18 Healthcare jobs in Lancaster County

Summary

The Staff Registered Nurse (RN) is responsible for meeting patients priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care and evaluating patients responses and progress toward clinical outcomes. The Staff RN contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others.

The Staff RN supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38.

RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:

*Commits to the mission, vision, beliefs and consistently demonstrates our core values.

*Initiates assessment and reassessment based on the patients presenting problems/needs in accordance with Bryan Medical Centers procedures.

*Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals.

*Integrates appropriate standards of care into the patients plan of care based on the diagnosis and age-specific needs.

*Executes therapeutic and/or supportive interventions.

*Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn.

*Evaluates the patients response to and effectiveness of interventions.

*Evaluates patients progress toward established outcomes.

*Incorporates cultural considerations into the plan/delivery of care.

*Includes family or significant others in the care of the patient as appropriate.

*Documents patient care and related information according to Bryan Medical Center procedures for documentation.

*Provides care in conjunction with other members of the interdisciplinary team.

*Facilitates patients transition to the next level of care.

*Actively participates in continued learning opportunities and continued self-development pertinent to the work unit and duties of the job.

QUALIFICATIONS:

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Basic Life Support (CPR) certification required.

GENERAL SUMMARY:

Assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service goals. Provides professional nursing care as prescribed by the physician and in compliance with the Nebraska Nurse Practice Act, any applicable licensure/certification requirement and organizational policies and procedures.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Maintains flow of patients in accordance with time of appointment in order to avoid delays for the provider and undue waiting for patients.

3. *Keeps the exam rooms clean, disinfected and stocked with necessary supplies.

4. *Obtains vital signs, reason for visit, allergies and list of medications from the patient and prepares patient for the visit.

5. *Assists the medical provider with all examinations and procedures.

6. *Schedules outpatient follow-up procedures/ appointments and specialty appointments.

7. *Collects subjective and objective data and contributes to the assessment of the patient; documents appropriately in the patient chart.

8. *Makes accurate and timely observations and documents changes in the patient's condition in the patient chart.

9. *Retrieves messages and responds to calls from patients, pharmacies, hospitals, nursing homes and other medical offices by use of telephone and computer in a timely manner as delegated by licensed heath care provider (MD, RN, PA, NP).

10. *Explains tests and preparation as needed for adequate patient education.

11. Monitors inventory of supplies and communicates information to Office Manager.

12. *Administers injections, vital signs, vision and auditory testing as delegated.

13. Performs other related projects and duties as assigned.

EDUCATION AND EXPERIENCE:

Graduation from an accredited professional nursing program required. Current licensure as a Licensed Practical Nurse (LPN) in the State of Nebraska required.

OTHER CREDENTIALS / CERTIFICATIONS:

Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

GENERAL SUMMARY:

Responsible for serving on the patient care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to Nurse Manager, Assistant Nurse Manager, Charge Nurse, Administrative Manager or Staff RN. Employees holding nursing licensure will be held accountable to Nebraska nursing licensure requirements, and must maintain licensure or an active Nebraska CNA.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Recognizes and reacts to emergency procedures per role and policies/procedures.

3. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional.

4. Assists in collecting specific information from patients and contributes to admission, transfer and dismissal processes when delegated by a RN, and with responsibility for patient assessment being performed by a RN; assures timely reporting and recording of patient's Electronic Medical Record (EMR) .

5. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices.

6. *Performs and documents routine direct nursing care tasks according to identified age-specific needs.

7. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel.

8. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR.

9. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered.

10. *Distributes patient's meals/water and assists with feeding of patients as needed.

11. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics.

12. Assists with transporting patients, including at time of transfer and/or dismissal.

13. *Assists patients with elimination needs and measures/records bodily elimination in medical record.

14. Bathes patients as directed by the RN.

15. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs.

16. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury.

17. Collects, accurately labels and transports specimens to lab as required.

18. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN.

19. *Cleans, stocks and cares for supplies and equipment in assigned work area.

20. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification.

2. Knowledge of general hospital processes and procedures.

3. Knowledge of computer equipment and software applications relevant to work functions.

4. Ability to communicate effectively both verbally and in writing.

5. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic and complex disease processes, and those who are dying.

6. Ability to establish and maintain effective working relationships with health care team members and diverse populations.

7. Ability to maintain confidentiality of patient information.

8. Ability to practice proper body mechanics to ensure personal and customer/patient safety.

9. Ability to prioritize work demands and work with minimal supervision.

10. Ability to maintain regular and punctual attendance.

EDUCATION AND EXPERIENCE:

Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred.

OTHER CREDENTIALS / CERTIFICATIONS:

Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

If assigned to the Emergency Department, may have an EMT certification in place of CNA.

PHYSICAL REQUIREMENTS:

(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)

(DOT) - Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.

• Knowledge of data analytics and quality improvement strategies
• Experience with population health
• Experience with managed care
• Knowledge of social determinants of health and care coordination
• Previous Medicaid program experience

GENERAL SUMMARY:

Responsible for serving on the patient care team for an assigned area including direct patient care as an unlicensed professional and under the direct supervision of a Registered Nurse (RN). Incorporates the primary job functions of a certified nursing assistant (CNA) and other duties related to the care of patients, dependent upon the work area and/or patient populations to which they are assigned. Reports to Nurse Manager, Assistant Nurse Manager, Charge Nurse, Administrative Manager or Staff RN. Employees holding nursing licensure will be held accountable to Nebraska nursing licensure requirements, and must maintain licensure or an active Nebraska CNA.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Recognizes and reacts to emergency procedures per role and policies/procedures.

3. *Answers telephones and assigned communication devices as appropriate and relays information as necessary. Refers all physician telephone orders to a licensed professional.

4. Assists in collecting specific information from patients and contributes to admission, transfer and dismissal processes when delegated by a RN, and with responsibility for patient assessment being performed by a RN; assures timely reporting and recording of patient's Electronic Medical Record (EMR) .

5. *Assists with patient care that is consistent with standards of care and clinical priorities determined by the RN with the nature of the area/unit, patient care division policies and procedures, demonstrated competencies, and with consideration given to risk management and infection control practices.

6. *Performs and documents routine direct nursing care tasks according to identified age-specific needs.

7. Obtains and records vitals, height, weight, and bedside glucose results; reports results to appropriate personnel.

8. *Performs Activities of Daily Living (ADLs) for assigned patients and documents in the EMR.

9. *Responsible for labeling and securing patient care belongings and ensuring that the patient room is safe and uncluttered.

10. *Distributes patient's meals/water and assists with feeding of patients as needed.

11. Assists with ambulation, lifting and positioning according to procedure, including the appropriate use of patient lift devices and use of good body mechanics.

12. Assists with transporting patients, including at time of transfer and/or dismissal.

13. *Assists patients with elimination needs and measures/records bodily elimination in medical record.

14. Bathes patients as directed by the RN.

15. Participates as a member of the team in Hourly Patient Rounds to proactively address patient needs.

16. Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury.

17. Collects, accurately labels and transports specimens to lab as required.

18. Assists with dressing changes, applying splints, setting up suturing and procedures, and wound care on closed wounds as directed by RN.

19. *Cleans, stocks and cares for supplies and equipment in assigned work area.

20. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

1. Maintains clinical competency as required for the unit of assignment including but not limited to population-specific competencies and participates in annual skill competency verification.

2. Knowledge of general hospital processes and procedures.

3. Knowledge of computer equipment and software applications relevant to work functions.

4. Ability to communicate effectively both verbally and in writing.

5. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic and complex disease processes, and those who are dying.

6. Ability to establish and maintain effective working relationships with health care team members and diverse populations.

7. Ability to maintain confidentiality of patient information.

8. Ability to practice proper body mechanics to ensure personal and customer/patient safety.

9. Ability to prioritize work demands and work with minimal supervision.

10. Ability to maintain regular and punctual attendance.

EDUCATION AND EXPERIENCE:

Active Nebraska Certified Nursing Assistant (CNA) credential required. Six (6) months CNA experience preferred.

OTHER CREDENTIALS / CERTIFICATIONS:

Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

If assigned to the Emergency Department, may have an EMT certification in place of CNA.

PHYSICAL REQUIREMENTS:

(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)

(DOT) - Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.

TravelNurseSource is working with Patterns LLC to find a qualified ER/Trauma RN in Broken Bow, Nebraska, 68822!

Pay Information
$27 to $43 per hour

About The Position

SIGNIFICANT DUTIES 

A.    Initiates assessment/reassessment based on the patient's needs per nursing standards, organization policy and procedures.
B.    Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.
C.    Collaborates with the interdisciplinary team to coordinate and provide patient care.
D.    Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.
E.    Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital - medical/surgical, pediatric, neonatal, emergency and skilled care. 
F.    Integrates appropriate standards of care into the patient's plan of care based on the diagnosis and age-specific needs.
G.    Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.
H.    Evaluate the patient's response to and effectiveness of interventions.
I.    Evaluates the patient's progress toward established outcome.
J.    Incorporates cultural considerations into the plan/delivery of care. 
K.    Includes family and/or significant others in the care of the patient as appropriate.
L.    Documents patient care and related information according to Melham procedures for documentation
M.    Facilitates a patient's transition to next level of care including admission, discharge, and transfers.
N.    Demonstrates knowledge of EMTALA regulation and paperwork.
O.    Assumes responsibility in a shared or delegated assignment and supports team member's practice through timely communication.
P.    Services as a role model to colleagues, students, and other care providers
Q.    Actively participates in continued learning opportunities and continued self-development pertinent to all of emergency department nursing.
R.    Proficient in the management of provider orders in CPOE and in the order management system
S.    Maintains effective communication channels with the entire healthcare team.
T.    Acts as a resource to the healthcare team. 
U.    Performs other related duties as assigned.
V.    Performs focused nursing assessment for presenting condition: may use the patient/family, EMS chart, community agencies as a source of information.  
W.    Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage and supports the initiation of the patient log via tracking board including updates of medical diagnoses at disposition. 
X.    Demonstrates knowledge of the level IV trauma center regulations and treatment protocols of TNCC for stabilization and transfer of the trauma patient.
Y.    Supports and develops provider discharge plan of care by implementing patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens or if the patient condition does not meet Melham admission criteria, supports patient stabilization and transfer to a higher level of care.

PRIMARY FUNCTION  
The Emergency Department Registered Nurse (RN) is responsible for:
Planning and coordinating the delivery of quality nursing care for patients in the emergency departments and acute care utilizing the nursing process
Providing and/or delegating care, evaluating patient response, documentation, and effective communication 
Collaborating with the interdisciplinary team
Maintaining standards for professional nursing practice
Providing and supervising the delivery of care in the emergency department
Supervising Licensed Practical Nurses and /or other support staff in the delivery of patient care as described in Nebraska Statute 38.

Supervision

A.    Reports directly to the Emergency Department Manager
B.    Reports indirectly to the House Supervisor and other managers covering the department.
C.    Delegates and directs assigned shift caseload team which may be comprised of RN's, NSS LPN and NSS CNA.

Qualifications

A.    Graduate of School of Nursing
B.    Current Nebraska State License or Compact license as a Registered Nurse required.
C.    Clinical and/or work nursing experience in a hospital with ability to perform duties in the emergency department setting is preferred.
D.    Professional knowledge of nursing practice, and regulation to support patient care delivery.
E.    Basic Life Support within 3 months of hire and maintained.
F.    ACLS and PALS within 6 months of hire and maintained.
G.    TNCC required within one year of hire.
H.    NRP preferred or ability to obtain within 6 months of hire.  
I.    Job functions must be performed on site with regular attendance.
J.    ICS 100 and 200 or ability to obtain within 12 months of hire.

GENERAL REQUIREMENTS
A.    Demonstrate commitment to the organizational mission, vision, and core values.
B.    Maintain clinical competency as required for emergency department including but not limited to age-specific competencies relative to growth and developmental needs of all ages of patients.
C.    Knowledge of federal and state regulations related to nursing applications and relative practice area.
D.    Communicate effectively verbally and in writing.
E.    Delegate, oversee, and evaluate the work of all NSS LPN and CNA patient care staff members.
F.    Maintain confidentiality of patient information
G.    Exercise professional judgment, courtesy, and professionalism in daily interactions with others
H.    Demonstrates relationship management and influencing behaviors. 
a.    Conflict resolution skills
b.    Critical conversation skills
c.    Mediation skills
I.    Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards.  Monitors staff adherence and knowledge of standards.
J.    Serves designated role for emergency management plan response.  Follows instructions from Incident Command as appropriate.
K.    Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.
a.    Incident reporting SQSS
b.    Compliance and safety reporting
c.    Abuse/neglect reporting
d.    Patient rights
e.    Staff rights
f.    Appropriately completes and/or supports reporting of events and forms as needed.
L.    Completes yearly self and staff evaluations/reviews and development plan.
M.    Attends meetings as assigned.
N.    Attends 75% of monthly staff meetings and keeps updated on information.
O.    Completes annual on-going competency plan.
P.    Attends mandatory in-services and/or programs.
Q.    Maintains certifications.

Patterns is one of the leading service providers in the business process outsourcing industry.

Patterns was incepted with the pursuit of being the one-stop solutions provider for all the business process outsourcing needs. For more than 10 years, we have been catering to SMEs and corporate companies in the segment of Promotional Products, Printing, Apparels, Embroidery, Commercial Photography, Ecommerce, Automotive and many others.

At Patterns, we offer a wide range of business services, right from creative and technical to administrative. Our array of services includes Vector Artwork, Embroidery Digitizing, Graphics Designing, Digital Image Editing, Virtual Assistance, Data Processing, Website Development, Staffing, and Recruitment.

Physician Urgent Care Setting (No Nights, No Weekends!) Schedule: Monday Friday, 8 AM 5 PM Ready for a change of pace and a meaningful impact? Join a collaborative, patient-focused team delivering quality care in an outpatient setting focused on occupational health and work-related injuries. This is an excellent opportunity for a Board-Certified or Board-Eligible Physician who wants to provide direct patient care while also guiding a clinical team without nights, weekends, or on-call requirements. About the Opportunity: In this role, you will: Spend your time seeing patients for work-related injuries, occupational medicine, and urgent care needs. Lead by example, supporting a high-functioning clinical team. Work closely with therapists, specialists, and employers to drive optimal patient outcomes. Play an active role in efficient clinic operations and quality performance. Communicate with employers on new injuries and treatment plans. Foster a positive, collaborative environment with a focus on patient safety, satisfaction, and quality care. Who We re Looking For: Physicians with backgrounds in Internal Medicine, Family Medicine, Urgent Care, or General Surgery are encouraged to apply. Occupational Medicine experience is a plus, but we will train motivated candidates who want to grow into this specialty. Key Details: Outpatient only no nights, weekends, holidays, or call. Monday Friday schedule, 8 AM 5 PM. Robust support staff and operational resources. Training in Occupational Medicine provided if needed ideal for urgent care or primary care physicians looking for a fresh career path. Opportunity to mentor other clinicians and support staff. What s Offered: Competitive base salary with annual merit increases. Monthly leadership stipend and production bonuses. Quarterly quality care incentives. Generous paid time off: 24 PTO days, 5 CME days, 6 paid holidays. CME allowance, malpractice coverage, licensure reimbursement. 401(k) with employer match. Comprehensive health, vision, dental, life, and disability plans. Tuition reimbursement opportunities. Relocation assistance, if applicable. Career advancement and leadership development programs. Qualifications: Board Certified or Board Eligible MD or DO in Internal Medicine, Family Medicine, General Surgery, or Urgent Care/Primary Care. Active, unrestricted state medical license (or ability to obtain). Unrestricted DEA license. Eligibility to participate in Medicare. Interested in making a meaningful impact and getting your evenings and weekends back? Apply today to explore how you can take your clinical skills in a rewarding new direction.

You Matter

• Make a difference every day in the lives of the underserved

• Join a mission driven organization with a people first culture

• Excellent career growth opportunities

Join us and find a career that supports:

• Caring for overlooked, underserved, and vulnerable patients

• Diversity, equity, inclusion, and belonging

• Autonomy in a warm team environment

• Growth and training

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

• DailyPay, receive your money as you earn it!

• Tuition Assistance and dependent Scholarships

• Employee Assistance Program (EAP) including free counseling and health coaching

• Company paid life insurance

• Tax free Health Spending Accounts (HSA)

• Wellness program featuring fitness memberships and product discounts

• Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service.

Why Us

Now is your moment to make a difference in the lives of the underserved.

If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.

We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

How you make a difference

The Mental Health Professionalprovidesclinical services to individuals under the supervision of the Mental Health Coordinator, Clinical Supervisor or MentalHealthDirector. They conduct assessments, develop treatment plans, andprovideevidenced-based psychotherapeutic interventions. Additionally, theyprovidemental health consultation and training to facility staff.

Key Responsibilities

• Provide clinical services to persons served in compliance with policies and relevant professional standards, including individual and group psychotherapy, crisis intervention, and diagnostic evaluations.

• Complete relevant clinical documentation, including clinical service reports and mental health treatment records, ina timelyand professional manner.

• Provideconsultation services to institutional staff, including screening committees and psychiatric staff,regardingthe mental status and management of persons served.

• Participate in staff meetings, in-service training programs, and specialized clinical services and/or program development activities.

• Maintain accountability for services provided through participation in the Quality Improvement program andtimelyandaccuraterecording of activities.

Additional Details

*** Shift Schedule: Sunday through Wednesday . Working with seriously mentally ill patients. Will lead groups. ***

** Clinical Supervision provided for non-independent licensed professionals **

Qualifications & Requirements

Education

• Master’s degree in a behavioral/social science field from an accredited college or university.

Experience

• Coursework and professional experience thatindicatesknowledge of mental health counseling, group and individual psychotherapy, diagnosis and treatment of mental disorders, psychological assessment techniques, crisis intervention, and mental health consultation.

Licenses/Certifications

• LMSW, LPC, or similar licensure in the state from theappropriate statelicensing board; MustmaintainCPR certification and any other certifications (such as First Aid)required.

We are an Equal Employment Opportunity Employer

We are committed to fostering, cultivating, and preserving a culture of uniqueness.

We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.

We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.

Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.

We are an Affirmative Action Employer in accordance with applicable state and local laws.

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Job

Facility NE Lancaster Cty Corr Fac

Type Full-Time

Shift Day 8 hour

Recruiter : Full Name: First Last Nicholas Cardillo

Recruiter : Email

Compensation Information $37 - $44 / hour