Registered Nurse Ithaca, NY Registered Nurse Description Valor Healthcare is looking for a passionate Registered Nurse to join our team at the (location) Community Based Outpatient Clinic (CBOC) in (Ithaca, NY). In exchange for your dedication and experience, we are proud to offer a competitive salary, excellent benefits, generous time off and a weekday schedule. Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted hearts, and tireless resolve. Valor operates more than 50 VA CBOCs in the United States as a contractor for the U.S. Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more. As a Registered Nurse with Valor, you will assist practitioners with patient care, physical examinations, and ancillary tests, as well as perform a variety of clerical duties. You will use the nursing process and evidenced based practice to collaborate with the core PACT Team (Primary Care Provider, LPN/LVN and Medical Assistant) and expanded PACT Team, including family/ caregiver, VA, and community-based services involved in developing the patient care plan. Core Responsibilities<ul><li>Actively assists practitioners with patient care, physical examinations and ancillary tests.</li><li>Practice specialized skills in patient assessment.</li><li>Triages unscheduled patients requesting care.</li><li>Acts as point person within PACT Team.</li><li>Assists in co-managed care collaboration with non-VA providers, and facilities.</li><li>Provides patient and family health education with a focus on self-management, prevention, and wellness.</li><li>Monitors VA discharge list and contacts patients for follow up.</li><li>Maintains confidentiality of veterans data and information.</li><li>Complies with all VA and company training requirements.</li><li>Consults as permitted by VAMC.</li><li>Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission(JC), Environment of Care (EOC) oversight, lab compliance and other related items.</li><li>Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.</li><li>Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.</li><li>Participate in the clinic s outreach events to help support the clinic s enrollment initiatives.</li><li>Support patient enrollment and retention in appointments, follow-up visits or nurse visits.</li><li>Embrace and support new initiatives, whether clinical or operational.</li></ul> Requirements <ul><li>Bachelor of Science in Nursing (BSN) required; if VA contract allows, may be Associate Degree RN.</li><li>Minimum 2-3 years experience as a registered nurse in a related primary care or ambulatory care setting; government healthcare environment preferred. Specific requirements could vary based on individual VA contract.</li><li>Must be credentialed and remain in good standing through the Veterans Health Administration (VA).</li><li>Must comply with and maintain all requirements for a valid, unrestricted license in the state of desired employment, or in any U.S. state or territory, depending on VA contractual requirements.</li><li>Current certification in Basic Life Support (must be renewed periodically as specified by the certifying agency e.g., AHA valid for two years) and in ACLS as specified by individual VAMC contract</li><li>Proficiency in written and spoken English.</li><li>Strong computer skills, including EMR experience</li><li>Energetic and optimistic demeanor</li><li>Strong service mentality and a focus on achieving all aspects of defined service standards</li><li>This is considered a safety sensitive position.</li></ul>Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.<img src="https://www.jobg8.com/Tracking.aspx?iOvp3n2dtZ4gfhaNINzKnAz" width="0" height="0" />

**Registered Nurse**

Valor Healthcare is looking for a passionate Registered Nurse to join our team at the Community Based Outpatient Clinic (CBOC) in Ithaca, NY. In exchange for your dedication and experience, we are proud to offer a competitive salary, excellent benefits, generous time off, and a weekday schedule.

Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted hearts, and tireless resolve. Valor operates more than 50 VA CBOCs in the United States as a contractor for the U.S. Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.

As a Registered Nurse with Valor, you will assist practitioners with patient care, physical examinations, and ancillary tests, as well as perform a variety of clerical duties. You will use the nursing process and evidence-based practice to collaborate with the core PACT Team (Primary Care Provider, LPN/LVN, and Medical Assistant) and expanded PACT Team, including family/caregiver, VA, and community-based services involved in developing the patient care plan.

**Job Description**

- Actively assists practitioners with patient care, physical examinations, and ancillary tests.
- Practices specialized skills in patient assessment.
- Triages unscheduled patients requesting care.
- Acts as point person within PACT Team.
- Assists in co-managed care collaboration with non-VA providers and facilities.
- Provides patient and family health education with a focus on self-management, prevention, and wellness.
- Monitors VA discharge list and contacts patients for follow-up.
- Maintains confidentiality of veterans' data and information.
- Complies with all VA and company training requirements.
- Consults as permitted by VAMC.
- Fulfills compliance requirements of the Office of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance, and other related items.
- Remains focused on achieving excellent clinical outcomes through the specified VA guidelines.
- Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.
- Participates in the clinic's outreach events to help support the clinic's enrollment initiatives.
- Supports patient enrollment and retention in appointments, follow-up visits, or nurse visits.
- Embraces and supports new initiatives, whether clinical or operational.

**Requirements**

- Bachelor of Science in Nursing (BSN) required; if VA contract allows, may be Associate Degree RN.
- Minimum 2-3 years experience as a registered nurse in a related primary care or ambulatory care setting; government healthcare environment preferred. Specific requirements could vary based on individual VA contract.
- Must be credentialed and remain in good standing through the Veterans Health Administration (VA).
- Must comply with and maintain all requirements for a valid, unrestricted license in the state of desired employment or in any U.S. state or territory, depending on VA contractual requirements.
- Current certification in Basic Life Support (must be renewed periodically as specified by the certifying agency e.g., AHA valid for two years) and in ACLS as specified by individual VAMC contract.
- Proficiency in written and spoken English.
- Strong computer skills, including EMR experience.
- Energetic and optimistic demeanor.
- Strong service mentality and a focus on achieving all aspects of defined service standards.
- This is considered a safety-sensitive position.

Registered Nurse

Professional Summary:The RN will utilize their broad-based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patient/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide supportive measures for the dying patient/resident and their significant others. Nursing care is performed in accordance with the Louisiana Registered Nurses Practice Act and within the individual nurse s scope of license. Core Responsibilities:• Assess the health care needs of the patient/resident and maintain or develop a plan of care to meet interdisciplinary goals• Assess and act on significant changes in the patient s/resident s health condition• Carry out the plan of care by performing/assigning delegated tasks• Collect and document pertinent data into the electronic patient/resident medical record• Complete nursing assessments within required time frames, and in accordance with policy and procedure.• Identify and act on predictable needs of the patient/resident• Meet the health care needs of patient/resident by assessing and assisting thepatient/resident to meet expressed needs• Meet the emotional and spiritual needs of patients/residents and/or families• Prioritize and complete tasks within the RN s assigned shift• Update patient/resident care plans• Notify assigned physician of any changes in condition• Report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned; or designated off-shift nursing leadership• Perform head-to-toe assessment• Insert IV lines• Care and management of peripheral and central lines, including PICC lines• Administer medication including IVs• Coordinate and participate in admission and discharge of patient• Measure vital signs, including pain (the 5th vital sign), pulse oximetry, etc.• Perform wound care assessments including dressing changes (sterile and nonsterile), and obtaining wound cultures as necessary• Obtain and deliver specimens to lab• Perform tracheostomy care• Perform non-acute ventilator care, if needed• Perform suctioning including oral, nasogastric, and tracheostomy• Perform deep suctioning, which may include obtaining specimens• Assess for and administer tube feedings• Assist with routine urinary and bowel elimination including catheters, colostomies, and digital stimulation• Educate patients/residents and/or families regarding health and diagnoses and medication administration including indications for the medication.• Respond and assist in an emergency situation• Provide clinical oversight to Licensed Practical Nurses, Nursing Assistants and Health Technicians• One-to-one observation to include virtual observation• Performing capillary blood glucose and monitoring• Performs other duties as assigned.• Maintains regular and punctual attendance.<img src="https://www.jobg8.com/Tracking.aspx?ipYkfvjohby7owoPtWny3wj" width="0" height="0" />

**Registered Nurse**

The RN will utilize their broad-based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patients/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide supportive measures for the dying patient/resident and their significant others. Nursing care is performed in accordance with the Louisiana Registered Nurses Practice Act and within the individual nurse's scope of license.

**Job Description**

- Assess the health care needs of the patient/resident and maintain or develop a plan of care to meet interdisciplinary goals
- Assess and act on significant changes in the patient’s/resident’s health condition
- Carry out the plan of care by performing/assigning delegated tasks
- Collect and document pertinent data into the electronic patient/resident medical record
- Complete nursing assessments within required time frames, and in accordance with policy and procedure
- Identify and act on predictable needs of the patient/resident
- Meet the health care needs of patient/resident by assessing and assisting the patient/resident to meet expressed needs
- Meet the emotional and spiritual needs of patients/residents and/or families
- Prioritize and complete tasks within the RN’s assigned shift
- Update patient/resident care plans
- Notify assigned physician of any changes in condition
- Report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned, or designated off-shift nursing leadership
- Perform head-to-toe assessment
- Insert IV lines
- Care and management of peripheral and central lines, including PICC lines
- Administer medication including IVs
- Coordinate and participate in admission and discharge of patient
- Measure vital signs, including pain (the 5th vital sign), pulse oximetry, etc.
- Perform wound care assessments including dressing changes (sterile and nonsterile), and obtaining wound cultures as necessary
- Obtain and deliver specimens to lab
- Perform tracheostomy care
- Perform non-acute ventilator care, if needed
- Perform suctioning including oral, nasogastric, and tracheostomy
- Perform deep suctioning, which may include obtaining specimens
- Assess for and administer tube feedings
- Assist with routine urinary and bowel elimination including catheters, colostomies, and digital stimulation
- Educate patients/residents and/or families regarding health and diagnoses and medication administration including indications for the medication
- Respond and assist in an emergency situation
- Provide clinical oversight to Licensed Practical Nurses, Nursing Assistants, and Health Technicians
- One-to-one observation to include virtual observation
- Performing capillary blood glucose and monitoring
- Perform other duties as assigned
- Maintain regular and punctual attendance

Intensive Care Unit (ICU) Registered Nurse (RN) - Veteran Affairs Contract

Valor Healthcare is looking for a passionate Mental Health Nurse Practitioner to join our team at the Community Based Outpatient Clinic (CBOC) in Danville, VA. About Us operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more. About DanvilleLocated in Southern Virginia, is less than an hour from Greenboro NC, enjoy small-town charm with access to big city amenities! The vibrant River District offers unique shopping, restaurants, breweries and more! Spend the day along the mighty Dan River or stopping by the casino to enjoy the nightlife! Danville offers a low cost of living making it a great place to live, stay & play! About Our BenefitsCompetitive Salary & Annual IncentiveGreat Work/Life Balance - No Nights/WeekendsOutpatient Only, No CallCME Allowance/Time401(k) with Employer MatchExcellent Benefits including medical, dental, vision, prescription Generous PTO including vacation, sick, paid holidays and personal time As a Mental Health Nurse Practitioner, you will provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by physician or mid-level provider. ?You will collaborate with the core PACT Team (Primary Care Provider, RN and Medical Assistant) and expanded PACT Team including family/caregiver, VA, and community-based services involved in developing the patient care plan.? Core Responsibilities<ul><li> Evaluates veterans for mental health disorders and appropriately diagnoses and treats mental health conditions.</li><li> Orders and performs diagnostic tests and therapeutic procedures as related to mental health diagnoses and treatment and interprets test results for deviations from normal and provides follow up care.</li><li> Prescribes medication and recommends dietary and activity programs.</li><li> Performs appropriate interval follow up visits for necessary treatment of mental health diagnosis.</li><li> Refers patient to the VA medical specialist when indicated.• Counsel patients on the use of prescription medications and educates patients in relation to treatment plan.</li><li> Develops and implements patient management plans, assists in provision of continuity of care through the PCMM (Primary Care Management Module).</li><li> Evaluates patients records from medical providers outside the VA and works with the veterans utilizing rules set forth by the VA for co-managed care.</li><li> Conducts individual counseling/therapy.</li><li> Contributes to group therapy (i.e., PTSD groups; weight management; smoking cessation; grieving; and personal interactions).</li><li> Contributes to pain management plan as needed.</li><li> Involves veterans in planning and assuming responsibility for activities.</li><li> Refers veterans, when indicated, to community resources and other organizations.</li></ul> Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.<img src="https://www.jobg8.com/Tracking.aspx?Qzszl0SUVtsNanLqXOCzfAk" width="0" height="0" />

**Mental Health Nurse Practitioner**

Valor Healthcare is looking for a passionate Mental Health Nurse Practitioner to join our team at the Community Based Outpatient Clinic (CBOC) in Danville, VA.

**About Us**

Valor operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.

**About Danville**

Located in Southern Virginia, Danville is less than an hour from Greensboro, NC. Enjoy small-town charm with access to big city amenities! The vibrant River District offers unique shopping, restaurants, breweries, and more! Spend the day along the mighty Dan River or stop by the casino to enjoy the nightlife! Danville offers a low cost of living, making it a great place to live, stay, and play!

**Job Description**

- Provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by physician or mid-level provider.
- Collaborate with the core PACT Team (Primary Care Provider, RN, and Medical Assistant) and expanded PACT Team including family/caregiver, VA, and community-based services involved in developing the patient care plan.
- Evaluate veterans for mental health disorders and appropriately diagnose and treat mental health conditions.
- Order and perform diagnostic tests and therapeutic procedures as related to mental health diagnoses and treatment and interpret test results for deviations from normal and provide follow-up care.
- Prescribe medication and recommend dietary and activity programs.
- Perform appropriate interval follow-up visits for necessary treatment of mental health diagnosis.
- Refer patients to the VA medical specialist when indicated.
- Counsel patients on the use of prescription medications and educate patients in relation to treatment plan.
- Develop and implement patient management plans, assisting in the provision of continuity of care through the PCMM (Primary Care Management Module).
- Evaluate patients' records from medical providers outside the VA and work with veterans utilizing rules set forth by the VA for co-managed care.
- Conduct individual counseling/therapy.
- Contribute to group therapy (i.e., PTSD groups; weight management; smoking cessation; grieving; and personal interactions).
- Contribute to pain management plan as needed.
- Involve veterans in planning and assuming responsibility for activities.
- Refer veterans, when indicated, to community resources and other organizations.

**Benefits**

- Competitive salary & annual incentive
- Great work/life balance - no nights/weekends
- Outpatient only, no call
- CME allowance/time
- 401(k) with employer match
- Excellent benefits including medical, dental, vision, prescription
- Generous PTO including vacation, sick, paid holidays, and personal time

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

Mental Health NP- Outpatient Only

About Us operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.About KingstonExperience the lifestyle you deserve in Located just 90 miles north of NYC, Kingston offers the benefits of the big city without the hustle and bustle. Enjoy three diverse districts complete with unique shopping, breweries, award winning restaurants and fine arts. Situated along the mighty Hudson River, you can take the day to go sailing, paddleboarding, canoeing, or just enjoying the natural scenery of the area. This position is 4x/week (32 hours) About Our BenefitsCompetitive Salary & Annual Incentive Great Work/Life Balance - No Nights/WeekendsOutpatient Only, No CallCME Allowance/Time401(k) with Employer MatchExcellent Benefits including medical, dental, vision, prescription Generous PTO including vacation, sick, paid holidays and personal time As a Primary Care Nurse Practitioner, you will provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by physician or mid-level provider. You will collaborate with the core PACT Team (Primary Care Provider, RN and Medical Assistant) and expanded PACT Team including family/caregiver, VA, and community-based services involved in developing the patient care plan. Core Responsibilities<ul><li> Actively diagnoses and treats our veterans under the direction and responsibility of a supervising physician.</li><li> Examines patient for symptoms of organic or congenital disorders.</li><li> Develops and implements patient management plans and assists in provision of continuity of care.</li><li> Orders and performs diagnostic tests, such as x-ray, electrocardiogram, laboratory tests, etc. and interprets test results for deviations from normal and provides patient notification and follow up care.</li><li> Counsel patients on the use of prescription medications, educates patients, assesses mental health issues, and provides routine health maintenance.</li><li> Evaluates patients records from medical providers outside the VA and works with these patients utilizing rules set forth by the VA for co-managed care.</li><li> Completes any and all clinical reminders due at the time of each patient visit.</li><li> Completes documentation of the medical record within 24 hours of a patient encounter.</li><li> Complies with all VA guidelines in regard to appropriate and timely response to all patient request, alerts and notifications, consults, orders, lab results, and diagnostic studies.</li><li> Complies with the VA formulary process and consult protocols.</li><li> Complies with all VA guidelines in regard to appropriate and timely clinical documentation, including the completion of all encounters by close of business.</li><li> Complies with all VA and company training requirements.</li><li> Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission(JC), Environment of Care (EOC) oversight, lab compliance, and other related items.</li><li> Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.</li><li> Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.</li><li> Participate in the clinic s outreach events to help support the clinic s enrollment initiatives.</li><li> Support patient enrollment and retention by providing guidance, when necessary, regarding scheduling, follow-up visits or nurse visits.</li><li> Embrace and support new initiatives, whether clinical or operational.</li></ul> Requirements Qualifications<ul><li>Graduate of an accredited school of nursing and graduate of an accredited program for nurse practitioner (MSN required), including preceptorship</li><li>Certification by applicable professional organization</li><li> Minimum one-year clinical experience (three years preferred) as a CRNP within the last 4 years in a related primary care or ambulatory care setting; government healthcare environment preferred. Specific requirements could vary based on individual VA contract.</li><li>Must be credentialed and remain in good standing through the Veterans Health Administration (VA).</li><li>Must comply with and maintain all requirements for a valid, unrestricted license in the state of desired employment, or in any U.S. state or territory, depending on VA contractual requirements.</li><li>Current certification in Basic Life Support (must be renewed periodically as specified by the certifying agency AHA valid for two years, e.g.) and in ACLS as specified by individual VAMC contract</li><li>Current, unrestricted Drug Enforcement Administration (DEA) registration</li><li>Proficiency in written and spoken English.</li><li>Strong computer skills</li><li>Energetic and optimistic demeanor</li><li>Strong service mentality and a focus on achieving all aspects of defined service standards</li><li>This is considered a safety sensitive position.</li></ul>Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.<img src="https://www.jobg8.com/Tracking.aspx?itu8SGyK00ZAl6cjR9e%2fhQl" width="0" height="0" />

**Primary Care Nurse Practitioner**

Join our team at Valor, which operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.

**Job Description**

- Provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by a physician or mid-level provider.
- Collaborate with the core PACT Team (Primary Care Provider, RN, and Medical Assistant) and expanded PACT Team including family/caregiver, VA, and community-based services involved in developing the patient care plan.
- Actively diagnose and treat our veterans under the direction and responsibility of a supervising physician.
- Examine patients for symptoms of organic or congenital disorders.
- Develop and implement patient management plans and assist in the provision of continuity of care.
- Order and perform diagnostic tests, such as x-ray, electrocardiogram, laboratory tests, etc., and interpret test results for deviations from normal and provide patient notification and follow-up care.
- Counsel patients on the use of prescription medications, educate patients, assess mental health issues, and provide routine health maintenance.
- Evaluate patients' records from medical providers outside the VA and work with these patients utilizing rules set forth by the VA for co-managed care.
- Complete any and all clinical reminders due at the time of each patient visit.
- Complete documentation of the medical record within 24 hours of a patient encounter.
- Comply with all VA guidelines regarding appropriate and timely response to all patient requests, alerts and notifications, consults, orders, lab results, and diagnostic studies.
- Comply with the VA formulary process and consult protocols.
- Comply with all VA guidelines regarding appropriate and timely clinical documentation, including the completion of all encounters by close of business.
- Comply with all VA and company training requirements.
- Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance, and other related items.
- Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.
- Provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.
- Participate in the clinic's outreach events to help support the clinic's enrollment initiatives.
- Support patient enrollment and retention by providing guidance, when necessary, regarding scheduling, follow-up visits or nurse visits.
- Embrace and support new initiatives, whether clinical or operational.

**Requirements**

- Graduate of an accredited school of nursing and graduate of an accredited program for nurse practitioner (MSN required), including preceptorship.
- Certification by applicable professional organization.
- Minimum one-year clinical experience (three years preferred) as a CRNP within the last 4 years in a related primary care or ambulatory care setting; government healthcare environment preferred. Specific requirements could vary based on individual VA contract.
- Must be credentialed and remain in good standing through the Veterans Health Administration (VA).
- Must comply with and maintain all requirements for a valid, unrestricted license in the state of desired employment or in any U.S. state or territory, depending on VA contractual requirements.
- Current certification in Basic Life Support (must be renewed periodically as specified by the certifying agency AHA valid for two years) and in ACLS as specified by individual VAMC contract.
- Current, unrestricted Drug Enforcement Administration (DEA) registration.
- Proficiency in written and spoken English.
- Strong computer skills.
- Energetic and optimistic demeanor.
- Strong service mentality and a focus on achieving all aspects of defined service standards.
- This is considered a safety-sensitive position.

**Benefits**

- Competitive salary & annual incentive.
- Great work/life balance - no nights/weekends.
- Outpatient only, no call.
- CME allowance/time.
- 401(k) with employer match.
- Excellent benefits including medical, dental, vision, prescription.
- Generous PTO including vacation, sick leave, paid holidays, and personal time.

**Community Overview**

Experience the lifestyle you deserve in Kingston. Located just 90 miles north of NYC, Kingston offers the benefits of the big city without the hustle and bustle. Enjoy three diverse districts complete with unique shopping, breweries, award-winning restaurants, and fine arts. Situated along the mighty Hudson River, you can take the day to go sailing, paddleboarding, canoeing, or just enjoy the natural scenery of the area.

Primary Care NP- Outpatient Only

Professional Summary:The RN will utilize their broad-based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patient/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide supportive measures for the dying patient/resident and their significant others. Nursing care is performed in accordance with the Louisiana Registered Nurses Practice Act and within the individual nurse s scope of license. Core Responsibilities:• Assess the health care needs of the patient/resident and maintain or develop a plan of care to meet interdisciplinary goals• Assess and act on significant changes in the patient s/resident s health condition• Carry out the plan of care by performing/assigning delegated tasks• Collect and document pertinent data into the electronic patient/resident medical record• Complete nursing assessments within required time frames, and in accordance with policy and procedure.• Identify and act on predictable needs of the patient/resident• Meet the health care needs of patient/resident by assessing and assisting thepatient/resident to meet expressed needs• Meet the emotional and spiritual needs of patients/residents and/or families• Prioritize and complete tasks within the RN s assigned shift• Update patient/resident care plans• Notify assigned physician of any changes in condition• Report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned; or designated off-shift nursing leadership• Perform head-to-toe assessment• Insert IV lines• Care and management of peripheral and central lines, including PICC lines• Administer medication including IVs• Coordinate and participate in admission and discharge of patient• Measure vital signs, including pain (the 5th vital sign), pulse oximetry, etc.• Perform wound care assessments including dressing changes (sterile and nonsterile), and obtaining wound cultures as necessary• Obtain and deliver specimens to lab• Perform tracheostomy care• Perform non-acute ventilator care, if needed• Perform suctioning including oral, nasogastric, and tracheostomy• Perform deep suctioning, which may include obtaining specimens• Assess for and administer tube feedings• Assist with routine urinary and bowel elimination including catheters, colostomies, and digital stimulation• Educate patients/residents and/or families regarding health and diagnoses and medication administration including indications for the medication.• Respond and assist in an emergency situation• Provide clinical oversight to Licensed Practical Nurses, Nursing Assistants and Health Technicians• One-to-one observation to include virtual observation• Performing capillary blood glucose and monitoring• Performs other duties as assigned.• Maintains regular and punctual attendance.<img src="https://www.jobg8.com/Tracking.aspx?f5z009wvI95%2fETjbZayr9gi" width="0" height="0" />

**Registered Nurse**

The RN will utilize their broad-based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patients/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide supportive measures for the dying patient/resident and their significant others. Nursing care is performed in accordance with the Louisiana Registered Nurses Practice Act and within the individual nurse's scope of license.

**Job Description**

- Assess the health care needs of the patient/resident and maintain or develop a plan of care to meet interdisciplinary goals
- Assess and act on significant changes in the patient’s/resident’s health condition
- Carry out the plan of care by performing/assigning delegated tasks
- Collect and document pertinent data into the electronic patient/resident medical record
- Complete nursing assessments within required time frames, and in accordance with policy and procedure
- Identify and act on predictable needs of the patient/resident
- Meet the health care needs of patient/resident by assessing and assisting the patient/resident to meet expressed needs
- Meet the emotional and spiritual needs of patients/residents and/or families
- Prioritize and complete tasks within the RN’s assigned shift
- Update patient/resident care plans
- Notify assigned physician of any changes in condition
- Report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned or designated off-shift nursing leadership
- Perform head-to-toe assessment
- Insert IV lines
- Care and management of peripheral and central lines, including PICC lines
- Administer medication including IVs
- Coordinate and participate in admission and discharge of patient
- Measure vital signs, including pain (the 5th vital sign), pulse oximetry, etc.
- Perform wound care assessments including dressing changes (sterile and nonsterile), and obtaining wound cultures as necessary
- Obtain and deliver specimens to lab
- Perform tracheostomy care
- Perform non-acute ventilator care, if needed
- Perform suctioning including oral, nasogastric, and tracheostomy
- Perform deep suctioning, which may include obtaining specimens
- Assess for and administer tube feedings
- Assist with routine urinary and bowel elimination including catheters, colostomies, and digital stimulation
- Educate patients/residents and/or families regarding health and diagnoses and medication administration including indications for the medication
- Respond and assist in an emergency situation
- Provide clinical oversight to Licensed Practical Nurses, Nursing Assistants, and Health Technicians
- One-to-one observation to include virtual observation
- Performing capillary blood glucose and monitoring
- Perform other duties as assigned
- Maintain regular and punctual attendance

Med-surge Registered Nurse (RN) - Veteran Affairs Contract

About Us Valor Healthcare operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.About Our BenefitsCompetitive Salary & Annual Incentive Great Work/Life Balance - No Nights/WeekendsOutpatient Only, No Call401(k) with Employer MatchExcellent Benefits including medical, dental, vision, prescription Generous PTO including vacation, sick, and paid holidays As a RN Clinic Administrator with Valor, you will be responsible for all operational aspects of their individual CBOC. This position is significantly tactical with the day-to-day operations of the clinic.<img src="https://www.jobg8.com/Tracking.aspx?iJ5CWNfMIud0SGkbeok3mgn" width="0" height="0" />

**RN Clinic Administrator**

Valor Healthcare operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.

**Job Description**

- Responsible for all operational aspects of their individual CBOC
- Significantly tactical with the day-to-day operations of the clinic

**Benefits**

- Competitive salary and annual incentive
- Great work/life balance - no nights/weekends
- Outpatient only, no call
- 401(k) with employer match
- Excellent benefits including medical, dental, vision, and prescription
- Generous PTO including vacation, sick, and paid holidays

RN Clinic Administrator

Description Valor Healthcare is looking for a passionate Primary Care Physician Assistant (PA) to join our team at the Community Based Outpatient Clinic (CBOC) in Cookeville TN. In exchange for your dedication and experience, we are proud to offer a competitive salary, excellent benefits, generous time off and a weekday schedule. Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted hearts, and tireless resolve. Valor operates more than 50 VA CBOCs in the United States as a contractor for the U.S. Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more. As a Primary Care Physician Assistant, you will provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by physician or mid-level provider. You will collaborate with the core PACT Team (Primary Care Provider, RN and Medical Assistant) and expanded PACT Team including family/caregiver, VA, and community-based services involved in developing the patient care plan. Core Responsibilities<ul><li>Actively diagnoses and treats our veterans under the direction and responsibility of a supervising physician.</li><li>Examines patient for symptoms of organic or congenital disorders.</li><li>Develop and implement patient management plans and assists in provision of continuity</li><li>of care.</li><li>Orders and performs diagnostic tests, such as x-ray, electrocardiogram, laboratory</li><li>tests, etc.</li><li>Prescribes medication and recommends dietary and activity programs as indicated by diagnosis.</li><li>Counsel patients on the use of prescription medications, educates patients, assesses mental health issues, and provides routine health maintenance.</li><li>Evaluates patients records from medical providers outside the VA and works with</li><li>these patients utilizing rules set forth by the VA for co-managed care.</li><li>Completes any and all clinical reminders due at the time of each patient visit.</li><li>Completes the documentation of the medical record within twenty-four 24 hours of</li><li>a patient encounter.</li><li>Complies with the VA formulary process and consult protocols.</li><li>Complies with all VA guidelines in regard to appropriate and timely clinical documentation and response to patient requests.</li><li>Agrees to cross cover other providers, including alerts and notifications.</li><li>Complies with all VA and company training requirements.</li><li>Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission(JC), Environment of Care (EOC) oversight, lab compliance and other related items.</li><li>Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.</li><li>Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.</li><li>Participate in the clinic s outreach events to help support the clinic s enrollment initiatives.</li><li>Support patient enrollment and retention by providing guidance, when necessary, regarding scheduling, follow-up visits or nurse visits.</li><li>Embrace and support new initiatives, whether clinical or operational.</li></ul> Requirements Qualifications<ul><li>Bachelor s degree (BPAS or a related field) required. Master s degree (MPAS) preferred.</li><li>Graduate of an accredited program for physician assistants, including preceptorship.</li><li>Certification by applicable professional organization.</li><li>Minimum five-years of combined approved academic training and healthcare experience required, or as VA contractual requirements specify. Experience as a physician assistant must be in a related primary care or ambulatory care setting; government healthcare environment preferred. Specific requirements could vary based on individual VA contract.</li><li>Must be credentialed and remain in good standing through the Veterans Health Administration (VA).</li><li>Must comply with and maintain all requirements for a valid, unrestricted license in the state of desired employment, or in any U.S. state or territory, depending on VA contractual requirements.</li><li>Current certification in Basic Life Support (must be renewed periodically as specified by the certifying agency AHA valid for two years, e.g.) and in ACLS as specified by individual VAMC contract.</li><li>Current, unrestricted Drug Enforcement Administration (DEA) registration.</li><li>Proficiency in written and spoken English.</li><li>Strong computer skills.</li><li>Energetic and optimistic demeanor.</li><li>Strong service mentality and a focus on achieving all aspects of defined service standards.</li><li>This is considered a safety sensitive position.</li></ul>Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.<img src="https://www.jobg8.com/Tracking.aspx?BKM8u3wy%2f%2b771pvSyx6cZwo" width="0" height="0" />

**Primary Care Physician Assistant**

Valor Healthcare is looking for a passionate Primary Care Physician Assistant (PA) to join our team at the Community Based Outpatient Clinic (CBOC) in Cookeville, TN. In exchange for your dedication and experience, we are proud to offer a competitive salary, excellent benefits, generous time off, and a weekday schedule.

Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted hearts, and tireless resolve. Valor operates more than 50 VA CBOCs in the United States as a contractor for the U.S. Department of Veterans Affairs. We provide a full range of medical services to veterans through the operations of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.

As a Primary Care Physician Assistant, you will provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by a physician or mid-level provider. You will collaborate with the core PACT Team (Primary Care Provider, RN, and Medical Assistant) and expanded PACT Team including family/caregiver, VA, and community-based services involved in developing the patient care plan.

**Job Description**

- Actively diagnose and treat our veterans under the direction and responsibility of a supervising physician.
- Examine patients for symptoms of organic or congenital disorders.
- Develop and implement patient management plans and assist in the provision of continuity of care.
- Order and perform diagnostic tests, such as x-ray, electrocardiogram, laboratory tests, etc.
- Prescribe medication and recommend dietary and activity programs as indicated by diagnosis.
- Counsel patients on the use of prescription medications, educate patients, assess mental health issues, and provide routine health maintenance.
- Evaluate patients' records from medical providers outside the VA and work with these patients utilizing rules set forth by the VA for co-managed care.
- Complete any and all clinical reminders due at the time of each patient visit.
- Complete the documentation of the medical record within twenty-four (24) hours of a patient encounter.
- Comply with the VA formulary process and consult protocols.
- Comply with all VA guidelines in regard to appropriate and timely clinical documentation and response to patient requests.
- Agree to cross-cover other providers, including alerts and notifications.
- Comply with all VA and company training requirements.
- Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance, and other related items.
- Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.
- Provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.
- Participate in the clinic's outreach events to help support the clinic's enrollment initiatives.
- Support patient enrollment and retention by providing guidance, when necessary, regarding scheduling, follow-up visits or nurse visits.
- Embrace and support new initiatives, whether clinical or operational.

**Requirements**

- Bachelor's degree (BPAS or a related field) required. Master's degree (MPAS) preferred.
- Graduate of an accredited program for physician assistants, including preceptorship.
- Certification by applicable professional organization.
- Minimum five years of combined approved academic training and healthcare experience required, or as VA contractual requirements specify. Experience as a physician assistant must be in a related primary care or ambulatory care setting; government healthcare environment preferred. Specific requirements could vary based on individual VA contract.
- Must be credentialed and remain in good standing through the Veterans Health Administration (VA).
- Must comply with and maintain all requirements for a valid, unrestricted license in the state of desired employment, or in any U.S. state or territory, depending on VA contractual requirements.
- Current certification in Basic Life Support (must be renewed periodically as specified by the certifying agency AHA valid for two years) and in ACLS as specified by individual VAMC contract.
- Current, unrestricted Drug Enforcement Administration (DEA) registration.
- Proficiency in written and spoken English.
- Strong computer skills.
- Energetic and optimistic demeanor.
- Strong service mentality and a focus on achieving all aspects of defined service standards.
- This is considered a safety-sensitive position.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

Primary Care Nurse Practitioner Needed in Cookeville TN

Valor Healthcare is seeking an Occupational Health Registered Nurse to provide their expertise at the Stellantis Toledo Machining Plant located in Toledo, OH. 2nd Shift: 4:00 PM-12:30 AM Monday-Friday Occupational Health RN Duties:<ul><li>Coordinate care among services and across the continuum for patients with complex, long-term health care that needs to be assigned to the clinic.</li><li>Educate patient and family regarding benefits and risk factors for optimal bio-psycho-social functioning, community resources, wellness, and health promotion to enhance shared decision-making.</li><li>Candidate must exercise professional nursing judgment to work with a variety of professionals, agencies, and systems.</li><li>Administer fit testing, audio, vision testing, and preliminary exams.</li><li>Process medical records in compliance with OSHA</li><li>Wound Care</li><li>Process reinstatement</li><li>Conduct Medical Surveillance</li></ul>Core Responsibilities:<ul><li>Maintain appropriate logs, medical records, and other data required</li><li>Obtains and maintains necessary equipment and supplies for the plant's Medical Department</li><li>Provides first aid care, treatments, follow-up, and medications for employee illness an injury as authorized by the plant Physician</li><li>Performs or requests testing of employees as required</li><li>Administers immunizations as directed by the plan Physician</li><li>Ensures that a complete and confidential medical record is maintained on each employee</li><li>Other duties as assigned</li></ul> Qualifications<ul><li>Graduate of an accredited school of professional nursing (BSN is preferred)</li><li>Current unrestricted nursing licensure in the state of MI</li><li>Occupational Health or Certification in Occupational Health Nursing (COHN) is preferred</li><li>Nurses with Emergency Room, Urgent Care or Occupational Health Experience Preferred (fast-paced environment).</li><li>Must hold current and valid BCLS certification</li><li>Must possess a minimum of (1) year of relevant experience including familiarity with OSHA regs.</li><li>Must have current PPD</li><li>Must have skill and knowledge in health and safety education, counseling, environmental health, safety, rehabilitation, and human relations qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status</li></ul>Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.<img src="https://www.jobg8.com/Tracking.aspx?o3xhLuhj8oUKaMfuFpw9CAr" width="0" height="0" />

**Occupational Health Registered Nurse**

Valor Healthcare is seeking an Occupational Health Registered Nurse to provide their expertise at the Stellantis Toledo Machining Plant located in Toledo, OH.

**Job Description**

- Coordinate care among services and across the continuum for patients with complex, long-term health care that needs to be assigned to the clinic.
- Educate patient and family regarding benefits and risk factors for optimal bio-psycho-social functioning, community resources, wellness, and health promotion to enhance shared decision-making.
- Exercise professional nursing judgment to work with a variety of professionals, agencies, and systems.
- Administer fit testing, audio, vision testing, and preliminary exams.
- Process medical records in compliance with OSHA.
- Provide wound care.
- Process reinstatement.
- Conduct medical surveillance.

**Core Responsibilities**

- Maintain appropriate logs, medical records, and other data required.
- Obtain and maintain necessary equipment and supplies for the plant's Medical Department.
- Provide first aid care, treatments, follow-up, and medications for employee illness and injury as authorized by the plant Physician.
- Perform or request testing of employees as required.
- Administer immunizations as directed by the plant Physician.
- Ensure that a complete and confidential medical record is maintained on each employee.
- Other duties as assigned.

**Requirements**

- Graduate of an accredited school of professional nursing (BSN is preferred).
- Current unrestricted nursing licensure in the state of MI.
- Occupational Health or Certification in Occupational Health Nursing (COHN) is preferred.
- Nurses with Emergency Room, Urgent Care or Occupational Health experience preferred (fast-paced environment).
- Must hold current and valid BCLS certification.
- Must possess a minimum of one year of relevant experience including familiarity with OSHA regulations.
- Must have current PPD.
- Must have skill and knowledge in health and safety education, counseling, environmental health, safety, rehabilitation, and human relations.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

Occupational Health Registered Nurse Needed in Toledo Ohio

About Us Valor Healthcare operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more. About Oswego NY Every day in Oswego, NY is an invitation to the good life. Situated along the sparkling shoreline of Lake Ontario, you can take the day to water ski or sail, paddleboard, kayak, splash in lake, or just relax and enjoy the natural scenery. Less than 40 miles from Syracuse NY, Oswego offers the benefits of the big city without the hustle and bustle. Enjoy a robust town complete with unique shopping, breweries and distilleries, award winning restaurants, exciting nightlife, and fine arts. About Our Benefits Competitive Salary ($77,000.00- 80,600.00)Great Work/Life Balance - No Nights/WeekendsOutpatient Only401k with Employer MatchExcellent Benefits including medical, dental, vision, prescription Generous PTO including vacation, sick, paid holidays As a Registered Nurse with Valor, you will assist practitioners with patient care, physical examinations, and ancillary tests, as well as perform a variety of clerical duties. You will use the nursing process and evidenced based practice to collaborate with the core PACT Team (Primary Care Provider, LPN/LVN and Medical Assistant) and expanded PACT Team, including family/ caregiver, VA, and community-based services involved in developing the patient care plan. Core Responsibilities: • Actively assists practitioners with patient care, physical examinations and ancillary tests.• Practice specialized skills in patient assessment.• Triages unscheduled patients requesting care.• Acts as point person within PACT Team.• Assists in co-managed care collaboration with non-VA providers, and facilities.• Provides patient and family health education with a focus on self-management, prevention, and wellness.• Monitors VA discharge list and contacts patients for follow up.• Maintains confidentiality of veterans data and information.• Complies with all VA and company training requirements.• Consults as permitted by VAMC.• Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance and other related items.• Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.• Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.• Participate in the clinic s outreach events to help support the clinic s enrollment initiatives.• Support patient enrollment and retention in appointments, follow-up visits or nurse visits.• Embrace and support new initiatives, whether clinical or operational. <img src="https://www.jobg8.com/Tracking.aspx?OOAVpAXVHwaSbevfXBHNGQm" width="0" height="0" />

**Registered Nurse**

Valor Healthcare operates over 50 VA Community Based Outpatient Clinics (CBOCs) in the United States as a contractor for the U.S. Department of Veterans Affairs. Valor provides a full range of medical services to veterans through the operation of CBOCs, tailored to meet the specific needs of local VA medical centers. Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health, and more.

**Job Description**

- Actively assists practitioners with patient care, physical examinations, and ancillary tests.
- Practices specialized skills in patient assessment.
- Triages unscheduled patients requesting care.
- Acts as point person within the PACT Team.
- Assists in co-managed care collaboration with non-VA providers and facilities.
- Provides patient and family health education with a focus on self-management, prevention, and wellness.
- Monitors VA discharge list and contacts patients for follow-up.
- Maintains confidentiality of veterans' data and information.
- Complies with all VA and company training requirements.
- Consults as permitted by VAMC.
- Fulfills compliance requirements of the Office of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance, and other related items.
- Remains focused on achieving excellent clinical outcomes through the specified VA guidelines.
- Must provide excellent customer service to each veteran, both in person and over the phone, as well as to fellow colleagues and clinic visitors.
- Participates in the clinic's outreach events to help support the clinic's enrollment initiatives.
- Supports patient enrollment and retention in appointments, follow-up visits, or nurse visits.
- Embraces and supports new initiatives, whether clinical or operational.

**Requirements**

- Competitive salary ($77,000.00 - $80,600.00)
- Great work/life balance - No nights/weekends
- Outpatient only
- 401k with employer match
- Excellent benefits including medical, dental, vision, and prescription
- Generous PTO including vacation, sick leave, and paid holidays

**Community Overview**

Every day in Oswego, NY is an invitation to the good life. Situated along the sparkling shoreline of Lake Ontario, you can take the day to water ski or sail, paddleboard, kayak, splash in the lake, or just relax and enjoy the natural scenery. Less than 40 miles from Syracuse NY, Oswego offers the benefits of the big city without the hustle and bustle. Enjoy a robust town complete with unique shopping, breweries and distilleries, award-winning restaurants, exciting nightlife, and fine arts.

Valor Healthcare, Inc. Jobs