Mantech seeks a motivated, career and customer-oriented LinuxSystem Administrator to join our team in San Antonio, Texas. You will be part of a dedicated team delivering enterprise infrastructure capabilities for a global workforce that supports a wide range of national defense missions. This role directly supports the Enterprise Infrastructure Services (EIS) organizationthe foundation of all Enterprise Information Technology (EIT) for MPO.Responsibilities include but are not limited to:Configure and manage Linux operating systems. Installs/loads operating system software, troubleshoots maintains integrity and configures network components along with implementing operating systems enhancements to improve reliability and performance.Provides support for implementation, troubleshooting and maintenance of Information Technology (IT) systems.Manage IT system infrastructure and any processes related to these systems.Provide support to IT systems including day-to-day operations, monitoring and problem resolution for all the client/server/storage/network devices, mobile devices, etc.Provide support for the dispatch system and hardware problems and will remain involved in the resolution process.Optimize system operations and resource utilization and perform system capacity analysis and planning.Analyze and resolve complex problems associated with server hardware, applications and software integration.Minimum Qualifications:Bachelor’s degree in a technical discipline from an accredited college or university. 5 years of additional related experience might be substituted for a degree.10+ years of experience as a System Administrator or related experience in programs and contracts of similar scope, type, and complexity.Must be proficient with troubleshooting in a Linux Red Hat environment.Experience with VMWareDemonstrated experience with modern automation/configuration tools such as Splunk or AnsibleIAT II certification (DoD 8140 required within 60 days of starting employment. Acceptable certifications include CCNA-Security/CySA+/GICSP/GSEC/Security+ CE/CND/ or SSCP)Preferred Qualifications:Experience/familiarization with full lifecycle management of Linux systems, to include provisioning, configuration management and patching.Red Hat Certified System Administration Certification.Experience with NetAPPClearance Requirements:Must have a current/active Top Secret/SCI with PolygraphPhysical Requirements:The person in this position must be able to remain in a stationary position 50% of the time.Occasionally move about inside the office to collaborate with other leaders/teams, use standard office automation equipment, and virtual communication.

Type of Requisition:RegularClearance Level Must Currently Possess:Top Secret/SCIClearance Level Must Be Able to Obtain:Top Secret/SCIPublic Trust/Other Required:NoneJob Family:Help DeskJob Qualifications:Skills:Desktop Management, End User Support, Help Desk Operations, Information Technology (IT) SupportCertifications:NoneExperience:1 + years of related experienceUS Citizenship Required:YesJob Description:GDIT is looking for Help Desk Technician III who holds an active TS/SCI clearance. Must be onsite Lackland Air Force Base in San Antonio, Texas.Tasks in direct support of the government include, but are not limited providing orassisting the team provide the following services:Help Desk – Provide customer interface by supporting requirements, such as, network accounts, web browsing (i.e. Internet Explorer), e-mail (i.e. Outlook), word processing (i.e. Word), spreadsheets (i.e. Excel), databases (i.e. Access), presentation (i.e. PowerPoint), photo editor, desktop publishing, scanning, writing to appropriate media, telephone voice mail and services, equipment issues, etc. Provide multi-media coordination and assistance supporting the setup of conferences, meetings, and Video Teleconference (VTC) operations.Problem Resolution – Provide IT support to resolve and document problems, using appropriate ticketing systems. Escalate problems to the appropriate organization or process, when required. Utilize the current customer provided priority matrix as an order to responding to service requests (e.g. trouble tickets).Core HW and SW – Support for common, standard user workstations, and associated software (standard/common configuration/build) deployed throughout the organization. Review, maintain, and correct any configurations that do not comply with AirForce and organizational policies. Serve as a single source for Standard Desktop Configuration (SDC) images. Control usage and install SDC on all appropriate workstations.Build equipment in accordance with latest SDC images and provide equipment install at user desktop.Ensure Equipment Custodian Officer (ECO) or Unit Software License Manager (USLM) approves all hardware and software prior to use.Handheld Wireless Devices – Support wireless devices (e.g. smart phones, cellular air cards, etc.) users. To include service setup, maintenance, and end user support.Specialized Network Support – Support special network user devices and other mission systems and applications deployed within an unclassified/classified environment or network.Remote Desktop Management – Support capabilities allowing assumption of control of an end user device for problem analysis and resolution.Moves, Add’s and Changes (MAC) requests – Provide specialized support for increasing, decreasing, deleting, and adding, location adjustment of services for devices and applications, and port security requirements.Email and Chat Services – Design, install, operate, maintain, and support messaging and, collaboration, including Government Personal Electronic Devices/Tablets/Mobile Devices/etc., voice and data plans, supporting servers, end-user mobile, anti-spam, and pop-up solutions.Help Desk Intranet site – Maintain SharePoint helpdesk intranet site, which contains information on standards, security policies, technology ordering and technical tips and hints.Help Desk Performance – Measure and provide weekly help desk performance reports toTask Lead, Service Desk Lead, orCOR. Provide recommendations to make the help desk more efficient.Network Health – Provide troubleshooting and resolution expertise to determine network component and configuration issues/failures.Technical Assistance – Provide technical assistance to supportorganizational program initiatives. Coordinate solutions with team leads, supervisors, appropriate managers, specialists and/or Contractor technicians.Customer Training – Provide formal, informal, and On-the-Job Training, related to help desk applications, to customers and Military/Government internal staff, as required.Compliance – Ensure all systems comply with IAVA, IAVB, and TCNO direction. This includes, but is not limited to, reviewing, applying, testing, implementing patches, changes in settings, and updating reporting databases.Utilize existing problem prevention and workload reduction techniques. Recommend enhancements to existing techniques and new techniques to Government staff.Attend weekly meetings to update Government leadership on status, issues, and resolutions as required.STIG Compliance- Maintain software and hardware in accordance with applicable Security Technical Implementation Guide (STIG) guidance.Requires:1+ years of directly related experience supporting help desk operations.Associates Degree in a related technical discipline, or the equivalent combination of education, technical certifications or training, or work experience.CompTIA Security+ certification with valid CE status.#AFOpportunitiesThe likely hourly rate for this position is between $22.85 - $29.90. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.Scheduled Weekly Hours:40Travel Required:Less than 10%Telecommuting Options:OnsiteWork Location:USA TX San AntonioAdditional Work Locations:Total Rewards at GDIT:Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.Join our Talent Community to stay up to date on our career opportunities and events atgdit.com/tc.Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

ManTech seeks an experienced and passionate, career and customer-oriented System Administrator to join our team located in the San Antonio, TX area.Responsibilities include, but are not limited to:Demonstrate experience creating and managing virtual environments (VMWare ESX, VCenter Administration)Experience in administration of LinuxExperience configuring and maintaining storage and file systems (NFS, EXT3/4, XFS)Experience in developing and delivering briefings, technical presentations, and program documentation to senior program managementMinimum Qualifications:Bachelor’s degree in computer science or a related discipline and 7 years related experience or associate’s degree in computer science or a related discipline and 11 years related experienceExperience using AnsibleExperience writing scripting languages (Bash, Shell, Python, Perl)Proficiency in working with applicable network devices to include routers and switches, gateways and hubsExperience with computer networking protocols including, but not limited to TCP, IP, UDP, HTTP, DHCP, and DNSExperience working with a team to introduce and integrate new technologies intoexisting production environmentsExperience with integrated processing environments such as a Storage Area NetworkPreferred Qualifications: Experience with DevOps tools such as Docker, Kubernetes, SALT, PuppetExperience with cross-domain solutions or NiFi desirable for some positionsExperience with computer operating systemsClearance Requirement:Must have a current/active TS/SCI with PolyPhysical Requirements:Must be able to remain in a stationary position at least 50% of the time.Needs to occasionally move about inside the office to access file cabinets, office machinery, etc.Constantly operate a computer and other office productivity machinery, such as, the copy machine/fax machine/computer/printer.

Type of Requisition:RegularClearance Level Must Currently Possess:Top Secret SCI + PolygraphClearance Level Must Be Able to Obtain:Top Secret SCI + PolygraphPublic Trust/Other Required:NoneJob Family:Help DeskJob Qualifications:Skills:Computer Hardware, Information Technology (IT), Remote Access, Remote Support, TroubleshootingCertifications:NoneExperience:0 + years of related experienceUS Citizenship Required:YesJob Description:Help Desk TechnicianTransform technology into opportunity as an Information Technology Support Specialist with GDIT. A career in enterprise IT means connecting and enhancing the systems that matter most. At GDIT you’ll be at the forefront of innovation and play a meaningful part in improving how agencies operate.At GDIT, people are our differentiator. As an Information Technology Support Specialist you will help ensure today is safe and tomorrow is smarter. Our work depends on an Information Technology Support Specialist joining our team to provide technical support and troubleshooting services for incoming queries and issues related to computer systems, software, and hardware. Respond to queries either in person or over the phone.HOW AN INFORMATION TECHNOLOGY SUPPORT SPECIALIST WILL MAKE AN IMPACT Provides technical support and troubleshooting to network, desktop, and/or systems hardware and software May coach and provide guidance to less-experienced professionals Applies basic diagnostic techniques to identify problems, investigate causes, and recommend solutions Provides remote support access through desktop mirroring and other remote access applications for worldwide sites Identify, investigate, resolve, and follow-up problems brought to the helpdesk by users of cloud infrastructureWHAT YOU’LL NEED TO SUCCEED: Required Experience: 0-3 years of related experience Required Technical Skills: Installs, modifies, and repairs computer hardware and software both in person and using remote access tools Required: IAT Level 1 certificate is required within 6 months of start date Security Clearance Level: TS/SCI w/Poly Required Skills and Abilities: Maintains current knowledge of relevant technology as assigned Location: On-Site in Annapolis Junction, MD US Citizenship Required Shift: M-F 8 hour shifts between core hours 6am-6pmGDIT IS YOUR PLACE: 401K with company match Comprehensive health and wellness packages Internal mobility team dedicated to helping you own your career Professional growth opportunities including paid education and certifications Cutting-edge technology you can learn from#GREENWAY#ITPolyMD#GDPolyThe likely hourly rate for this position is between $35.05 - $47.43. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.Scheduled Weekly Hours:40Travel Required:Less than 10%Telecommuting Options:OnsiteWork Location:USA TX San AntonioAdditional Work Locations:Total Rewards at GDIT:Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.Join our Talent Community to stay up to date on our career opportunities and events atgdit.com/tc.Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

ManTech seeks an experienced and passionate, career and customer-oriented Software Engineer to join our team located in the San Antonio, TX area.Responsibilities include, but are not limited to:Develops, maintains, and enhances complex and diverse software systems (e.g., processing-intensive analytics, novel algorithm development, manipulation of extremely large data sets, real-time systems, and business management information systems) based upon documented requirements.Works individually or as part of a team. Reviews and tests software components for adherence to the design requirements and documents test results. Resolves software problem reports.Utilizes software development and software design methodologies appropriate to the development environment.Provides specific input to the software components of system design to include hardware/software trade-offs, software reuse, use of Commercial Off-the-shelf (COTS)/Government Off-the-shelf (GOTS) in place of new development, and requirements analysis and synthesis from system level to individual software components.Minimum Requirements: 14+ years of experience as a software engineer in programs and contracts of similar scope, type, and complexity.Bachelor’s degree in computer science or related discipline from an accredited college or university is required. Four (4) years of additional SWE experience on projects with similar software processes may be substituted for a bachelor's degree.Experience developingRESTful web applications.Experience withUI development.Proficiency inLinux environments.Familiarity withDocker, containerization, Rancher, and Kubernetes.Strong ability to work in ateam setting(Agile/ daily scrums).Willingness tolearn and adaptto new technologies and project requirements.Ability to work with customers to iron out requirements and translate that into actionable tasks for the team.Preferred Qualifications:Python developmentskills.Familiarity withGitLab CI/CD.Experience containerizing applications fordeployments, e.g Rancher/KubernetesFront-end experience withReact/TypeScript.Experience working withMongoDB.Basicnetworking experience.Experience working with products such as Cisco Nexus Dashboard Orchestrator, Cisco APICs, vSphere, Vmware Horizon View, IPAM, and Keycloak.Experience withAnsible, running templates (bonus if you can write playbooks).Experience using SALTClearance Requirement:Must have a current/active TS/SCI with PolyPhysical Requirements:Must be able to remain in a stationary position at least 50% of the time.Needs to occasionally move about inside the office to access file cabinets, office machinery, etc.Constantly operate a computer and other office productivity machinery, such as, the copy machine/fax machine/computer/printer.

Pay starts at $18.00 an hour and goes up depending on experience.
We are seeking skilled technicians to join our service team at Utility Trailer Sales Southeast Texas, Inc.  Our ideal candidate should have previous experience as a technician in the trailer industry. Carpentry, welding and mechanic skills are a plus. We are looking for a self-motivated person with strong work ethics. We are willing to train the right applicant.
Key Responsibilities: Perform routine maintenance and repairs on trailers Diagnose and troubleshoot technical issues Ensure all work is completed to the highest standards of quality and safety
Benefits: Production Bonus available Potential for overtime Paid time off Paid holidays 401k Medical, dental, and vision Life insurance Long and short-term disability Technician production bonus Paid technician uniforms
Qualifications: Valid driver's license At least 6 months of technician experience Must have your own basic tools

Overview: Find Your Passion and Purpose as a Home Health Physical TherapistCoverage Area: East San Antonio,Kirby, Converse, Saint Hedwig, Adkins, Sayers, China Grove, Elmendorf, MartinezShift:Full-TimeSalary: $97,000-$118,000This position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation.Offer Based on Years of ExperienceReimagine Your Career in Home HealthAs a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care. What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: Medical, dental, and vision coverage Paid time off and paid holidays Professional development Company-matching 401(k) Flexible spending and health savings accounts Company store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Home Health Physical Therapist You Can BeIf you meet these qualifications, we want to meet you!Minimum nine months experience as a physical therapistPreferred community/home health experienceRequired Certifications and Licensures:Master’s degree in physical therapy approved by CAPTE accredited physical therapist education programCurrently licensed to practice as a physical therapist within the state of agency operation and compliant with accepted professional standards and practicesMust possess and maintain valid CPR certification while employed in a clinical roleMust be a licensed driver who can travel to all business locationsCome As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $97,000.00 - USD $118,000.00 /Yr.

Talkiatry is led clinically by Dr. Georgia Gaveras, a board-certified child, adolescent and adult psychiatrist with an additional board-certification in addiction medicine.At Talkiatry, that means our psychiatrists are in control of their practice. Our support staff focuses on removing administrative duties, enabling you to spend more of your time on patient care. It also means providing flexibility in where and when you practice medicine. Our psychiatrists also enjoy control over their hours and schedule.We provide in-network, outpatient treatment for children and adults with depressive, anxiety, attention, and other disorders. Talkiatry does not provide intensive outpatient or partial hospitalization programs.We believe that solving the accessibility issues in mental health care begins with taking care of our doctors. We provide solutions to the challenges that psychiatrists are facing - from a lack of front and back-office infrastructure and support in private practice settings to being overworked and underpaid by hospitals, clinics, and other institutions. Talkiatry aims to bridge the current gap in outpatient psychiatry by providing high quality, respected medical care in a modern setting with modern tools.Through proprietary technology developed by psychiatrists for psychiatrists, we empower you to treat the conditions and population you enjoy, building a practice you find both satisfying and intellectually challenging.Talkiatry believes that psychiatric care should be affordable for patients and accepts all major insurance. As an integrated practice, we have a large in-house billing and patient care coordinator team that handles billing and administrative issues for our clinical staff.To learn more, please visit us atwww.talkiatry.com.Talkiatry participates in E-Verify and will provide the federal governmentwith your Form I-9 information to confirm that you are authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For moreinformation on E-Verify,please visit the following:EVerify Participation&IER Right to Work.At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.Talkiatry was built for Psychiatrists, by Psychiatrists and offers the stability and support of a hospital group with the autonomy of a private practice. We are currently seeking 100% Remote BC/BE Psychiatrists to join our national team as we continue to expand across the US.Our PromisesMarket-leading compensation. Competitive base salary coupled with productivity-based income. You retain a high percentage of your earnings; we pay at the top of the market.Comprehensive employee benefits packagedesigned specifically for high earning physicians and we cover up to 100% of your healthcare premiums, even for large families.Lighter administrative burdenandschedule flexibility. You can focus on providing great care, while maintaining control over your schedule. We will handle patient scheduling, billing, and various other support functionsTheefficiencyof Talkiatry’s practice benefits you.Oursingle specialty focus, scale and technologyallows for better reimbursement rates while maintaining lower practice expenses which enables us to pass the economic benefits to our psychiatrists.Custom developedtechnology driven solutions for psychiatryincluding an integrated EMR which supports provider-to-patient messaging, telemedicine, direct lab integration and proprietary tools to track and gain insight into your patients’ outcomes.Select apatient populationaccording to your own criteria and preferences. Our patient intake process is robust and can be adjusted in real time to allow you to balance the acuity and diagnoses of the patient population you are treating.You decide what allotted time is appropriate for your patients. Minimum of 60 minutes for intakes and 30 minutes on follow up visits.Strong in-house referral networkthat allows you to refer patients to specialists and therapists whose practice exclusively supports patients our psychiatrists are actively treating. Best of all, clinical information is shared seamlessly through our EMR.Our BenefitsHealth, Dental, Vision Insurance: Up to 100% of insurance premiums100% Employer paid malpractice coverageCompetitive 401K match with immediate participationPTO, sick time and 11 paid holidaysPre-tax commuter benefitsCME allowanceFlexible scheduling and patient criteria in a remote, telehealth environmentFew administrative burdens with full-time, on-site billing and scheduling servicesLicensing support- Our in-house licensing department will be happy to assist in managing this process for you, and we cover the costs up frontTechnology package is providedIn addition to a highly competitive Benefits plan, Talkiatry’s Full Time Psychiatrists compensation plan totals ~$300K- $350K+ annually, which consists of a base salary, in addition to a monthly productivity incentive; monthly productivity incentive is guaranteed throughout clinician’s onboarding ramp up period.Your QualificationsBoard eligible or certified in Psychiatry.Subspecialties strongly encouraged to apply.Active and unrestricted license to practice medicine. We can assist in obtaining licensure as needed.Excellent clinical knowledge and communication skills.A willingness to learn new or streamlined EMR tools.A proactive approach with a strong work ethic and desire to participate in a collaborative environment.A commitment to high-quality, cost-effective health care.Questions Reach out to us at.

LVN Charge Nurse – Lead with Compassion and Purpose! The Heights of AtascosaShift: PRN/All ShiftsPay Rate: $27- $29/hrShift Differential: Shift Differential for Certain ShiftsAre you a Licensed Vocational Nurse (LVN) with a heart for leadership and compassionate care We’re looking for a dedicated and experienced LVN Charge Nurse to join our team and make a meaningful impact on the lives of our residents.What You’ll Bring: A current and valid Texas LVN nursing license OR a current and valid LVN/LPN license from a Compact Party State. A commitment to excellence in nursing care and team leadership. A passion for enhancing the well-being of residents and working in a collaborative environment.What We Offer:A workplace where your voice is heardbecause your input matters.Competitive pay + paycheck advances for financial peace of mind.Tuition reimbursement to support your growth.401(k) matchinginvest in your future.Paid Time Off (PTO)start accruing from day one!Bonus opportunities because we recognize hard work.Touchstone Emergency Assistance Foundation Grantshelp when you need it most.Join the Touchstone Experience!We believe nursing is a work of the heart. We foster a culture that supports both our team members and our residents, ensuring best-in-class care and a positive workplace. If you’re passionate about making a difference, we invite you to become part of Team Touchstone and help shape the future of post-acute healthcare.Apply today and start leading with purpose!

South Texas Spine & Surgical Hospital is dedicated in exceeding expectations through building relationships with patients, physicians, staff and community. Come join an amazing team of leaders who will challenge and inspire you. Our mission is to make our patients feel like family by going over and beyond and providing exceptional care. We encourage our hospital to empower others, build one another up and continue to grow! We are currently seeking like-minded employees to provide exceptional and quality care to our patients. We want you to help be the face of our hospital as we are proud to provide extraordinary quality care. Knowledge, Skills & Abilities: Under the supervision of the ER/Inpatient Manager, the ER/Inpatient Registered Nurse is responsible for providing direct and indirect patient care in the Medical-Surgical setting. Evaluates, plans, implements, and documents nursing care for an assigned patient population. Assists physician during examinations and procedures. Performs various patient tests and administers medications within the scope of practice of the registered nurse. Promotes patient's' independence by establishing patient care goals and teaching patient and family to understand condition, medications, and self-care skills. Communicates with physicians, managers, supervisor and co-workers, as appropriate, about changes in the patient's clinical condition, including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Emergency Room duties, when in a Charge role, consist of directing nursing service activities in the Emergency Room setting. In addition, provides professional nursing care of assigned patients in the emergency room setting. Triages each patient and determines priority of care based on physical, psychological and social needs as well as factors influencing patient flow through the emergency care system. Performs focused assessment of chief complaint on each patient in a timely manner according to established triage guidelines. Communicates with physicians, managers, supervisor and co-workers, as appropriate about changes in the patient's clinical condition, including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Administrative responsibilities include cost awareness, and adherence to staffing schedule. Supervises other Registered Nurses as requested; and directs ancillary staff in the Emergency Room and Medical Surgical area. In conjunction with nursing leadership, the ER/Inpatient Registered Nurse may assist with development and implementation of policies and procedures, which assure that cost effective, safe and high quality of care, is implemented. Projects a professional demeanor and appearance while maintaining the confidentiality of patients, coworkers, and facility information and adhering to the HIPAA policy. Reports, in good faith, any known or suspected activity that appears to violate laws, rules, regulations or the SP Code of Conduct. Fulfills annual Cornerstone continuing education requirements. Patient Population: The patient population served by South Texas Spine & Surgical Hospital is a minimum of 12 years and/or of adult stature to geriatric patients requiring or seeking pain and/or surgical intervention. Physical Requirements: May be expected to lift up to 50 pounds or up to 150 pounds with assistance. May be expected to push or pull 150-300 pounds with assistance. Work is of medium demand; walking or standing most of the time while on duty. Visual and auditory acuity and manual dexterity essential to performing designated duties required. Optimal auditory acuity required. Manual dexterity involving the handling of equipment and instruments or armamentarium is essential to performing assigned duties. Physical conditions are clean, neat and well lit. May be subjected to unpleasant sights and odors, stressful situations and hazardous or infectious agents where judgment as to precautions needed to be taken is essential. Climate control and ambient temperature variances may be experienced and required by patient care and needs of the surgical team. OSHA Exposure Classification: Job Category I. Direct contact with blood or other body fluids to which standard precautions apply. Personal protective equipment is made available and must be worn. Qualifications: Demonstrates eligibility for employment in the U.S.Graduate of a school of professional nursing with current and valid licensure with Texas State Board of Nursing as a Registered Nurse.Orthopedic Experience PreferredBLS required, ability to achieve ACLS certification within 30 days of hire and PALS certification within 60 days of hire.2 years of nursing experience required in the Medical/Surgical area.Knowledge of commonly used concepts, practices, and procedures within a particular field. Knowledge of state, federal and accrediting body regulations and standards related to healthcare.Ability to read, write and communicate effectively in English, with additional languages preferred.Demonstrates ability to comprehend written and oral instructions.Willingness to participate in goal-setting and educational activities for his/her own professional advancement and that of others.Must be computer literate with basic fundamental computer skills that are required to perform essential job related duties. Duties and Responsibilities: PEOPLE Adheres to staffing schedules, attendance policy, and cooperates with daily assignments as requested.Demonstrates skills as a team player. As a Registered Nurse, shows appropriate delegation, while directing and supervising ancillary personnel in planning, implementing, monitoring and evaluating patient care in the ER/Medical/Surgical clinical areas according to accepted standards. May be requested to perform charge duties.Provides direct patient care in the assigned clinical areas and demonstrates clinical competence.Participates in orientation of new staff, ensures facility morale exemplifies the mission and values of the facility.Demonstrates ability to solve problems timely and constructively; maintains focus on improving the situation.Willingness to teach others and participate in competency programs.Completes Cornerstone modules in a timely manner annually.Participates in all staff meetings for department and facility for informative and educational purposes. SERVICE Demonstrates highly effective communication skills with staff, management, physicians, patients, and family members.Establishes and maintains exceptional service to all customers including physicians, patients and employees with the goal of delighting all customers.Participates in service recovery by taking ownership of the situation and correcting problems. Keeps customers informed of progress related to clinical operations and provides comfort, information and assistance during the process.Models appropriate interaction with physicians, patients and staff to ensure high level of service in all areas of responsibility.Reviews daily schedule and prepares patient care areas based upon types of procedures and specific patient care needs.Communicates changes in status as necessary to physicians, family members, and other staff. QUALITY Completes physical and psycho/social assessment.Complete and document physician orders, obtain necessary diagnostic test results and notifies appropriate physicians and staff regarding variances and/or concerns.Completes and documents discharge phone calls and reports problems and/or concerns.Completes the Nursing Notes and assures all patients have met the discharge criteria prior to discharge; and provides all patients specific discharge instructions.Assures the delivery of quality clinical care through participation in SP benchmarking programs.Assures facility clinical policies and procedures are followed.Maintains a safe clinical environment, adheres to all patient care safety requirements.Reviews and participates in performance improvement initiatives.Medical record documentation is accurate, legible, and in accordance with federal and accrediting standards.Participates in quality improvement activities. FINANCE Conserves resources and minimizes cost when possible.Participates and assists with implementation of cost saving initiatives for the department.Communicates ideas for cost containment and reducing expense.Appropriate staffing levels and overtime is below established benchmarks.Medical record documentation should be completed accurately for all cases. GROWTH Through competency and customer service, employee will contribute to the growth of the facility.Employee communicates service line development ideas with facility leadership.Employee engages in customer service conversations with physicians as adjunct to facility marketing initiatives. This position offers premium pay, shift differentials (if applicable), a full suite of medical benefits, 401K, tuition reimbursement, and an opportunity to grow with an outstanding organization This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. This position offers premium pay, shift differentials (if applicable), a full suite of medical benefits, 401K, tuition reimbursement, and an opportunity to grow with an outstanding organization. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. EducationRequiredAssociates or better in NursingLicenses & CertificationsRequiredRegistered NurseBehaviorsRequiredTeam Player: Works well as a member of a groupDetail Oriented: Capable of carrying out a given task with all details necessary to get the task done wellDedicated: Devoted to a task or purpose with loyalty or integrityEqual Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.