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Full Time
8/1/2025
North Westchester, CT 06474
(8.6 miles)
Location Detail: 80 Seymour Street (10008)Work whereevery momentmatters.Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.Hartford Hospital is one of the largest and most respected teaching hospitals in New England. We are a Level 1 Trauma Center that provides cutting edge treatment to its patients. This is made possible by being home to the largest robotic surgery center in the Northeast and the Center for Education, Simulation and Innovation (CESI), one of the most-advanced medical simulation training centers in the world. When hospitals cannot provide the advanced care, expertise and new treatment options their patients require, they turn to us.Job Summary: ·The Patient Care Administrative Nurse Supervisor is an experienced Registered Nurse and is responsible for supervising and monitoring the Nursing department(s) on an assigned shift in accordance with nursing standards and practices as well as current Federal, State and local standards, guidelines and regulations. ·This position provides leadership for multiple hospital departments in the absence of the unit manager, director, or administration. ·This position ensures the appropriate delivery of direct and indirect patient care via the utilization of the Nursing Process and creates a positive environment for the professional practice of nursing. ·The role provided leadership to ensure continuous improvement within quality, safety and in alignment with Balanced Scorecard, key priorities and strategic plan ·Directs and implements evidenced based strategies to transform care delivery and attain optimal outcomes ·In partnership, implements, facilitates, measures, evaluates clinical quality initiatives including both process and outcome measures ·Analyzes data and partners to compose actionable process improvement, status reports and data driven presentations to share with both leaders and staff Collaborates with the Clinical Logistics Center to open isolation beds, to expedite and prioritize rooms, ensuring there are limited blocked beds, working with units to ensure samples are collected and resulted in a timely manner to maximize capacity, manage 1:1 patient observation resources and communicate potential downgrades in the ICUs and goals of care changes. We take great care of careers. Hartford Healthcare provides eligible employees with an extensive benefits package and all the benefits of working with a top notch organization: ·Medical and dental benefits ·401(k) plan with employer match ·Generous paid time off with accrual starting on the date of hire ·Additional voluntary benefits as well as employee discount programs With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this isyour moment. Qualifications •Bachelor’s degree in Nursing required •3 years of acute care charge or supervisory experience required •Critical care or emergency department nursing experience may be required in acute care environments •Progressive leadership experience •Active Registered Nurse license from the State of Connecticut required ·Certified in Basic Life Support (BLS) provider credentialed form the American Heart Association (AHA) ·Certified in Advanced Cardiac Life Support (ACLS) provider credentialed form the American Heart Association (AHA) As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
Full Time
8/1/2025
North Westchester, CT 06474
(8.6 miles)
Location Detail: HH Terry Bldg (10044)Shift Detail: (3) eves per week 3p-11p Every other weekend 7a-730p Rotating HolidaysWork where every moment matters. Every day, more than 40,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The Institute of Living, one of the first mental health centers in the U.S., remains one of America’s leading not-for-profit centers for patient care, research and education in the fields of behavioral, psychiatric and addiction disorder. Through our dedicated, experienced and skilled clinicians, we provide patients and their families with the highest quality of personalized care. Programs are offered for children, adolescents and adults struggling with mental illness as well as offering services specializing in Anxiety, Eating Disorders, and Geriatric Services. Job Summary The Patient Care Administrative Nurse Supervisor is an experienced Registered Nurse and is responsible for supervising and monitoring the Nursing department(s) on an assigned shift in accordance with nursing standards and practices as well as current Federal, State and local standards, guidelines and regulations. This position ensures the appropriate delivery of direct and indirect patient care via the utilization of the Nursing Process and creates a positive environment for the professional practice of nursing. In addition, this position ensures activities foster continuous quality improvement to enhance patient care outcomes. This position also ensures patient flow throughout the organization. This position provides leadership for multiple hospital departments in the absence of the unit manager, director, or administration. Qualifications Bachelor’s degree in Nursing required3 years of acute care charge or supervisory experience requiredProgressive leadership experienceActive Registered Nurse license from the State of Connecticut requiredCertified in Basic Life Support (BLS) provider credentialed form the American Heart Association (AHA)Certified in Advanced Cardiac Life Support (ACLS) provider credentialed form the American Heart Association (AHA) preferred We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this isyour moment. As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant’s race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
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Full Time
8/1/2025
Wakefield, RI 02879
(27.4 miles)
Overview: " Pappas OPT has given me the opportunity and support to explore many of my interests. In my time here, I have been able to complete an Orthopedic Residency, obtain my OCS participate in leadership courses, and cultivate our student program. During all of this, l have also been able to care for patients in a clinic which prides itself on having fun and forming lasting connections.I can genuinely say that I get to work with some or my best friends every day."LEXI WINNESPhysical TherapistClinic Location: Wakefield RISalary: 78,000-80,000How Pappas Physical, Sports, and Hand Therapy Supports You:Student loan repayment program – We pay your lender monthly! IRS approved. Value increases after two years of employment!Fully paid trainings, certifications, and education programs through Evidence In Motion (EIM)A focus to create a diverse, equitable, and inclusive workplace cultureComprehensive mentorship and career developmentLeadership and talent development opportunitiesGenerous Paid Time OffIndustry-leading Medical, Dental, Vision, LTD insurances401(k) Employer MatchingFamily Building and Parental Benefits Responsibilities: You’ll Achieve Success By:Reviewing patients' medical history Diagnosing patients by observing their movements and listening to their concerns Developing individualized treatment plans for patients with clear goals and expected outcomesUsing exercises, stretching, equipment, and hands-on manual therapy to manage patients’ pain, increase mobility, and prevent further pain and injury Recording patient progress and modifying the plan of care as needed Qualifications: Physical Therapist Licensure in good standing in the state of Rhode IslandWho We Are:Pappas OPT is a Member of the Confluent Health Family. Confluent Health is a family of physical therapy and occupational therapy companies transforming healthcare by strengthening private practices, developing highly effective clinicians, and lowering healthcare costs through workplace wellness and injury prevention. This is an organization that is unlike any other, with unmatched possibilities to practice, learn, and master the profession, do meaningful work that impacts lives, and create your path for future success.#CH500
Full Time
7/27/2025
Amston, CT 06231
(25.1 miles)
POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must holda current Connecticut license in Physical Therapy.COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient's symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department's policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.
Full Time
7/26/2025
Bozrah, CT 06334
(14.6 miles)
$15,000 SIGN ON BONUS!Why consider applying to Visiting Nurse & Health Services of CT Here are a few reasons:Small territories and manageable caseloads and flexible schedules for a better work-life balance.Front-loaded paid vacation time with 26 days offered if you work 40 hours a week, otherwise prorated based on hours worked.Tuition reimbursement to help you continue your education and career growth.Eligible after 3 months of employment!Medical/Dental/Vision/Voluntary Benefits/STD and moreFree parking and discounts offered through Perk Spots at local retailers, restaurants, and childcare centers.Join our team and enjoy these benefits while providing quality care to our patients. Apply now!Education: Bachelor of Science Degree in physical therapy from an APTA approved program.Experience: One year of acute care experience. Additional experience in home health care preferred.Certificate/License: Possession of a current license to practice as a physical therapist in the State of Connecticut.General Summary of Duties: The provision of physical therapy to patients in their homes under written orders from qualified physicians according to established Agency policies and procedures.Typical Physical Demands: Requires full range of body motion. Requires ability to perform heavy work. Requires balance skills. Requires ability to ascend/descend stairs. Requires ability to perform floor-to-stand transfers. Requires ability to kneel and sit for extended periods. Requires ability to lift, transfer, and perform gait training on all surfaces with patients. Requires ability to lift and carry items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions. Requires limited exposure to communicable diseases.Typical Work Conditions: Work is performed in patients’ homes and in an office environment.Knowledge, Skills and Requirements:Knowledge of current APTA guidelines and standards. Knowledge of Agency policy, regulations, and procedures to administer patient care. Knowledge of current modalities and medical equipment relevant to patient care. Skill in identifying patient problems and recommending solutions. Skill in documentation in clinical records. Skill in establishing and maintaining effective working relationships with patients/families, physicians, co-workers, and the community. Ability to communicate clearly. Possesses adequate transportation to carry out job requirements. Must show proof of satisfactory automobile insurance with minimum coverage to be determined by Agency policy when using automobile for transportation. Possession of an individual malpractice insurance policy. Willingness to provide service in any part of agency geographic area, according to agency need.#LPECHN
Full Time
7/26/2025
Bozrah, CT 06334
(14.6 miles)
$15,000 SIGN ON BONUS!Why consider applying to Visiting Nurse & Health Services of CT Here are a few reasons:Small territories and manageable caseloads and flexible schedules for a better work-life balance.Front-loaded paid vacation time with 26 days offered if you work 40 hours a week, otherwise prorated based on hours worked.Tuition reimbursement to help you continue your education and career growth.Eligible after 3 months of employment!Medical/Dental/Vision/Voluntary Benefits/STD and moreFree parking and discounts offered through Perk Spots at local retailers, restaurants, and childcare centers.Join our team and enjoy these benefits while providing quality care to our patients. Apply now!Education: Bachelor of Science Degree in physical therapy from an APTA approved program.Experience: One year of acute care experience. Additional experience in home health care preferred.Certificate/License: Possession of a current license to practice as a physical therapist in the State of Connecticut.General Summary of Duties: The provision of physical therapy to patients in their homes under written orders from qualified physicians according to established Agency policies and procedures.Typical Physical Demands: Requires full range of body motion. Requires ability to perform heavy work. Requires balance skills. Requires ability to ascend/descend stairs. Requires ability to perform floor-to-stand transfers. Requires ability to kneel and sit for extended periods. Requires ability to lift, transfer, and perform gait training on all surfaces with patients. Requires ability to lift and carry items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions. Requires limited exposure to communicable diseases.Typical Work Conditions: Work is performed in patients’ homes and in an office environment.Knowledge, Skills and Requirements:Knowledge of current APTA guidelines and standards. Knowledge of Agency policy, regulations, and procedures to administer patient care. Knowledge of current modalities and medical equipment relevant to patient care. Skill in identifying patient problems and recommending solutions. Skill in documentation in clinical records. Skill in establishing and maintaining effective working relationships with patients/families, physicians, co-workers, and the community. Ability to communicate clearly. Possesses adequate transportation to carry out job requirements. Must show proof of satisfactory automobile insurance with minimum coverage to be determined by Agency policy when using automobile for transportation. Possession of an individual malpractice insurance policy. Willingness to provide service in any part of agency geographic area, according to agency need.#LPECHN
Full Time
7/26/2025
Bozrah, CT 06334
(14.6 miles)
POSITION SUMMARY:Provides treatments to patients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATIONGraduate of an accredited program of Speech Language Pathology with a minimum of a M.S. Holds or is eligible for current Connecticut license. Is eligible, or has a Certificate of Clinical Competency from the American Speech Language and Hearing Association. Must have a valid drivers' license for occasional travel between ECHN business sites.COMPETENCIESThis position requires an individual with strong English communication skills, both verbal and written. Must have basic personal computer skills in the use of Windows based programs such as Word, Outlook and Excel as needed for department functions.ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard. 2.Conducts and modifies evaluations based on the patient's symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic techniques.4.Administers physical agents (modalities) and manual therapeutic technique to attain established goals.5.Utilizes effective techniques to assist in normalizing speech and language activity.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department's policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the ASHA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year.14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.
Full Time
7/26/2025
Bozrah, CT 06334
(14.6 miles)
$15,000 SIGN ON BONUS!Why consider applying to Visiting Nurse & Health Services of CT Here are a few reasons:Small territories and manageable caseloads and flexible schedules for a better work-life balance.Front-loaded paid vacation time with 26 days offered if you work 40 hours a week, otherwise prorated based on hours worked.Tuition reimbursement to help you continue your education and career growth.Eligible after 3 months of employment!Medical/Dental/Vision/Voluntary Benefits/STD and moreFree parking and discounts offered through Perk Spots at local retailers, restaurants, and childcare centers.Join our team and enjoy these benefits while providing quality care to our patients. Apply now!Education: Bachelor of Science Degree in physical therapy from an APTA approved program.Experience: One year of acute care experience. Additional experience in home health care preferred.Certificate/License: Possession of a current license to practice as a physical therapist in the State of Connecticut.General Summary of Duties: The provision of physical therapy to patients in their homes under written orders from qualified physicians according to established Agency policies and procedures.Typical Physical Demands: Requires full range of body motion. Requires ability to perform heavy work. Requires balance skills. Requires ability to ascend/descend stairs. Requires ability to perform floor-to-stand transfers. Requires ability to kneel and sit for extended periods. Requires ability to lift, transfer, and perform gait training on all surfaces with patients. Requires ability to lift and carry items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions. Requires limited exposure to communicable diseases.Typical Work Conditions: Work is performed in patients’ homes and in an office environment.Knowledge, Skills and Requirements:Knowledge of current APTA guidelines and standards. Knowledge of Agency policy, regulations, and procedures to administer patient care. Knowledge of current modalities and medical equipment relevant to patient care. Skill in identifying patient problems and recommending solutions. Skill in documentation in clinical records. Skill in establishing and maintaining effective working relationships with patients/families, physicians, co-workers, and the community. Ability to communicate clearly. Possesses adequate transportation to carry out job requirements. Must show proof of satisfactory automobile insurance with minimum coverage to be determined by Agency policy when using automobile for transportation. Possession of an individual malpractice insurance policy. Willingness to provide service in any part of agency geographic area, according to agency need.#LPECHN
Full Time
7/26/2025
Bozrah, CT 06334
(14.6 miles)
$15,000 SIGN ON BONUS!We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care.What we offer:Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year!Sick Time on an accrual basis401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit OptionsTuition Reimbursement- eligible after 3 months of employment!Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lotPerk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)Career Growth within the organization via career ladders, committee involvement, and more.POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must hold a current Connecticut license in Physical Therapy. COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient’s symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department’s policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program. #HPECHN
Full Time
7/26/2025
Bozrah, CT 06334
(14.6 miles)
$15,000 SIGN ON BONUS!We are a small community hospital where your voice is heard! We believe in sharing ideas and working with staff to create innovative ideas to improve employee engagement and patient care.What we offer:Generous Vacation that is front loaded based on budgeted hours. Ex. 40 hours/ week = 26 days a year!Sick Time on an accrual basis401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit OptionsTuition Reimbursement- eligible after 3 months of employment!Free Parking at all work sites: MMH- Employee Parking garage and parking lot, RGH- Parking lotPerk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)Career Growth within the organization via career ladders, committee involvement, and more.POSITION SUMMARY:Provides treatment topatients by evaluating the function and selecting and applying appropriate treatments to improve or restore function. Participates in an interdisciplinary approach for in servicing and community education and in the clinical education of affiliating students. Potentially may be responsible for cross-site coverage.EDUCATION/CERTIFICATION:Graduate of an accredited program of Physical Therapy with a minimum of a B.S. Must hold a current Connecticut license in Physical Therapy. COMPETENCIES:This position requires an individual with strong English communication skills, both verbal and written. Must have personal computer skills and be proficient in the use of Windows based programs needed for department functions. Basic keyboarding and skill is desirable, but not required, in the use of Microsoft Outlook, Word, Excel and in search capabilities on the internet.Must have access to reliable transportation to travel between multiple work sites; and travel is required in order to perform essential duties.Essential Duties and Responsibilities:Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time. Job-Specific Competency1.Evaluates patients based on departmental standard.2.Conducts and modifies evaluations based on the patient’s symptoms, level of activity, and medical status establishing individualized, appropriate, measurable goals for each patient.3.Treats patients with the appropriate and acceptable therapeutic exercises (strength, endurance, coordination, and ROM).4.Administers physical agents (modalities) and manual therapeutic technique to relieve pain and/or attain established goals.5.Utilizes effective techniques to assist in normalizing motor activity and learning.6.Educates patients/families in home exercise programs and/or functional activities in order to maximize independent functional activity.7.Determines when a patient has achieved maximal benefit from treatment and recommends discharge if appropriate.8.Documents in accordance to insurance guidelines and adheres to the department’s policies and procedures.9.Seeks and fosters interdepartmental communication and communication with the referring physician regarding patient care as evidenced by observation, and chart review.10.Accurately and consistently fills out and submits charges daily.11.Adheres to the professional code of ethics established by the APTA and the facility at all times as evidenced by observation.12.Performs all duties with proper body mechanics and safety to prevent injuries.13.Supervises at least one affiliated student per year14.Attends a continuing education course to further/improve treatment techniques.15.Participates in at least one departmental in-service, or community in-service as evidenced by documentation of educational program.
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