Location: San Jose, CA
Position Summary:
Seeking a driven and motivated engineer to join our sales team focusing on growing business with existing customers and developing new business. This position will involve applications engineering, sales support and field service work. Sales Engineers should be comfortable working in a result-driven, fast-paced environment.
Position will involve extensive formalized training plus work under a mentor, developing skills and gaining an understanding of CaptiveAire products, how we go to market, application engineering processes etc. as well as business development and sales strategies.
Why Work for
CaptiveAire
?
N
ation’s leading manufacturer of commercial kitchen ventilation systems, and
now offering
a complete solution of fans, heaters,
ductwork
and HVAC equipment. Our primary
purpose is to provide fully integrated, sustainable HVAC Systems.
Leader in
the industry
for over 40 years
with innovative technologies, unmatched service, competitive pricing, and rapid lead times.
Mission:
to provide the highest quality products and service to our users at the lowest possible pric
e
Strong commitment to the development of our employees, including continuous education opportunities like sponsorship for
P
rofessional
E
ngineering license and
continuous education
through
weekly webinars
and company developed
technical
videos
What our employees have to say:
There is
never
a day you
don’t
learn something new a
t
CaptiveAi
re
.
I am able to learn something new due to the freedom to take on new tasks independently and problem solv
e.
I love the mindset of continuous learning and pushing the bounds of your capabilities
and knowledge. I love the people I work with and the in-office work environment. I love how
Captiveaire
is all about connections, with customers, coworkers, end users, and everyone in between.
One of the things I appreciate most about
CaptiveAire
is how strongly it embodies the entrepreneurial spirit.
I’m
empowered with the autonomy to manage my work independently, while also
benefiting
from the robust support and resources of a large, well-established company
.
CaptiveAire
is fast-moving
and no-
nonsense. We
operate
differently
than any other company that
I've
worked for with our decentralized structure. Quick action is taken when
a good idea
is presented. We are focused on end users where the rest of the industry is very short-sighted.
We are on the front lines, actively changing the landscape of the HVAC industry.
Learn more about
CaptiveAire
and our products
here
A Day in the Life:
A technical sales role encompasses a wide variety of tasks where one day does not look exactly like the next. The projects
our team
handle
s
are high in volume and unique from one another, spanning throughout the whole course of design, procurement, coordination, and post-sale support.
Typical tasks include:
Outside sales meetings and calls to build relationships with existing and new customers
Application engineering to apply our products using sound engineering principles
Project management of installations in progress
-
M
anaging schedules/plans to guarantee we can get equipment on site when the site needs it, in turn creating satisfied and returning customers.
Service and technical support of existing equipment
Supporting end users to
maintain
high levels
of customer service, from
assisting
contractors with wiring on site to remote troubleshooting for staff in the kitchen.
T
wo to three full days
per week
in the office working on bids, one to two days on job sites, and dedicate another day to developing the territory. Territory development may include giving presentations to the engineering community, visiting new customers, or expanding contacts with an existing account.
Comments
from some of ou
r sales engineers:
Every day I get to help someone. Whether
it's
an engineer with a design, a contractor with a troubleshooting issue, or an end user looking for help to obtain better indoor air quality. I get to use my engineering skills, people
skills
and business skills every day.
Our main "role" is not to sell products but to provide solutions - kitchen ventilation solutions, commercial ventilation solutions, heating/air conditioning solutions. I enjoy getting to work directly with end users and helping them complete their business goals. Attending a soft opening after completing a full design-build project with an owner is rewarding.
I love the balance between working on designs in the office and also having that face to face interaction with our customers. It's awesome to handle the design phase of a project, then also take charge of the procurement process with the end user/customer and lastly watch our equipment perform as designed once installed and the project is complete. I also love the growth aspect of my role, I enjoy molding and shaping our business in order to set it up for success and then see the value we are adding to the market.
Primary Job Responsibilities:
Provide integrated application engineering and design support for a wide range of ventilation applications with the goal of providing sustainable products and the latest technologies best designed to meet the customers’ needs.
Work directly with Engineers, Contractors, End Users, and Food Service Dealers.
Daily tasks include inside sales support, application engineering and outside sales.
Responsibilities will vary and may include presentations, quotes, submittals, technical product support, job site visits and hands on troubleshooting as needed.
Educate and promote CaptiveAire products to users in your market. This includes conference calls, meetings, organizing presentations, and product demos.
Research and develop new business opportunities with new and existing users.
Top notch customer service and willingness to go above and beyond to serve the customer.
Quick turnaround times a priority.
Continuously evaluate and improve processes as well as the customer experience.
Required skills:
2-5 years experience
4 year technical degree in a mechanical, electrical, construction or science-oriented curriculum preferred
Excellent computer, organizational and communication/presentation skills
Problem solving with a passion for continuous learning
Strong desire to interface with the customer
Embrace new technologies and business savvy
Passion for work with aggressive nature to succeed
Willing to travel for various training opportunities
If not already completed, expectation of FE Exam completion in area of study for engineering graduates within 6 months of employment with CaptiveAire
MUST BE A “GO GETTER”!
Benefits:
Medical, dental and vision insurance
Disability & life insurance based upon election of medical insurance
401k with employer match
Paid holidays
Paid time off (PTO) based upon tenure
Flexible spending account (FSA)
Tuition reimbursement, including for Professional Engineering (PE) License
Relocation assistance
Salary:
$70k-$100k base, negotiable dependent on experience, with additional monthly bonus based on productivity and profits.
Captive-Aire Systems, Inc. is proud to be an equal opportunity workplace. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, uniformed services, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.
To qualify, applicants must be legally authorized to work in the United States. At this time, we are not able to consider applicants that require sponsorship, now or in the future, for employment visa status.
#LI- TL1
#P1
Location: Utica, NY
Audiologist
Location:
Utica, NY
Schedule:
Twice/ month (bi-weekly)
Total Annual Compensation:
$30,000 - $60,000
About MedElite
Since 2011, MedElite has been dedicated to improving the standard of care in skilled nursing and long-term care facilities nationwide. We implement a data-driven, "treat in place" model that enhances resident health outcomes while saving valuable time and resources for our partner organizations. By managing a network of advanced practice providers and specialty clinicians, we deliver high-quality, proactive care directly to the bedside. Our passion for positively impacting the lives of residents, administrators, and healthcare professionals drives our commitment to continuously innovate and redefine senior care across the country.
Job Summary
We are seeking a compassionate and detail-oriented Audiologist to join our growing team. In this role, you will evaluate, diagnose, and manage hearing and balance disorders for patients in skilled nursing and long-term care facilities. This position offers the opportunity to deliver patient-centered audiologic care while improving communication, safety, and overall quality of life for a geriatric population.
Responsibilities
Conduct comprehensive hearing evaluations, including pure-tone audiometry, speech audiometry, and tympanometry
Diagnose hearing loss and balance-related conditions and develop appropriate treatment plans
Fit, program, and maintain hearing aids and other assistive listening devices
Provide counseling and education to patients, families, and caregivers regarding hearing health and device use
Document evaluations, treatment plans, and outcomes accurately and in a timely manner
Collaborate with physicians, advanced practice providers, nursing staff, and care teams
Ensure compliance with clinical, safety, and infection control standards
Travel to skilled nursing and long-term care facilities as assigned
Requirements
Doctoral degree in Audiology (Au.D.) required
Current state Audiology license required
Certificate of Clinical Competence in Audiology (CCC-A) preferred
Prior experience in skilled nursing or long-term care settings strongly preferred
Experience working with hearing aids and assistive listening devices
Strong clinical, organizational, and documentation skills
Excellent communication and patient-care abilities
Comfortable working with the geriatric population
Prolonged sitting/standing. Fine motor skills for equipment operation. Occasional lifting. Lifting/moving patients.
Ability to travel as needed
Benefits
Competitive compensation per annum: $30,000 - $60,000
Paid Time Off
Malpractice Insurance
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression,
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
#INDL
Location: Meridian, MS
Medical Director/ Attending Physician
Location:
Meridian, MS
Schedule:
Full-Time
Salary:
Negotiable
About Infinite Medical P.C.
Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
Job Summary
We are seeking a dynamic and compassionate Medical Director/ Attending Physician to join our team. As the Medical Director/ Attending Physician, you will play a key role in overseeing the delivery of comprehensive care to patients, ensuring high-quality service, and promoting best practices across the healthcare team. You will provide leadership, guidance, and direction to clinical staff, fostering a collaborative environment while maintaining the highest standards of patient care. This is an exciting opportunity to make a meaningful impact on patient outcomes and contribute to the growth and development of our medical team.
Responsibilities
Provide ongoing oversight, mentorship, and clinical guidance to the medical staff to maintain high standards of care
Foster a collaborative environment that promotes best practices and continuous professional development
Lead the interview and credentialing process for prospective medical staff
Chair or co-chair the Quality Assurance and Performance Improvement (QAPI) Committee on a quarterly basis
Assist in Department of Health (DOH) survey preparedness, ensuring compliance with state and federal regulations
Lead the implementation of new clinical programs and initiatives
Stay informed of advancements in geriatric and long-term care to continuously evolve the facility’s clinical offerings
Provide direct patient care to residents, ensuring the highest quality of clinical treatment and support
Requirements
Certified Medical Director (CMD) certification is preferred.
Extensive experience in long-term care (LTC) or skilled nursing facility settings.
Strong leadership, communication, and team-building skills.
In-depth knowledge of regulatory requirements and quality improvement processes in long-term care
Ability to collaborate with interdisciplinary teams and external stakeholders to enhance patient care and facility operations
Prolonged standing and walking on facility floors. Carrying a medical bag, laptop, tablet or diagnostic equipment. Bending, stooping, or assisting with positioning during exams. Navigating multi-level buildings, potentially with stairs or uneven surfaces. Lifting/moving patients.
Benefits
Competitive salary per annum: Negotiable
Health
Dental
Vision
401K
Company-Sponsored Life Insurance
Paid Time Off
Malpractice Insurance
Paid - Subscription to UpToDate
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
#INDH
Location: Margate, NJ
General Summary
As a Loan Originator with Envoy Mortgage we provide you with a high standard of service, support and tools, with one goal in mind -- Improving Lives! By listening to our originators and leveraging our teams and resources, we create a work environment poised for success while remaining a competitive lender and employer in the mortgage industry. Through this business approach Envoy Mortgage has been awarded Top Mortgage Employer by Mortgage Professional, 50 Best Companies to Work for by Mortgage Executive Magazine, and the Top Tech Housing Award many years running.
Come join us, and be part of a team where your success, is our success!
General Summary
The Loan Originator provides residential mortgage loans and generates leads to increase production. The Originator obtains purchase and refinance mortgage loans in accordance with established company policies and procedures and industry guidelines by calling upon realtors; builders; past clients and referral partners; while providing strong communication and support to management, production staff, underwriting, and customers.
Duties and Responsibilities
The primary job duties and responsibilities of this position include but are not limited to:
Promote Envoy's products to Real Estate Agents, Home Buyers, other lead sources and all referral sources.
Prospect & procure new loan applications by meeting with and presenting products to potential referral sources such as realtors, CPAs, financial planners and past clients that result in funded loans
Educate borrowers on current offerings and programs for which they qualify
Ensure all marketing is performed in a manner that is compliant
Create & maintain data from new loan applications and other documents in origination system
Reviews loans in process daily and determine priorities
Performs document audit and resolves exceptions to approve (or reject) loan packages for funding
Receive & process Change of Circumstances (CoC) and resubmit loan package, ensuring compliance with Fannie Mae and Freddie Mac
Re-disclose all new loans when there is a Change of Circumstance (CoC)
Generate and distribute Decline/Rejection letters to borrows not meeting minimum requirements, in compliance with industry guidelines and regulations
Authorize and/or order credit reports, appraisals, flood certifications, and title work
Defers loans that do not meet basic standards to Underwriter
Provides follow-up on a consistent basis with internal staff, borrowers, and agents to complete processing
Analyzes loan files and submits completed loans for approval
Responds to inquiries from agents/referral partners and borrowers regarding status of loans in process.
Maintains status of all files in process and updates as needed; keeps abreast of all FHA, VA, and conventional guidelines and changes that may affect loan status
Request and gather relevant information/documents from the borrower to complete the application, its structure and all loan disclosures, in coordination with processing as well as underwriting
Monitor the process and communicate effectively with the borrower and all other parties to the transaction on the status of the loan
Present complete and accurate files to the Processor
Ensure maintenance of active NMLS license and stay current with required continuing education, new products, Freddie Mac and Fannie Mae guidelines, Envoy guidelines and overlays, and HUD guidelines
Comply with local, state and federal laws regarding position
Adhere to all Envoy standards, including, but not limited to production minimums and customer service
Conduct business in an ethical manner and in the best interest of Envoy, with Envoy's core values in mind
Stay current on personal finance principles in order to offer comprehensive mortgage advice to clients
May work more than 50% of the time out the office, is non-exempt and primarily commission-based
Any additional duties as assigned
THIS JOB DESCRIPTION IS NOT INTENDED TO BE ALL-INCLUSIVE. THE INCUMBENT WILL ALSO PERFORM OTHER REASONABLY RELATED BUSINESS DUTIES AS ASSIGNED BY MANAGEMENT.
Qualifications include:
High school diploma or equivalent, Bachelor's degree is preferred
3+ years of experience as a Loan Originator, LOA or Processor, 5+ years preferred
Knowledge of Microsoft Excel, Word and Outlook
In-depth knowledge of mortgage loan products (FHA/VA/CONV/USDA) and knowledge of mortgage processes, procedures, and documentation
Working knowledge / Proficiency in Desktop Underwriter/Desktop Originator (DU/DO), Loan Prospector (LP), and originating systems, Encompass experience preferred
Exceptional follow-up, time management, interpersonal, and verbal and written communication skills
Willingness to learn, self- motivated, social media savvy and a forward thinker
Excellent customer service skills and working in a team environment
Excellent interpersonal, verbal and written skills are a must
Must be a self-starter who is reliable, detail oriented and the ability to resolve issues
Strong relationship building a must, along with strong written and verbal communication skills
Ability to analyze issues and create effective resolutions, while managing multiple projects at one time.
Must have NMLS and SAFE, UST, preferred, or able to obtain applicable State NMLS license within 30 - 90 days of employment or employment will be terminated.
Physical Requirements
The employee must occasionally lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle, or feel; reach with hands and arms; and talk or hear
The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch or crawl
Job Type:
- Non-Exempt
Compensation:
- Regular Pay: $7.25 - $15.00/hour
Supplemental Pay:
- Commission Pay
NOTE: The Pay Range indicated may vary based on skills, experience, and location once a candidate is selected.
- Bonus Pay (eligible)
Benefits: (Full-Time)
- Health Insurance
- Paid Time Off (PTO)
- Paid Holidays
- 401(k)
We are an equal opportunity employer and value diversity. All employment is decided on the basis of qualifications, merit and business need. We are committed to creating an inclusive environment for all employees.
Location: Springfield,MO
Position Summary:
Seeking a driven and motivated engineer to join our sales team focusing on growing business with existing customers and developing new business. This position will involve applications engineering, sales support and field service work. Sales Engineers should be comfortable working in a result-driven, fast-paced environment.
Position will involve extensive formalized training plus work under a mentor, developing skills and gaining an understanding of CaptiveAire products, how we go to market, application engineering processes etc. as well as business development and sales strategies.
Why Work for
CaptiveAire
?
N
ation’s leading manufacturer of commercial kitchen ventilation systems, and
now offering
a complete solution of fans, heaters,
ductwork
and HVAC equipment. Our primary
purpose is to provide fully integrated, sustainable HVAC Systems.
Leader in
the industry
for over 40 years
with innovative technologies, unmatched service, competitive pricing, and rapid lead times.
Mission:
to provide the highest quality products and service to our users at the lowest possible pric
e
Strong commitment to the development of our employees, including continuous education opportunities like sponsorship for
P
rofessional
E
ngineering license and
continuous education
through
weekly webinars
and company developed
technical
videos
What our employees have to say:
There is
never
a day you
don’t
learn something new a
t
CaptiveAi
re
.
I am able to learn something new due to the freedom to take on new tasks independently and problem solv
e.
I love the mindset of continuous learning and pushing the bounds of your capabilities
and knowledge. I love the people I work with and the in-office work environment.I love how
Captiveaire
is all about connections, with customers, coworkers, end users, and everyone in between.
One of the things I appreciate most about
CaptiveAire
is how strongly it embodies the entrepreneurial spirit.
I’m
empowered with the autonomy to manage my work independently, while also
benefiting
from the robust support and resources of a large, well-established company
.
CaptiveAire
is fast-moving
and no-
nonsense. We
operate
differently
than any other company that
I've
worked for with our decentralized structure. Quick action is taken when
a good idea
is presented. We are focused on end users where the rest of the industry is very short-sighted.
We are on the front lines, actively changing the landscape of the HVAC industry.
Learn more about
CaptiveAire
and our products
here
A Day in the Life:
A technical sales role encompasses a wide variety of tasks where one day does not look exactly like the next. The projects
our team
handle
s
are high in volume and unique from one another, spanning throughout the whole course of design, procurement, coordination, and post-sale support.
Typical tasks include:
Outside sales meetings and calls to build relationships with existing and new customers
Application engineering to apply our products using sound engineering principles
Project management of installations in progress
-
M
anaging schedules/plans to guarantee we can get equipment on site when the site needs it, in turn creating satisfied and returning customers.
Service and technical support of existing equipment
Supporting end users to
maintain
high levels
of customer service, from
assisting
contractors with wiring on site to remote troubleshooting for staff in the kitchen.
T
wo to three full days
per week
in the office working on bids, one to two days on job sites, and dedicate another day to developing the territory. Territory development may include giving presentations to the engineering community, visiting new customers, or expanding contacts with an existing account.
Comments
from some of ou
r sales engineers:
Every day I get to help someone. Whether
it's
an engineer with a design, a contractor with a troubleshooting issue, or an end user looking for help to obtain better indoor air quality. I get to use my engineering skills, people
skills
and business skills every day.
Our main "role" is not to sell products but to provide solutions - kitchen ventilation solutions, commercial ventilation solutions, heating/air conditioning solutions. I enjoy getting to work directly with end users and helping them complete their business goals. Attending a soft opening after completing a full design-build project with an owner is rewarding.
I love the balance between working on designs in the office and also having that face to face interaction with our customers. It's awesome to handle the design phase of a project, then also take charge of the procurement process with the end user/customer and lastly watch our equipment perform as designed once installed and the project is complete. I also love the growth aspect of my role, I enjoy molding and shaping our business in order to set it up for success and then see the value we are adding to the market.
Primary Job Responsibilities:
Provide integrated application engineering and design support for a wide range of ventilation applications with the goal of providing sustainable products and the latest technologies best designed to meet the customers’ needs.
Work directly with Engineers, Contractors, End Users, and Food Service Dealers.
Daily tasks include inside sales support, application engineering and outside sales.
Responsibilities will vary and may include presentations, quotes, submittals, technical product support, job site visits and hands on troubleshooting as needed.
Educate and promote CaptiveAire products to users in your market. This includes conference calls, meetings, organizing presentations, and product demos.
Research and develop new business opportunities with new and existing users.
Top notch customer service and willingness to go above and beyond to serve the customer.
Quick turnaround times a priority.
Continuously evaluate and improve processes as well as the customer experience.
Required skills:
0-5 years experience
4 year technical degree in a mechanical, electrical, construction or science-oriented curriculum preferred
Excellent computer, organizational and communication/presentation skills
Problem solving with a passion for continuous learning
Strong desire to interface with the customer
Embrace new technologies and business savvy
Passion for work with aggressive nature to succeed
Willing to travel for various training opportunities
If not already completed, expectation of FE Exam completion in area of study for engineering graduates within 6 months of employment with CaptiveAire
MUST BE A “GO GETTER”!
Benefits:
Medical, dental and vision insurance
Disability & life insurance based upon election of medical insurance
401k with employer match
Paid holidays
Paid time off (PTO) based upon tenure
Flexible spending account (FSA)
Tuition reimbursement, including for Professional Engineering (PE) License
Relocation assistance
Salary:
$70k-$100k base, negotiable dependent on experience, with additional monthly bonus based on productivity and profits.
Captive-Aire Systems, Inc. is proud to be an equal opportunity workplace. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, uniformed services, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.
To qualify, applicants must be legally authorized to work in the United States. At this time, we are not able to consider applicants that require sponsorship, now or in the future, for employment visa status.
#LI- TL1
#P1
Location: Springville, NY
Primary Care Nurse Practitioner/Physician’s Assistant
Location:
Springville, NY
Schedule:
Full-Time (5 days per week)
Salary per annum:
$150,000 – $200,000 per year
About Infinite Medical P.C.
Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
Job Summary
Infinite Medical Group is currently hiring a
Primary Care Nurse Practitioner/Physician’s Assistant (NP/PA)
to provide on-site care to residents in long-term care settings. This is a
full-time
position ideal for a provider who values meaningful patient relationships and a collaborative care environment.
Responsibilities
Provide primary care services to residents in skilled nursing and long-term care facilities
Perform physical exams and medical history assessments
Diagnose and treat chronic and acute health conditions
Order and interpret diagnostic tests and lab results
Develop and adjust individualized care plans
Prescribe medications and monitor treatment effectiveness
Collaborate with facility staff and interdisciplinary teams
Educate patients and families about treatment options and care goals
Ensure a safe, respectful, and supportive environment for residents
Requirements
Active and unrestricted
Nurse Practitioner, Physician Assistant, or Physician license
State-specific license in good standing in New York
Minimum
6 months of experience in long-term care or a skilled nursing facility
Strong communication, clinical, and critical thinking skills
Passion for elder care and person-centered healthcare
Prolonged standing/walking. Occasional lifting up to 20 lbs. Computer work. Lifting/moving patients. Prolonged sitting.
Benefits
Competitive salary
per annum
: $150,000 – $200,000
Health
Dental
Vision
401K
Company-Sponsored Life Insurance
Student Loan Repayment Program
Paid subscription to UpToDate
Paid Time Off
Malpractice insurance coverage
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
Location: Randolph, NY
Primary Care Nurse Practitioner/Physician’s Assistant
Location:
Wellsville, NY
Schedule:
Full-Time (5 days per week)
Salary per annum:
$150,000 – $200,000 per year
About Infinite Medical P.C.
Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
Job Summary
Infinite Medical Group is currently hiring a
Primary Care Nurse Practitioner/Physician’s Assistant (NP/PA)
to provide on-site care to residents in long-term care settings. This is a
full-time
position ideal for a provider who values meaningful patient relationships and a collaborative care environment.
Responsibilities
Provide primary care services to residents in skilled nursing and long-term care facilities
Perform physical exams and medical history assessments
Diagnose and treat chronic and acute health conditions
Order and interpret diagnostic tests and lab results
Develop and adjust individualized care plans
Prescribe medications and monitor treatment effectiveness
Collaborate with facility staff and interdisciplinary teams
Educate patients and families about treatment options and care goals
Ensure a safe, respectful, and supportive environment for residents
Requirements
Active and unrestricted
Nurse Practitioner, Physician Assistant, or Physician license
State-specific license in good standing in New York
Minimum
6 months of experience in long-term care or a skilled nursing facility
Strong communication, clinical, and critical thinking skills
Passion for elder care and person-centered healthcare
Prolonged standing/walking. Occasional lifting up to 20 lbs. Computer work. Lifting/moving patients. Prolonged sitting.
Benefits
Competitive salary per annum: $150,000 – $200,000
Health
Dental
Vision
401K
Company-Sponsored Life Insurance
Student Loan Repayment Program
Paid subscription to UpToDate
Paid Time Off
Malpractice insurance coverage
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
#INDL
Location: Kansas City, Missouri
General Summary
The Producing Branch Manager ‘s primary job functions are to effectively recruit, coach, manage, and motivate a high-performance origination team and support staff while also developing personal production. The Branch Manager is also responsible for the day-to-day originations activities of their branch(s) and overall origination processes within defined targeted goals.
Duties and Responsibilities
The primary job duties and responsibilities of this position include but are not limited to:
Promote Envoy’s products to Real Estate Agents, Home Buyers, other lead sources and all referral sources
Provide leadership for all branch employees by always adhering to the highest ethics, fair and equal treatment of all employees, business partners, and loan applicants.
Acts as a mentor to Mortgage Loan personnel to improve their knowledge of policies and procedures, loan programs, investor guidelines
Keeps abreast of changes to company policies and procedures, secondary market investors and changes in Federal regulations pertaining to mortgages
Must have working knowledge of applicable federal regulations
Work closely with the Senior Management, to be innovative in terms of new origination opportunities
Manage Branch revenue and expenses to meet the Company’s objectives
Procure new loan applications that result in funded loans
Adhere to all Envoy standards, including, but not limited to production minimums and customer service
Stay current on personal finance principles in order to offer comprehensive mortgage advice to clients
Monitor processes and communicate effectively with the borrower and all other parties to transactions on the status of loans
Stay current with required continuing education, new products, Freddie Mac and Fannie Mae guidelines, Envoy guidelines and overlays, and HUD guidelines
Ensure all marketing is performed in a manner that is compliant
Ensure maintenance of a current license to perform Origination duties within their assigned branch
Adhere to all Envoy standards, including, but not limited to production minimums and customer service
Comply with company policies, local, state and federal laws regarding position and supervision of employees
Conduct business in an ethical manner and in the best interest of Envoy, with Envoy’s core values in mind
Any additional duties that may be assigned
THIS JOB DESCRIPTION IS NOT INTENDED TO BE ALL-INCLUSIVE. THE INCUMBENT WILL ALSO PERFORM OTHER REASONABLY RELATED BUSINESS DUTIES AS ASSIGNED BY MANAGEMENT.
Qualifications
Listed below are the minimum qualifications required to successfully perform this role. These qualifications are necessary for someone to be considered for this position.
Qualifications include:
High School diploma or equivalent is required, Bachelor’s Degree in Business, Finance or related field, preferred
7 years related experience and/or training; or equivalent combination of education and experience in mortgage origination, with 2+ years related Branch Management, preferred
2 years’ experience in sales leadership role managing Loan Originators, preferred
Demonstrated success in growing sales and revenue goals
Average of $500,000 in personal monthly volume or $3 MM (or 6 units) average monthly team volume, preferred minimum
Proven leadership skills with demonstrated capacity in management/motivation of employees
In-depth knowledge of mortgage loan products (FHA/VA/CONV/USDA), processes, procedures, and documentation
Working knowledge / Proficiency in Desktop Underwriter/Desktop Originator (DU/DO), Loan Prospector (LP), and originating systems, Encompass experience, preferred
Demonstrated proficiency with Microsoft Excel, Word and Outlook
Exceptional follow-up, time management, interpersonal, and verbal and written communication skills
Commitment to high standards and adherence to company policy
Ability to manage priorities and workflow
Ability to make timely and sound decisions
Must hold State NMLS or obtain applicable State license within 90 days of employment or employment will be terminated
Satisfactorily pass background check
Physical Requirements
The employee must occasionally lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle, or feel; reach with hands and arms; and talk or hear
The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch or crawl
We are an equal opportunity employer and value diversity. All employment is decided on the basis of qualifications, merit and business need. We are committed to creating an inclusive environment for all employees.
Location: Bronx, NY
QM Specialty NP / PA
Location:
Bronx, NY (In-Person)
Schedule:
Part-Time (2 days/ week)
Salary per annum:
$60,000 - $90,000
About Infinite Medical P.C.
Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
Job Summary
We are seeking a dedicated and compassionate QM Specialty NP / PA to join our facility in the
Bronx, NY
. As a QM Specialty Provider, you will provide comprehensive primary care services via telehealth to a diverse patient population. This is a
part-time
position ideal for a provider who values meaningful patient relationships and a collaborative care environment.
Responsibilities
Conduct assessments, diagnose, and develop treatment plans tailored to patient needs
Manage chronic diseases and acute conditions
Collaborate with interdisciplinary teams to enhance patient care
Maintain accurate and timely medical records in compliance with documentation standards.
Assist with quality management (QM) initiatives, including compliance audits, clinical evaluations, and outcome tracking
Ensure adherence to regulatory guidelines and clinical protocols
Provide guidance and support to healthcare team members regarding best practices and performance improvement initiatives
Perform physical exams and medical history assessments
Collaborate with facility staff and interdisciplinary teams
Educate patients and families about treatment options and care goals
Ensure a safe, respectful, and supportive environment for residents
Requirements
Extensive experience in long-term care (LTC) or skilled nursing facility settings.
In-depth knowledge of regulatory requirements and quality improvement processes in long-term care
Ability to collaborate with interdisciplinary teams and external stakeholders to enhance patient care and facility operations
Strong clinical judgment, communication, and patient engagement skills
Proficiency with electronic medical records (EMR) and telehealth technology
Active and unrestricted
Nurse Practitioner, Physician Assistant, or Physician license
State-specific license in good standing in New York
Minimum
6 months of experience in long-term care or a skilled nursing facility
Strong communication, clinical, and critical thinking skills
Passion for elder care and person-centered healthcare
Prolonged standing/walking. Occasional lifting up to 20 lbs. Computer work. Lifting/moving patients. Prolonged sitting.
Benefits
Competitive salary per annum: $60,000 - $90,000
Paid subscription to UpToDate
Malpractice Insurance
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
#INDL
Location: St. George, UT
Position Summary
:
Seeking a driven and motivated engineer to join our engineering team focusing on application engineering for our diverse line of HVAC equipment. Application Engineers should be comfortable working in a result-driven, fast-paced environment.
As an Application Engineer at CaptiveAire, you will play a key role in shaping, advancing, and supporting innovative HVAC solutions for a wide range of real world applications.
Why Work for CaptiveAire?
Nation’s leading manufacturer of commercial kitchen ventilation systems, and now offering a complete solution of fans, heaters, ductwork and HVAC equipment. Our primary purpose is to provide fully integrated, sustainable HVAC Systems.
Leader in the industry for over 40 years with innovative technologies, unmatched service, competitive pricing, and rapid lead times.
Mission: to provide the highest quality products and service to our users at the lowest possible price
Strong commitment to the development of our employees, including continuous education opportunities like sponsorship for Professional Engineering license and continuous education through weekly webinars and company developed technical videos
What our employees have to say:
I love the mindset of continuous learning and pushing the bounds of your capabilities
and knowledge. I love the people I work with and the environment, particularly in a world where remote work is common. I love how CaptiveAire is all about connections, with customers, coworkers, end users, and everyone in between.
Knowing that the company truly has an owner and leadership team that cares for the employees. At CaptiveAire each employee is more than a number, they are a valued member of a growing and diverse team. The open-door policy at CaptiveAire means that no matter who you are in the company that leadership is open to hear your comments and concerns. This means that your ideas are heard. Not once in my time here at CaptiveAire have I felt like I was anything less than an asset to this company and a valued member of the team.
We want to stay on the cutting edge and so are constantly sourcing and utilizing the best equipment available. Any position can provide feedback that is listened to and incorporated into processes. Collaboration is key at CaptiveAire and so there is no being “Silo-ed” into one area.
CaptiveAire is fast-moving and no-nonsense. We operate differently than any other company that I've worked for with our decentralized structure. Quick action is taken when a good idea is presented. We are focused on end users where the rest of the industry is very short-sighted.
We are on the front lines, actively changing the landscape of the HVAC industry.
Learn more about CaptiveAire and our products
here
A Day in the Life:
An Application Engineer role encompasses a wide variety of tasks where one day does not look exactly like the next.
Typical tasks can include:
Exploring different applications and equipment types to help sales engineers meet the requirements of various projects and designs.
Includes design reviews, providing answers to product/application related questions, and researching new and complex applications.
Developing training for internal sales engineering team.
Collaboration with sales, R&D, and service teams to ensure high quality outcomes for all projects.
From an Application Engineer:
I enjoy that it's usually something new every day, because although we work on similar applications, they are never exactly the same. That gives the opportunity find better ways to approach a problem, dive deep into standards and best practices, and learn something new from the involved parties. Its always a great feeling when something I've helped with turns out well for the sales office and end user.
Primary Job Responsibilities:
Responsible for working with internal sales staff along with internal Engineering team to help design sustainable mechanical ventilation and control strategies for a wide variety of commercial applications.
Provide a comprehensive final review of critical projects to ensure accuracy, quality and alignment with CaptiveAire design standards.
Work directly with sales engineers to deliver real‑time technical guidance and resolve design questions efficiently.
Research unique or emerging applications and develop training resources (such as webinars, support pages, and design tools) to help sales staff confidently present and sell equipment for these applications.
Review and analyze remote monitoring data.
Job Requirements:
BS in Engineering- mechanical or electrical preferred
0-5yrs engineering experience
Knowledge of HVAC/Ventilation systems preferred
Must be able to manipulate data to derive trends and useful facts using Excel or similar software.
Must have strong communication skills, with the ability to discuss complex mechanical equipment and controls with a wide range of audiences, ranging from highly technical engineers down to non-technical owners.
Must be a self-starter, able to handle long term tasks with little guidance.
THIS IS NOT A REMOTE ROLE.
Benefits:
Medical, dental and vision insurance
Disability & life insurance based upon election of medical insurance
401k with employer match
Paid holidays
Paid time off (PTO) based upon tenure
Flexible spending account (FSA)
Tuition reimbursement, including for Professional Engineering (PE) License
Relocation assistance
Salary:
$65k-$90k base, negotiable dependent on experience, with additional monthly bonus based on productivity and profits.
Captive-Aire Systems, Inc. is proud to be an equal opportunity workplace. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, uniformed services, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.
To qualify, applicants must be legally authorized to work in the United States. At this time we are not able to consider applicants that require sponsorship, now or in the future, for employment visa status.
#P1
#TL-LI
Location: Paris, Zurich
Qube Research & Technologies (QRT) is a global quantitative and systematic investment manager, operating in all liquid asset classes across the world. We are a technology and data driven group implementing a scientific approach to investing. Combining data, research, technology and trading expertise has shaped QRT’s collaborative mindset which enables us to solve the most complex challenges. QRT’s culture of innovation continuously drives our ambition to deliver high quality returns for our investors.
We operate one of the most demanding data infrastructures in finance, supporting mission-critical distributed systems across multiple database and streaming platforms, with strict requirements around availability and performance. Our environment spans both on-prem infrastructure and AWS, with a strong focus on standardization, automation, and Kubernetes-based orchestration.
We are looking for an experienced
Senior Data Platform Engineer
to join our DevOps team in Paris. This is a
senior, hands-on role for an engineer who can challenge and reshape our existing infrastructure, set technical direction, and raise the bar across the team
. This role is
fully on-site
, with a strong focus on ensuring the reliability and scalability of our production data infrastructure.
Your future role within QRT:
This role sits at the intersection of data engineering and infrastructure engineering, focused on architecting reliable, scalable, and high-performance data platforms. You will bring an independent and critical perspective, identifying weaknesses in the existing stack, challenging current design decisions, and helping drive the technical roadmap.
Your responsibilities will include:
Owning the architecture, reliability, and performance of production data systems (ClickHouse, CockroachDB, Trino, etc.)
Evaluating the existing infrastructure, identifying architectural gaps, and driving improvements
Designing and operating database clusters on Kubernetes (via operators) at scale
Setting standards and best practices for data pipelines (ingestion, transformation, replication)
Driving and maturing Infrastructure-as-Code practices (Terraform, Helm)
Operating and evolving storage and data platforms across on-prem (VAST) and AWS (S3, EMR, MSK, RDS, EKS)
Establishing standards for Docker images and CI/CD workflows for data services
Defining and maintaining AWS IAM policies, permissions, and security best practices
Leading complex troubleshooting across the stack (databases, OS, storage, networking)
Defining and improving observability practices (metrics, alerting, capacity planning)
Mentoring engineers and collaborating with engineering, data, and research teams to influence technical decisions
Your present skillset:
8+ years in DevOps, Data Platform Engineering, or similar, with experience owning production infrastructure at scale
Deep production experience with distributed data systems (e.g. ClickHouse, Trino, EMR), including performance tuning and architectural decision-making
Expert-level Kubernetes experience (stateful workloads, Helm, operators), ideally at significant scale
Extensive Infrastructure-as-Code experience (Terraform, Helm, etc.), including defining standards and reusable patterns
Strong knowledge of the AWS data ecosystem (S3, EKS, EMR, MSK, RDS)
Deep understanding of AWS IAM and security best practices
Hands-on experience with Docker and CI/CD pipelines
Solid experience designing and operating data pipelines (Kafka, Spark, Airflow, etc.)
Strong Linux fundamentals and scripting (Python and/or Bash)
Deep understanding of database reliability (replication, backups, failover)
Demonstrated ability to independently assess complex systems, challenge existing designs, and drive technical improvements
Strong communication skills, with the ability to influence stakeholders and mentor other engineers
Nice to have:
OLAP / high-throughput systems experience at scale
Experience with VAST Data or similar storage systems
Familiarity with Iceberg, Delta Lake or Hudi
Observability tools (Prometheus, Grafana, OpenTelemetry)
GitOps tools (ArgoCD, Flux)
CKA/CKAD or equivalent deep Kubernetes expertise
Programming in Go, Rust, or Python
Knowledge of Parquet/Arrow and query engines
AWS certifications
Prior experience in a technical lead or staff-level role
QRT is an equal opportunity employer. We welcome diversity as essential to our success. QRT empowers employees to work openly and respectfully to achieve collective success. In addition to professional achievement, we are offering initiatives and programs to enable employees achieve a healthy work-life balance.
Location: Lanham, MD
Position Objective:
Provides information for diagnosis, treatment, and prevention of disease by preparing tissue samples for microscopic examination by a pathologist.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Creates a work environment that positively promotes process improvement. Explores opportunities to add value to job (innovative ideas) to benefit the organization and taking ownership of the outcome. Proactively finds other work-related tasks during low census.
Maintains safe and clean working environment by complying with procedures, rules, and regulations. Follows appropriate protocol for the handling and disposing of histological chemical stains and reagents.
Maintains inter- and intradepartmental work flow by fostering a spirit of cooperation (hand offs).
Maintains laboratory supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies. Conserves laboratory resources by using equipment and supplies as needed to accomplish job results.
Provides histology information by answering questions and requests. Documents technical information appropriately in the LIS.
Performs accessioning, embedding, sectioning, special stains, immunohistochemistry, and frozen sections, with appropriate supervision, if required, and within productivity guidelines with minimal errors. Performs grossing and dissection of small surgical biopsies (if qualified under CLIA regulations).
Operates and maintains laboratory instrumentation. Performs preventative maintenance and troubleshoots problems to the full extent of ability.
Actively participate in the laboratory quality plan/program (ex. investigative reports, notification of delays, etc.). Performs quality controls and documents QC for each lab procedure on a daily basis and follows up on issues (troubleshoots).
Participates in external proficiency testing and in continuing education classes to maintain licensure and remain updated on changes in the histology field.
Participate in the training of new staff and students by serving as a mentor and technical resource.
Educational/Experience Requirements:
Required Minimum Education:
Bachelor’s Degree from an accredited college or university with course work sufficient to meet the requirements of the American Society of Clinical Pathology (ASCP) for certification as a Histotechnologist.
Required Minimum Experience
:
One year of experience working in an acute care facility as a Histotechnologist or Histotechnician, preferred.
Required License/Certifications:
HTL(ASCP); preferred.
Knowledge, Skills, Abilities:
Ability to work cooperatively with all types of personalities both inside and outside the organization.
Working Conditions, Equipment, Physical Demands:
Physical Demands – Medium Duty
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Updated 2/27/24
Pay Range
$24
—
$50 USD
Luminis Health Benefits Overview:
• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more
*Benefit offerings based on employment status
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To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time.
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Location: Oswego, NY
Primary Care Nurse Practitioner/Physician’s Assistant
Location:
Oswego, NY
Schedule:
Part-Time (3 days per week)
Salary per annum:
$90,000 - $120,000 per year
About Infinite Medical P.C.
Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
Job Summary
Infinite Medical Group is currently hiring a
Primary Care Nurse Practitioner/Physician’s Assistant (NP/PA)
to provide on-site care to residents in long-term care settings. This is a
part-time
position ideal for a provider who values meaningful patient relationships and a collaborative care environment.
Responsibilities
Provide primary care services to residents in skilled nursing and long-term care facilities
Perform physical exams and medical history assessments
Diagnose and treat chronic and acute health conditions
Order and interpret diagnostic tests and lab results
Develop and adjust individualized care plans
Prescribe medications and monitor treatment effectiveness
Collaborate with facility staff and interdisciplinary teams
Educate patients and families about treatment options and care goals
Ensure a safe, respectful, and supportive environment for residents
Requirements
Active and unrestricted
Nurse Practitioner, Physician Assistant, or Physician license
State-specific license in good standing in New York
Minimum
6 months of experience in long-term care or a skilled nursing facility
Strong communication, clinical, and critical thinking skills
Passion for elder care and person-centered healthcare
Prolonged standing/walking. Occasional lifting up to 20 lbs. Computer work. Lifting/moving patients. Prolonged sitting.
Benefits
Competitive salary per annum: $90,000 - $120,000
Paid Time Off
Malpractice Insurance
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
#INDL
Location: West Union, IA
Position Summary
:
This role will be responsible for maintaining and improving production across various products and equipment at our West Union manufacturing facility.
Why Work for CaptiveAire?
Nation’s leading manufacturer of commercial kitchen ventilation systems, and now offering a complete solution of fans, heaters, ductwork and HVAC equipment.
Our primary purpose is to provide fully integrated, sustainable HVAC Systems.
Leader in the industry for over 40 years with innovative technologies, unmatched service, competitive pricing, and rapid lead times.
Mission: to provide the highest quality products and service to our users at the lowest possible price
Strong commitment to the development of our employees, including continuous education opportunities like sponsorship for Professional Engineering license and continuous education through weekly webinars and company developed technical videos
What our employees have to say:
I love the mindset of continuous learning and pushing the bounds of your capabilities
and knowledge. I love the people I work with and the environment, particularly in a world where remote work is common. I love how Captiveaire is all about connections, with customers, coworkers, end users, and everyone in between.
What I truly admire about CaptiveAire is the company’s unwavering commitment to innovation and continuous improvement… Equally impressive is the culture of open communication that exists throughout the organization. From my own experience, upper management never takes the stance that a task is “not their job.” Instead, there’s a shared understanding that every role is essential to the company’s success. This mindset, combined with the transparent communication across departments and facilities, creates a collaborative environment that truly sets CaptiveAire apart.
We want to stay on the cutting edge and so are constantly sourcing and utilizing the best equipment available. Any position can provide feedback that is listened to and incorporated into processes. Collaboration is key at CaptiveAire and so there is no being “Silo-ed” into one area.
CaptiveAire is fast-moving and no-nonsense. We operate differently than any other company that I've worked for with our decentralized structure. Quick action is taken when a good idea is presented. We are focused on end users where the rest of the industry is very short-sighted.
We are on the front lines, actively changing the landscape of the HVAC industry.
Learn more about CaptiveAire and our products
here
A Day in the Life:
No two days are ever the same in this role.
Tasks can include:
Training operators in proper process, tool usage, and tool maintenance.
Collaborating with other engineering teams on process efficiency, quality, and safety improvement projects.
Developing new designs using 3D modeling software like Solidworks for carts or production tools. Then work with the fab shops to complete the fabrication of them in a timely manner.
Work closely with contractors to coordinate utility needs such as air and electrical drops, and oversee the installation of new equipment.
Coordinate daily, weekly, and monthly preventative maintenance tasks on machinery.
Troubleshoot machines whenever the team needs extra support.
Provide hands-on support to production lines as needed.
Complete hands-on testing for new process changes
From a Plant Process Engineer:
I enjoy the constant problem solving and the drive toward innovation that keeps things exciting. I have had jobs in the past where the day could not end soon enough because I was ready to be done. This is not one of them. I find the job rewarding and find myself here past scheduled hours often not because I have to but because I want to.
Primary Job Responsibilities:
95% of the workday will be on the manufacturing floor working on projects, operating and repair of equipment
Involvement with equipment operators to ensure parts are programmed, training and any process related issues
Responsible for working with Safety, Quality, and Industrial engineering teams on parts, assembly, and process improvements
Implementation of Engineer Change Notices (ECN) and Process Change Instructions (PCI)
Support production as needed, capable of building all products to the expected quality standards in the designated area of focus on an as needed basis
Assist production staff with product related questions
Work with Plant manager on various facility improvement projects
Job Requirements:
0-10 yrs experience
4-year technical degree, in an electrical, electronics or mechanically oriented curriculum
Must be strong in mechanical and electrical engineering.
I
nternship/co-op experience is preferred
Must enjoy hands on product exposure
Electrical skills and experience needed
AutoCAD or similar software a must
Multi-tasking, problem solving and strong communication skills a must
Strong emphasis on perfect product quality and to maintain a safe work environment
Physical Requirements:
Ability to work standing for 8 - 10 hours at a time
Required to use ladder, forklift or other means to acquire parts for product assembly
Able to use power & hand tools, as well as electrical testing and measuring equipment
Ability to lift 35 to 50 pounds independently
Benefits:
Medical, dental and vision insurance
Disability & life insurance based upon election of medical insurance
401k with employer match
Paid holidays
Paid time off (PTO) based upon tenure
Flexible spending account (FSA)
Tuition reimbursement, including for Professional Engineering (PE) License
Relocation assistance
Salary:
$65k-$85k base, negotiable dependent on experience, with additional monthly bonus based on productivity and profits.
Captive-Aire Systems, Inc. is proud to be an equal opportunity workplace. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, uniformed services, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.
To qualify, applicants must be legally authorized to work in the United States. At this time we are not able to consider applicants that require sponsorship, now or in the future, for employment visa status.
This position is classified as a safety-sensitive position. Employees in this position are subject to drug and alcohol testing in accordance with CaptiveAire’s Drug-Free Workplace policy.
#P1
Location: West Union, IA
Position Summary
:
This role will be working within the manufacturing facility and will be responsible for maintaining total quality and training for multiple product lines.
Why Work for CaptiveAire?
Nation’s leading manufacturer of commercial kitchen ventilation systems, and now offering a complete solution of fans, heaters, ductwork and HVAC equipment.
Our primary purpose is to provide fully integrated, sustainable HVAC Systems.
Leader in the industry for over 40 years with innovative technologies, unmatched service, competitive pricing, and rapid lead times.
Mission: to provide the highest quality products and service to our users at the lowest possible price
Strong commitment to the development of our employees, including continuous education opportunities like sponsorship for Professional Engineering license and continuous education through weekly webinars and company developed technical videos
What our employees have to say:
I love the mindset of continuous learning and pushing the bounds of your capabilities
and knowledge. I love the people I work with and the environment, particularly in a world where remote work is common. I love how Captiveaire is all about connections, with customers, coworkers, end users, and everyone in between.
One of the things I appreciate most about CaptiveAire is how strongly it embodies the entrepreneurial spirit. I’m empowered with the autonomy to manage my work independently, while also benefiting from the robust support and resources of a large, well-established company.
We want to stay on the cutting edge and so are constantly sourcing and utilizing the best equipment available. Any position can provide feedback that is listened to and incorporated into processes. Collaboration is key at CaptiveAire and so there is no being “Silo-ed” into one area.
CaptiveAire is fast-moving and no-nonsense. We operate differently than any other company that I've worked for with our decentralized structure. Quick action is taken when a good idea is presented. We are focused on end users where the rest of the industry is very short-sighted.
We are on the front lines, actively changing the landscape of the HVAC industry.
Learn more about CaptiveAire and our products
here
A Day in the Life:
Reviewing internal and external quality data for assigned product groups.
External quality data is then used to drive product/process improvements to further aid the reliability of our equipment.
Internal quality data is used to give direction on where to spend time for improving production efficiency and product quality.
Working collaboratively with plant engineers and line technicians to improve production processes to have quality built into the product and increase output.
Majority of the day will be spent on the production floor, auditing processes and products, implementing quality assurance/quality control processes, and supporting the assigned product groups.
From a Quality Engineer:
No two days are the same. Some days will be full of firefighting on the production floor, where others may be deep-diving on quality issues over the past 6 months to identify heavy hitters which need significant corrective action. Job diversity keeps the role exciting.
Primary Job Responsibilities:
Work with Quality Manager to develop and implement quality assurance and quality control procedures
95% of the work day spent on the manufacturing floor implementing quality solutions, while working on major projects.
Accept total responsibility for product quality, including procured and in-house parts, assembly process, functional testing, and packaging of finished product.
Maintain a continuous improvement mentality with focus on Kaizen (small change for the better)
Perform quality audits, quality admin inspections, and support staff with any quality related questions
Organize and present audit findings in a measurable manner to obtain deliverables and initiate corrective actions.
Review manufacturing and quality instructions, methods, and processes to identify and improve product build quality.
Work with Quality Manager to manage QMS for third party audit organizations.
Report directly to the Quality Manager for your facility
Job Requirements:
0-10 yrs experience
4-year technical degree, in an electrical, electronics or mechanically oriented curriculum
Internship/co-op experience is preferred
Must enjoy hands on product exposure
Electrical skills and experience needed
AutoCAD or similar software a must
Multi-tasking, problem solving and strong communication skills a must
Strong emphasis on perfect product quality and to maintain a safe work environment
Physical Requirements:
Ability to work standing for extended periods of time
Required to use ladder, forklift or other means to acquire parts for product assembly
Able to use power & hand tools, as well as electrical testing and measuring equipment
Ability to lift 35 to 50 pounds independently
Benefits:
Medical, dental and vision insurance
Disability & life insurance based upon election of medical insurance
401k with employer match
Paid holidays
Paid time off (PTO) based upon tenure
Flexible spending account (FSA)
Tuition reimbursement, including for Professional Engineering (PE) License
Relocation assistance
Salary:
$65k-$90k base, negotiable dependent on experience, with additional monthly bonus based on productivity and profits.
Captive-Aire Systems, Inc. is proud to be an equal opportunity workplace. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, uniformed services, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.
To qualify, applicants must be legally authorized to work in the United States. At this time we are not able to consider applicants that require sponsorship, now or in the future, for employment visa status.
This position is classified as a safety-sensitive position. Employees in this position are subject to drug and alcohol testing in accordance with CaptiveAire’s Drug-Free Workplace policy.
#P1
#LI-TL1
Location: Redding, CA
Position Summary
:
This role will be working within the manufacturing facility and will be responsible for maintaining total quality and training for multiple product lines.
Why Work for CaptiveAire?
Nation’s leading manufacturer of commercial kitchen ventilation systems, and now offering a complete solution of fans, heaters, ductwork and HVAC equipment.
Our primary purpose is to provide fully integrated, sustainable HVAC Systems.
Leader in the industry for over 40 years with innovative technologies, unmatched service, competitive pricing, and rapid lead times.
Mission: to provide the highest quality products and service to our users at the lowest possible price
Strong commitment to the development of our employees, including continuous education opportunities like sponsorship for Professional Engineering license and continuous education through weekly webinars and company developed technical videos
What our employees have to say:
I love the mindset of continuous learning and pushing the bounds of your capabilities
and knowledge. I love the people I work with and the environment, particularly in a world where remote work is common. I love how Captiveaire is all about connections, with customers, coworkers, end users, and everyone in between.
One of the things I appreciate most about CaptiveAire is how strongly it embodies the entrepreneurial spirit. I’m empowered with the autonomy to manage my work independently, while also benefiting from the robust support and resources of a large, well-established company.
We want to stay on the cutting edge and so are constantly sourcing and utilizing the best equipment available. Any position can provide feedback that is listened to and incorporated into processes. Collaboration is key at CaptiveAire and so there is no being “Silo-ed” into one area.
CaptiveAire is fast-moving and no-nonsense. We operate differently than any other company that I've worked for with our decentralized structure. Quick action is taken when a good idea is presented. We are focused on end users where the rest of the industry is very short-sighted.
We are on the front lines, actively changing the landscape of the HVAC industry.
Learn more about CaptiveAire and our products
here
A Day in the Life:
Reviewing internal and external quality data for assigned product groups.
External quality data is then used to drive product/process improvements to further aid the reliability of our equipment.
Internal quality data is used to give direction on where to spend time for improving production efficiency and product quality.
Working collaboratively with plant engineers and line technicians to improve production processes to have quality built into the product and increase output.
Majority of the day will be spent on the production floor, auditing processes and products, implementing quality assurance/quality control processes, and supporting the assigned product groups.
From a Quality Engineer:
No two days are the same. Some days will be full of firefighting on the production floor, where others may be deep-diving on quality issues over the past 6 months to identify heavy hitters which need significant corrective action. Job diversity keeps the role exciting.
Primary Job Responsibilities:
Work with Quality Manager to develop and implement quality assurance and quality control procedures
95% of the work day spent on the manufacturing floor implementing quality solutions, while working on major projects.
Accept total responsibility for product quality, including procured and in-house parts, assembly process, functional testing, and packaging of finished product.
Maintain a continuous improvement mentality with focus on Kaizen (small change for the better)
Perform quality audits, quality admin inspections, and support staff with any quality related questions
Organize and present audit findings in a measurable manner to obtain deliverables and initiate corrective actions.
Review manufacturing and quality instructions, methods, and processes to identify and improve product build quality.
Work with Quality Manager to manage QMS for third party audit organizations.
Report directly to the Quality Manager for your facility
Job Requirements:
0-10 yrs experience
4-year technical degree, in an electrical, electronics or mechanically oriented curriculum
Internship/co-op experience is preferred
Must enjoy hands on product exposure
Electrical skills and experience needed
AutoCAD or similar software a must
Multi-tasking, problem solving and strong communication skills a must
Strong emphasis on perfect product quality and to maintain a safe work environment
Physical Requirements:
Ability to work standing for extended periods of time
Required to use ladder, forklift or other means to acquire parts for product assembly
Able to use power & hand tools, as well as electrical testing and measuring equipment
Ability to lift 35 to 50 pounds independently
Benefits:
Medical, dental and vision insurance
Disability & life insurance based upon election of medical insurance
401k with employer match
Paid holidays
Paid time off (PTO) based upon tenure
Flexible spending account (FSA)
Tuition reimbursement, including for Professional Engineering (PE) License
Relocation assistance
Salary:
$65k-$90k base, negotiable dependent on experience, with additional monthly bonus based on productivity and profits.
Captive-Aire Systems, Inc. is proud to be an equal opportunity workplace. We review applications for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, ancestry, citizenship, age, uniformed services, genetic information, physical or mental disability, medical condition, marital status, or any other basis prohibited by law.
To qualify, applicants must be legally authorized to work in the United States. At this time we are not able to consider applicants that require sponsorship, now or in the future, for employment visa status.
This position is classified as a safety-sensitive position. Employees in this position are subject to drug and alcohol testing in accordance with CaptiveAire’s Drug-Free Workplace policy.
Location: Utica, NY
Medtech
Location:
Utica, NY
Schedule:
Full-time (5 days per week)
Salary:
$19.00 an hour
About Infinite Medical P.C.
Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country.
Job Summary
We are seeking a dedicated and detail-oriented Vital Monitoring Specialist to oversee all aspects of vital signs monitoring in a nursing home setting. This role ensures the consistent and accurate monitoring of residents’ health metrics, facilitates timely medical interventions, and contributes to a safe and high-quality care environment.
Responsibilities
Vital Signs Monitoring:
Regularly monitor residents’ vital signs, including blood pressure, heart rate, temperature, oxygen saturation, and respiratory rate
Ensure proper use, calibration, and maintenance of monitoring equipment
Data Recording and Analysis:
Accurately record and update vital signs in residents’ medical records
Analyze trends in vital data to detect potential health issues
Generate reports for clinical teams to support proactive decision-making
Facilitate Interventions:
Promptly notify nursing staff and physicians of abnormal readings or health concerns
Assist in emergency interventions, including alerting relevant medical personnel and preparing necessary equipment
Coordinate with clinical staff to adjust care plans based on monitored data
When needed, facilitate a Telehealth visit with a provider
Resident and Staff Communication:
Communicate vital signs results and health updates to residents and families as needed
Provide guidance and training to staff on proper monitoring techniques and equipment usage
Compliance and Quality Assurance:
Adhere to regulatory guidelines and facility protocols related to resident monitoring
Participate in quality improvement initiatives to enhance monitoring and intervention processes
Requirements
Active Medical Assistant Certification
Prior experience in vital signs monitoring or a similar healthcare role, preferably in a long-term care or nursing home setting
Proficiency in using monitoring equipment and electronic health record (EHR) systems
Strong attention to detail and ability to identify irregularities
Excellent communication and teamwork skills
Ability to remain calm under pressure and act swiftly in emergencies.
Prolonged standing/walking. Bending/stooping. Carrying medical equipment. Lifting up to 20 lbs. Lifting/moving patients.
Benefits
Competitive salary:
$19.00 an hour
Health
Dental
Vision
401K
Company-Sponsored Life Insurance
Paid Time Off
Why Work With Us?
Make a meaningful impact on the lives of seniors
Work in a collaborative, mission-driven environment
Enjoy work-life balance
Equal Opportunity Employer
Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Ready to Make a Difference?
Apply today and help us deliver compassionate, personalized care where it matters most.
#INDL
Location: Houston, Texas
General Summary
The Senior Underwriter reviews and underwrites mortgage files, inclusive of FHA, VA, USDA, Jumbo and conventional loans, to underwriting
guidelines and will identify, analyze, and balance transactional, borrower, and property-related risks and offsets to arrive at a decision. The Senior
Underwriter will be assigned an approved credit authority based on designations and will review loans within their credit authority. The Senior
Underwriter also assists other team members providing consistency in credit quality and decisions, process flow, customer service and risk control
as well as timely and accurate decisions to help meet production goals and perform within department audit standards.
Duties and Responsibilities
The primary job duties and responsibilities of this position include but are not limited to:
Prioritize, receive & review loan file packages for accuracy and completeness, according to the guidelines established by the Envoy, Fannie Mae, Investors, and Federal/State Regulations within 48 hours of receipt or the current posted SLA for the applicable transaction
Review all documentation submitted as part of the mortgage application process to validate completeness and accuracy
Advise origination staff on underwriting questions and loan salability, and work to achieve closing deadlines
Examine and analyze borrower employment information, credit strength, property characteristics, assets, liabilities, income and debt and other information pertinent to the credit decision, on each mortgage application
Evaluate and review appraisal reports and collateral issues related to the subject property to determine property meets required guidelines
Upload and file applicable documents into Imaging system
Order mortgage insurance; all required fraud guard tools
Recalculate & re-verify supporting documentation and complete audit checklists before submitting for UW 2nd level review, as applicable
Advise if any underwriting problems and recommend corrective action to loan production personnel impacting Pre-Approval decision
Communicate with appropriate parties, both verbally and in writing, regarding the loan decision and requirements
Review final conditions and approve or reject conditions as applicable, within prescribed authority, notifying branch personnel of status
Review loans for second signature when credit authority level allows
Consult with the Processing to ensure all underwriting conditions are met prior to issuing Clear to Close Approval or when declining a Loan
Utilize Automated Underwriting Systems (AUS) such as Desktop Underwriter (DU) and Loan Prospector (LP) and Guaranteed Underwriting System (GUS) to assist in the rendering of the loan decision
Remain informed of financial institution operating policies and procedures and banking regulations, state and federal
Demonstrate a clear understanding of the current RESPA laws and guidelines
Responsible for retaining and applying changes in loan underwriting requirements
Meet the required production standards as outlined by company policy
Function as a technical resource for underwriters and answer procedural, product, and system questions for all department personnel
Assist in management of workload for team members and ensure service levels are met
Partners with other department managers for process improvement opportunities that will improve quality and move loans more quickly
through the pipeline
Participate in underwriting meetings to ensure understanding of changes to both underwriting guidelines and procedures
This position may require occasional overtime and travel
Additional duties as assigned
THIS JOB DESCRIPTION IS NOT INTENDED TO BE ALL-INCLUSIVE. THE INCUMBENT WILL ALSO PERFORM OTHER REASONABLY RELATED BUSINESS DUTIES AS ASSIGNED BY MANAGEMENT.
Qualifications
Listed below are the minimum qualifications required to successfully perform this role. These qualifications are necessary for someone to be considered for this position.
Qualifications include:
High School Diploma or equivalent, required, with continuing education in mortgage banking and/or finance, a plus
7+ years of mortgage banking experience, with at least 3 years Underwriting experience preferred
Working knowledge of VA, Conventional, FHA, USDA, Bond, Jumbo, 203k loans, complex tax returns
Active DE, LAPP, SAR and USDA designations as required in designated markets, preferred
Must have excellent customer service skills, able to work in a team environment
Proficiency with Microsoft Office, including Word, Excel, and Outlook are required
Proficiency with Loan Origination Systems (LOS) required, Encompass experience preferred
Proficiency with Desktop Underwriter and Loan Prospector and GUS preferred
Analytical with good attention to detail
Able to make accurate and timely decisions using good judgment and able to work independently
Ability to review documents and spot inconsistencies and errors
Strong math skills and the ability to accurately calculate income in accordance with standard industry practice
Ability to review appraisals, assess accurate and appropriate data, and determine collateral acceptability
Ability to review guidelines, memos, manuals; absorb and comprehend information; incorporate changing guidelines into everyday work
Excellent verbal and written communication skills required
Ability to work within a fast-paced environment that often demands multiple tasks in a short time frame
Position may work from home or at regional center locations
Physical Requirements
The employee must occasionally lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle, or feel; reach with hands and arms; and talk or hear
The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch or crawl
We are an equal opportunity employer and value diversity. All employment is decided on the basis of qualifications, merit and business need. We are committed to creating an inclusive environment for all employees.
Utica, NY
США; is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities
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США; is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities; to provide on-site care to residents in long-term care settings; Provide primary care services to residents in skilled nursing and long-term care facilities
США; is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities; to provide on-site care to residents in long-term care settings; Provide primary care services to residents in skilled nursing and long-term care facilities
Kansas City, Missouri
США; is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities
США; Relocation assistance
seniorParis, Zurich
География найма не уточнена
США; is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities; to provide on-site care to residents in long-term care settings; Provide primary care services to residents in skilled nursing and long-term care facilities
США; Relocation assistance
США; Relocation assistance
Relocation assistance
США; is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities