare, California, located in the heart of the San Joaquin Valley, is a vibrant agricultural hub with a rich history and a welcoming community.</li><li>Known for its role in the dairy industry, Tulare is home to the World Ag Expo, the largest agricultural trade show in the world, showcasing the region’s deep farming roots.</li><li>The city is surrounded by scenic landscapes, including the nearby Sequoia National Park, where residents and visitors can enjoy hiking, camping, and exploring giant sequoia trees.</li><li>Tulare’s Mediterranean climate offers hot summers and mild winters, making it ideal for outdoor activities year-round.</li><li>The city’s family-friendly atmosphere, affordable housing, and strong sense of community make it an attractive place to call home.</li><li>With its central location, Tulare provides easy access to nearby cities like Fresno and Visalia, while still maintaining a peaceful, small-town charm.</li></ul>Benefits &amp; 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.<ul><li>Superior Health Plan Options</li><li>Dental, Vision, HSA, life and AD&amp;D coverage, and more</li><li>Partnership models allows a K-1 status pay structure, allowing high tax deductions</li><li>Extraordinary 401K Plan with high tax reduction and faster balance growth</li><li>Eligible to receive an Annual Profit Distribution/yearly cash bonus</li><li>EAP, travel assistance, and identify theft included</li><li>Student loan refinancing discounts</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>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.

Physician - Hospital Medicine - Adventist Health Tulare

Moreno Valley, CA – Seeking AP Fellowship Assistant Program Director
Be The Job Title You Are Meant To Be
As an Assistant Program Director, you play a vital role in our mission to improve lives. Serve as a clinical educator to ensure the delivery of high-quality teaching, scholarship, and patient care. At Vituity we know the impact you can have.
Join the Vituity Team. 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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. 
The Opportunity
<ul type="disc">
<li>Support the AP Fellowship Program Director/AP Fellowship Program Director – Partner in the administration, management, organization, evaluation, teaching, supervision, precepting, and scholarship.</li>
<li>Support the delivery of an engaging learning curriculum, policies, and procedures for the program.</li>
<li>Support the AP Fellowship Program Director/AP Fellowship Program Director – Partner in establishing the strategic direction of the program.</li>
<li>Responsible for the standards, quality, and reputation of the program.</li>
<li>Ensure programs meet all state, federal, and other regulations and guidelines.</li>
<li>Oversee all Program Coordinators; if applicable, will develop projects and analyze administrative workflow.</li>
<li>Assist AP Fellowship Program Director with all responsibilities to the hospital.</li>
<li>Actively participate in recruitment and selection of new fellows for admission to the program.</li>
<li>Participate in the review of each fellow through a well-organized program of training evaluation.</li>
<li>Mentor and coach fellows; advise them regarding their career and educational goals.</li>
<li>Administer and maintain an educational environment conducive to educating fellows.</li>
<li>Support the AP Fellowship Program Director with evaluating fellows in a timely manner using competency based/milestone evaluations and via direct observation and other relevant evaluation methods.</li>
</ul>
Required Experience and Competencies
<ul type="disc">
<li>Advanced Provider with current, valid National Board Certification in relevant field/specialty and an active unrestrictive state license to practice medicine in the respective state(s) required.</li>
<li>Experience with the education/leadership/mentorship of advanced providers and/or other learners required.</li>
<li>2 years practicing as an advanced provider in the specialty of the fellowship preferred.</li>
<li>Clinical and academic experience to ensure effective implementation of the program requirements.</li>
<li>Proficient working knowledge of software applications including Microsoft Word, Excel, Power Point and Outlook</li>
<li>Ability to facilitate networking opportunities and create an environment that fosters mentorship and promotes the career advancement of AP fellows.</li>
<li>Comprehensive and detailed understanding of Vituity policies, educational administration, and hospital policies.</li>
<li>Ability to stay updated with the latest advancements, new developments, research, guidelines, educational methodologies, and best practices in the relevant field/specialty.</li>
<li>Skilled in strategic planning, organizing, and directing the activities of a program; able to set program goals, coordinate rotations, and manage resources.</li>
<li>Strong communication skills to effectively interact with AP fellows, faculty members, and other stakeholders: ability to provide constructive feedback, address concerns, and foster a positive learning environment.</li>
<li>Effective collaboration and teamwork skills.</li>
<li>Competent at advocating for the interests and needs of the AP fellows within the institution and the broader healthcare community; promoting professionalism, ethical conduct, and patient-centered care; upholding the values of the profession; and serving as a role model.</li>
</ul>
The Practice
Kaweah Health Medical Center – Visalia, California 
<ul type="disc">
<li>Our hospital is an ACS-recognized Level III Trauma Center with an annual ED census of over 90,000 patients.</li>
<li>We are a Primary Stroke Center, STEMI Receiving Center, and have a mental health hospital and rehabilitation hospital in Visalia.</li>
<li>As the largest hospital in Tulare County and the only trauma center for a catchment area of nearly 500,000, our residents receive exceptional experience in caring for patients from all walks of life with a wide array of presenting complaints.</li>
<li>The 6 current ACGME-accredited residency programs are: Emergency Medicine, Family Medicine, Psychiatry, General Surgery, Anesthesiology, and Transitional Year.</li>
</ul>
The Community 
<ul type="disc">
<li>Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.</li>
<li>As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.</li>
<li>Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.</li>
<li>The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.</li>
<li>Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.</li>
</ul>
Benefits &amp; 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. 
<ul type="disc">
<li>Superior health plan options</li>
<li>Dental, Vision, HSA/FSA, Life and AD&amp;D coverage, and more</li>
<li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li>
<li>Outstanding Paid Time Off: Four weeks’ PTO</li>
<li>Student Loan Refinancing Discounts</li>
<li>EAP, travel assistance and identify theft included</li>
<li>Commuter Benefits Program</li>
<li>Wellness program</li>
<li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li>
</ul>
Salary range for this role is $75 - $91 per hour. Please speak with a recruiter for more information.
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. 
*Benefits for part-time and per diem vary. Please speak to a recruiter for more information. 
Applicants only. No agencies please.

AP Fellowship Assistant Program Director - Emergency Medicine - Kaweah Health Medical Center

Visalia, CA – Seeking Emergency Medicine Residency Assistant Program Director
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. 
Under the direction of the Program Director, the Assistant Program Director (APD) will serve as a core faculty member within the Emergency Medicine Residency Program and play a key leadership role in medical education. The APD’s primary responsibility will be to design, coordinate, and manage the monthly didactic curriculum, ensuring high-yield, board-relevant, and engaging academic content that supports resident development and aligns with ACGME standards.
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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. 

The Opportunity 
<ul type="disc">
<li>Serve as a core faculty member within the Emergency Medicine Residency Program and play a key leadership role in medical education.</li>
<li>Design, coordinate, and manage the monthly didactic curriculum, ensuring high-yield, board-relevant, and engaging academic content that supports resident development and aligns with ACGME standards.</li>
<li>Develop and manage the monthly didactic calendar including topic selection, speaker scheduling, and integration of stimulation, small-group, asynchronous, and case-based learning. </li>
<li>Ensure content aligns with ABEM Model of Clinical Practice, milestones, and in-training exam objectives.</li>
<li>Coordinate the weekly educational conference, journal club, and special sessions (e.g., M&amp;M, procedural workshops, board review).</li>
<li>Regularly solicit and incorporate resident and faculty feedback to improve curriculum delivery.</li>
<li>Assist with annual program evaluation, recruitment, and ACGME site visit preparation.</li>
<li>Participate in CCC and PEC meetings and serve as a mentor to residents.</li>
<li>Collaborate with the Program Director to foster a culture of excellence in education, professionalism, and wellness.</li>
<li>Support faculty development efforts related to teaching and educational innovation.</li>
</ul>
Required Experience and Competencies 
<ul type="disc">
<li>Board-Certified Emergency Medicine physician (ABEM/AOBEM) required.</li>
<li>At least two (2) years of post-residency clinical experience required.</li>
<li>At least two (2) years of post-residency academic experience preferred.</li>
<li>Demonstrated commitment to resident education and curriculum development.</li>
<li>Strong organizational and communication skills.</li>
<li>Ability to balance clinical, administrative, and educational responsibilities.</li>
<li>Commitment to diversity, equity, inclusion, and learner wel-being.</li>
</ul>
The Practice
Kaweah Health Medical Center – Visalia, California 
<ul type="disc">
<li>Our hospital is an ACS-recognized Level III Trauma Center with an annual ED census of over 90,000 patients.</li>
<li>We are a Primary Stroke Center, STEMI Receiving Center, and have a mental health hospital and rehabilitation hospital in Visalia.</li>
<li>As the largest hospital in Tulare County and the only trauma center for a catchment area of nearly 500,000, our residents receive exceptional experience in caring for patients from all walks of life with a wide array of presenting complaints.</li>
<li>The 6 current ACGME-accredited residency programs are: Emergency Medicine, Family Medicine, Psychiatry, General Surgery, Anesthesiology, and Transitional Year.</li>
</ul>
The Community 
<ul type="disc">
<li>Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.</li>
<li>As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.</li>
<li>Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.</li>
<li>The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.</li>
<li>Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.</li>
</ul>
Benefits &amp; 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. 
<ul type="disc">
<li>Superior Health Plan Options</li>
<li>Dental, Vision, HSA, life and AD&amp;D coverage, and more</li>
<li>Partnership models allows a K-1 status pay structure, allowing high tax deductions</li>
<li>Extraordinary 401K Plan with high tax reduction and faster balance growth</li>
<li>Eligible to receive an Annual Profit Distribution/yearly cash bonus</li>
<li>EAP, travel assistance, and identify theft included</li>
<li>Student loan refinancing discounts</li>
<li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li>
</ul>
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.
#academicrecruiting 
#academicjobsandfellowships

Fellowship Assistant Program Director - Ultrasound - Kaweah Health Medical Center

Tulare, CA – Seeking Emergency Medicine Physician MoonlighterJoin the Physician Partnership Where You Can Increase Your ImpactVituity’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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul><li>Must be a 3rd year of a 3-year program or a 4th year of a 4-year program to be eligible.</li><li>Current CA state license is a plus.</li><li>Up to $100k sign-on bonus available for full-time after residency.</li><li>Providers will be cross credentialed at Adventist CVN sites: Hanford, Reedley, Selma, and Tulare.</li></ul>The Practice – A Four-Hospital SystemAdventist Health Hanford – Hanford, CaliforniaAdventist Health Selma – Selma, CaliforniaAdventist Medical Center – Reedley, CaliforniaAdventist Health Tulare – Tulare, California<ul><li>Primary Stroke Center.</li><li>50-bed facility with a 12-bed Emergency Department.</li><li>Annual volume of 36,000 with a 20% admit rate.</li><li>Large network with availability of multiple specialists.</li></ul>The Community<ul><li>Tulare, California, located in the heart of the San Joaquin Valley, is a vibrant agricultural hub with a rich history and a welcoming community.</li><li>Known for its role in the dairy industry, Tulare is home to the World Ag Expo, the largest agricultural trade show in the world, showcasing the region’s deep farming roots.</li><li>The city is surrounded by scenic landscapes, including the nearby Sequoia National Park, where residents and visitors can enjoy hiking, camping, and exploring giant sequoia trees.</li><li>Tulare’s Mediterranean climate offers hot summers and mild winters, making it ideal for outdoor activities year-round.</li><li>The city’s family-friendly atmosphere, affordable housing, and strong sense of community make it an attractive place to call home.</li><li>With its central location, Tulare provides easy access to nearby cities like Fresno and Visalia, while still maintaining a peaceful, small-town charm.</li></ul>Benefits &amp; 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.<ul><li>Superior Health Plan Options.</li><li>Dental, Vision, HSA/FSA, life and AD&amp;D coverage, and more.</li><li>Partnership models allows a K-1 status pay structure, allowing high tax deductions.</li><li>Extraordinary 401K Plan with high tax reduction and faster balance growth.</li><li>Eligible to receive an Annual Profit Distribution/yearly cash bonus.</li><li>EAP, travel assistance, and identify theft included.</li><li>Student loan refinancing discounts.</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees.</li></ul>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.

Physician - Moonlighter - Emergency Medicine - Adventist Health Tulare

Visalia, CA – Seeking Advanced Providers for Emergency Medicine FellowshipBecome a Valued Member of Your Emergency TeamAs an Advanced Provider Fellow, you play a critical role our mission to improve lives in the Emergency Department and are a valued member of the full care team.&nbsp; As a graduate of our Fellowship program, you will be a highly skilled, highly competent, compassionate, and efficient emergency medicine provider. At Vituity we know the impact you can have.Join the Vituity Team. 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 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.The Opportunity<ul type="disc"><li>15-month program at Kaweah Health Medical Center designed to train AP’s in Emergency Medicine utilizing didactic and clinical experience.</li><li>Fellows will complete off-site rotations at Adventist Health Tulare, attend weekly formal didactic training and discussion, and attend weekly conferences with EM Residents. </li><li>Hands-on clinical training and close supervision provided by certified PA’s, NP’s, and BE/BC Emergency Physicians. </li><li>Exposure to emergency medicine, critical care, trauma surgery, emergency ultrasound, pediatrics, mental health, and intake rotation. </li><li>Certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS), as well as Pediatric Advanced Life Support (PALS). </li><li>Program focuses on clinical excellence, provider wellness and longevity, and the development of leadership qualities that will prepare graduates to be future leaders in their field.</li><li>Fellows learn how to rapidly evaluate emergent and non-emergent patients, gain experience in procedures of emergency medicine, develop leadership skills, and appropriately disposition patients and interact with attending and consulting physicians.  </li><li>This is a paid fellowship with benefits and malpractice insurance included.</li></ul>Required Experience and Competencies<ul type="disc"><li>Physician Assistant applicants must be NCCPA certified or a graduate of an ARC-PA accredited program. </li><li>Nurse Practitioners must be AANC or AANP certified, or a graduate of a CCNE or ACEN accredited program. </li><li>BLS, ACLS, DEA Schedule II-V or equivalent furnishing certificate is required prior to start of program.</li><li>Must be licensed to practice in the State of California. </li><li>Previous EMS/ED work experience is highly desirable but not required.</li></ul>Application Process &amp; Timeline<ul type="disc"><li>Application Deadline: We are accepting applications on a rolling admission basis.</li><li>Start Date: Flexible depending on available seats and credentialing completion.</li></ul>Required materials to submit in your online application:<ul type="disc"><li>CV/resume.</li><li>Preferred, but not required: Personal Statement addressing the following: reasons for seeking Emergency Medicine Post Graduate Training; not to exceed one, typed, single-spaced page of 10-12 sized font.</li><li>Please note that additional materials will be requested upon submission of your application.</li><li>Please note there is a $30 non-refundable application fee.  </li></ul>The Practice Kaweah Health Medical Center – Visalia, California <ul type="disc"><li>90,000+ annual ED visits. </li><li>Level III trauma facility with new helipad. </li><li>An extensive medical simulation lab – the largest in the region and has the latest 3G Sim Man. </li><li>Cutting edge ED advances: scribes, rapid medical evaluation system, comprehensive ED and in-patient electronic health records. </li><li>Comprehensive ED Support: 24/7 EM Pharmacists, Spanish Interpreters, RCP, LCSW, and Case Management. </li><li>Advanced Primary Stroke Center. </li><li>Comprehensive Cardiac Center. </li><li>Collaborative opportunities with our academic affiliate: University of Southern California.   </li></ul>Adventist Health Tulare – Tulare, California<ul type="disc"><li>Vituity is partnering with Adventist to manage the Emergency Department and the Hospitalist Service.</li><li>A 112-bed hospital with a 15 bed Emergency Department.</li><li>On-site Radiology and tele-radiology coming soon.</li><li>CT and MRI available.</li><li>Lab and ICU on site.</li><li>May be cross credentialed at the sister sites of Adventist Health Selma, Adventist Health Reedley, and Adventist Health Hanford.</li></ul>The Community<ul type="disc"><li>Visalia, California, is a charming city nestled in the San Joaquin Valley, known for its rich agricultural heritage and proximity to breathtaking natural landmarks.</li><li>As the gateway to Sequoia and Kings Canyon National Parks, residents enjoy easy access to towering sequoias, scenic hikes, and outdoor adventures.</li><li>Downtown Visalia offers a vibrant cultural scene with unique shops, local dining, and historic venues like the Fox Theatre, which hosts concerts and performances.</li><li>The city’s seasonal weather includes hot summers and mild winters, ideal for year-round activities.</li><li>Its central location allows for convenient travel to California’s coast, mountains, and larger cities like Fresno.</li></ul>Benefits &amp; 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.<ul type="disc"><li>Superior health plan options</li><li>Dental, Vision, Life and AD&amp;D coverage, and more</li><li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%</li><li>Variety of Pre-Tax Savings Accounts including HSA, FSA, Dependent Care and Commuter Benefits</li><li>Time Off when you need it: Start with 4 weeks PTO annually and increase to 6 weeks with tenure, plus generous sick leave</li><li>Flexible scheduling for work/life balance</li><li>Yearly annual cash bonus</li><li>Professional Expense Reimbursement for medical staff dues, states licenses, DEA license, and national recertification fees</li><li>Up to $1,500 annual allowance for medical education courses and professional memberships</li><li>Student Loan Refinancing Discounts</li><li>EAP, travel assistance and identify theft included</li><li>Free education opportunities for personal and professional growth</li><li>Several wellness programs that focus on provider wellbeing and health</li><li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li></ul>Salary range for this role is $23.00 per hour. Please speak with a recruiter for more information.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.&nbsp;If you have any questions, please email <a href="mailto:APFellowships@vituity.com" target="_blank">APFellowships@vituity.com</a>.Applicants only. No agencies please.#academicjobsandfellowships

26 Jobs in Visalia, CA, USA