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Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care. Key Details: This is a hybrid role performing face-to-face assessments. Coverage needed in the Alice, Victoria or Falfurrias area. • Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome, • Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs, • Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services, • Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs, • Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable, • Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, • Reviews referrals information and intake assessments to develop appropriate care plans / service plans, • Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed, • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines, • Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits, • Acts as liaison and member advocate between the member/family, physician, and facilities/agencies, • Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living), • May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required, • Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner, • May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness, • May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice, • May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success, • Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness, • Performs other duties as assigned, • Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience Bachelor's degree in Nursing preferred License/Certification: • RN - Registered Nurse - State Licensure and/or Compact State Licensure required or, • NP - Nurse Practitioner - Current State's Nurse Licensure required, • Resource Utilization Group (RUG) certification must be obtained within 90 days of hire requiredPay Range: $36.21 - $65.09 per hour At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Position: Remote Work At Entry Level Panelist. No Experience Needed. Immediate Start Our company is looking for qualified candidates to take part in paid national and local focus groups, clinical trials, and market research studies. For most of our paid market research tasks, you can choose to participate either remotely or in person. This offers an excellent chance for you to earn additional income while enjoying the convenience of working from home online. Job Requirements: Show up at least 10 mins before the designated discussion start time Contribute to the discussion by completing both written and/or oral instructions Fill out the written survey provided for each panel You may need to test the provided products and/or services and be prepared to discuss them ahead of the meeting date. Qualifications: A smartphone with a working camera or a webcam on a desktop/laptop. High-speed internet connection is necessary. Ability to understand and follow both oral and written instructions No experience required. Immediate Start. Ideal for anyone looking for entry level online jobs. Benefits: Flexibility to take part in discussions in person or remote online Work at home enables you to skip the commute No minimum hours required. You can do this full-time or part-time Receive complimentary samples from our sponsors and partners by offering your honest feedback on their products Opportunity to test and review new products or services before they are released to the public Compensation: * Up to $750/week (varies based on the focus group or research assignment chosen) This position is suitable for those seeking temporary, part-time, or full-time work. The hours are flexible and no prior experience is required. This is an excellent opportunity to supplement your income if you are seeking an entry level, flexible part-time remote work at home job. Apply now and see if you qualify.

Position: Remote Work At Entry Level Panelist. No Experience Needed. Immediate Start Our company is looking for qualified candidates to take part in paid national and local focus groups, clinical trials, and market research studies. For most of our paid market research tasks, you can choose to participate either remotely or in person. This offers an excellent chance for you to earn additional income while enjoying the convenience of working from home online. Job Requirements: Show up at least 10 mins before the designated discussion start time Contribute to the discussion by completing both written and/or oral instructions Fill out the written survey provided for each panel You may need to test the provided products and/or services and be prepared to discuss them ahead of the meeting date. Qualifications: A smartphone with a working camera or a webcam on a desktop/laptop. High-speed internet connection is necessary. Ability to understand and follow both oral and written instructions No experience required. Immediate Start. Ideal for anyone looking for entry level online jobs. Benefits: Flexibility to take part in discussions in person or remote online Work at home enables you to skip the commute No minimum hours required. You can do this full-time or part-time Receive complimentary samples from our sponsors and partners by offering your honest feedback on their products Opportunity to test and review new products or services before they are released to the public Compensation: * Up to $750/week (varies based on the focus group or research assignment chosen) This position is suitable for those seeking temporary, part-time, or full-time work. The hours are flexible and no prior experience is required. This is an excellent opportunity to supplement your income if you are seeking an entry level, flexible part-time remote work at home job. Apply now and see if you qualify.

We're currently expanding our team and looking for motivated, competitive individuals seeking an opportunity to build a high-income career from home. What we offer: 100% remote work Qualified warm leads (no cold outreach) Proven systems, structured training, and ongoing mentorship Exclusive work with labor union members Long-term career growth and leadership opportunities 10-year retirement program and passive monthly income Health insurance reimbursement program Your responsibilities: Meet with clients over Zoom or by phone Present benefit and protection options Help secure families' financial futures Close sales and earn performance-based pay and bonuses We find that coachable individuals with a good attitude perform best in this environment.

We're currently expanding our team and looking for motivated, competitive individuals seeking an opportunity to build a high-income career from home. What we offer: 100% remote work Qualified warm leads (no cold outreach) Proven systems, structured training, and ongoing mentorship Exclusive work with labor union members Long-term career growth and leadership opportunities 10-year retirement program and passive monthly income Health insurance reimbursement program Your responsibilities: Meet with clients over Zoom or by phone Present benefit and protection options Help secure families' financial futures Close sales and earn performance-based pay and bonuses We find that coachable individuals with a good attitude perform best in this environment.

We're currently expanding our team and looking for motivated, competitive individuals seeking an opportunity to build a high-income career from home. What we offer: 100% remote work Qualified warm leads (no cold outreach) Proven systems, structured training, and ongoing mentorship Exclusive work with labor union members Long-term career growth and leadership opportunities 10-year retirement program and passive monthly income Health insurance reimbursement program Your responsibilities: Meet with clients over Zoom or by phone Present benefit and protection options Help secure families' financial futures Close sales and earn performance-based pay and bonuses We find that coachable individuals with a good attitude perform best in this environment.

We're currently expanding our team and looking for motivated, competitive individuals seeking an opportunity to build a high-income career from home. What we offer: 100% remote work Qualified warm leads (no cold outreach) Proven systems, structured training, and ongoing mentorship Exclusive work with labor union members Long-term career growth and leadership opportunities 10-year retirement program and passive monthly income Health insurance reimbursement program Your responsibilities: Meet with clients over Zoom or by phone Present benefit and protection options Help secure families' financial futures Close sales and earn performance-based pay and bonuses We find that coachable individuals with a good attitude perform best in this environment.

Job Description:\n\n \n Engineer Positions Available:\n Chief Engineer (CHE) \n Minimum endorsement as a national chief engineer (limited) of motor-propelled vessels of less than 1600 gross registered tons (GRT) upon near coastal without a horsepower limitation \n Pay Rates:\n 12-hour day: $365.65 \n 24-hour day: $731.30\n Chief Engineer (DDA)\n Minimum endorsement as a national designated duty engineer of motor propelled vessels of less than 500 gross registered tons (GRT) upon near coastal without a horsepower limitation \n Pay Rates:\n 12-hour day: $324.25\n 24-hour day: $648.90\n Assistant Engineer (DDL) / Engineer Trainee\n Minimum endorsement as a national assistant engineer 6000 HP or national designated duty engineer of motor propelled vessels of less than 4000 HP pf less 500 gross registered tons (GRT) or a third assistant engineer of motor propelled vessels \n Pay Rates:\n 12-hour day: $293.55\n 24-hour day: $587.10\n Relief Engineers \n Pay Rates\n 12-hour day: $242.05-301.28\n 24-hour day: $484.10-602.56\n Schedule:\n Seven days on the vessel and seven days off the vessel\n \n JOB SUMMARY\n The engineer is directly responsible to the master for the proper operation and maintenance of all mechanical equipment on the vessel. The chief engineer is directly responsible to the master for the proper operation and maintenance of all mechanical equipment on the vessel. The primary responsibility of the chief engineer is to safely operate and efficiently maintain vessel machinery. \n \n PHYSICAL DEMANDS\n \n An engineer must be capable of reading well enough to comprehend the various manufacturers’ instruction manuals that describe preventative and corrective maintenance procedures for the equipment aboard the vessel. An Engineer must also be capable of reading and understanding written directives that may affect their job or emergency assignment\n An Engineer must possess enough physical dexterity to manipulate small items in restricted spaces or large objects when using mechanical lifting devices\n An engineer’s hearing must be adequate to ensure safety while working in a machinery space with a high level of background noise and to detect changes in the operating sounds of machinery. An Engineer must be capable of communicating with the master or other personnel via portable or fixed VHF-FM radio, as well as by intercom systems or voice communication\n Engineers are frequently required to move equipment that is heavy or awkward. It will frequently be necessary to move equipment that is heavy, large, and awkward from one level to another. Mechanical lifting devices are provided and must be used as necessary; assistance must be obtained from other members of the crew when appropriate\n Engineers must ascend and descend stairs and ladders, sometimes while transporting tools or objects. They must use portable ladders or stools to allow them to work on systems that are in the overhead section of machinery spaces\n Repairs may require that engineers reach into small, poorly accessible areas of machinery; work on equipment that has pressurized or hot components; secure or segregate systems to provide an adequate safety margin; troubleshoot equipment that is difficult to reach; work in areas that have high noise levels; work below decks in an area that may experience periods of darkness in unusual situations, and work in confined and restricted spaces\n The Engineer must be capable of performing assigned emergency duties without undue danger to oneself or the vessel\n The Engineer must have color vision that allows him/her to safely work on electrical systems that have color-coded wires; distinguish between warning, alarm, and normal operating lights; discern system components that are identifiable by color code; and observe basic safety precautions that may be related to color identification\n \n DUTIES\n \n All gear is to be stowed securely in its proper location when not in use\n All main engine cylinder blow-down valves shall be kept in good working order so that all cylinders can be blown down prior to each start of the main engines\n Become familiar with and adhere to company policies and procedures\n Become proficient in and assist in line-handling operations\n Daily vessels Engine Logs, Fuel and/or DEF receipts, and fuel or lube requisitions need to be emailed daily to engine.logs@gandhtowing.com as soon as possible after midnight. The engineer on the watch will note all tests in the engineer’s diary. The engineer’s diary shall be maintained per the standard established guidelines\n During the monthly fire drill, all emergency equipment will be inspected and or tested, and all deficiencies and the completion of these inspections and or any abnormal conditions found will be logged in the engineer’s diary, along with the corrective action. On vessel crew change days, this inspection will be coordinated with the master per TSMS Section 3.11, 33 C.F.R 164.80 tests and inspections\n For vessels not implemented in MobileOps: The engine department maintenance checklist must be completed by the chief engineer and be submitted to the engineering department no later than the 20th of the month. The checklist is to be completed quarterly and is due in the months of March, June, September, and December \n If the machinery alarm system is inoperable, the engineer will take hourly readings of all systems and record them in the engine log\n If the vessel is operating seaward of the jetties, the above section also applies. This includes transits to Freeport, Corpus Christi, and LNG offshore transits \n If the vessel is underway for a full 24-hour period, multiple sheets will have to be completed with temperature, pressure, rack or fuel position (this pertains to mechanical and electronic engines), exhaust temperature (if equipped), and RPM readings for the main engines and generator engines recorded hourly\n In the event the engineer on watch feels the vessel touch bottom or strike an object, the facts and circumstances surrounding this occurrence will be entered in the engineer’s diary, and the OICNW will be promptly notified\n Main engines shall be blown down prior to each start of the main engines\n Make every effort to ensure that the total hour figure is correct, as routine maintenance plans are based on this figure\n On vessels equipped with emergency bilge suctions, the valves are to be operated weekly, the valve stem oiled, and the packing checked. The access floor plate is to be painted in a contrasting color or labeled. \n On vessels not equipped with an air box drain piping system for the main and or auxiliary engines, the drains are to be kept clear with buckets in place; do not allow drainage to run into the bilge\n Oversee the transfer of necessary fluids, including, but not limited to, fuel, lube oil, DEF, hydraulic oil, ballast water, and potable water\n Perform routine and emergency repairs to the vessel’s main and auxiliary systems\n Perform scheduled maintenance plans\n Safely and efficiently operate the vessel's machinery\n shall be corrected. If monitored by a remote alarm panel, the engineer on watch may monitor the alarms from a location within hearing distance of the panel. If the remote alarm panel is in any way inoperative, the engineer on the watch is to be in an appropriate working area within sight or sound of the engine room at all times when the vessel is underway in the harbor\n Should it become necessary for the vessel to be towed by another vessel, the engineer on the watch is to contact the engineering department for instructions\n The chief engineer is accountable for all engine room tools and equipment. \n The chief engineer is required to comply with this Towing Safety Management System (TSMS) and with all applicable regulations\n The chief engineer is responsible for adhering to the provisions of the certificate of inspection (COI), if applicable. \n The chief engineer is responsible for conducting all oil and fuel transfers per TSMS Section 5.1 Oil Transfer Procedures for that particular vessel. \n The chief engineer is responsible for ensuring all firefighting equipment is in good working condition and shall continually maintain the fire pump and ensure it is always ready for immediate use\n The chief engineer is responsible for maintaining all equipment and, if necessary, for repairing any machinery and equipment on board the vessel, within their capacity. If additional assistance is required, the engineer will notify the company watchstander per TSMS section 4.5 maintenance and repair reporting\n The chief engineer is responsible for maintaining engine room cleanliness by practicing good housekeeping. This includes keeping the engine room neat, clean, and free from slipping or tripping hazards, including keeping decks free from oil and fuel\n The chief engineer is responsible for reporting unsafe conditions to the master and for taking early and positive action to prevent accidents\n The chief engineer is responsible for stopping work whenever they feel that the evolution is dangerous and that hazards can be mitigated cannot be mitigated, then they are responsible for implementing stop-work responsibility as outlined in TSMS Section 6.8 Stop Work Responsibility (SWR)\n The chief engineer is responsible for the safety of the crew and for preventing environmental pollution incidents by maintaining and safely operating all vessel machinery\n The chief engineer may be called out on the deck by the officer in charge of the navigation watch (OICNW), to assist as directed when necessary for the safety of operations or to meet other requirements of the TSMS. \n The chief engineer may be required to stand a lookout in addition to the OICNW, per 46 C.F.R. 140.630. \n The chief engineer must routinely order machinery parts and engine room supplies from the engineering department. Orders for emergency or time-critical items shall be made following the procedures outlined in TSMS Section 4.6 Identification of stores and Supplies. \n The engine department daily report must be filled out fully and accurately, including at least one full set of temperature, pressure, rack, or fuel position (this pertains to mechanical and electronic engines), exhaust temperature (if equipped), and RPM readings for main engines and generator engines in a 24-hour period during which the vessel is operating in harbor service. Accurate report documentation taken by the engineer on watch provides information that is very important to the operation of the vessel and the engineering department’s preventive maintenance program\n The engineer must check the supply pressure of any fixed fire-extinguishing systems if equipped\n The engineer must complete and forward to the engineering department at the office work orders for all work that is beyond the capability of the engine room personnel; the engineer must keep the master informed of any repairs that may hinder the safe operation of the vessel\n The engineer must complete the engine department's daily report each day. Page one of the daily report contains fuel and lube data, along with machinery hours and filter information. The fuel and lube used should be the exact amount, to ensure records are as accurate as possible. All tanks have a calibration chart, and this can be used to keep up with your fuel burn. If any filter or oil changes are performed, the date should be changed to reflect the date the activity was performed. Pages two through four of the report contain temperature and pressure reading information collected on the given day\n The engineer must make daily inspections of the steering gear and clutch controls, logging statistics, at the beginning of each watch\n The engineer on duty must complete the engine department’s daily report and ensure that the report is maintained accurately and completely. (Note: This report is electronic unless the electronic version is deemed inaccessible due to special circumstances.) The following standards for maintaining the report must be followed: \n \n \n \n The engine department's daily report must be kept daily, and entries shall be made as soon as possible\n If a manual report is prepared, due to special circumstances that may render the electronic log inaccessible, then the entries shall be written accurately and legibly in blue or black ink \n No erasures shall be made to the manual report\n Any incorrect data or statements must be corrected by drawing a single line through the entry and initialing it\n \n \n \n The engineer on watch shall ensure that the OICNW is made aware of all known aspects of the condition of the vessel and shall be notified immediately of any unsafe condition. \n The engineer on the watch will ensure that their department wears proper shoes and clothing, per this TSMS, and will always require the use of proper safety equipment\n The lockout / tag-out procedures per TSMS Appendix A Section A.15 Electrical / Lockout / tag-out procedure must be adhered to when conducting inspections, bypassing safety guards, or servicing systems\n When filling fuel oil day tanks or adding lube oil to the main engine or sump tank, the engineer is not to perform any other duties until either the fuel pump is stopped or the lube valves are closed\n \n REQUIRED LICENSURE & CERTIFICATIONS \n \n A U.S. Coast Guard Merchant Mariner Credential (MMC) endorsed as a National Assistant Engineer Limited 6000 HP or greater, or a National Designated Duty Engineer Any HP 500 GRT or greater\n A valid medical certificate.\n A Transportation Worker Identification Card\n Minimum endorsement as a National Chief Engineer (Limited) of Motor Propelled Vessels of less than 1600 Gross Register Tons (GRT) upon Near Coastal without a horsepower limitation\n \n \n This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. Management reserves the right to modify, assign, or remove duties as business needs dictate.\n \n The Company is an Equal Opportunity Employer and is committed to main

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This job description is intended to describe the general nature and level of work being performed. Take on the hard questions in the domain that require patient-level reconstruction, an identified mechanism in the data, and an owned action, such as an unexplained metric shift or a client asking why