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We're looking for Operating Room RNs for an immediate travel nurse opening in Spokane Valley, WA. The right RN should have 1-2 years recent acute care experience as a circulating nurse, and/or scrub nurse, and potentially RN first assistant. Read below for more requirements. As an OR Travel Nurse, you will assist physicians and medical staff in caring for surgical patients, as well as providing pre- and post-surgery care and education to the patient. Circulating OR Nurses work within the operating suite but outside of the sterile field; Scrub OR Nurses handle and prepare operating instruments and equipment within the sterile field. Surgery responsibilities may include preparing instruments for specific surgical procedures, monitoring and observing the patient during surgery, and responding to potential complications alongside the physician. As an OR Travel Nurse, you should be prepared to perform the following tasks: • Provide basic bedside care., • Prepare, administer and record prescribed medication, reporting any adverse reactions to treatment., • Serve as the communication liaison between patients' family members and members of the operating team., • Ensure that the correct procedure(s) is being performed on the correct patient., • Initiate patient education plan as prescribed by physician; teach patients and families how to manage medication and home care needs. Additional duties for Circulating OR Nurses may include:, • Responding to comfort and safety needs of patient., • Accurate care and handling of specimens., • Monitoring equipment used during surgery., • Inventory of surgical items pre- and post-procedure. Additional duties for Scrub OR Nurses may include:, • Selection and handling of surgical instruments and supplies during procedures., • Inventory of surgical items pre- and post-procedure. Additional duties for RN First Assistant may include:, • Assist physicians by delivering direct surgical care., • Help control bleeding., • Suture patients following surgery. OR Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. RNs may face hazards from exposure to certain chemicals or infectious diseases in the operating room environment. Requirements*: ACLS, BLS, PALS, 2 Years • Additional certifications may be required before beginning an assignment.

Job Description Summary: Primary responsibilities include unloading, receiving, verifying, routing and storing inventory. Secondary responsibilities as saw operator to setup sawing equipment and prep material. Job Responsibilities: • Unload freight and receive all inbound product from raw material down to small packages including freight, UPS and Fedex deliveries, • As product is received, verify packing slips to purchase orders; verify size and quantity of raw material using tape measures, calipers and micrometers, • Verify contents of quantity and description of components, perform measurements, counts and inspection to ensure accuracy of received product, • Interact with purchasing department when there are discrepancies, missing or incorrect certs or missing paperwork, • Once product is verified, physically route material to proper location for storage or immediate use, • Receive customer supplied materials; interact with responsible personnel, verify job numbers and route to proper location for use, • Setup and operate metal sawing equipment; precision measurement and verification of all material issued to production, • Inventory Management; accurate counts of items received and issuance of parts, kits and materials from inventory, • Enter inventory counts and issued materials into ERP with precision, • Verify specifications for shipment, ensure product is properly packaged for maximum protection during shipment, • Comply with all quality requirements while continually maintaining and improving the effectiveness of MacKay's quality management system, • Implement daily practices of Lean such as 5S, continuous improvement, and contribute to ongoing process efficiency, • Forklift Certification preferred, • Strong attention to detail and ability to multi-task, • One year receiving/inventory experience preferred, preferably in the manufacturing industry, • Knowledge of manufacturing processes is desirable, • Intermediate computer navigation skills, proficient in MS Office: Outlook, Word Language Ability: Ability to read and interpret technical procedures, blue prints, requirements and specifications. Ability to effectively present information and participate in discussions with groups of peers, employees and vendors. Math Ability: Ability to work with basic mathematical concepts such as algebra, units of money and quantities. Ability to apply concepts such as tolerance, fractions, and other measurements. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret a variety of instructions and deal with several concrete variables. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly exposed to work near moving mechanical parts. The employee is regularly exposed to wet, hot, cold or humid conditions while on delivery. The noise level in the work environment is usually moderate. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must constantly lift, push, pull and/or move up to 25 pounds, occasionally lift push, pull and/or move up to 50 pounds, and rarely lift and/or move up to 70 pounds (lifting devices, buddy lifts and carts are available). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. While performing the duties of this Job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to walk. The employee is occasionally required to sit, climb or balance and stoop, kneel or crouch. The employee is occasionally required to drive a vehicle and forklift. Job Posted by ApplicantPro

Job DescriptionDescription: Renewal by Andersen is the largest national start-to-finish window replacement company. We are looking to add a customer experience specialist to our dynamic and growing operations team! The Customer Experience Specialist’s primary responsibility is to welcome & update customers on next steps of the project. Complete all back-office steps to move the project through to install scheduled. Collaborate with homeowners to ensure a smooth and efficient window and door completion project while delivering world-class customer experience. You will communicate with our internal TEAM (Together Everyone Achieves More) prior to the installation scheduled. Ensure all open/pending obligations have been met. Maintain accurate information within our internal database. What You’ll Be Doing: • Provide signature service by being the first point of accountability for customer fulfillment., • Get assigned projects completed through install scheduled., • Monitor back orders and notify order owner when applicable., • Troubleshoot and resolve issues to avoid escalation., • Coordinate with other departments to solve problems., • Maintain detailed notes on customers to remain updated on past and current situations., • Provide exceptional customer service and multi-tasking skills that thrive in a fast-paced environment., • Manage and maintain internal communication on rForce and Status Buckets., • Perform any other related, unrelated, unassigned, unspecified, out of the ordinary or special duties that may be assigned., • You have 2+ years of experience as a project coordinator in a fast-paced, high-volume environment, preferably in the construction industry., • You have a strong knowledge of project management best practices, methodologies and tools., • You are a strategic thinker who identifies opportunities to expand project scope., • Excellent communication skills (written and verbal)., • You have the ability to clearly communicate a project process to internal stakeholders and clients., • You can prioritize and manage multiple projects in a fast-paced, deadline-driven environment., • Understanding of LEAN methodology and implementation is a plus., • Ability to work with customers through escalated situations to find win/win solutions., • Attention to detail., • Excellent customer service skills. #MARKETING

TNAA TotalMed Allied is seeking a travel Occupational Therapist for a travel job in Spokane, Washington. • Specialty: Occupational Therapist, • Discipline: Therapy, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Travel We are looking for an Occupational Therapist (OT) for an immediate travel opening in Spokane, WA. OT should have 1 year of experience; for an exceptional candidate with an appropriate background, 6 months of experience may be accepted. Read below for additional requirements. As an OT, you will be responsible for the evaluation and development of a plan of care for a variety of patients needing to improve, regain and develop skills needed for daily life. You will work in disabled, ill or injured patient populations in the acute care setting. Tasks As an OT, you should be prepared to perform the following tasks: • Review patients' medical history, ask the patients questions, and observe them doing tasks., • Evaluate a patient's condition and needs., • Develop a treatment plan for patients, identifying specific goals and the types of activities that will be used to help the patient work toward those goals., • Help people with various disabilities perform different tasks., • Evaluate a patient's home or workplace and, on the basis of the patient's health needs, identify potential improvements., • Educate a patient's family and employer about how to accommodate and care for the patient., • Recommend special equipment and instruct patients on how to use that equipment., • Assess and record patient's activities and progress for patient evaluations, for billing, and for reporting to physicians and other healthcare providers. Occupational Therapists should be able to stand and walk for long periods of time, as well as bend, lean or stoop without difficulty. OTs must have a sound knowledge of anatomy, physiology, pathology and medical terminology. Requirements*: BLS, NBCOT (OTR), 2 Years • Additional certifications may be required before beginning an assignment. TotalMed Allied Job ID #1328945. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Occupational Therapists - OT THER - Travel In the fast-paced, highly competitive industry that is healthcare, you need a partner who works for and with you. At TotalMed, we’re a team who really cares. Our goal is to give gold standard customer care by enhancing the recruiter - traveler partnership with a high level of integrity and fun while supporting the experience you want to have throughout your travel career. Our recruiters can help you evaluate the best healthcare jobs offered nationwide by uncovering your ideal career path and providing as much information as possible to assist in making the best decision for you in a no pressure atmosphere. We care like no other so that you can care like no other. What the TotalMed experience can offer you: • Top paying contracts, • 24x7 concierge one-on-one service to meet your needs, • Long or short term contracts available nationwide, • Top 10 agency per recent traveler surveys • Highway Hypodermics • Travel Nursing Central Come experience the “Care like no other” difference!

Job DescriptionJob description We are a well-established Spokane based company and a worldwide renowned manufacturer of cost-effective premium quality solutions for a wide range of industries. We offer competitive pay and great benefits including Medical, Dental, Life, 401K, and Profit Sharing! We want to talk to you! Spokane Industries is looking for and Industrial Journeyman Millwright in their Maintenance Department. . Join our world class team at our Spokane Valley location and come grow with us! PLEASE READ THIS CAREFULLY BEFORE APPLYING: Primary Accountabilities: • Installs, tests, repairs, inspects, adjusts, and maintains in good working order all machinery and mechanical equipment, hydraulic, pneumatic, gas, and chemical systems throughout the plant., • Performs all duties required of plant mechanic, pipefitter, and welder., • Works from blueprints, diagrams, and charts to install, remove, repair, and maintain plant machinery and equipment., • Inspects and maintains cranes., • Performs work requiring a working knowledge of the welding properties of the various types of metals, welding rods, welding heats, stress relief, allowance for fit-ups and machining and the effect of shrinkage, warpage, and expansion., • Maintains a high standard of housekeeping and observes all safety procedures., • Follows good engineering practices to maintain a high level of quality workmanship., • Recording status of work orders in database., • MUST have Millwright Certification!!!!!, • Excellent written and verbal communication skills, quantitative skills, and working knowledge of Microsoft Office, • Excellent organizational and interpersonal skills, • Foundry or Manufacturing experience a plus, • Lean manufacturing experience Job Type: Full-time Pay: $36.72- $48.00 per hour DOE Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Employee assistance program, • Health insurance, • Life insurance, • Paid time off, • Vision insurance, • Progressive PTO scales Schedule: • 8 hour shift, • Monday to Friday, • Night shift, • Swing Shift 1:30pm-10pm People with a criminal record are encouraged to apply Ability to Commute: • Spokane Valley, WA 99216 (Required) Ability to Relocate: • Spokane Valley, WA 99216: Relocate before starting work (Preferred) Work Location: In person

Job DescriptionSalary: $100,000 - $183,000 Superintendent Healthcare | Bouten Construction Company | Spokane, WA Bouten Construction has been shaping the Inland Northwest for more than 80 years, delivering iconic projects that define our region. Recognized as a Best Places to Work INW in 2023, 2024, and 2025, we take pride not only in the spaces we build, but in the relationships we create along the way. As a Superintendent at Bouten, youll be part of a team where your contributions truly make a difference. Here, youll grow your career while enjoying the benefits of shorter commutes, more time with loved ones, and endless opportunities to explore the beautiful outdoors. Together, lets build a brighter future. TheSuperintendentis a leader between project team members and our clients.Youll be responsible for all field operations, including monitoring all field procedures, safety, work methods, productivity, quality, labor cost projections and trade partner staffing requirements. Safety for all our employees is our number one priority, therefore it is essential for the Superintendent to demonstrate and uphold our Safety Culture. Job Responsibilities To perform this job successfully, an individual must be able to satisfactorily perform each of the essential duties/responsibilities listed below. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties/responsibilities of this job. Safety • Leads the consistent practice of Boutens Safety Culture as part of the daily operating procedures., • Ensures daily inspections, Job Hazard Analysis (JHAs), Pre-Task Planning, Toolbox Talks, Root Cause Analysis (RCAs), etc. are standard operating procedure., • Manage mid to large size field projects and internal teams to ensure that projects are delivered safely, on time, on budget, and with high-quality results., • Ensures project schedules, site logistics and client schedule commitments are met., • Provide constructability reviews and site logistics development., • Recruit, mentor, develop and retain the best Foreman and tradespeople in the industry., • Mentor and develop Foreman and Craft Labor in their career growth., • Champion company initiatives and communications to field teams on a consistent and regular basis., • Manages conflict well, finding the cause of issues and providing prompt solutions., • Addresses performance issues decisively and objectively., • Foster and encourage a diverse and inclusive workplace. Desired Attributes • Excellent follow-up and attention to details., • Sense of urgency on important matters., • Highly organized and detail-oriented., • Ability to work in a fast-paced, deadline-driven environment., • Team-oriented, collaborative, resourceful, and positive attitude., • Excellent interpersonal and creative skills., • Ability to maintain focus on goals, combined with the flexibility to pivot when necessary., • A self-starter, results-oriented individual. Qualifications • High school diploma and completed an apprenticeship or equivalent., • 5 years experience as a commercial general construction superintendent experience required., • 5-10 years' of craft labor journeymen level experience required., • Healthcare, K-12, and higher education experience is preferred as well as alternate delivery (GC/CM, Design-build, etc.)., • Lean construction experience desired., • Project size >$15M - $50M., • Certificates/Licenses valid drivers license., • Demonstrated leadership, communication, teamwork, and problem-solving skills., • Diverse project experience., • Detail-oriented and strong follow-up skills., • Self-motivated and passionate about delivering exceptional client service., • Procore, Microsoft Project, Microsoft Products (Word, Excel, Outlook). Salary Range & Benefits • Salary Range: $100,000 - $183,000., • Annual discretionary bonus based on company and individual performance., • Truck provided., • Relocation assistance available., • Carpenters Union healthcare benefits., • 3 weeks vacation and 12 sick days., • 9 Paid holidays., • Philanthropy & volunteer opportunities., • Service awards & recognition., • Training & continued education support., • On-site gym., • Clothing allowance., • Team Events: Holiday Party, Bouten Annual Golf Tournament, Silverwood Family Day, and Annual Town Hall. Location: Spokane, WA Equal Opportunities All employees and job applicants are guaranteed an equal employment opportunity. Bouten will not discriminate against any individual based on a protected status, including race, color, creed, religion, sex, age, national origin, physical or mental disability, marital or veteran status, or any other protected status under Federal, State, or local laws.

Job Description Summary: MacKay Manufacturing Inc. serves the medical, space, military, aerospace and nuclear industries. Our surgical devices meet the critical standards of the medical instrument industry. MacKay Manufacturing Inc. also specializes in parts and sub-assemblies for many critical-performance products, whether it is a piece for a commercial jetliner, housing for infrared cameras, parts going up into space or a classified sub-assembly for the Department of Defense. Work in our well-designed, extremely clean, 50,000 square-foot, climate-controlled facility. Our facility maintains ISO 9001, ISO 13485 and AS9100 certification and is an excellent environment to work in. MacKay Manufacturing Inc. offers a family friendly culture with a unique benefit and wage package that is truly competitive. Be part of a team that ensures fulfillment of customer needs and precise measurement of parts to spec or blueprint. Our CNC Machinists perform basic to complex setups of new to existing jobs to produce parts to required specifications. Parts manufactured by MacKay Manufacturing are inspected for compliance in every way. Job Responsibilities: • Operate CNC mills, lathes and/or mill turning centers; load and unload raw material and machined parts with a close attention to detail, • A basic to advanced understanding of blueprint diagrams including features and dimensions; precise interpretation of GD&T, • Accurately perform a basic to complex program changes as required and modify tools path in CAM, • Perform complex tool path modifications for 5th axis, turning and mill turning centers as required, • Perform setup of machines for less skilled operators, acting as a mentor and trainer to share your knowledge and answer questions, • Ensure communication flow of pertinent detail on all jobs utilizing any means necessary; verbal, team meeting, taking notes, updating setup sheets and logs, etc., • Perform timely, detailed visual inspection of machined parts utilizing magnification to identify workmanship and cosmetic issues at the beginning of a part run, • Perform inspection and measurement utilizing micrometers, calipers, height gauges, CMM other appropriate inspection methods and tools to ensure machined part dimensions and tolerances requirements are met per print specification, • Perform set up of basic to complex, new or repeat jobs on CNC machines per setup sheets and provided documentation; ask questions when unsure of procedures, • Follow all paperwork and documentation procedures including but not limited to: tie-in log notes, setup sheets, QA sheets and routing cards, • Perform job tear downs; removing tools, updating setup sheets, returning materials to proper location, • Implement daily practices of Lean such as 5S, continuous improvement, and contribute to ongoing process efficiency Job Requirements: • 1 year or more of CNC Operator/Production experience OR 1 or 2 year machining technology certificate/degree required, • Experience with demonstrated ability to set up basic to complex, repeat jobs preferred, • Basic to advanced knowledge of CNC machine capabilities, controls, and material properties, set up techniques, • Experience utilizing precision inspection equipment including but not limited to micrometers, calipers, height gauges, • Basic to advanced understanding of blueprint dimensions and features; basic knowledge of GD&T, • Basic to advanced computer navigation and software skills including Word, Excel, and Visual, • Ability to apply basic to advanced functions in manufacturing & timekeeping software systems, • Strong desire, willingness, and ability to grow yourself and learn from others, while building good relationships with peers Job Posted by ApplicantPro

Job Description NIC Global is a single-source manufacturer providing turn-key mechanical and electromechanical assembly, expert sheet metal fabrication, and global sourcing of metal and plastic components. We provide products to great customers such as Philips, PACCAR (Kenworth & Peterbilt), Schweitzer Engineering Laboratories, Physio Controls, and Leviton to name a few. Our growing company employs over 600 people in Washington, Tennessee, Ohio, and Texas. Come work with us and experience our fun, family like atmosphere that provides a great place to work. Employees are celebrated through quarterly employee appreciation events, holiday parties, cook outs, company gifts, and various other employee events and recognition programs. We feel that great companies value their employees, and those employees are vital to the overall success of the entire organization. In addition to an outstanding company culture, NIC Global offers other great benefits including: Eligible for insurance 1st of the month after 30 days, including: • Choice of two health insurance plans, • Employer paid employee dental Insurance, • Employer paid life insurance, AD&D, and long-term disability plans, • Vision Insurance, • Additional Life Insurance, • Accident insurance, • Critical illness insurance, • 401(k) plan, with employer match JOB TITLE: Production Supervisor-1st shift LOCATION: Washington JOB SUMMARY The supervisor’s job is to ensure Production Leads understand day-to-day expectations and those that have the resources to accomplish those expectations. This is accomplished through resources planning, coaching, training, respect and support of equipment and human resource optimization. Relies on experience and judgment to plan and accomplish business goals. ESSENTIAL FUNCTIONS/DUTIES • Confers with other supervisors to coordinate activities between departments and shifts., • Proactively identifies and escalates equipment and personnel needs., • Reviews, summarizes and reports on production performance daily., • Effectively works towards building a culture of teamwork and commitment to continuous improvement., • Facilitates with the interview and hire process, recommends wage adjustments for reporting personnel, ensures adequate training of employees., • Reinforces performance through communication, documentation and consequences., • Provides performance feedback to Production Leads, including: 5S, efficiency, quality and performance., • Documents performance transgressions and escalates to Management and/or Human Resources regarding compliance, safety and legal matters., • Evaluates human resources, promotes cross-training and nurtures development opportunities for high-potential employees., • Develops, communicates and implements strategies for improving 5S, efficiency, quality, and performance., • Collaborate with engineering and production personnel to identify, prioritize, execute and sustain improvement projects., • Evaluate and determine workload balance to obtain the most efficient optimization of equipment and human resources., • Responsible for meeting production schedules, cost targets and quality standards., • Responsible for quality, inventory, 5S/Workplace organization, employee morale, safety and efficiencies., • Active role in quality assurance through first-part and in-process buy-offs., • Ensures compliance, through awareness presence and training, with State and Federal laws including OSHA/WISHA, anti-discrimination, Wage and Hour Regulations, etc., • Participates and initiates corrective action requests to prevent defects and improve quality performance., • This job description reflects the general nature and level of work being performed by people assigned to this position. Additional duties and responsibilities may be required, based upon business needs, at any time with or without notice. QUALIFICATIONS • Bachelor’s Degree from a four-year college or university or an equivalent combination of formal education, on-the-job training, and/or work experience., • 5+ years in a manufacturing environment and 2-3 in a manufacturing leadership role desired., • Experience in a metal fabrication and assembly environment is desired, not required., • Proven continuous improvement track record, with expertise in Lean, 5S., • Ability to work independently with limited supervision., • Ability to communicate effectively with subordinates, Management, and customers., • Effective problem-solving skills., • Strong leadership skills required., • Thorough understanding of, and experience in, production and manufacturing processes., • This role is primarily engaged in administrative and Managerial duties. PHYSICAL DEMANDS Ability to lift 25lbs with or without accommodations. Monday to Thursday 5am-3:30pm

Job Description Company Overview Riverstone Logistics (RLX) is committed to being an honest, reliable, dependable freight forwarding partner. Every day we are focused on fulfilling our Purpose of using our God-given talents and opportunities to love our neighbors, serve our communities, and improve our industry. RLX provides final mile deliveries through dedicated and network models for various clients in over 26 states across the United States. We love working with new clients that are looking to enhance their customer experience through final mile deliveries. Headquartered in Charlotte, North Carolina, RLX currently has over 700 employees and is always looking for new employees that demonstrate leadership capabilities and exceptional communication skills to grow with us at our home office as well as client sites across the United States. Position Summary The General Manager will oversee the management of a client-based operation including the successful development and management of the client relationship at the local level. This role maximizes labor efficiency while minimizing overhead and resource expenses. They oversee maximum efficiency in the design and output of processes and teams. He/she will ensure deliverables operate at levels that meet customers' needs and established financial benchmarks. This position formulates and recommends policies and programs that guide the company in maintaining, retaining, and growing its competitive position and profitability. This position also directs activities so that approved deliverables are completed on schedule and within quality standards and cost objectives. Competencies • Ethics and Values, • Problem solving, • Customer focus, • Drive for results, • Conflict resolution, • Functional/technical skills, • Managing & measuring work, • Timely decision making, • Developing direct reports & others, • Delegation, • Motivating others The essential functions include, but are not limited to the following: • Responsible for consistently meeting and exceeding client service goals, • Driving and maintaining the Company culture, purpose, and core beliefs through hands-on training, effective onboarding, and selection of new Extra Milers within the location, • Managing all people and operations leaders assigned to the local operation to ensure deliverables, business goals, and profitability are achieved in a timely and cost-effective manner, • Oversight and accountability for weekly operator settlements based on set agreements to include back charge process and supplementation assessments, • Maintaining a professional appearance always, while setting an example for employees alike, • Ensure daily stand-ups with service providers and team are conducted consistently, ensuring performance rankings are accurate and updated daily, following standard Company operating procedures, • Accountable for ensuring employee and provider adherence to prescribed dress code and uniform requirements, • Ensuring measurement and effectiveness of all internal and external processes; providing timely, accurate, and complete reports on the operating condition of the Company, • Ensures the implementation and maintenance of Lean warehouse principles, • Representing the Company by maintaining relationships with clients and ensuring contractual and ongoing relationships, • Maintaining the upkeep and maintenance of all assigned assets, both from RLX and the client, • Ensuring standards for quality, client expectations, and operator performance are maintained, and that cost-effective technology and processes are utilized to maximize productivity and profitability, • Ensuring successful compliance and performance of all vendors and service providers, • Developing, monitoring, and reporting operating costs within functional areas; alerting Senior Leadership of cost and labor overrun; recommending and implementing solutions to problems, • Advising managers on labor issues including safety, security, employee relations, scheduling, training, grievances, and the like; ensuring managers and supervisors comply with company policies and administering practices in fair and equitable manner, • Managing and maintaining budget and controls expenses, • Hiring, training, developing, and appraising staff effectively; taking corrective action as necessary on a timely basis and in accordance with company policies, • Maintain a respectful and professional relationship with all vendors and service providers, • Bachelor's degree in a relevant field of study, or equivalent combination of education and experience, • Minimum of 5-7 years of warehouse, distribution, and/or supply chain operations with at least 3 years of managerial experience, • Must be proficient in Microsoft Office suite including Excel, • Ability to complete work in a timely, accurate, and thorough manner, • Effective verbal and written communication skills, • Ability to exhibit a professional manner when dealing with conflict, • Ability to coach and develop employees The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to walk and stand for long periods of time, communicate effectively with coworkers and outside stakeholders in person both on the telephone and via email and other computer-related messaging. The employee is occasionally required to maneuver about the work areas and move/manipulate various objects and there may be an occasional need to lift up to 50 pounds. This position may require extended work hours and travel. Note This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an "at will" relationship. Riverstone Logistics is proud to be an Equal Opportunity Employer and Drug Free workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Riverstone Logistics also complies with the Immigration Reform & Control Act and E-Verify, so we ask that you bring the appropriate documents to confirm your authorization to work in the United States with you upon request.

Job Description Position Summary The Director of Practice Management provides agency-wide leadership for the day-to-day oversight, performance management, and continuous operational improvement of Akin’s inquiry, referral, intake coordination, administrative support, and practice management functions. This role spans both clinical behavioral health services and non-clinical programs, including Family Navigation, Early Learning, and community-based supports. The Director ensures that families experience a timely, coordinated, and high-quality journey from first contact through enrollment and service engagement. The role is responsible for building and maintaining standardized workflows, data practices, operational dashboards, and quality assurance systems that support documentation accuracy, productivity, compliance, and billing readiness. Working closely with program leadership, Finance, Data & Impact, and other cross-functional partners, the Director ensures that operational systems are reliable, equitable, and responsive—supporting both mission impact and financial sustainability. Essential Functions Operational Leadership & Oversight • Oversee daily inquiry, referral, and intake coordination operations across clinical and non-clinical programs, ensuring timely responses, accurate data entry, and a consistent family experience., • Build and manage cross-agency intake coordination systems that ensure clear handoffs, reduce duplication, and maintain effective internal and external referral pathways., • Develop, update, and enforce standardized workflows, SOPs, dashboards, and monitoring systems that support documentation quality, productivity tracking, quality assurance, and billing readiness., • Oversee consistent and effective use of Akin’s program databases, including the EHR, ensuring staff training, data accuracy, and documentation standards meet agency and payer requirements., • Maintain and monitor productivity systems (KPIs, dashboards, reports) and ensure programs use these tools for operational decision-making and workload planning., • Conduct routine operational reviews, including Level 1 Reviews, QA audits, and workflow assessments, and lead corrective action planning., • Ensure intake and administrative documentation is complete, compliant, and maintained according to contract, regulatory, and agency requirements., • Supervise and support practice management staff through coaching, accountability structures, and performance oversight., • Partner with Program Directors to identify workflow barriers and implement practical, timely solutions., • Collaborate with Data & Impact to validate data accuracy and improve reporting quality and usability., • Establish reliable communication routines (e.g., huddles, cross-functional problem-solving forums, and routine leadership updates)., • Promote culturally responsive operational practices and equitable access across all Akin services., • Support Akin’s commitment to inclusion, belonging, and anti-racist practices across operations, supervision, and service delivery., • Knowledge of behavioral health, early learning, and family support service pathways, including inquiry, referral, and intake operations., • Strong skills in workflow analysis, process mapping, problem-solving, and operational improvement., • Understanding of how intake workflow, documentation, and data quality affect billing accuracy and reimbursement., • Experience developing and conducting operational quality assurance activities, including audits and Level 1 Reviews., • Ability to build, monitor, and use productivity dashboards and operational performance tools., • Proficiency with EHRs, databases, and organization-wide data systems., • Strong supervisory, coaching, and staff development skills., • Excellent cross-functional partnership and communication skills., • Ability to manage multiple priorities and maintain operational reliability during change., • High level of computer literacy, including EHRs, databases, Microsoft Office, Teams, Excel, dashboards, and virtual platforms., • 7+ years of experience in healthcare or human services operations, practice management, intake/referral coordination, or related leadership roles., • Experience supervising multi-site intake, administrative, or practice management teams., • Demonstrated experience developing and monitoring standardized workflows, SOPs, dashboards, and operational performance systems., • Experience using EHRs and overseeing data entry quality and documentation standards., • Experience conducting or overseeing operational QA activities., • Demonstrated ability to partner effectively with clinical, finance, IT, and data teams., • Ability to pass Akin background check and drug screening., • Valid state driver’s license, automobile insurance, and access to dependable transportation., • Bachelor’s or master’s degree in health administration, public administration, social services, behavioral health, or a related field., • Experience in behavioral health, early learning, family navigation, or family-serving systems., • Experience with Medicaid-funded programs and documentation requirements., • Experience designing and leading operational quality assurance systems., • Experience implementing cross-agency intake or referral coordination systems., • Training in process improvement methodologies (Lean, Six Sigma, PDSA)., • Experience supporting organization-wide database or EHR adoption. This position is performed in a professional office environment. Regular, predictable attendance is required. Duties involve sitting, standing, talking, hearing, and using a computer and telephone; occasional reaching, stooping, and kneeling may be required. Reasonable accommodations will be made for individuals with disabilities. Remote Work Remote work is part of Akin’s flexible workplace model; however, not all positions are eligible for full remote work. Remote arrangements may be modified based on business needs. Salary Range and Benefits: We provide a comprehensive benefits package, including competitive pay, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The target starting pay for this position is $94,931-$106,797, typically within the first half of the range. Actual offers will be based on individual qualifications relevant to the role and will not take an applicant’s pay history into account. The range above allows our employees room for growth during their tenure in the position.

Job DescriptionSalary: $127,000 - $153,000 Preconstruction Manager| Bouten Construction Company | Spokane, WA Bouten Construction has been shaping the Inland Northwest for more than 80 years, delivering iconic projects that define our region. Recognized as a Best Places to Work INW in 2023, 2024, and 2025, we take pride not only in the spaces we build, but in the relationships we create along the way. As a Preconstruction Manager at Bouten, youll be part of a team where your contributions truly make a difference. Here, youll grow your career while enjoying the benefits of shorter commutes, more time with loved ones, and endless opportunities to explore the beautiful outdoors. Together, lets build a brighter future. You will report to our Vice President while also working closely with our Preconstruction Managers, Estimators, Project Executives, Project Managers and Project Engineers. Because 90 percent of our work is either negotiated or some form of alternate project delivery, you will often times be involved in the cost estimating process from conceptual design through final Guaranteed Maximum Price (GMP) development. Our estimating approach incorporates Lean principles including a heavy reliance on the Target Value Design (TVD) process that is fully integrated into the preconstruction effort. Job Responsibilities To perform this job successfully, an individual must be able to satisfactorily perform each of the essential duties/responsibilities listed below. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties/responsibilities of this job. • Lead the preconstruction efforts on multiple projects in various stages, responsible for the preconstruction strategy, approach and final deliverables., • Ability to facilitate communication with project teams of all sizes. Recognizes and implements proper means to communicate., • Ability to foster accountability among all team members while maintaining positive relationships., • Organize the preconstruction team and staff to effectively provide clear and concise strategy, goals and deliverables., • Effectively delegates certain aspects and responsibilities to the project team members and conducts regular follow-ups on delegated tasks., • Creates a collaborative environment and positive relationship with Owner and Design Team leading to future opportunities., • Ability to clearly and effectively execute the Target Value Delivery (TD) process to clients and design partners with an understanding of risks, special concerns or delicate topics., • Active participation in the project pursuit process providing market leading preconstruction approach and effective presentation skills., • Complete understanding of CSI Master Format and understands the proper methods and sequence for installation of each CSI division of work., • Builds upon construction knowledge by working with operations, architects, and trade contractors to resolve potential construction issues., • Thorough understanding of construction documents and can utilize them to see potential construction issues., • Able to develop comprehensive, detailed, and accurate budget based on limited design information., • Ability to provide conceptual estimating including identifying and estimating incomplete design elements., • Ability to cross reference and coordinate drawings / details between different drawing disciplines and specifications., • Ability to read and understand drawings, specifications and all other project documents for completeness, constructability, and risk identification issues., • Support, compile, update, and finalize complete project estimates and preconstruction deliverables from initial concept to GMP establishment for Progressive Design Building (PDB), CMAR and GC/CM projects., • Performs quantity take-offs and apply unit prices for all CSI Masterformat divisions, including self-performed work., • Able to accurately estimate Bouten self-performed scopes of work with appropriate accuracy and detail., • Capable of reviewing and analyzing trade partner pricing for all trades and making recommendations for award., • Engage trade partners to assist in the development of progress estimates., • Assist with trade partner negotiations prior to award., • Ability to develop and analyze general conditions specific to projects of all sizes., • Understand and set-up the estimate totals and summary checks., • Understand and participate in a hard bid project when required., • Able to accurately estimate highly complex and technical projects without support., • Ability to effectively manage multiple projects in various estimate or preconstruction stages., • Ability to prepare and lead project meetings, including a clear purpose & agenda with meeting minutes., • Able to identify the appropriate format and presentation material for various owners and project types., • Understands and can build the logic behind productivity rates., • Utilize historical cost data to evaluate and estimate construction project costs (labor, equipment and materials, etc.) across all project scopes, self-performed work, systems and assemblies., • Embrace a culture of continuous improvement; incorporate Lean principles into daily activities and tasks., • Update and maintain cost estimating database, including completed production rates, costs and durations for self-performed work, trade partner costs and overall completed project costs., • Maintain and uphold professional relationships and high ethical standards that are consistent with our company. Desired Attributes • Excellent follow-up and attention to details., • Sense of urgency on important matters., • Highly organized and detail-oriented., • Ability to work in a fast-paced, deadline-driven environment., • Team-oriented, collaborative, resourceful, and positive attitude., • Excellent interpersonal and creative skills., • Ability to maintain focus on goals, combined with the flexibility to pivot when necessary., • A self-starter, results-oriented individual who enjoys working in a strong team environment with awesome clients. Qualifications • Degree in Construction Management, or similar., • Minimum seven to 10 years in project management, preconstruction, estimating, cost control or related experience with healthcare, life sciences, higher education, K-12 education, and commercial projects., • Track record with GMP and lump sum estimates., • Proficient in the use of MS Excel spread sheets, on-screen take-off (OST) and scheduling software (i.e. Microsoft Schedule and Primavera)., • Proficiency in DESTINI Estimator software is a plus. Compensation and Benefits • Salary Range: $127,000 to $153,000., • Annual discretionary bonus based on company and individual performance., • Vehicle allowance., • Relocation assistance available., • 100% company paid medical, dental and vision premiums for employee and family., • 401k with company match $1 for $1 up to 6%., • 3 weeks vacation and 12 sick days., • 9 Paid holidays., • Philanthropy & volunteer opportunities., • Service awards & recognition., • Training & Continued Education Support., • On-Site Gym., • Clothing Allowance., • Team Events: Holiday Party, Bouten Annual Golf Tournament, Silverwood Family Day, and Annual Town Hall. Location:Spokane, WA. See Equal Opportunities All employees and job applicants are guaranteed an equal employment opportunity. Bouten will not discriminate against any individual based on a protected status, including race, color, creed, religion, sex, age, national origin, physical or mental disability, marital or veteran status, or any other protected status under Federal, State, or local laws.

Job DescriptionSalary: $107,000 - $137,000 Project Manager | Bouten Construction Company | Spokane, WA Bouten Construction has been shaping the Inland Northwest for more than 80 years, delivering iconic projects that define our region. Recognized as a Best Places to Work INW in 2023, 2024, and 2025, we take pride not only in the spaces we build, but in the relationships we create along the way. As a Project Manager at Bouten, youll be part of a team where your contributions truly make a difference. Here, youll grow your career while enjoying the benefits of shorter commutes, more time with loved ones, and endless opportunities to explore the beautiful outdoors. Together, lets build a brighter future. TheProject Managerwill provide overall leadership for projects to include: day-to-day execution, project cost, quality, risk, safety, and schedule management, and mentorship of fellow Bouten team members. This individual will be responsible for developing and enhancing relationships with our clients and other stakeholders including design professionals, trade partners and the communities where we build. Job Responsibilities To perform this job successfully, an individual must be able to satisfactorily perform each of the essential duties/responsibilities listed below. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties/responsibilities of this job. • Manage and lead project team to achieve outstanding project outcomes., • Project financial management including: estimating, cost control, productivity tracking, forecasting, and billings., • Detailed, hands-on knowledge of project scope., • Owner relationship management., • Collaborate with company safety director and superintendent to develop and implement a project-specific safety culture and plan., • Identify and manage project risks., • Understand owner contract requirements and ensure compliance., • Create and maintain overall project schedule while working with the project superintendent, including execution of the Last Planner System., • Complete scope and bid package review including trade partner buy-out and contracting as well as ongoing cost management., • Support and advance company initiatives involving innovation and Lean project delivery., • Assist with Bouten team member career development and conduct performance management reviews., • Support self-perform work., • Lead the preconstruction effort with support from the preconstruction services team., • Excellent follow-up and attention to details., • Sense of urgency on important matters., • Highly organized and detail-oriented., • Ability to work in a fast-paced, deadline-driven environment., • Team-oriented, collaborative, resourceful, and positive attitude., • Excellent interpersonal and creative skills., • Ability to maintain focus on goals, combined with the flexibility to pivot when necessary., • A self-starter, results-oriented individual. Qualifications • Bachelors Degree Construction Management, Engineering or equivalent., • 5+ years' related experience, including managing projects $20M - $75M., • Designed-Build experience preferred., • Excellent communication skills., • Ability to create and support positive team health and morale., • Strong decision making and complex problem-solving skills., • Collaborative and engaging leadership style., • Complete understanding of cost estimating, budgeting, and forecasting., • Proficiency with Microsoft products (Word, Excel, Outlook, SharePoint),Procore, Timberline (Sage Intacct)., • Experience with alternate project delivery methods (GC/CM, design-build, CMAR)., • Desire for professional growth and career advancement opportunities to a senior project manager or project executive. Compensation and Benefits • Salary Range: $107,000 to $137,000., • Annual discretionary bonus based on company and individual performance., • Vehicle allowance., • Relocation assistance available., • 100% company paid medical, dental and vision premiums for employee and family., • 401k with company match $1 for $1 up to 6%., • 3 weeks vacation and 12 sick days., • 9 Paid holidays., • Philanthropy & volunteer opportunities., • Service awards & recognition., • Training & Continued Education Support., • On-Site Gym., • Clothing Allowance., • Team Events: Holiday Party, Bouten Annual Golf Tournament, Silverwood Family Day, and Annual Town Hall. Location: Spokane, WA Equal Opportunities All employees and job applicants are guaranteed an equal employment opportunity. Bouten will not discriminate against any individual based on a protected status, including race, color, creed, religion, sex, age, national origin, physical or mental disability, marital or veteran status, or any other protected status under Federal, State, or local laws.

As the Northwest's leading mechanical contracting firm, we design, deliver and service HVAC, plumbing and automation system solutions for commercial buildings. Engineering, fabrication and install of mechanical systems for new projects following lean construction practices. Control systems, fault de

TNAA TotalMed Allied is seeking a travel Surgical Technologist for a travel job in Spokane Valley, Washington. • Specialty: Surgical Technologist, • Discipline: Allied Health Professional, • Duration: 13 weeks, • 40 hours per week, • Shift: 10 hours, days, • Employment Type: Travel We're looking for OR/Surgical Technicians for an immediate travel tech opening in Spokane Valley, WA. The right OR Tech should have 2 years' recent acute care experience. Read below for more requirements. As a Travel OR Tech, you will assist the surgical team during operative procedures by arranging and inventorying sterile set-up for operations and passing items to doctors and nurses as needed. The OR/Surgical Technician is responsible for demonstrating the knowledge and skills necessary to provide assistance during surgical procedures performed in the department. The Travel OR Tech is experienced in all aspects of aseptic technique: setting up the required equipment and sterile supplies as needed for their assigned cases, pulling cases as needed, and breaking down cases at the end of the procedure. He/she is knowledgeable regarding instrumentation, equipment and supply needs for all types of surgical procedures. The OR Tech performs delegated duties consistent with his/her scope of practice and functions within the philosophy and overall plan of care delivery. As an OR/Surgical Technician you should be prepared to perform the following tasks: • Assist with moving and positioning of patient., • Clean and bandage wounds., • Confirm procedure with patient., • Maintain supplies and medical equipment., • Meets technical skills as outlined in checklist. All OR/Surgical Technicians are required to hold the NBSTSA Certification or NCCT Certification in order to be eligible for employment with TNAA. OR/Surgical Technicians should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. OR Techs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: BLS, CST, 2 Years • Additional certifications may be required before beginning an assignment. TotalMed Allied Job ID #1337331. Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Operating Room Technician - OR Technologist - Travel In the fast-paced, highly competitive industry that is healthcare, you need a partner who works for and with you. At TotalMed, we’re a team who really cares. Our goal is to give gold standard customer care by enhancing the recruiter - traveler partnership with a high level of integrity and fun while supporting the experience you want to have throughout your travel career. Our recruiters can help you evaluate the best healthcare jobs offered nationwide by uncovering your ideal career path and providing as much information as possible to assist in making the best decision for you in a no pressure atmosphere. We care like no other so that you can care like no other. What the TotalMed experience can offer you: • Top paying contracts, • 24x7 concierge one-on-one service to meet your needs, • Long or short term contracts available nationwide, • Top 10 agency per recent traveler surveys • Highway Hypodermics • Travel Nursing Central Come experience the “Care like no other” difference!

TNAA TotalMed RN is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Spokane Valley, Washington. • Specialty: Labor and Delivery, • Discipline: RN, • Start Date: 12/15/2025, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, nights, • Employment Type: Travel We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Spokane Valley, WA. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery of a baby. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery. As an L&D Travel Nurse, you should be prepared to perform the following tasks: • Stay with and monitor patient throughout labor., • Monitor contractions and help patients with breathing techniques., • Check cervix periodically to monitor progression/lack of dilation., • Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process., • Aid physician with drapes, gloves, gowns, delivery instruments, etc., • Immediate care of newborn. L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: ACLS, BLS, NRP, STABLE, FHM, 3 Years • Additional certifications may be required before beginning an assignment. TotalMed Travel Job ID #1302044. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Labor and Delivery - LD RN - Travel Nurse TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience. TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients. • Weekly pay, • Guaranteed Hours, • Continuing Education, • 401k retirement plan, • Sick pay, • Wellness and fitness programs, • Referral bonus, • Employee assistance programs, • Medical benefits, • Dental benefits, • Vision benefits, • Benefits start day 1

Job DescriptionDescription: Hotstart, Inc. has openings for production assemblers in our plant at our corporate headquarters in Spokane, Washington. This position is initially temporary with a high potential of full time hire for the right candidates. This job is responsible for the assembly and testing of engine heating systems. This position will work closely with Production team members in addition to the Quality, Design Engineering, and Manufacturing Engineering teams, under the direction of the department Line Lead, Production Supervisor, and Production Manager. Requirements: Primary Responsibilities: Following departmental processes for assembly, test and quality requirements Reading multilevel bill of material, point to point, wiring schematic and work instruction documents to support product assembly effort Production testing including electrical hipot and air leak testing Dependable attendance, 6:00 a.m. – 4:30 p.m. M-Th, some overtime opportunities Ideal candidates will have the following skills: Ability to use hand and power tools Background and experience with electro-mechanical assemblies preferred Troubleshooting abilities to identify and resolve fit and function issues of assemblies Ability to take direction, communicate clearly and respectfully, and work well with others to successfully meet daily output and quality requirements Qualifications: High School Diploma or Equivalent Basic PC skills including Word and Excel preferred Previous assembly and/or test experience preferred Knowledge and use of lean manufacturing concepts HOTSTART Inc. is a world leading manufacturer of industrial engine preheating systems. Established in 1942 and ISO 9001:2015 certified, we have grown to over 190 employees in a modern manufacturing facility. The company provides a 100% owner-funded benefits package highlighted by medical, dental, vision and life insurance, 401(k) with contribution matching and profit sharing, and educational assistance. ~ Drug-free/HOTSTART is an EO employer - M/F/Veteran/Disability.

This high-impact position leads the deployment of Lean Six Sigma strategies across manufacturing, R&D, supply chain, and commercial operations, ensuring alignment with corporate objectives and P&L targets. Facilitate advanced training workshops in Lean Six Sigma and Statistical methods. Lean Six Sig