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Job DescriptionPediatric NeurologistPermanent/full time Poughkeepsie and Fishkill, NY We have an excellent, full time opportunity available for a BC/BE Pediatric Neurologist to join our teams in Poughkeepsie and Fishkill, NY. The focus is on providing the highest level of quality patient care and the staff is very friendly and team oriented. A great mentoring environment is provided and there is plenty of room for professional growth and advancement. This employer is committed to ensuring their providers a great work/life balance. The system wide team is currently comprised of 11 board certified neurologists and over 50 pediatricians and is fully supported by advanced practice providers and nurses. THE DETAILS • Largest independent multi-specialty group in New York State with over 600 providers, • Physician owned, physician managed, physician-centric and physician focused, • 16-18 patients per day, • General pediatric neurology- ADHD, autism, seizure management a large part of the practice, • Interest in developmental pediatrics a plus, • Call will be 1:3, • Shared weekend coverage, • Coverage for 2 hospitals, • Strong pediatric sub-specialty support, • Excellent compensation and comprehensive benefits package, • Shared EMS with all colleagues for coordinated patient care, • Prompt lab and radiology support, • Shared equipment and access to high end surgical platforms, • Prompt patient referrals to other sub-specialists in the medical group, • Walk-in Urgent Care Centers for emergency visits and referrals, • Tuition reimbursement, • Strong support in malpractice; technology, including a shared EMR; billing; administration; human resources; allowing more time for patient care, • Physician lecture series across all specialties for “in-house” CME, • Provide more value to the community through reinvestment in the group, • Affiliations with prestigious organizations including: Massachusetts General Hospital, Mount Sinai Medical Center and Memorial Sloan Kettering Cancer Center Benefits include: • Health/Dental/Vision Insurance, • Life & AD&D Insurance, • Disability Insurance, • Flexible Spending Accounts, • 401K, • Medical Professional Liability Insurance, • Umbrella Coverage, • Paid time off, • Tuition Reimbursement QUALIFICATIONS • All Physicians must be Board Certified/Board Eligible, • Unrestricted NYS MD or DO license (or eligible) is required, • All candidates must be US Citizens or Green Card holders

Job Description Urologist Permanent/full time Poughkeepsie / Fishkill, NY We have an excellent, full time opportunity available for a BC/BE Urologist to join our teams in Poughkeepsie and Fishkill, NY. The focus is on providing the highest level of quality patient care and the staff is very friendly and team oriented. A great mentoring environment is provided and there is plenty of room for professional growth and advancement. This employer is committed to ensuring their providers a great work/life balance. There is ample opportunity for the qualified candidate to quickly establish a busy practice. The system wide team is currently comprised of 7 fellowship-trained urologists and fully supported with urology focused nurses and advanced practitioners. This team of board-certified physicians is among the most experienced in the Hudson Valley Region. They were among the first to utilize the da Vinci™ Robotics Surgery System and have trained many other physicians in the region. Through the use of this state-of-the-art -technology, the practice offers patients a faster recovery, less scaring, less pain and rapid return to normal activities. THE DETAILS – Largest independent multi-specialty group in New York State with over 600 providers – Physician owned, physician managed, physician-centric and physician focused -High volume practice -Will consider experienced and fellowship trained candidates -Call is 1:2 -Large staff to cover hospital call – Excellent compensation and comprehensive benefits package – Shared EMS with all colleagues for coordinated patient care – Prompt lab and radiology support – Shared equipment and access to high end surgical platforms – Prompt patient referrals to other sub-specialists in the medical group – Walk-in Urgent Care Centers for emergency visits and referrals – Tuition reimbursement – Strong support in malpractice; technology, including a shared EMR; billing; administration; human resources; allowing more time for patient care – Physician lecture series across all specialties for “in-house” CME – Provide more value to the community through reinvestment in the group – Affiliations with prestigious organizations including: Massachusetts General Hospital, Mount Sinai Medical Center and Memorial Sloan Kettering Cancer Center Benefits include: • Health/Dental/Vision Insurance, • Life & AD&D Insurance, • Disability Insurance, • Flexible Spending Accounts, • 401K, • Medical Professional Liability Insurance, • Umbrella Coverage, • Paid time off, • Tuition Reimbursement QUALIFICATIONS – All Physicians must be Board Certified/Board Eligible – Unrestricted NYS MD or DO license (or eligible) is required – All candidates must be US Citizens or Green Card holders

Job DescriptionBenefits: • 401(k), • Dental insurance, • Flexible schedule, • Health insurance, • Paid time off Essential Duties and Responsibilities • Providing general primary care services to patients., • Diagnosing, treating and managing both acute and chronic conditions., • Prescribing and refilling medications as appropriate., • Actively communicating with patients, families, other specialists and facility personnel (specialists, social workers, etc)., • Ordering and interpreting diagnostic tests such as imaging and lab work., • Documenting patients histories and treatments in EMR.Minimum Education:, • Degree of M.D. or D.O. - Family medicine or internal medicine, • Board Certified or Board Eligible, • Current/active New York State Medical Practitioner LicenseMinimum Experience:, • Professional clinical experience in primary care practice in either family medicine or internal medicine required.Required Certification/Registration:, • Valid NYS Medical License, • Board Certification in Internal Medicine or Family Practice, • Current and ongoing BLS certification required and ACLS preferred, • NY State DEA Certification, valid and unrestricted required., • Current NY State Opioid Prescriber Certificate required., • Current Infectious disease certificate required.Qualifications, • Experience in patient care within a medical office setting is preferred., • Strong communication skills with the ability to explain complex medical information clearly to patients., • Ability to work collaboratively within a multidisciplinary team environment., • Commitment to providing high-quality patient care with empathy and professionalism.As a trusted healthcare provider, Avalon Medical Center proudly meets the diverse needs of our community, striving to be their top choice for medical care. Joining Avalon Medical Center means becoming part of an organization that firmly believes exceptional patient experiences are achieved through compassion, expertise, and a shared commitment to excellence. Job Types: Full-time, Part-time, Contract Schedule: • 8-hour shiftWork Location: In person

Job DescriptionBenefits: • Professional development assistance, • 401(k), • Dental insurance, • Flexible schedule, • Health insurance, • Paid time off Avalon Medical Center is hiring a Licensed Clinical Social Worker (LCSW). Avalon Medical Center is a busy outpatient clinic which caters to all populations dealing with cognitive disorders and mental health related disorders. We offer Neuropsychological evaluations, psychotherapy and cognitive rehabilitation treatments. LCSW responsibilities will include: • Evaluating clients to determine their needs and the support options that can help them, • Creating individualized care plans for each client, • Referring clients to community resources to help their specific situations, • Collaborating with other care providers to coordinate services, • Monitoring clients, • Maintaining records of treatments and services, • Providing talk therapy, • Responding to crisis situationsQualifications:, • Empathy and emotional intelligence, • Strong communication skills, • Knowledge of various therapy options and treatments, • Familiarity with local resources that could help individuals and families, • Problem-solving and critical-thinking skills, • Organizational and case management skills, • Familiarity with electronic medical records Medical Specialty: • Primary Care, • PsychiatrySchedule: 8-hour shift Work Location: In person

Job Description Land Management Intern Sharpe Reservation and Hudson Highlands Land Trust Preserves Since its founding in 1877, The Fresh Air Fund, a not-for-profit youth development organization, has provided free life-changing summer experiences outdoors to more than 1.8 million children from New York City’s underserved communities. Young people also participate in year-round leadership, career exploration and educational programs. For more information, visit . The Hudson Highlands Land Trust is a community-based, nonprofit land conservation organization that protects and preserves the natural resources and scenic beauty of the Hudson Highlands region. For more information, visit . Since 2019 The Fresh Air Fund (FAF) and Hudson Highlands Land Trust (HHLT) have collaborated on this jointly held internship program. Position Summary Land Management Interns focus on invasive species management and habitat restoration working at both Sharpe Reservation and Granite Mountain. Interns will perform invasive species inventories, assessment, monitoring, and control at The Sharpe Reservation and HHLT’s properties. Under the supervision of both the HHLT, Preserve Manager and Ecological Restoration Specialist and The Sharpe Reservation Program Coordinator, intern(s) will assist in managing the diverse natural systems on the properties, including: controlling and removing invasive plant species in target areas; monitoring wildlife populations of invasive pests of hemlocks and ash trees; completing assessments of specified areas; assistance in the creation of an Invasive Species Management Plan at The Sharpe Reservation; creation of educational outreach videos and materials. Interns will also help lead educational hikes and volunteer days, while also working remotely with a team of interns at the Vassar Ecological Preserve and the Louis Calder Center. Interns will receive hands-on experience in natural areas management to further the development of the intern(s) toward their professional trajectory. This position is designed to ground the individual with professional skill sets related to ecological land management while improving ecosystem health in the Hudson Valley. This is an in-person residential position based at The Sharpe Reservation in Fishkill, NY. This role reports to the HHLT, Preserve Manager and Ecological Restoration Specialist and The Sharpe Reservation Program Coordinator. Responsibilities • Implement the Invasive Species management plan for The Sharpe Reservation., • Survey, monitor, and manage invasive species, both terrestrial and aquatic., • Utilize GIS to map the current range and distribution of invasive species throughout Sharpe Reservation, as well as detect possible pathways of invasion., • Identify and remove invasive species (based on target species or geographies) at Sharpe Reservation and HHLT’s Preserves., • Monitor plots throughout the properties, such as ash plots, hemlock woody adelgid plots, spotted lantern fly plots, and beech leaf disease plots., • Lead volunteer groups on invasive species removal projects., • Lead public hikes focused on invasive species and the natural world., • Participate in trail work and the monitoring/management of invasive species along respective trails., • Create an interpretive brochure, signage, videos, and social media related to invasive species – their impact on habitat, management, and the like., • Update iMapInvasives entries for HHLT’s Preserves., • Other responsibilities and duties as assigned. Desired Skills and Experience At the Fresh Air Fund and Hudson Highland Land trust, our priority is finding the best candidate for the job. We encourage you to apply even if you don’t meet all the qualifications or have a less traditional background. • Earning or recently completed a degree in Natural Sciences, Biology, Botany, Environmental Studies, Sustainability, a related field, or similar work experience., • Basic knowledge of ecology., • Good communication and interpersonal skills., • Desire to learn., • Ability to use technology (PCs and iPad) and MS Office suite (Word, Excel and PowerPoint)., • Working knowledge of ArcGIS is desirable but not required., • Ability to follow protocols, collect accurate data, and maintain data in an organized fashion., • Valid Driver’s License and personal transportation preferred for residential participants, commuting participants need reliable transportation to and from work., • Previous experience with invasive species management is desirable but not required., • Ability to use hand tools., • Ability to perform tasks requiring physical exertion, outdoors, in all weather conditions, and on difficult terrain., • Ability to stand, stoop, bend and carry heavy loads. Employment period: Begin June 2nd, 2025 and ends June 28th, 2025 Compensation: $16.00-$17.00 per hour based on experience. Onsite Housing as well as limited meals provided. Gas mileage reimbursement provided at the end of the employment period. Application Instructions To apply, please fill out a Land Management Intern application. We are hiring on a rolling basis and encourage interested applicants to apply as early as possible. No calls or recruiters, please. The Fresh Air Fund is proud to be an equal opportunity employer, committed to inclusive hiring, and dedicated to diversity in its work and on its staff. We strongly encourage candidates of all identities, experiences, orientations, and communities to apply.

Job Description Call Center Representative Fishkill, NY $20–$22/hour, based on experience Full-Time | Monday–Saturday (flexible schedule required) At TEG Federal Credit Union, we’re more than just a financial institution — we’re a team that cares for each other, our members, and our community. We’re looking for a Call Center Representative to join our Solutions Center team in Fishkill, NY. This role is all about helping members over the phone: answering questions, resolving issues, and guiding them to products and services that support their financial well-being. If you enjoy problem-solving, building relationships, and delivering exceptional customer service, this is the opportunity for you. What you’ll do as a Call Center Representative (Responsibilities): • Handle member service requests such as address changes, check orders, stop payments, lien releases, and card replacements., • Assist members with mobile and online banking questions., • Research and resolve member issues, following up by phone, email, or mail as needed., • Identify opportunities to support members’ financial fitness by recommending appropriate credit union products and services., • Accurately verify member identity and maintain confidentiality at all times., • 1–3 years of customer service or banking experience (call center experience preferred)., • High school diploma or GED required., • Strong communication, listening, and problem-solving skills., • Comfortable using Microsoft Word and Windows-based programs; accurate typing and computer skills., • Ability to handle confidential member information with discretion., • Competitive hourly pay: $20–$22/hour, based on experience, • Comprehensive health, dental, and vision insurance, • 401(k) with company match + defined benefit pension plan, • Paid time off and holidays, • Training and career growth opportunities Apply now for immediate consideration! About TEG Federal Credit Union: With over $400 Million in assets located in beautiful Hudson Valley, NY, TEG Federal Credit Union has over 37,000 members, 9 branches, an amazing employee culture, strong history of member service excellence and is one of the most respected financially sound organizations in the area. Our vision at TEG is to empower our members to embrace their financial wellbeing each and every day. TEG’s mission is to enrich the lives of our members by providing quality financial services within the credit union philosophy of ‘people helping people,’ while maintaining a strong financial foundation. TEG Federal Credit Union is an Equal Opportunity Employer. Applications are considered on the basis of skills, experience and qualifications without regard to race, age, creed, color, nationality, gender, sexual orientation, gender identity, marital status, military background, disability or any other legally protected status. All employment related decisions are made in accord with this policy. TEG Federal Credit Union participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information on E-Verify, please visit .

Job Description Overview Ansible Government Solutions, LLC (Ansible) is currently seeking Licensed Practical Nurses (LPNs) to support the Community Living Center at the Castle Point VA Medical Center located at 41 Castle Point Rd, Wappingers Fall, NY 12590. Multiple shift schedules are available. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers. Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own. Responsibilities • Obtains patient history and patient family history, • Performs quality control checks and operator maintenance for a variety of patient care equipment, • Assists in identifying patient needs and implementing the plan of care, • Documents care given and patient response in the medical record, • Prepares patient for physical examination, • Carries out prescribed nurse initiated, nurse practitioner, and physician orders and documents in patient medical record, • Communicates pertinent patient data to the appropriate provider, • Possesses knowledge of actions and usual dosages of most commonly used emergency drugs and their location, • Recognizes emergency situations and initiates appropriate resuscitative measures, • Assists in patient/family education regarding prescribed medications/therapies/diagnostic procedures, • Assesses patient/family knowledge level, implements plan of instructions, and records patient/family demonstrated level of understanding, • Ensures content and correctness of a prepared reports and signs documents to validate content, • Participates in monitoring quality of care according to professional standards and established procedures, • Responds to telephone inquiries regarding ward services and/or follow-up ancillary reports, • Assists with ward related administrative tasks, • Administers oxygen, intravenous fluids, and prescribed medications in accordance with VA policy, • Demonstrates sensitivity to cultural diversity, race, gender, and other individual differences in the workforce, in the Veteran population, and in the community, • Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant., • Has been actively practicing as an LPN for at least one year within the past three years, • Is capable of providing nursing care for adult medical and surgical patients, • Has and maintains current AHA BLS certification, • Has no health or physical disability restrictions that interfere with the performance of assigned duties, • Has documented training and skills verification, • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift, • Lift up to 50 lbs from floor to waist, • Lift up to 20 lbs, • Carry up to 40 lbs a reasonable distance Powered by JazzHR 7BaqGZE3uj

Job Description Overview Ansible Government Solutions, LLC (Ansible) is currently seeking Nursing Assistants (NA) to support the Community Living Center at the Castle Point VA Medical Center located at 41 Castle Point Rd, Wappingers Fall, NY 12590. Nurses may also be asked to provide services at Community Based Outpatient Centers (CBOC). Multiple shift schedules are available. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers. Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own. Responsibilities • Assists physicians and nurses in the performance of diagnostic examinations by performing duties such as monitoring vital signs, preparing and positioning the patient, or by performing a variety of routine diagnostic tests such as glucometer test for blood glucose level, collection of urine sample, etc., • Assists physicians and nurses in the care and treatment of veteran patients receiving medical, surgical or skilled long term treatment, • Provides a full range of patient care to complex patients with a variety of physical and/or behavioral problems including personal nursing care, support duties, and treatments, • Uses good communication skills in dealing with patients, some of whom are unusually difficult to care for or communicate with, • Complies with universal precaution and with all infection control policies and procedures, • Makes rounds to ensure visual contact, safety, and comfort of each patient, • Maintains a safe/clean work environment and completes assigned environmental duties, • Enters specific information onto the patients' records using the Computerized Patient Record System (CPRS), • Performs direct patient support work including personal patient care and/or basic patient education, • Licensed as a CNA, • Be trained and experienced in either a long-term care, community living center, or hospital setting, • Has and maintains current AHA Basic Life Support (BLS), • Has no health or physical disability restrictions that interfere with performance of assigned duties, • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift, • Lift up to 50 lbs from floor to waist, • Lift up to 20 lbs, • Carry up to 40 lbs a reasonable distance Powered by JazzHR jJZa0tP191

Job Description Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting multiple Long-Term Care Registered Nurses to support the Community Living Center at the Castle Point VA Medical Center located at 41 Castle Point Rd, Wappingers Fall, NY 12590. Multiple shift schedules are available. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers. Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own. Responsibilities • Delivers safe care to assigned patients, while developing technical competencies, • Recognizes overt abnormal signs and symptoms and/or changes in patients' condition and responds appropriately, • Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed, • Includes the patient and family/significant other in developing the initial plan of care and establishing goals, • Revises plan of care according to evaluations of patient's responses and outcomes, • Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy, • Ensures that all JHACO standards for professional nursing care are met during performance of care, • Completes appropriate medical record forms in compliance with VA guidelines and policies on each patient, • Verifies the content and correctness of all recorded entries in patient record; all documentation/records/reports must meet or exceed established VA standards to include, but not limited to: timeliness, legibility, accuracy, content, and signature; outpatient records shall be completed the same day the patient is seen, • Demonstrates sensitivity to cultural diversity, race, gender, and other individual differences in the workforce, in the Veteran population, and in the community, • Holds a diploma, Associate Degree or Bachelor of Science in Nursing from an accredited program, college, or university and hold a current license to practice as a Registered Nurse in any State; a Bachelor’s degree is preferred, • Has been practicing actively as an RN in an acute or long-term setting for at least the last two years, • Is capable of providing complex and comprehensive nursing care for adult medical and surgical patients, • Has and maintains current Basic Life Support (BLS) certification, • Has no health or physical disability restrictions that interfere with performance of assigned duties, • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift, • Lift up to 50 lbs from floor to waist, • Lift up to 20 lbs, • Carry up to 40 lbs a reasonable distance Powered by JazzHR u3AjfrtSv1

Job DescriptionGeneral Surgeon Permanent/full time Poughkeepsie and Fishkill, New York We have an excellent, full time opportunity available for a BC/BE general surgeon to join our teams in Poughkeepsie and Fishkill, New York. You’ll be joining one other general surgeon and the practice has a large internal referral base. You will have the ability to sub-specialize, but this is a general surgery position. The focus is on providing the highest level of quality patient care and the staff is very friendly and team oriented. A great mentoring environment is provided and there is plenty of room for professional growth and advancement. This employer is committed to ensuring their providers a great work/life balance. THE DETAILS – Competitive base salary and excellent benefits – Largest independent multi-specialty group in New York State with over 600 providers – Physician owned, physician managed, physician-centric and physician focused – Excellent compensation and comprehensive benefits package – Shared EMS with all colleagues for coordinated patient care – Prompt lab and radiology support – Shared equipment and access to high end surgical platforms – Prompt patient referrals to other sub-specialists in the medical group – Tuition reimbursement – Strong support in malpractice; technology, including a shared EMR; billing; administration; human resources; allowing more time for patient care – Physician lecture series across all specialties for “in-house” CME – Provide more value to the community through reinvestment in the group – Affiliations with prestigious organizations including: Massachusetts General Hospital, Mount Sinai Medical Center and Memorial Sloan Kettering Cancer Center Benefits include: • Health/Dental/Vision Insurance, • Life & AD&D Insurance, • Disability Insurance, • Flexible Spending Accounts, • 401K, • Medical Professional Liability Insurance, • Umbrella Coverage, • Paid time off, • 401(k), • Dental insurance, • Health insurance, • Paid time off

CRNA - Certified Registered Nurse Anesthetist Endless Opportunities to Experience The Community - Orange County New York - The beautiful Hudson Valley Some of New York State's biggest attractions are right here in Orange County, including West Point, Storm King Art Center, and Woodbury Common Premium Outlets. Orange County is just 50 miles from New York City, a place to dine on the Hudson River, visit wineries, raft the Delaware River, hike the Appalachian Trail, and spend the night with a view of our beautiful mountains. There are endless opportunities to experience all that Orange County has to offer. Most of all, it's a place to have fun! West Point - The United States Military Academy The United States Military Academy's mission is to educate, train and inspire the Corps of Cadets so that each graduate is a commissioned leader of character committed to the values of Duty, Honor, Country and prepared for a career of professional excellence and service to the nation as an officer in the United States Army. The Academy provides a superb four-year education, which focuses on the leader development of cadets in the academic, military, and physical domains, all underwritten by adherence to a code of honor. REQUIREMENTS (duties include but are not limited to) CRNA includes administration of anesthesia by inhalation, endotracheal intubation, regional (including ultrasound guided), intravenous, topical and administration of all levels of sedation for pediatric and adult patients; this includes pre-, intra, and postoperative evaluation, treatment and the support of life functions and vital organs under stress of anesthetic, surgical and other procedures. CRNAs provide pain management and consultation. The CRNA may provide consultation, collaborative management or referral to other health care providers as indicated by the health status of the patient. Diagnosis and Management • Prescribes medication in accordance with Military Treatment Facility pharmacy and therapeutics, • Mechanical ventilator management (invasive and noninvasive), • Central Venous pressure monitoring, • Initiation and management of patient controlled analgesia intrathecal and epidural Procedures, • Arterial catheter placement, • Endotracheal intubation, • Central venous catheter insertions, • Ultrasound guided Nerve blocks for upper and lower extremity surgery and/or pain control, • Epidural/spinal placement for labor or surgical management Anesthesia, • General anesthesia, • Spinal and/or epidural anesthesia, • Topical and local infiltration anesthesia, • Emergency cricothyroidotomy, • Peripheral nerve block anesthesia, • Regional nerve block anesthesia, • Ultrasound guidance for vascular access and regional anesthesia Procedure Advanced privileges, • Advanced nerve block techniques. QUALIFICATIONS, • Must be a Certified Registered Nurse Anesthetist (CRNA) with at least 3 years' experience., • Graduate of a school of professional nursing, approved by a legally designated state accrediting agency and hold current registration as a registered professional nurse., • Be a graduate of an approved program of nurse anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Education Program and Schools or its predecessor., • Must possess current, active, valid, unrestricted license in at least one U.S. State, District of Columbia, Commonwealth, Territory, or jurisdiction.