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Job Description About the Role: We are seeking a highly skilled and compassionate Registered Nurse to join our Hospice team in Fresno, CA. As a Registered Nurse in Hospice, you will be responsible for providing skilled nursing care to patients in their homes, ensuring their safety, comfort, and well-being. You will work closely with our medical director, and other healthcare professionals to develop and implement individualized care plans for each patient, and provide education and support to their families. Your ultimate goal will be to support patients and their families with dignity, comfort, and love. Minimum Qualifications: • Active and unrestricted Registered Nurse license in the state of California, • 1 year of experience in Hospice required, • Current CPR certification, • Excellent communication and interpersonal skills, • Perform initial and ongoing assessments to monitor patient condition and adjust care as needed, • Develop and implement individualized care plans based on patients' conditions, • Administer medications, treatments, and procedures as ordered, • Monitor and document patients' progress and response to care As a Registered Nurse in Hospice, you will utilize your clinical expertise, critical thinking, and problem-solving skills on a daily basis. You will need to be proficient in administering medications, treatments, and procedures, as well as in assessing and documenting patients' health status and progress. Excellent communication and interpersonal skills are essential, as you will be working closely with patients, families, and other healthcare professionals. You will also need to be able to work independently and as part of a team, and be comfortable with using technology and electronic medical records to manage patient care. Job Type: Full time in the Fresno, Madera, and surrounding areas

Job DescriptionBenefits/Perks • Competitive Compensation, • Great Work Environment Responsibilities • Offer medical advice and service to all clients in our office practice, including diagnosing issues and illnesses, prescribing appropriate medications, and offering referrals as needed to other specialists, • Order or perform tests as needed, and analyze results in a timely manner to offer diagnosis, • Manage a reasonable patient caseload while providing exceptional care, • Properly complete all appropriate paperwork for each patient seen and maintain accurate records, • Participate in ongoing training and support through conferences and events to continue to offer the best, up to date care for every patient, • Assist in reviewing additional patient charts as needed and offer medical assistance or adviceQualifications, • All licensing and certification required to perform medicine within the state, • Graduation from an accredited Medical School, • Strong attention to detail, • The ability to provide exceptional care to each and every patient

Job Description About the Role: We are seeking a highly skilled and compassionate Registered Nurse to join our Home Health and Hospice team in Fresno, CA. As a Registered Nurse in Home Health and Hospice, you will be responsible for providing skilled nursing care to patients in their homes, ensuring their safety, comfort, and well-being. You will work closely with physicians, therapists, and other healthcare professionals to develop and implement individualized care plans for each patient, and provide education and support to their families. Your ultimate goal will be to help patients achieve their highest level of independence and quality of life. Minimum Qualifications: • Active and unrestricted Registered Nurse license in the state of California, • Minimum of 1 year of recent experience in Home Health or related field, • Current CPR certification, • Excellent communication and interpersonal skills, • Answer all after hours and weekend phone calls., • Triage patient needs - If issue cannot be resolved via phone/facetime then a skilled visit will need to be performed for Home Health calls. Most hospice issues/incidents will need a skilled visit., • Perform after hours/weekend hospice admissions as needed., • Coverage area will be the Fresno and Visalia Area Territories. As a Registered Nurse in Home Health and Hospice, you will utilize your clinical expertise, critical thinking, and problem-solving skills on a daily basis. You will need to be proficient in administering medications, treatments, and procedures, as well as in assessing and documenting patients' health status and progress. Excellent communication and interpersonal skills are essential, as you will be working closely with patients, families, and other healthcare professionals. You will also need to be able to work independently and as part of a team, and be comfortable with using technology and electronic medical records to manage patient care.

Job DescriptionDescription: California Premier Pain Clinics is a leading regenerative medicine clinic specializing in the treatment of musculoskeletal and nerve injuries, including the spine and peripheral joints. We offer cutting-edge treatments using high-end ultrasound guidance and fluoroscopy, delivering comprehensive and compassionate care to our patients. We are proud to operate without the use of opioids and are committed to providing a drug-free, minimally invasive approach to pain management. As we continue to grow, we are looking to hire a skilled and compassionate Physical Medicine & Rehabilitation (PM&R) Physician or Sports Medicine Physician to join our team. If you're passionate about regenerative medicine, patient care, and working within a supportive and innovative team, we want to hear from you! Position Overview: The ideal candidate will have expertise in regenerative medicine and physical medicine & rehabilitation, focusing on musculoskeletal and nerve injuries. This role involves utilizing advanced diagnostic tools like ultrasound and fluoroscopy to guide precise treatments for spinal and peripheral joint conditions. You will work closely with a highly trained team that includes physicians, medical assistants, and rehabilitation specialists to provide top-tier care. Key Responsibilities: • Perform comprehensive assessments of musculoskeletal and nerve injuries, including spine and peripheral joint conditions., • Administer regenerative treatments such as PRP (Platelet-Rich Plasma), stem cell therapy, and other non-invasive procedures using ultrasound guidance and fluoroscopy., • Provide individualized care plans for each patient, focusing on improving mobility, reducing pain, and restoring function., • Collaborate with other healthcare professionals and support staff to deliver exceptional patient outcomes., • Monitor patient progress and adjust treatment plans as needed to achieve optimal results., • Educate patients on their conditions, treatment options, and prevention strategies for future injury., • Competitive compensation and benefits package., • State-of-the-art clinic with advanced diagnostic and treatment technologies., • No opioids – commitment to non-invasive, regenerative pain management., • Strong staff support, including medical assistants and rehabilitation specialists., • Collaborative and supportive team environment., • Opportunity to work with a growing clinic in a dynamic and rewarding field., • Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree., • Board-certified, board-eligible in Physical Medicine & Rehabilitation (PM&R) or Sports Medicine., • Experience with musculoskeletal and nerve injuries, preferably with training in regenerative medicine techniques., • Proficient in ultrasound-guided injections., • Passionate about providing non-opioid, evidence-based pain management solutions., • Strong communication and interpersonal skills, with the ability to collaborate effectively with a multidisciplinary team., • Ability to develop customized treatment plans that address patient needs and goals., • California medical license (or eligibility to obtain one).

Job Description Position Summary The Case Manager is responsible for providing direct services to clients referred to the CalAIM Enhanced Case Management Program. This position plays a critical role in coordinating care among multiple providers and addressing clients’ medical, behavioral, and social service needs. The Case Manager creates individualized care plans that meet health plan requirements and address barriers to care, including providing health education and coaching to promote long-term self-sufficiency. The Case Manager also serves as the primary point of contact for a client’s care team, which may include primary care providers, behavioral health professionals, housing support services, SUD providers, and natural supports. If a client is dually enrolled in CalAIM Community Supports, the Case Manager may also provide Housing Navigation or Housing Tenancy services as needed. Essential Duties and Responsibilities The essential functions include, but are not limited to the following: * Serve as the Case Management Case Manager for assigned clients * Maintain accurate and timely documentation and client records in compliance with program requirements * Provide "hand-holding" services, including accompanying clients to initial appointments and helping them navigate health systems * Deliver psychoeducation and teach clients the importance of addressing medical needs proactively * Educate clients on how to attend and prepare for regular medical appointmentsProvide guidance on how untreated or unmanaged medical conditions may worsen over time * Act as a liaison among all of the client’s providers, ensuring coordinated and integrated service delivery * Advocate for the client’s needs while promoting client voice and choice in all aspects of care * Support clients in accessing essential needs, such as food, transportation, housing, and public benefits * Help clients develop daily living skills and long-term self-sufficiency * Identify and reduce barriers to care, including transportation, health literacy, or psychosocial challenges * Participate in multidisciplinary team meetings and collaborate with community partners Minimum Qualifications (Knowledge, Skills, and Abilities) * Minimum of 2 years of experience in case management, care coordination, or a related social services role * Knowledge of the Fresno Madera Continuum of Care and Housing Services * Strong knowledge of medical terminology and chronic health conditions * LVN (Licensed Vocational Nurse) certification highly recommended * Prior experience working with individuals experiencing homelessness, serious mental illness, substance use disorder, or complex physical health conditions preferred * Familiarity with Medi-Cal, CalAIM, or managed care systems is a plus * Demonstrated ability to provide compassionate, client-centered care and health education * Excellent interpersonal, organizational, and written communication skills * Proficient in documentation and case noting in electronic systems * Cleaning driving record

Job Description Staff Accountant Construction Industry | Fresno, CA Position Overview Our client, a well‑established construction company in Fresno, is seeking a reliable and detail‑driven Staff Accountant to support day‑to‑day accounting operations. This role is ideal for someone who enjoys hands‑on accounting work, understands construction‑related financial activity, and wants to be part of a stable, growing organization. The Staff Accountant will play a key role in maintaining accurate financial records, supporting month‑end close, and working closely with leadership to ensure clean and timely reporting. Key Responsibilities • Assist with general ledger accounting and month‑end close, • Prepare and post journal entries, • Reconcile bank accounts, credit cards, and balance sheet accounts, • Support job costing and construction‑related financial tracking, • Assist with accounts payable and accounts receivable as needed, • Prepare financial schedules and reports for management, • Maintain organized and accurate accounting records, • 2+ years of accounting experience, preferably in construction or a related industry, • Strong understanding of general accounting principles, • Experience with reconciliations and journal entries, • Proficiency in Excel (sorting, formulas, basic analysis), • High attention to detail and accuracy, • Exposure to job costing or construction accounting, • Experience working with accounting software (industry‑standard systems preferred), • Dependable and accountable, • Strong work ethic with a can‑do attitude, • Takes initiative and ownership of responsibilities, • Up to $65,000 starting salary, depending on experience, • On‑site role in Fresno, California, • Opportunity to grow with a reputable construction organization

Job DescriptionBenefits: • 401(k), • Competitive salary, • Dental insurance, • Health insurance, • Paid time off, • Training & development Search no further. Compassionate Care Hospice was established to serve our communitys terminally ill, so that their last days on earth are peaceful and dignified. Help us write beautiful final chapters for those in need. We are headquartered in Fresno and services the Central Valley, including the following counties: Fresno, Merced, Madera, Tulare, Kings, Mariposa, Stanislaus, and Kern County. Our top priority is maintaining our culture of respect and love for our patients and team, alike. Our commitment to our core values allows us to be a provider and employer of choice. We understand that our employees are key to providing quality care and are our most important resource. We actively seek career-oriented individuals, to whom we offer job security and upward mobility when appropriate - based on merit and performance. We proudly employ an accomplished team of professionals and our team is as diverse as the communities we serve, representing different ethnicities, religions, ages, national origins, and sexual orientations. Join us today and grow with us! We are currently seeking to fill the Hospice Admissions RN position. -Position to be performed in Fresno and surrounding areas -Compensation $50-$55/ hr (negotiable, based on experience, etc.). -1 year of experience in Hospice required. • hours: 2pm-10pm Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es)., 2. Provides professional nursing care by utilizing all elements of the nursing process and as defined in the state Nurse Practice Act., 3. Assesses and evaluates patient's status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change., 5. Uses health assessment data to determine nursing diagnosis., 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process., 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care., 8. Counsels the patient and family in meeting nursing and related needs., 9. Provides health care instructions to the patient as appropriate per assessment and plan., 10. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care., 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate., 2. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required., 3. Communicates with community health related persons to coordinate the care plan., 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group., 5. Provides and maintains a safe environment for the patient., 6. Assists the patient and family/caregiver and other team members in providing continuity of care., 7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver., 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy., 2. Ensures that arrangements for equipment and other necessary items and services are available., 3. Supervises ancillary personnel and delegates responsibilities when required., 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes., 5. Fulfills the obligation of requested and/or accepted case assignments., 6. Actively participates in quality assessment performance improvement teams and activities. Qualifications 1. Graduate of a National League of Nursing accredited school of nursing., 2. Current license in California and current CPR certification., 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of one years' experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred., 4. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order., 5. Management experience not required. Responsible for supervising hospice aides., 6. Self-directed and able to work with minimal supervision., 7. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Employees and patients are equally precious to us. Your happiness is our happiness - we offer you the following benefits for any full-time position: Dynamic, fun, team-oriented work environment Unparalleled company culture Local company with soul Countless growth and development opportunities Flexible Schedules Medical, dental and vision insurance Mileage Reimbursement at current Federal rate Gas reimbursement for those in company cars PTO Paid Holidays Paid Sick Days 401K And so much more! Compassionate Care Hospice has grown into the Valleys leading Hospice establishment. Compassionate Care provides in-home medical, rehabilitative, and support services by seasoned professionals with comprehensive clinical training and robust hospitality experience. CompassionateCare.com

Job DescriptionCompany Description Unitek Learning Education Group Corp. (“Unitek Learning”) is a leader in healthcare‐focused workforce development. With over 30 years of experience, Unitek Learning provides customized education programs that bridge the gap between academic preparation and real-world clinical needs. Drawing on its deep roots in nursing education, Unitek Learning helps hospitals and health systems build sustainable talent pipelines by embedding faculty and curriculum directly into hospital settings through its “School in a Box” and integrated workforce solutions. In partnership with hundreds of clinical sites, we upskill incumbent staff, train new clinicians, and enable hospitals to better recruit, retain, and advance nursing talent. Job Description We are looking for a Medical Surgical or Mental Health BSN Nursing Instructor to join our team in conjunction with our Workforce Development Partner, Community Health Systems in Fresno. The Mental Health Nursing Instructor will provide Clinical site, Skills and Simulation education to students enrolled at the assigned Workforce Development Program site. *Hours vary based on clinical rotation and/or skills lab course. • Providing education in the skills lab and/or clinical setting commensurate with established curriculum and faculty expertise (clinical rotations can be days, evenings, weekends, or a combination of all);, • Utilize principles of teaching that recognize the characteristics of the adult learner;, • Plan and supervises student clinical experience in assigned health care facilities;, • Evaluates student performance in relation to clinical learning outcomes in accordance with policies and procedures established by Unitek College, Department of Nursing;, • Provide feedback of clinical performance or specific event in a timely manner after observation;, • Assists in maintaining student records as evidenced by keeping accurate clinical and/or skills lab attendance, completed skills check-off forms, and assisting with requested programmatic outcome data collection;, • Ensuring clinical assignments meet both student and facility needs;, • Determines best method to observe, instruct, and evaluate students;, • Makes continuous efforts to improve quality of instruction;, • Demonstrate or be willing to acquire skills for utilizing online activities as enhancers to course content/material during interactive teaching and learning;, • Submit required program reports and forms to the Academic Site Director of the program in a timely manner;, • Keep current with innovative technologies and safety regulations;, • Participate in committee activities that support the mission and function of the nursing program as needed;, • Attend faculty meetings;, • Provide access to students for ongoing communication through scheduling of office hours, electronic communication, or other appropriate method., • Hold a valid, unencumbered license issued by the California Board of Registered Nursing;, • Eligible for approval by CA BRN as Instructor for Medical-Surgical, OB, Pediatrics, Mental Health, Community Health, or Geriatrics;, • Master’s degree from an accredited college or university that includes course work in nursing, education, or administration, and academic preparation for the subject they teach to be considered as Assignment Faculty;, • BSN and currently enrolled in a Master’s program may be considered for a Clinical Teaching Assistant;, • Minimum four-years’ experience, with one year in the last five years, as a registered nurse providing direct patient care. Clinical experience within the last five years (clinical teaching in an RN program applies toward direct patient care.) Clinically competent as defined in CCR Section 1420(c);, • One-year experience teaching courses related to nursing or completion of a course which includes practice in teaching nursing preferred; and, • Expertise in one of the following areas of nursing – Mental Health, Medical-Surgical, Geriatrics, Pediatrics, L&D, Community Health, and/or Critical Care Additional Information For Full Time Employees, We Offer: • Medical, Dental and Vision starting the 1st of the month following 30 days of employment, • 2 Weeks’ starting Vacation per year. Increasing based on years of service with company, • 12 paid Holidays and 2 Floating Holiday, • 401K with a Company Match, • Company Paid Life Insurance at 1x’s your annual salary, • Leadership development and training for career advancement, • Tuition assistance and Forgiveness for you and your family up to 100% depending on program

Job DescriptionCompany Description Unitek Learning Education Group Corp. (“Unitek Learning”) is a leader in healthcare‐focused workforce development. With over 30 years of experience, Unitek Learning provides customized education programs that bridge the gap between academic preparation and real-world clinical needs. Drawing on its deep roots in nursing education, Unitek Learning helps hospitals and health systems build sustainable talent pipelines by embedding faculty and curriculum directly into hospital settings through its “School in a Box” and integrated workforce solutions. In partnership with hundreds of clinical sites, we upskill incumbent staff, train new clinicians, and enable hospitals to better recruit, retain, and advance nursing talent. Job Description We are looking for a OB BSN Nursing Instructor to join our team in conjunction with our Workforce Development Partner, Community Health Systems in Fresno. The OB BSN Nursing Instructor will provide Clinical site education to students enrolled at the assigned Workforce Development Program site. *Hours vary based on clinical rotation and/or skills lab course. • Providing education in the skills lab and/or clinical setting commensurate with established curriculum and faculty expertise (clinical rotations can be days, evenings, weekends, or a combination of all);, • Utilize principles of teaching that recognize the characteristics of the adult learner;, • Plan and supervises student clinical experience in assigned health care facilities;, • Evaluates student performance in relation to clinical learning outcomes in accordance with policies and procedures established by Unitek College, Department of Nursing;, • Provide feedback of clinical performance or specific event in a timely manner after observation;, • Assists in maintaining student records as evidenced by keeping accurate clinical and/or skills lab attendance, completed skills check-off forms, and assisting with requested programmatic outcome data collection;, • Ensuring clinical assignments meet both student and facility needs;, • Determines best method to observe, instruct, and evaluate students;, • Makes continuous efforts to improve quality of instruction;, • Demonstrate or be willing to acquire skills for utilizing online activities as enhancers to course content/material during interactive teaching and learning;, • Submit required program reports and forms to the Academic Site Director of the program in a timely manner;, • Keep current with innovative technologies and safety regulations;, • Participate in committee activities that support the mission and function of the nursing program as needed;, • Attend faculty meetings;, • Provide access to students for ongoing communication through scheduling of office hours, electronic communication, or other appropriate method., • Hold a valid, unencumbered license issued by the California Board of Registered Nursing;, • Eligible for approval by CA BRN as Instructor for Medical-Surgical, OB, Pediatrics, Mental Health, Community Health, or Geriatrics;, • Master’s degree from an accredited college or university that includes course work in nursing, education, or administration, and academic preparation for the subject they teach to be considered as Assignment Faculty;, • BSN and currently enrolled in a Master’s program may be considered for a Clinical Teaching Assistant;, • Minimum four-years’ experience, with one year in the last five years, as a registered nurse providing direct patient care. Clinical experience within the last five years (clinical teaching in an RN program applies toward direct patient care.) Clinically competent as defined in CCR Section 1420(c);, • One-year experience teaching courses related to nursing or completion of a course which includes practice in teaching nursing preferred; and, • Expertise in one of the following areas of nursing – Mental Health, Medical-Surgical, Geriatrics, Pediatrics, L&D, Community Health, and/or Critical Care Additional Information For Full Time Employees, We Offer: • Medical, Dental and Vision starting the 1st of the month following 30 days of employment, • 2 Weeks’ starting Vacation per year. Increasing based on years of service with company, • 12 paid Holidays and 2 Floating Holiday, • 401K with a Company Match, • Company Paid Life Insurance at 1x’s your annual salary, • Leadership development and training for career advancement, • Tuition assistance and Forgiveness for you and your family up to 100% depending on program

Job DescriptionCompany Description Unitek Learning Education Group Corp. (“Unitek Learning”) is a leader in healthcare‐focused workforce development. With over 30 years of experience, Unitek Learning provides customized education programs that bridge the gap between academic preparation and real-world clinical needs. Drawing on its deep roots in nursing education, Unitek Learning helps hospitals and health systems build sustainable talent pipelines by embedding faculty and curriculum directly into hospital settings through its “School in a Box” and integrated workforce solutions. In partnership with hundreds of clinical sites, we upskill incumbent staff, train new clinicians, and enable hospitals to better recruit, retain, and advance nursing talent. Job Description We are looking for a Peds BSN Nursing Instructor to join our team in conjunction with our Workforce Development Partner, Community Health Systems in Fresno. The Pediatric BSN Nursing Instructor will provide Clinical site education to students enrolled at the assigned Workforce Development Program site. *Hours vary based on clinical rotation and/or skills lab course. • Providing education in the skills lab and/or clinical setting commensurate with established curriculum and faculty expertise (clinical rotations can be days, evenings, weekends, or a combination of all);, • Utilize principles of teaching that recognize the characteristics of the adult learner;, • Plan and supervises student clinical experience in assigned health care facilities;, • Evaluates student performance in relation to clinical learning outcomes in accordance with policies and procedures established by Unitek College, Department of Nursing;, • Provide feedback of clinical performance or specific event in a timely manner after observation;, • Assists in maintaining student records as evidenced by keeping accurate clinical and/or skills lab attendance, completed skills check-off forms, and assisting with requested programmatic outcome data collection;, • Ensuring clinical assignments meet both student and facility needs;, • Determines best method to observe, instruct, and evaluate students;, • Makes continuous efforts to improve quality of instruction;, • Demonstrate or be willing to acquire skills for utilizing online activities as enhancers to course content/material during interactive teaching and learning;, • Submit required program reports and forms to the Academic Site Director of the program in a timely manner;, • Keep current with innovative technologies and safety regulations;, • Participate in committee activities that support the mission and function of the nursing program as needed;, • Attend faculty meetings;, • Provide access to students for ongoing communication through scheduling of office hours, electronic communication, or other appropriate method., • Hold a valid, unencumbered license issued by the California Board of Registered Nursing;, • Eligible for approval by CA BRN as Instructor for Medical-Surgical, OB, Pediatrics, Mental Health, Community Health, or Geriatrics;, • Master’s degree from an accredited college or university that includes course work in nursing, education, or administration, and academic preparation for the subject they teach to be considered as Assignment Faculty;, • BSN and currently enrolled in a Master’s program may be considered for a Clinical Teaching Assistant;, • Minimum four-years’ experience, with one year in the last five years, as a registered nurse providing direct patient care. Clinical experience within the last five years (clinical teaching in an RN program applies toward direct patient care.) Clinically competent as defined in CCR Section 1420(c);, • One-year experience teaching courses related to nursing or completion of a course which includes practice in teaching nursing preferred; and, • Expertise in one of the following areas of nursing – Mental Health, Medical-Surgical, Geriatrics, Pediatrics, L&D, Community Health, and/or Critical Care Additional Information For Full Time Employees, We Offer: • Medical, Dental and Vision starting the 1st of the month following 30 days of employment, • 2 Weeks’ starting Vacation per year. Increasing based on years of service with company, • 12 paid Holidays and 2 Floating Holiday, • 401K with a Company Match, • Company Paid Life Insurance at 1x’s your annual salary, • Leadership development and training for career advancement, • Tuition assistance and Forgiveness for you and your family up to 100% depending on program

Job Description Position Summary A&M Consulting Engineers is seeking a Resident Engineer (RE) to lead construction administration and construction engineering (CE) services for public infrastructure projects. This role is responsible for delivering projects safely, on time, and in compliance with contract documents and funding requirements—especially Caltrans Local Assistance procedures, including the Local Assistance Procedures Manual (LAPM) for federal-aid/state-funded projects. The Resident Engineer serves as A&M’s primary construction lead in the field and with the agency, and is accountable for contract compliance, documentation, coordination, and resolution of construction issues from Notice to Proceed through final acceptance and closeout. Key Responsibilities 1. Construction Administration & Contract Compliance (LAPM-Focused) • Administer construction contracts in accordance with Caltrans LAPM, agency requirements, and the contract documents (plans/specs/special provisions)., • Maintain complete, audit-ready project documentation consistent with LAPM expectations (daily reports/diaries, correspondence logs, photos, tracking logs, payment documentation, and final closeout records)., • Support compliance requirements for federally funded projects as assigned, which may include:, • DBE (commitments, CUF monitoring support, prompt payment support, documentation), • Buy America/Buy American documentation (as applicable to the project), • Labor compliance / prevailing wage coordination (certified payroll review support, interviews support, violations documentation), • EEO / Title VI documentation support (as required by the agency/funding), • Coordinate with the Local Agency and Caltrans Local Assistance staff as needed for project controls, documentation, and approvals. 2. Field Leadership & Construction Oversight • Serve as the on-site lead, coordinating A&M inspectors, testers, and specialty support staff., • Conduct progress meetings, weekly coordination, and issue-resolution meetings with contractor, agency, utilities, and stakeholders., • Verify construction conformance with plans/specifications; identify nonconforming work and lead corrective action documentation., • Enforce project safety expectations and coordinate with the contractor regarding public safety, traffic control, and work zone impacts. 3. Quality Assurance / Materials / Testing Coordination • Implement and manage the project QA program consistent with the contract and agency requirements., • Coordinate sampling/testing with the agency’s or project’s testing lab; review test results and ensure corrective actions are implemented., • Review and track material certifications, submittals, and approved products lists; verify installed materials match approved submittals. 4. RFI / Submittals / Design Coordination • Lead the RFI process: log, review, coordinate with design engineer/agency, and track responses to closure., • Manage submittals: track, review for completeness and contract compliance, coordinate approvals, and document distribution., • Identify constructability issues early and coordinate solutions that protect scope, schedule, and funding compliance. 5. Change Management (Force Account, COs, Claims Avoidance) • Evaluate potential changes, analyze cost/schedule impacts, and support negotiation and documentation., • Track change requests, potential change orders, and time impacts; maintain change logs and supporting documentation., • Oversee force account work documentation (time/material/equipment notes, tickets, photos) and ensure defensible records., • Support dispute resolution and claims avoidance through timely documentation, communication, and contract-based decisions. 6. Payments, Quantities, and Project Controls • Maintain quantity tracking and measure/pay item documentation (including field measurements, backup, and as-builts)., • Review contractor pay requests for accuracy and compliance; prepare/validate progress payments., • Track schedule progress, critical path impacts, and time extensions; support time-impact evaluations where applicable. 7. Public Agency Coordination & Communication • Act as a professional representative of A&M with City/County staff, Caltrans Local Assistance (if applicable), residents, and businesses., • Support public notifications and stakeholder coordination for closures, night work, detours, and major impacts., • Participate in public meetings/outreach events as needed; occasional evening/weekend work may be required based on construction operations. 8. Closeout & Final Acceptance • Lead contract closeout tasks: punch list coordination, final quantities, final documentation, and acceptance support., • Support turnover of as-builts, warranties, O&M manuals (as applicable), and final project records suitable for audit. Minimum Qualifications • California Professional Engineer license Required., • Bachelor’s degree in Civil Engineering, Construction Management, or related field (or equivalent experience in public works construction administration)., • 5+ years of progressively responsible experience in public works construction inspection, construction management, or resident engineering., • Demonstrated experience administering public works projects with strong documentation discipline., • Valid California driver’s license and ability to travel to job sites (Central Valley and surrounding areas). Required Knowledge & Skills • Working knowledge of Caltrans LAPM and typical federal-aid/state-funded construction requirements (documentation, payments, change management, closeout)., • Strong understanding of contract documents, pay items, measurement/payment, RFIs, submittals, and change orders., • Ability to read/interpret plans, specifications, and special provisions; strong field problem-solving., • Excellent written communication: professional correspondence, diaries, logs, meeting minutes, and defensible recordkeeping., • Ability to lead meetings, coordinate stakeholders, and manage conflict/resolution in a professional manner. Preferred Qualifications • Experience on Caltrans Local Assistance-administered projects (HSIP, ATP, CMAQ, STBG, SB1, etc.)., • Experience supporting labor compliance documentation and prevailing wage coordination., • Familiarity with traffic control implementation, ADA/PROW compliance considerations, and SWPPP coordination., • Certifications such as: QSD/QSP/QISP, ATSSA traffic control, ACI, ICC, or similar (project dependent). Core Competencies (What Success Looks Like) • Audit-ready documentation every day—clean, timely, complete records., • Clear, contract-based decision making and consistent communication., • Proactive issue identification and solutions that protect schedule and budget., • Strong leadership with inspectors/testers and effective coordination with contractor/agency., • Safety-first mindset and respect for the public right-of-way. Work Environment & Physical Requirements • Regular field presence on active construction sites; variable hours aligned with contractor operations., • Ability to walk uneven terrain, climb in/out of trenches/structures (as permitted), and lift/carry typical field equipment., • PPE required; must follow all safety requirements and site protocols. Reporting Relationship Reports to: A&M Construction Engineer Department Manager / Construction Services Director Supervises (project dependent): Inspectors, field technicians, and support staff. Company DescriptionAt A&M Consulting Engineers, we believe that professionals need to be bold. New ideas, new materials or new technology become the cornerstone of progress which allows our partners to consider solutions that may deliver greater efficiency, improve safety, improve communication, lower costs or provide better sustainability.At A&M Consulting Engineers, we believe that professionals need to be bold. New ideas, new materials or new technology become the cornerstone of progress which allows our partners to consider solutions that may deliver greater efficiency, improve safety, improve communication, lower costs or provide better sustainability.

Job DescriptionClinica Sierra Vista is one of the largest Federally Qualified Health Centers in California and the nation, having earned the trust of its patients, partners and the communities it serves over a 47-year history distinguished by rapid growth and innovation, exceptional primary-care physicians, and a reputation for treating the most vulnerable residents with respect and compassion. Clinica Sierra Vista, accredited by the rigorous Joint Commission, serves patients at 31 health centers in Fresno and Kern counties. Our services include Pediatric Care, Adult Care, Dental Care, Behavioral Health, Case Management, Prenatal & Women’s Health, Substance Abuse Treatment, HIV/AIDS testing and treatment, Health Education, Outreach and WIC services. We partner with local governments, social services departments, businesses and nonprofit leaders to address the full range of needs for our patients. Our dedicated providers and staff make Clinica Sierra Vista an ideal place to call your medical home. We're looking for someone to join our team as a Physician Pediatrician who: Provides outpatient primary care pediatric services for patients 0-18 years of age. The Physician Pediatrician must demonstrate experience working in a diverse environment, be flexible, knowledgeable, and compassionate towards the care of our patients. Benefits: • $270,000 Base salary (Commensurate with experience), • Health, Vision, and Dental Insurance for physician and family (begins on first day of employment), • Sign-on bonus of up to $150,000 or Mortgage Subsidy up to $150,000., • Paid CME, • Relocation reimbursement, • Loan repayment through the NHSC., • Malpractice coverage through the FTCA/Federal Tort Claims Act., • J1/H-1B visa candidates are welcome, CSV is cap exempt for H1-B Visa Essential Functions:, • Must always adhere to the highest standards of medical ethics., • Must always provide quality of care for all patients and regularly participates in clinical Peer Reviews and with Quality Assurance Programs., • Must adhere to standards of clinical practice recommended by the AAPs, USPSTF, and FQHCs., • Must be willing to share calls in phone triage responsibilities with other physicians., • May be asked to be a representative of Clinical Sierra Vista in meetings of medical professional groups., • May be asked to assist the Chief Medical Officer in design, implementation, and evaluation of health care programs/protocols for patients and staff., • Required to supervise advance assigned practice providers (Nurse practitioners and/or Physicians Assistants). Must be willing to provide consults, if needed either by telephone, email or through shared electronic records. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team! Tue-Fri 8 to 7pm - 4x10's

Job Description • TRANSCRIPTS MUST BE UPLOADED IN ORDER TO BE CONSIDERED FOR THIS POSITION * * * This is a 12 month position SUPERVISORY RESPONSIBILITIES Assistant Teacher/Caregivers. SUMMARY Teacher/Caregivers are responsible for all components of quality in the assigned Infant/Toddler Room. This will include working effectively with parents, maintaining positive staff relationships and development of age appropriate programs for young children under the age of 3. Job duties include the caring for all young children under the age of 3, according to the State of California Community Care Licensing guidelines and ensuring quality programming per the Head Start Program Performance Standards, philosophy and mission. Assists in achieving the agency’s vision, “For Those We Serve,” by empowering individuals who thrive as healthy, self-sufficient and contributing members of our communities. DUTIES AND RESPONSIBILITIES/ESSENTIAL FUNCTIONS Responsible for supervising assigned staff, interns and volunteers; recruitment, performance management and other personnel processes. Personal and Professional Behavior: Adheres to all Fresno EOC personnel policies and procedures. Assumes responsibility for continued professional growth. Maintains excellent work habits (time management, teamwork, etc.). Early Childhood Programming Plans and implements individualized, developmentally appropriate curriculum as per Early Head Start Program Performance Standards. Develops age appropriate infant/toddler environments. Provides a discrimination free environment that makes understanding, acceptance, and respect for all persons an integral part of daily programs. Assists with screenings and assessments of the developmental level of each child and integrate this knowledge into the daily program. Completes observations/assessments of each child as required by Head Start Program Performance Standards. Participates in Infant Toddler Environmental Rating Scale (ITERS) evaluations, and other aspects of ongoing Self-Assessment and data analysis. Health, Safety, and Nutrition Supervises children and staff at all times to maintain a safe environment according to Cal OSHA Guidelines (SB190 Plan) Community Care Licensing (CCL) and Early Head Start Program Performance Standards. Change diapers and assist with toileting on a regular basis. Keeps accurate emergency information and authorizations for all children. Maintains first aid materials/supplies in the classroom. Implements Center’s plan for medical and disaster related emergencies according to SB 198 and State licensing regulations. Working With Children, Families and the Community Treats all children and their families with respect. Assists infants and toddlers to resolve conflicts by enforcing limits in a consistent manner and by helping children find the appropriate ways to deal with their feelings. Keeps parents informed regarding their child’s progress on a regular basis through informal communication and formal conferencing. Promotes advocacy for children and families. Encourages parent involvement in center activities, Local Parent Committee activities, etc. Communicates all family updates to the Site Supervisor/Center Director and other caregivers as needed. Provide program policy information to families upon enrollment. Supporting Positive Staff Relations Implement positive communication and problem solving skills Works cooperatively with other staff members, including the administrators of the program, accept supervision, and contribute to the effectiveness of the team. Brings concerns/problems to the attention of the Site Supervisor/Center Director in a timely manner. Supervises and assist in evaluation of Assistant Teacher/Caregiver. Organizational Tasks Obtains materials and supplies needed for instructional activities. Maintains appropriate, current and accurate records. Demonstrates familiarity with all CCL requirements and Early Head Start Program Performance Standards to ensure that all procedures are followed to meet or exceed standards. Maintains observations, screenings and assessments in each child’s file. Completes tasks on schedule and demonstrate efficient use of time and materials. Completes general housekeeping chores as needed. Other Duties: Changes diapers and assist with toileting as needed Follows procedures for mandatory reporting for suspected child abuse. Travels to Head Start 0 to 5 centers/sites as needed. Attends and participates in conferences, meetings and trainings, as required. Treats all children, families, co-workers and community members in a responsible and respectful, kind and friendly, and professional manner per Head Start 0 to 5 Pyramid Teaching Model expectations, Models professionalism for staff, parents, children, clients, and community members. Promotes a collaborative environment within the service areas, program, and agency. Adheres to the American With Disabilities Act (ADA-1992) which prohibits discriminatory actions toward children and/or adult with disabilities. In particular, children with disabilities are enrolled in the classroom as mandated by Federal Law. Maintains strict compliance with universal precautions. Maintains confidentiality of records and information on Head Start 0 to 5 staff, children and families. Travels for agency business using personal transportation Maintains regular attendance and punctuality. Works evenings and weekends as required. Performs other duties as assigned. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION: • Must complete (3) Infant/Toddler units within 12 months of employment required, • Valid Child Development Associate Teacher permit required with related Associate’s Degree. EXPERIENCE: • One (1) year work experience as a teacher/caregiver in a licensed center serving infants and toddlers or in a ECE/CD classroom experience with infant and toddler age children required. OTHER REQUIREMENTS: Possess and maintain valid CPR/First Aid certification or obtain certification within one year of hire, required. Must possess and maintain Food Handlers Certification or obtain within thirty (30) days of employment. Proficient in Microsoft Office Suite and related business software. Effective presentation, written and verbal communication skills. Ability to multi-task and prioritize workload. Bilingual in English and Spanish or other secondary language may be required based on the needs of the clients and the program. Maintain a valid California driver’s license, reliable transportation and adequate auto insurance as required by State law. Proof of insurance will be required. Obtain a valid AB 1207 Mandated Reporter Certification within the first three (3) days of employment. Pass and maintain Basic Pest Management in a Child Care Settings annual certification as required by the California Healthy Schools Act (HSA). Physical examination, TB screening clearance and signed federal criminal record declaration are required within 7 days after employment. Immunized against influenza (flu), pertussis (whooping cough) and measles. The influenza vaccination must be obtained annually during flu season, August 1 through December 1. A person is exempt from the immunization requirements for the following circumstances: 1. The person submits a written statement from a licensed physician declaring that because of the person’s physical condition or medical circumstances, the immunization is not safe., 2. The person submits a written statement from a licensed physician providing that the person has evidence of current immunity to pertussis (whooping cough) and/or measles., 3. The person submits in writing declaration that he or she has declined the influenza (flu) vaccination. This exemption only applies to the influenza (flu) vaccine. Pass required reference checks and fingerprint clearance under Title 22 regulations: Department of Justice/FBI, Criminal Record Statement Child Abuse Central Index (CACI) and background investigation as needed prior to employment. Former Head Start 0 to 5 parents preferred. 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. While performing the duties of this job, the employee is regularly required to sit, stand, walk, stoop, kneel, crouch, or crawl and reach with hands and arms; use hands and fingers to handle, or feel; and talk and hear. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. 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 occasionally exposed to walking on uneven ground and outside weather conditions. The employee may be exposed to blood borne pathogens. The noise level in the work environment is usually moderate. Note: The statements herein are intended to describe the general nature and level of work being performed but are not to be seen as a complete list of responsibilities, duties, and skills required. Also, they do not establish a contract for employment and are subject to change at the discretion of Fresno EOC. REV. 3/5/2025 Work schedule may vary.

Job DescriptionDescription: Community Health Centers of America is hiring for a Cardiologist to work in our family practice clinics in the Fresno, CA area. Possibly will also work in partner long-term care facilities. You will be responsible for diagnosing and treating patients for acute, episodic or chronic illness, independently or as part of a healthcare team, in the clinic setting. Community Health Centers of America is a premier multi-specialty group focused on improving the health of the community through excellence in clinical care. Our goal is to provide better care to the patient with a collaborative, supportive, respectful, and productive work environment for its healthcare professionals. Job Description: • Obtains, analyzes, and interprets patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses., • Diagnoses or treats acute health care problems such as illnesses, infections, or injuries., • Recommends diagnostic or therapeutic interventions., • Prescribes medications., • Educates patients about self-management of acute or chronic illnesses., • Orders, performs, or interprets the results of diagnostic tests., • Maintains complete and detailed records of patients' health care plans and prognoses., • Detects and responds to adverse drug reactions., • Perform follow-up visits to monitor patients or evaluate health or illness care., • Performs cardiological physical examinations., • Supervises or coordinates patient care or support staff activities., • Maintains current knowledge of state legal regulations for nurse practitioner practice., • Keeps abreast of regulatory processes and payer systems., • Obtains health information from patient., • Performs physical examinations and assesses any medical problems., • Practices safe and healthy control methods while working with patients., • Educations patients and families concerning medical treatments, medications, etc., • Administers or orders for diagnostic tests such as x-ray, electrocardiograms and lab tests., • Interprets test results to diagnosis any related health issues., • Counsel patients about compliance with medication., • Assists in pre-operation or post-operation care., • Coordinates activities of patient care., • Document patient progress with medication or treatment., • Collaborate with other physicians, physician assistants, nurse practitioners, including healthcare professional staff to form a high performing medical team. Ensure compliance and attention to all corporate policies and procedures., • Follow facility and OSHA safety rules and procedures while on assignment, • Follow facility and GHR Unusual Occurrence Protocol, • Respect cultural and religious practices of minor patients, • Uphold HIPAA regulations, • Punctual and dependent for assigned/confirmed shifts Our healthcare professionals enjoy competitive benefits, including: • Highly competitive salaries with benefits, a 401(k) plan, and CME allowance, • Sign-On Bonus!, • Manageable work schedules, providers are not required to work evenings or weekends, • Some flexibility with schedules - great for providers with families/other responsibilities, • Night/Weekend call coverage!, • Opportunity to work with a diverse range of professionals, • A professionally challenging environment with a mix of disease acuity, • A career with administrative freedom - appropriate support staff is supplied Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Employee assistance program, • Flexible schedule, • Health insurance, • Life insurance, • Loan forgiveness, • Malpractice insurance, • Paid time off, • Professional development assistance, • Referral program, • Relocation assistance, • Visa sponsorship Schedule: • Day shift, • Monday to Friday, • No nights, • No weekends Requirements: POSITION REQUIREMENTS: • Must possess a degree in medicine and a valid license from the California Medical Board., • Experience: 3-5 years of related experience preferred; or equivalent combination of education and experience, • Licenses/Certifications: Appropriate certifications and/or licensures, • Current BLS/ACLS required, • Current DEA required, • Excellent verbal and written communication, • Active listening and active learning, • Flexibility to work with a variety of people, differing in ages, personalities, and backgrounds, • Time management skills to be able to see a high number of patients, • Interpersonal skills, compassion, and empathy to build positive relationships with patients and colleagues, • Critical thinking, • Social perceptiveness, • Complex problem solving, • Respect patient confidentiality

Job Description If you are dependable, hard-working, and looking to join a team providing excellent customer service to our clients, we want to talk with you! WiZiX Technology Group – Customer Service Representative We are looking for a friendly, detail-oriented Customer Service Representative to join our service team at our Fresno location. In this role, you will be the first point of contact for customers calling about copier service needs and supply orders. You will coordinate service dispatch, process supply requests, and ensure that every customer receives prompt, professional assistance. Job Responsibilities • Answer inbound service and supply calls from customers regarding copier/printer equipment., • Process and track supply orders, including toner and maintenance kits., • Create and dispatch service tickets to field technicians based on urgency and location., • Provide basic troubleshooting assistance to help customers resolve minor issues over the phone., • Maintain accurate records of customer interactions and service history in our system., • Follow up to ensure customer satisfaction and timely resolution of all requests., • High school diploma or equivalent; some college preferred., • Previous customer service or call center experience, ideally in office equipment, copier, or related technology industries., • Strong communication skills—both verbal and written—with a professional phone manner., • Ability to multitask, stay organized, and handle high call volumes., • Proficient with Microsoft Office and CRM/dispatch software (experience with e-automate or similar is a plus). Just as we aim to help our customers grow their businesses through technology, we offer our own employees growth opportunities to reach their career goals. Certifications and on-the-job training are provided as well as career development and opportunities for promotion. About WiZiX: WiZiX Technology Group, Inc. is a leading provider of office equipment & technology solutions in California and Nevada. WiZiX offers a wide range of products, including Copiers, Printers, Scanners, and other office equipment from top brands such as Kyocera, Toshiba, Ricoh, and Brother. WiZiX also provides VoIP Phone Systems, Managed Print Services, Document Management Systems, EV Charging Stations. At WiZiX, our mission is to provide the highest level of customer service, support, and technology solutions to our clients, enabling them to focus on growing their business and achieving their goals without having to worry about their office technologies.

Job Description POSITION SUMMARY The ECM Lead Case Manager is responsible for providing direct services to clients referred to the CalAIM Enhanced Case Management Program. This position plays a critical role in coordinating care among multiple providers and addressing clients’ medical, behavioral, and social service needs. The ECM Lead Case Manager creates individualized care plans that meet health plan requirements and address barriers to care, including providing health education and coaching to promote long-term self-sufficiency. The Lead Case Manager also serves as the primary point of contact for a client’s care team, which may include primary care providers, behavioral health professionals, housing support services, SUD providers, and natural supports. If a client is dually enrolled in CalAIM Community Supports, the Lead Case Manager may also provide Housing Navigation or Housing Tenancy services as needed. ESSENTIAL DUTIES AND RESPONSIBILITIES The essential functions include, but are not limited to the following: ● Serve as the Enhanced Case Management (ECM) Lead Case Manager for assigned clients ● Maintain accurate and timely documentation and client records in compliance with program requirements ● Provide "hand-holding" services, including accompanying clients to initial appointments and helping them navigate health systems ● Deliver psychoeducation and teach clients the importance of addressing medical needs proactively ● Educate clients on how to attend and prepare for regular medical appointments Provide guidance on how untreated or unmanaged medical conditions may worsen over time ● Act as a liaison among all of the client’s providers, ensuring coordinated and integrated service delivery ● Advocate for the client’s needs while promoting client voice and choice in all aspects of care ● Support clients in accessing essential needs, such as food, transportation, housing, and public benefits ● Help clients develop daily living skills and long-term self-sufficiency ● Identify and reduce barriers to care, including transportation, health literacy, or psychosocial challenges ● Participate in multidisciplinary team meetings and collaborate with community partners MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) ● Minimum of 2 years of experience in case management, care coordination, or a related social services role ● Knowledge of the Fresno Madera Continuum of Care and Housing Services ● Strong knowledge of medical terminology and chronic health conditions ● LVN (Licensed Vocational Nurse) certification highly recommended ● Prior experience working with individuals experiencing homelessness, serious mental illness, substance use disorder, or complex physical health conditions preferred ● Familiarity with Medi-Cal, CalAIM, or managed care systems is a plus ● Demonstrated ability to provide compassionate, client-centered care and health education ● Excellent interpersonal, organizational, and written communication skills ● Proficient in documentation and case noting in electronic systems ● Clean driving record

Job DescriptionDonor Network West’s mission is to save and heal lives through organ and tissue donation for transplantation and research. At Donor Network West, we're looking for people who embody our core values: passion, excellence, equity and inclusion, and relationships. We welcome diverse perspectives and foster an environment of collaboration and service. POSITION SUMMARY The Clinical Procurement Coordinator (CPC) I is responsible for response to donor referrals, donor evaluation, and donor management, coordination of organ recovery, organ preservation, and organ distribution. Additionally, the CPC I supports donor families, provides family care and may provide families with the option of organ and/or tissue donation. All of these job functions collaborate with other departments at DNWest, and within the community of hospitals and coroner/medical examiner offices.ESSENTIAL JOB DUTIES AND RESPONSIBILITIES • Represents organ and tissue donation equally., • Possesses strong interpersonal skills with an ability to work effectively with all stakeholders, particularly with medical professionals and donor families., • Manages highly stressful situations in a calm and professional manner by using sufficient judgment and discretion at all times., • Ability to productively work with guidance and supervision, and as a team participant. Accountable to the team and works with the team to meet DNWest’s strategic goals., • Maintains personal/professional balance; works toward resiliency., • Focusses on enhancing and refining skills and/or knowledge, concepts, and principles.Referral and Donor Management, • Responds and provides onsite consultation to hospitals that refer potential organ and tissue donors., • Conducts a through chart review and determines medical suitability in conjunction with other clinical personnel., • Documents information in current DNWest’s electronic records., • Assesses hemodynamic stability and develops strategies in conjunction with DNWest’s clinical staff to maintain organ function., • Collaborates with physician and hospital staff to develop plan for referral management from initial referral through declaration of death/DCD (donation after cardiac death) evaluation., • Obtains, labels, and packages specimens for testing., • Performs donor physical assessment., • Provides donor/referral information for DNWest’s staff to follow up on cases., • Assists other DNWest’s Staff in starting up donor cases, and/or expedited donor case work-up., • Maintains critical care knowledge and critical thinking skills to effectively and independently manage donors, using approved donor protocols and develops action plan to share with clinical team., • Reviews organ donor cases with Clinical Operations Manager (COM) in real-time to assess donor management goals (DMG) metrics, clinical management strategies, and allocation needs., • Coordinates organ recovery with OR staff and DNWest’s recovery services., • Maintains proficiency in organ packaging as required by United Network of Organ Sharing (UNOS) standards., • Initiates communication and collaboration with appropriate support resources throughout the donation process., • Communicates with the coroner/medical examiner and collaborates with plan for release for donation, and plan for remains post recovery. Onsite Presence, • Secures and maintains positive hospital leadership, physician, nurse, and ancillary care staff relationships., • Maintains a supportive onsite presence as appropriate., • Provides conflict resolution., • Utilizes critical thinking skills in the moment to achieve the desired end result., • Provides in-the-moment education to hospital staff when appropriate., • Completes service recovery as needed.Donation Discussion and Family Support, • Able to hold a donation discussion and share all elements of donation with a grieving family., • Able to complete all required documentation and authorization forms., • Sensitively and thoroughly completes the Uniform Donor Risk Assessment Interview (UDRAI) if needed., • Compassionately provides support and answers questions at bedside., • Completes calls during the donation process (daily update call, post OR call)., • Is able to communicate any family needs or after-care to staff as necessary.Recovery and Allocation, • Completes organ allocation in conjunction and collaboration with DNWest’s allocation team according to established organizational organ allocation policies and UNOS policy., • Coordinates the organ recovery with the DNWest’s Recovery Services, Donor Recovery Inter-facility Transfer (DRIFT) program or donor hospital’s operating room staff., • Works with DNWest’s recovery staff to complete the organ recovery according to policy in the operating room., • Maintains proficiency in organ packaging as required by United Network for Organ Sharing (UNOS) standards., • Understands and accurately maintains donor information and charting., • Communicates with both DNWest’s tissue department staff and other tissue teams during referral and donor process.Administrative Responsibilities, • Maintains complete and accurate timecard and expense records., • Maintains donor supplies and equipment necessary to complete job functions., • Maintains records and completion of transportation documentation, chart corrections, and activity log in timely manner.Personal and Professional Competency, • Seeks guidance and assistance from team members and management staff to improve job function., • Meets with leadership every 6 - 8 weeks to discuss performance, identify opportunities, and set goals., • Maintains accurate, timely completion of training requirements as assigned., • Completes yearly core competencies as assigned by management., • Majority of CEU’s must be applicable to critical care, critical thinking, or donation and transplantation, • Attends department/team meetings, trainings, and all-staff events as established by management., • Participates in chart reviews, case reviews, and after action reviews as appropriate., • Utilizes resource materials and on the job training to gain further competency.Other, • Follows clinical expectations as outlined in the job expectation document., • Travel to all areas of DNWest’s service area is required.QUALIFICATIONS, • Compassionate, conscientious, and ethical., • Basic knowledge from prior classroom and/or on the job training., • Possess strong interpersonal skills which will allow her/him to deal effectively with individuals or group of individuals, particularly medical professionals, and donor families., • Maintain strong organizational skills that will allow him/her to assess changing environments establish appropriate priorities, handle highly stressful situations in a calm, mature manner, using sufficient judgment and discretion at all times., • Ability to provide accurate assessments of job performance and recommend changes in policies, procedures, strategies, and action plans., • Qualified to perform donor evaluations and donor management., • Obtain Certified Procurement Transplant Coordinator (CPTC) Certification within 2 years of completing successful orientation and maintains certification.EDUCATION AND EXPERIENCE, • Bachelor’s degree required, in Nursing or biological sciences or an equivalent degree / diploma/certificate in an allied health field or OPO (organ procurement organization) experience., • Has 2 years’ experience in critical care setting or a minimum of 1 year experience other OPO clinical role., • Obtains and maintains Advanced Cardiovascular Life Support (ACLS) Certification., • Obtain/maintain other professional certification (e.g. RN, EMT-P, RRT)

Job Description Vie-Del is a major producer of concentrates from grapes and other fruits, brandy, spirits, and wines. We are currently seeking talented candidates to join the Vie-Del Family. We offer a competitive salary and excellent benefit package in an employee friendly and rewarding environment. The Cost Accountant is responsible for ensuring the day to day activities of the Accounting department are conducted in a timely manner; accounting transactions are recorded in accordance with company policies and procedures. Generally Accepted Accounting Principles (GAAP) are applied to the maintenance of account records and preparation of financial statements and reports are prepared and distributed in a timely manner. DUTIES: Cost Accounting Responsibilities • Develop and maintain the cost accounting standards, • Conduct inventory reserve analysis, • Assist the Controller with suggesting changes to policies or procedures, • Accumulate and apply overhead costs as required, • Review rates of depreciation, labor and overhead and suggest policy changes to improve numbers, • Make estimates of new and proposed product costs, • Classify costs accurately, • Generate Purchase Price Variance (PPV) reports and analyze findings, • Establish standard costs and update them as appropriate, • Maintain and review the general ledger and reconcile balance sheets, • Analyze costs of raw materials and other supplies and create cost-benefit analyses for changing vendors, • Provide management with reports that specify and compare factors that affect prices and profitability of products or services, • Prepare monthly journal entries, • Assist in audits and general ledger preparation, • Conduct ongoing process constraint analyses, • Report on breakeven points by products, work centers, and plants, • Report on margins by product and division, • Report on periodic variances and their causes, • Analyze capital budgeting requests QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Education and Experience • Bachelor’s degree from a 4-year college or university with an interdisciplinary background in accounting/business, • 2 years of Cost Accounting work experience (essential)., • Sound understanding of Accounting principles., • Solid cost systems background., • Analytical thinker with strong conceptual and problem-solving skills., • Meticulous attention to detail with superb organizational skills., • Ability to work under pressure and meet tight deadlines., • Ability to work independently and as part of a team., • Excellent report-writing, communication and IT skills. 2. English Language Skills Ability to read, analyze and interpret documents such as financial statements, general ledgers, journals and journal entries, detailed specifications, instructions and legal and contractual documents. Ability to write reports and business correspondence and procedure manuals. Ability to effectively present information, both verbally and in writing. 3. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply concepts of basic algebra and geometry. Ability to utilize statistical methods in basic data analysis. Ability to plot data and construct and interpret graphs. 4. Reasoning Ability Ability to define problems, collect relevant data, establish facts and draw statistically valid conclusions. Ability to use abstract and concrete variables. Ability to provide and interpret an extensive variety of detailed technical instruction and information in written, mathematical or graphical form. 5. Other Requirements Higher level of experience with spreadsheet applications. Intermediate or higher level of experience with Internet search engines. Employment history of candidate must demonstrate ability to achieve results. Powered by JazzHR Q9XLLXLXPv

Job DescriptionSalary: $100,000.00 Job description Browning Contractors Inc., a trusted leader in underground construction serving Californias Central Valley, is seeking an experienced and dedicatedProject Managerto join our growing team. We are looking for a highly motivated individual who excels in a collaborative environment and is committed to maintaining high standards of professionalism and performance. Key Qualifications: • Bachelors Degree in Construction Management or a related field, or equivalent technical training and relevant experience., • Minimum of 3 years of proven experience as a Project Manager in the construction industry., • Strong leadership skills with the ability to manage field crews and coordinate operations., • Excellent organizational, communication, and time management skills., • Proficiency in project documentation, scheduling, and cost control., • Experience in underground utility work is preferred., • Familiarity with HCSS software is a plus., • Valid California Class A, B, or C drivers license and clean DMV record are required. Essential Duties & Responsibilities: • Coordinate project setup, including securing necessary permits and licenses., • Assist in planning and executing field operations., • Manage equipment logistics, material deliveries, and field orders., • Schedule and oversee required testing and inspections., • Maintain accurate records, including as-built drawings and project progress updates., • Conduct risk assessments and ensure all project objectives and quality standards are met., • Utilize project management software and systems to monitor team performance and timelines., • Maintain a professional, detail-oriented, and positive approach at all times., • Stay current with industry technologies, trends, and procedures. Work Environment: This is a full-time, primarily field-based position located throughout the Central Valley. Weekly hours will average around 45, depending on weather conditions and project demands. Compensation & Benefits: Browning Contractors Inc. offers competitive compensation and a comprehensive benefits package for full-time employees, including: • Medical, dental, and vision insurance, • 401(k) retirement plan, • Paid time off (PTO), • Opportunities for career growth and development How to Apply: Applicants are encouraged to apply in person at: 2914 N. Argyle Ave, Fresno, CA 93727(Off Shields/Clovis Ave) Applications can also be downloaded and submitted via our website: Or faxed to:(559) 346-0626 Note:Employment is contingent upon a negative drug screen. Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Compensation Package: • Weekly pay Schedule: • Day shift Work Location: In person

Job DescriptionDescription: CalAIM Billing Specialist will manage the day-to-day administrative operations of The Fresno Mission by playing a vital role in the CalAIM CS and ECM billing cycle. In addition, the Billing Specialist will also provide CalAIM-specialized billing services along with other billing duties and administrative support. Who you are: • Someone who recognizes the value of other people regardless of their choices., • Attentive with a listening ear and desire to give respect and time to our clients and guests., • A good example of who Christ is and willing to share how He saved you from yourself., • Dependable and trustworthy with sensitive and personal information., • Fair in situations and able to determine what is just and equitable in difficult situations., • Gentle in character and able to be calm and tender when others are challenging., • Generous in heart, empathy, patient, and humble., • Someone who brings excellence to everything you do., • Able to work in a fast-paced and constantly changing environment., • Great at time management. What you’ll do (just the basics): • Submits invoices to the Managed Care Plan (MCP) for multiple CS and ECM rendered on a single day for a single client/guest/member., • Submit claims for the provision of CS and ECM-related services to MCPs using the national standard specifications and code sets to be defined by DHCS., • Collaborate with other departments to obtain and analyze additional information about clients/guests/members to be able to record and process billing effectively., • Ensures that maximum reimbursement is obtained through billing and coding of all services rendered., • Responsible for correcting, completing, and processing claims of all respective payer codes., • Daily monitoring of assigned queues for claim progression directly impacting timely payments, • Manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, and insurance inquiries/correspondence., • Prepares and submits clean claims to third-party payers either electronically or by paper per the payor guidelines., • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations., • Contributes to every stage of the revenue cycle, from claim submission to denial management, to payment posting review and reporting., • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing with timely claim submission, • Prepares and keeps an organized filing system for all program documents related to billing. Submit monthly reports of billing activities and developments to the CEO and Director., • Attends weekly team meetings., • Other duties and responsibilities as required by the CalAIM Director. Bonus Points: • You have the flexibility to adapt to changes and take on new responsibilities as the organization grows., • Puedes hablar, leer y escribir en espanol., • You’re excited to work in a fun fast-paced atmosphere where everyone takes the mission seriously, but no one takes themselves too seriously. Education/Experience: • High school diploma or equivalent., • Understanding of medical billing codes, insurance reimbursement processes, and relevant state and federal regulations., • Knowledge of financial software and billing systems, particularly those used in healthcare., • Strong attention to detail and accuracy in data entry and financial reporting., • Excellent organizational skills and the ability to manage multiple tasks efficiently., • Proficiency in Microsoft Office Suite, particularly Excel, and billing software applications., • Capacity to recognize and identify billing discrepancies to resolve issues efficiently., • Strong written and verbal communication skills (English)., • Thorough understanding of billing requirements and updates to ensure compliance., • Ability to coordinate with internal operations, such as program managers and service providers to ensure accurate billing for services rendered., • Willingness to establish strong lines of communication with insurance companies and other billing entities to facilitate prompt payment.

Job DescriptionBenefits: • Bonus based on performance, • Paid time off Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: • Provide information about insurance products and services., • Assist customers with policy applications and renewals., • Handle customer inquiries and provide timely responses., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Experience in customer service or sales preferred.

Job Description • TRANSCRIPTS MUST BE UPLOADED IN ORDER TO BE CONSIDERED FOR THIS POSITION * * * SUPERVISORY RESPONSIBILITIES None. SUMMARY With guidance from the Teacher, assists teacher in the implementation of educational curriculum goals, objectives, classroom activities and parent engagement per Head Start Program Performance Standards, philosophy and mission. When appropriate, assists the Teacher by interpreting. DUTIES AND RESPONSIBILITIES/ESSENTIAL FUNCTIONS Provides a safe and healthy environment as required by Community Care Licensing regulations and Head Start Performance Standards. Provides appropriate visual supervision of children at all times. Assists Teacher(s) and/or Teacher Director in tasks such as toileting, meals and snacks, room set-up, cleaning of furniture and equipment, safety, etc. Assists Teacher(s) in activity planning and program implementation of curriculum. Assists Teachers’ effort to support all children reach individual goals, including those with a disability. Participates in classroom day to day routine, record keeping and planning procedures. Develops skills in methods of teaching and as skills are gained, takes on more responsibility in classroom planning and preparation. Observes children and provides feedback to the Teacher for screening and on-going assessment of children. Assists in completing classroom documentation tasks such as: daily sign-in/out of children, ChildPlus, meal service, developmental screenings and all other duties necessary for the maintenance of a smoothly running classroom. Assumes leadership role in absence of Teacher as assigned by Teacher Director/Center Director. Confers with appropriate staff member(s) prior to intervention in any potential stressful situations with families. Participates in home visits, parent/teacher conferences and case conferences as requested. Acts as an interpreter when appropriate. Attends and participates in scheduled center meetings, staff in-services and required trainings/workshops. Occasionally will be required to work at additional centers/classrooms outside of regularly assigned classrooms/centers. Maintains strict compliance with universal precautions in the classroom or during home visits and when administering first aid. Serves as a bus monitor, as assigned. Assists in the preparation, service and clean-up of meals and snacks. Maintains confidentiality of records and information on Early Head Start/Head Start staff, children and families. Assists the teacher in promoting parent/family engagement in various program activities, such as family/child home activities, volunteering in the classroom, attending program workshops and meetings, etc. Models professionalism for staff, parents, children, clients, and community members. Promotes a collaborative environment within the service areas, program, and agency. Observes children and provides feedback to Teacher for on-going assessment & servicing of children. Adheres to the American with Disabilities Act (ADA-2010) which prohibits discriminatory actions toward children and/or adult with disabilities. In particular, children with disabilities are enrolled in the classroom as mandated by Federal Law. Travels for agency business using reliable transportation Maintains regular attendance and punctuality. Works evenings and weekends as required. Performs other duties as assigned. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION: • High School diploma or GED., • Twelve (12) units in Child Development (CD)/Early Childhood Education (ECE) (core courses as identified in the CD Permit Matrix) required., • California Associate’s Teacher Permit required within 90 days of employment., • Must maintain continuous enrollment in college until completion of Associate’s Degree in CD/ECE or related field with a minimum of thirty (30) CD/ECE units required within two (2) years of employment. EXPERIENCE: • Twelve (12) months’ work experience with pre-school age children preferred. OTHER QUALIFICATIONS: Effective presentation, written and verbal communication skills. Maintain a valid California driver’s license, reliable transportation, adequate auto insurance as required by State law, and insurability by agency carrier for those driving agency vehicles. Proof of insurance will be required. Obtain a valid AB 1207 Mandated Reporter Certification within the first three (3) days of employment. Pass and maintain annual Basic Pest Management in a Child Care Settings Training/Quiz as required by the California Healthy Schools Act (HSA) within 60 days after employment. Physical examination, TB screening clearance and signed federal criminal record declaration are required within 7 days after employment. Pass required reference checks and fingerprint clearance under Title 22 regulations: Department of Justice/FBI, Criminal Record Statement Child Abuse Central Index (CACI) and background investigation as needed prior to employment Immunized against influenza (flu), pertussis (whooping cough) and measles. The influenza vaccination must be obtained annually during flu season, August 1 through December 1. A person is exempt from the immunization requirements for the following circumstances: 1. The person submits a written statement from a licensed physician declaring that because of the person’s physical condition or medical circumstances, the immunization is not safe., 2. The person submits a written statement from a licensed physician providing that the person has evidence of current immunity to pertussis (whooping cough) and/or measles., 3. The person submits in writing declaration that he or she has declined the influenza (flu) vaccination. This exemption only applies to the influenza (flu) vaccine. Bilingual in English and Spanish or other secondary language may be required based on the needs of the clients and the program. Former Head Start 0 to 5 parents preferred. 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. While performing the duties of this job, the employee is regularly required to sit; use hands to fingers, handle, or feel; and talk and hear. The employee frequently is required to stand, walk, and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. 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 occasionally exposed to outside weather conditions. The noise level in the work environment is usually moderate. Note: The statements herein are intended to describe the general nature and level of work being performed, but are not to be seen as a complete list of responsibilities, duties, and skills required. Also, they do not establish a contract for employment and are subject to change at the discretion of Fresno EOC. REV. 03/05/2025 This could be a 10, 10.5, 11 or 12 month position. Depending on the center, work schedule may vary. 7 hours per day

Job DescriptionABOUT WAWONA FROZEN FOODS Wawona Frozen Foods is a family-owned company known for our commitment to quality, safety, and exceptional service. We produce premium frozen fruit products using state-of-the-art facilities that meet the highest standards of food safety and consistency. Our teams work collaboratively to ensure that every customer receives the superior value and service Wawona is known for. ABOUT THIS ROLE We are seeking a Customer Service Representative (CSR) who will act as a trusted partner to our customers. This role is responsible for accurate order entry, proactive communication, and supporting cross-functional teams throughout the order-to-cash cycle. The CSR ensures that orders are fulfilled accurately, customers receive timely updates, and internal teams have the information they need for smooth execution. This position works closely with Sales, Supply Chain, Warehouse, Accounting, Operations, and Shipping/Receiving to provide high-quality customer support and seamless order processing. Wawona Frozen Foods – Clovis, CA Location Status: Full-Time, Non-Exempt Schedule: 7:00am to 5:00pm, Onsite, In Person Compensation: $18-25 DOE WHAT YOU'LL DOOrder Processing & Fulfillment • Accurately enter customer orders and ensure all necessary details (product specs, quantities, delivery dates) are complete., • Monitor daily order fulfillment and proactively resolve issues to ensure timely shipment and delivery., • Coordinate with production teams on orders requiring expedited manufacturing or inventory adjustments., • Communicate any order or schedule changes to customers in a timely and professional manner.Customer Service & Communication, • Serve as the main point of contact for customer inquiries, updates, and issue resolution., • Provide prompt and accurate responses via phone, email, and other channels., • Maintain accurate customer records, order history, and contact information., • Support Sales Managers with customer updates, pricing verification, and special reporting.Invoicing & Account Coordination, • Ensure accounting has the information needed to issue accurate and timely invoices., • Assist in resolving invoice discrepancies in partnership with sales and accounting teams. Inventory & ERP Management, • Use Business Central ERP to check product availability and troubleshoot inventory issues., • Partner with warehouse and operations teams to prevent stockouts and ensure inventory accuracy. Cross-Functional Collaboration, • Work closely with supply chain, warehouse, shipping/receiving, and operations teams to support efficient order fulfillment., • Keep Sales Managers and the Customer Service Supervisor informed of issues impacting customer satisfaction or order delivery.Quality, Compliance & Documentation, • Maintain accurate documentation of all orders, customer interactions, and issue resolution steps., • Comply with all GMP, HACCP, Food Safety, Food Defense, and SQF policies., • Participate in Wawona's Safety Program and report concerns related to safety or product quality. WHAT WE'RE LOOKING FORQualifications, • AA degree or equivalent preferred., • 2+ years of customer service or order processing experience; experience in food manufacturing or foodservice strongly preferred., • Proficiency with Business Central ERP (or similar systems) for order management and inventory lookup., • Advanced Microsoft Excel skills (VLOOKUP, Pivot Tables, formulas)., • Strong communication skills and the ability to build positive customer relationships., • Highly organized with strong attention to detail and accuracy., • Collaborative, proactive, and comfortable in a fast-paced environment.PHYSICAL & WORK ENVIRONMENT REQUIREMENTS, • Regularly required to sit, stand, walk, talk, and use a computer and phone., • Occasionally lift up to 20 pounds., • Primarily office-based; may visit production areas where conditions include noise, humidity, cold temperatures, moving mechanical parts, and slippery floors (slip-resistant shoes required). WHY JOIN WAWONA?, • Family-owned culture with strong values, • Opportunity to make an impact across multiple departments, • Stable, growing company in the food manufacturing industry, • Supportive leadership and teamwork-focused environment

Job DescriptionSalary: $21-25 hr. Position Summary The SLS (Supportive Living Services) Case Manager ensures the delivery of high-quality, individualized care to adults with developmental disabilities by supervising direct service staff, coordinating with community partners, and supporting clients in achieving independence. This role demands strong communication, case management skills, and flexibility to respond to changing client needs and service locations. Essential Duties & Responsibilities • Manage a caseload of up to 8 clients, ensuring quality service delivery and individual progress., • Conduct home visits weekly, bi-weekly, or monthly based on client needs., • Maintain accurate, current records and documentation, including quarterly reports., • Monitor client behavior and assess needs using knowledge in psychology and social services., • Provide transportation to appointments, shopping, and social activities as needed., • Maintain prompt communication with clients, families, DSPs, and community agencies., • Participate in interdisciplinary team (IDT) meetings and contribute to service planning., • Support independent contractors in crisis situations to maintain service stability., • Process referrals, intakes, assessments, and assist with coordinating client transitions or relocations., • Represent the agency positively to funding sources, medical professionals, judicial systems, and community agencies., • Collaborate with legal, regulatory, and certification entities to ensure program compliance., • Participate in on-call rotation, respond to calls, and rotate through administrative duties (e.g., answering phones, filing)., • Attend internal meetings with Program Managers or Directors and participate in agency activities or events as assigned., • Follow all company policies, procedures, and Title 17 regulations., • Bachelors degree in Human Services or related field required., • Minimum of 2 years of relevant experience in developmental disabilities or case management., • Valid driver's license, reliable vehicle, insurance, and current registration, and ability to pass an MVR., • Ability to pass background check, drug screening, and fingerprint clearance., • Flexibility to adapt to changing work schedules and multiple client locations., • Computer proficiency in Microsoft Office (Word, Excel)., • Strong written communication and documentation skills., • Familiarity with Title 17 and experience managing client crises preferred., • Ability to lift up to 50 lbs., • Frequent walking and mobility required throughout client homes and the community., • Ability to support clients with housekeeping tasks, meal prep, and transport., • Visual and auditory ability to read, write, and communicate clearly in person and by phone., • Problem-solving and crisis management skills., • Sound decision-making and independent judgment., • Effective time management and prioritization., • Clear and professional communication with diverse stakeholders., • Technical proficiency in documentation and office equipment use., • Goal-setting and progress tracking.

Job Description We are seeking a detail-oriented and licensed Commercial Customer Service Representative to support and service a growing book of commercial insurance clients. This role is responsible for maintaining strong client relationships, ensuring policy accuracy, and providing prompt, knowledgeable service to meet client needs. Benefits Hourly Base Salary + Commission + Bonus Opportunities Paid Time Off (PTO) Mon-Fri Schedule Career Growth Opportunities Retirement Plan Responsibilities • Service a portfolio of commercial lines accounts, including general liability, commercial auto, property, workers compensation, and umbrella policies, • Process policy changes such as endorsements, cancellations, reinstatements, and renewals, • Review policies for accuracy and coverage gaps; recommend solutions when appropriate, • Respond to client inquiries via phone, email, and in person in a timely and professional manner, • Assist producers with new business submissions, quoting, and binding coverage, • Prepare certificates of insurance, evidence of coverage, and other documentation, • Manage renewal process, including remarketing when necessary, • Maintain accurate and up-to-date client records in the agency management system, • Active Property & Casualty (P&C) insurance license (required), • 2+ years of commercial insurance servicing experience preferred, • Strong knowledge of commercial lines coverages and policy structures, • Excellent communication and customer service skills, • High attention to detail and organizational ability, • Proficiency with agency management systems (e.g., Applied Epic, AMS360, or similar), • Ability to prioritize tasks and manage multiple deadlines

Job DescriptionDescription: We seek talented and experienced individuals to join our team as Cosmetology Instructors. As a Cosmetology Instructor, you will play a crucial role in shaping the future of our students. You will be responsible for delivering comprehensive cosmetology education and training, ensuring students develop the necessary skills and knowledge to excel in their careers. You will inspire and motivate students to reach their full potential by providing hands-on instruction and guidance. Responsibilities: • Teach theoretical and practical aspects of cosmetology, including hair styling, cutting, coloring, makeup application, skincare, nail care, and other related topics., • Design and deliver engaging lesson plans that align with the curriculum and meet industry standards., • Demonstrate and supervise hands-on techniques in a classroom and salon setting., • Provide individualized attention and support to students, addressing their unique needs and challenges., • Assess student performance through practical exams, written assignments, and other evaluation methods., • Maintain accurate records of student attendance, grades, and progress., • Stay current with industry trends, techniques, and regulations to ensure the curriculum remains relevant and current., • Foster a positive, inclusive learning environment that promotes student success and personal growth., • Collaborate with other instructors and staff members to enhance the overall educational experience., • Participate in professional development opportunities to continuously improve teaching skills and knowledge. Requirements: Requirements: • High School diploma or equivalent required., • Minimum of 3 years of professional experience in the cosmetology industry., • Valid cosmetology license in the state in which the college operates., • Excellent technical skills in hair, makeup, skincare, and nail care., • Strong communication and interpersonal skills to effectively interact with students, colleagues, and industry professionals., • Passion for education and the ability to inspire and motivate students., • Up-to-date knowledge of industry trends, techniques, and best practices., • Patience, empathy, and the ability to work with a diverse student population., • Organizational skills and attention to detail for maintaining accurate records and documentation., • Flexibility to adapt to changing curriculum needs and industry requirements., • Previous teaching experience is preferred but not required., • Computer skills are necessary. Hours and Availability: Day and Evening Positions, including a partial work-from-home/remote schedule This is an exciting opportunity for the right candidate as we offer a competitive salary/benefits package. Company Benefits include group health insurance, a 401(k) retirement plan, Employee Stock Ownership Plan, PTO, and holiday pay. Career advancement opportunities! An Equal Opportunity Employer. If you're interested, Apply Now! Milan Institute is a private post-secondary college and a leader in the Allied Health, Business, and Cosmetology fields. We invite you to visit our website at to learn more about Milan Institute. You may visit the Milan Institute website at for information on campus crime statistics.

Job DescriptionSalary: $51 - $58/hourly Valley Regional Hospice Outpatient is proud to announce the opening of a full-time Registered Nurse position! With our growing needs, we are seeking a full-time RN to fit this vital role. This position would be Monday through Friday. Occasional on-call shifts as needed (the majority of the on-call shifts are covered by LVN). Benefits • 401(k), • 401(k) matching, • Dental insurance, • Employee discount, • Health insurance, • Health savings account, • Life insurance, • Paid time off, • Parental leave, • Referral program, • Retirement plan, • Vision insurance Essential Job Functions/Responsibilities Patient Care • Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es)., • Provides professional nursing care by utilizing all elements of nursing process., • Assesses and evaluates patients status by:, • Writing and initiating plan of care, • Regularly re-evaluating patient and family/caregiver needs, • Participating in revising the plan of care as necessary, • Uses health assessment data to determine nursing diagnosis., • Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process., • Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physicians plan of care., • Counsels the patient and family in meeting nursing and related needs., • Provides health care instructions to the patient as appropriate per assessment and plan., • Assists the patient with the activities of daily living and facilitates the patients efforts toward self-sufficiency and optional comfort care., • Completes, maintains and submits accurate and relevant clinical notes regarding patients condition and care given. Records pain/symptom management changes/outcomes as appropriate., • Communicates with the physician regarding the patients needs and reports changes in the patients condition; obtains/receives physicians orders as required., • Communicates with community health related persons to coordinate the care plan., • Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group., • Provides and maintains a safe environment for the patient., • Assists the patient and family/caregiver and other team members in providing continuity of care., • Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver., • Participates in on-call duties as defined by the on-call policy., • Ensures that arrangements for equipment and other necessary items and services are available., • Supervises ancillary personnel and delegates responsibilities when required., • Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes., • Fulfills the obligation of requested and/or accepted case assignments., • Registered nurse with current licensure to practice professional nursing in the state., • Graduate of National League for Nursing accredited school of nursing., • Maintains a current CPR certification., • Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order., • Minimum of two years experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred., • Self directed and able to work with minimal supervision., • Management experience not required. Responsible for supervising hospice aides., • Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist., • Shows ability to organize and prioritize workload independently., • Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.

Job Description Sante Health System is looking for a full time, Medical Front Desk Receptionist to join our medical office team at Central Valley Women's Health Associates (CVWHA), in the Fresno, CA area. This position is responsible for answering phones and transferring calls to the appropriate departments. This position will also greet, instruct and schedule patients, visitors and update patient information. OUR IDEAL FRONT DESK RECEPTIONIST • Positive - a can-do attitude that lifts those around you, • Customer service oriented - focused on the needs of others, • Friendly - can easily connect with others and work collaboratively with all service staff in support of patient care, • Strong Communication - be comfortable on the phone and email, with ability to communicate clearly, • Detail-oriented - a commitment to achieving a high level of accuracy and attention to detail, • Self-motivated - no-task-too-small approach to the work, sees what needs to be done and does it, • Efficient - a knack for effectively prioritizing tasks and managing your timeQUALIFICATIONS, • High school diploma or equivalent, • Formal training which will be indicated by one year work experience in a medical office setting, • Knowledge of computer and business office procedures, • Pleasant attitude, • Ability to establish and maintain effective relationship with patients, employees and the public, • Epic & Nextgen experience a plus, • Knowledge of business office procedures., • Knowledge of managed care products such as HMO's and PPO's., • Knowledge of grammar, spelling and punctuation to type patient information., • Skill in operating a computer and photocopy machine., • Skill in greeting patients and answering the telephone in a pleasant and helpful manner., • Ability to speak clearly and concisely., • Ability to read, understand and follow oral and written instructions., • Ability to sort and file materials correctly and in alphabetical or numeric systems., • Ability to establish and maintain effective working relationships with patients, employees, and the public.JOB DUTIES AND RESPONSIBILITIES, • Greet patients and callers in a congenial and professional manner; screen and respond to routine request for information., • Identify caller and determine reason for the telephone call., • Direct caller to the appropriate person or place., • Coordinate and reschedule patients appointments., • Check patients in., • Inquire about any new patient information (change of address, telephone, new insurance, etc.)., • Scan new insurance card., • Help patient complete necessary forms., • Put new information into computer., • Prepares cashier drawers with specified opening balance of currency and coins., • Receives and post payments and co-pays from patients and issues receipts as required., • Runs reports as required to balance charges and payments., • Prepares deposit for the day if required., • Management of Reports., • Zero EOB's from Capitation Report., • MCMP yearly project of tracking patients per the standards of Medicare., • Tracking Santes' Pay for Performance., • Coverage for physician receptionist area as needed., • Attends meetings and in-service as required., • Maintains records in a confidential manner., • Comply with all work rules including those pertaining to safety and health., • Perform related work as required; perform other duties and assigned by the Administrator., • In the spirit of teamwork, employees are expected to follow any other job-related instructions and to perform any other job-related duties as requested.ABOUT SANTE HEALTH SYSTEM Sante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community. Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. With over 30 years of service to the community we deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home. If you meet the above qualifications and are ready to provide excellent care to our patients, we want to meet you! Apply today!

Job Description Job Description • Position: Caregiver, • Pay Range: $21.00, • Reporting To: Director of Nursing The Caregiver provides direct personal care and related services to clients at their place of residence. QUALIFICATIONS • Current CPR and Basic First Aid., • Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures. Must be free from signs of infection and illness., • Must demonstrate competency in performing personal care services prior to providing patient care., • Able to walk, bend, stoop, and lift objects appropriate for job performance. Must be able to perform all job responsibilities., • Assists with activities of daily living, such as bathing, hair care, skin care, oral care etc., • Assists clients with transfers, such as getting in-and-out of bed, and assists with ambulation., • Assists with prescribed exercises as taught by appropriate health personnel., • Assists with the preparation of meals, including therapeutic diets, and assists clients with eating., • Assists clients with toileting, going to the bathroom, or using commodes, bedpans or urinals., • Assists clients with medications that are self-administered by the client., • Performs other activities taught by a health professional for a specific patient. These may include such services as taking vital signs, and non-sterile bowel and bladder hygiene care., • Monitors client activities, food intake. Reports changes in the client’s condition and needs to the Respite Care Manager., • Completes progress records and time keeping logs regarding services performed., • Performs all assigned personal care services., • Performs simple household procedures essential to maintenance of proper health care at home, such as disposal of infectious secretions, cleaning of soiled linen, proper disposal of food, and light housekeeping., • Accompanies client as needed to medical appointments, and assists with activities of daily living etc., • Complies with HIPAA regulations, maintains and conserves confidentiality of client and agency information at all times., • Utilizes client equipment and supplies safely, efficiently and effectively., • Conforms to all agency policies and procedures, • Familiarity with Title 22., • Maintains a comfortable work environment for all employees., • Maintains proper timekeeping., • Follows policies and procedures as per the Employee Handbook., • Maintains all required credentials up-to-date., • Reports fraud and abuse., • Knowledge of mandated reporting., • Conducts timely recording and/or documentation of all client contact., • Attends department meetings (in person, by phone, or by web)., • Attends all state mandated in-service trainings., • Performs other duties as assigned.

Job DescriptionWe are looking for an experienced Senior Accountant to join our team on a long-term contract basis in Fresno, California. In this role, you will play a key part in managing financial processes, ensuring accuracy, and supporting the month-end close activities. The ideal candidate will have a strong background in accounting practices and a detail-oriented approach to handling complex financial tasks. Responsibilities: • Oversee and execute month-end close procedures to ensure timely and accurate financial reporting., • Manage and maintain the general ledger, ensuring all entries are recorded properly., • Prepare and post journal entries, verifying accuracy and compliance with company policies., • Conduct account reconciliations to identify and resolve discrepancies., • Perform bank reconciliations to ensure alignment between internal records and external statements., • Collaborate with internal teams to streamline accounting processes and improve efficiency., • Analyze financial data and provide insights to support decision-making., • Ensure compliance with accounting standards and regulatory requirements., • Assist in audits and provide necessary documentation to auditors., • Identify opportunities for process improvements and implement best practices.• Minimum of 3 years of experience in accounting or a related field., • Expertise in month-end close procedures and financial reporting., • Proficiency in managing general ledger operations and journal entries., • Strong skills in account and bank reconciliations., • Familiarity with accounting standards and regulations., • Detail-oriented with exceptional organizational and analytical abilities., • Excellent communication skills to collaborate with team members and stakeholders., • Advanced proficiency in accounting software and Microsoft Excel.

Job Description Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Histology Technologist to support the Fresno VA Medical Center located at 2615 East Clinton Avenue Fresno, CA 93703. 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 • Stain slides via routine stains, immunostains, and special stains, • Prepare a wide variety of special stained slides requiring many complex and delicate processes, • Perform a variety of extremely difficult, delicate, and complex tissue tests, • Perform sectioning of tissue with the use of a clinical microtome, • Perform routine and multiple staining of tissue sections including careful timing and counterstaining, • Perform cover slipping of slides and prepare tissue for electron microscopic study, • Label slides for final microscopic examination, • Perform administrative tasks related to the position such as maintaining records, receiving of patient specimens, labeling of slides and answering telephone inquiries, • A Bachelor-level degree in a related field from an accredited educational institution, • ASCP professional certification or equivalent Nationally-recognized Histology Technologist certification or categorical certification in histopathology, • A minimum of three (3) year of experience within the last three (3) years., • Experience in U.S. Government facilities in preferred All candidates must be able to: • 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 EP88lb74d5

Job DescriptionDescription: Community Health Centers of America is hiring for an MD/DO to work in our family practice clinics in Fresno, CA. Must be willing to supervise NP/PAs. Possibly will also work in partner long-term care facilities. You will be responsible for diagnosing and treating patients in the clinic setting. Internal Medicine - Family Practice Community Health Centers of America is a premier multi-specialty group focused on improving the health of the community through excellence in clinical care. Our goal is to provide better care to the patient with a collaborative, supportive, respectful, and productive work environment for its healthcare professionals. Sign-On Bonus! Job Description: • Helps patients by evaluating medical conditions., • Develops and implements treatment plans, including prescriptions., • Monitors and evaluates treatment results., • Evaluates patients by interviewing patient, family, and other persons; conducting physical examinations; observing behaviors; reviewing medical history and related documents; selecting, administering, and ordering laboratory tests and evaluating results., • Develops treatment plans by determining nature and extent of medical conditions., • Maintains interdisciplinary treatment by reviewing treatment plans and progress, and consulting and collaborating with primary care physicians, mental health therapists, nurses, and other health care providers., • Assures quality and safe service for patients and staff by enforcing policies, procedures, standards, rules, Joint Commission for Accreditation of Health Care Organizations requirements, and legal regulations; participating in utilization reviews; and remaining available for emergency consultations., • Maintains historical records by documenting symptoms, medications, and treatment events and writing summaries., • Updates job knowledge by participating in continuing medical educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations., • Completion of residency, • Valid state medical license as MD or DO, • Valid DEA certificate, • 3 years’ experience working as a Physician, • Excellent verbal and written communication, • Critical thinking, • Active listening, • Highly competitive salaries with benefits, a 401(k) plan, and CME allowance, • Sign-On Bonus!, • Manageable work schedules, providers are not required to work evenings or weekends, • Some flexibility with schedules - great for providers with families/other responsibilities, • Night/Weekend call coverage!, • Opportunity to work with a diverse range of professionals, • A professionally challenging environment with a mix of disease acuity, • A career with administrative freedom - appropriate support staff is supplied Job Types: Full-time, Part-time Salary: $300,000.00 - $350,000.00 per year, depending on experience Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Employee assistance program, • Flexible schedule, • Health insurance, • Life insurance, • Loan forgiveness, • Malpractice insurance, • Paid time off, • Professional development assistance, • Referral program, • Relocation assistance, • Visa sponsorship Schedule: • Day shift, • Monday to Friday, • No nights, • No weekends Requirements: POSITION REQUIREMENTS: • Must possess a degree in medicine and a valid license from the California Medical Board., • Experience: 3-5 years of related experience preferred; or equivalent combination of education and experience, • Licenses/Certifications: Appropriate certifications and/or licensures, • Current BLS/ACLS required, • Current DEA required, • Excellent verbal and written communication, • Active listening and active learning, • Flexibility to work with a variety of people, differing in ages, personalities, and backgrounds, • Time management skills to be able to see a high number of patients, • Interpersonal skills, compassion, and empathy to build positive relationships with patients and colleagues, • Critical thinking, • Social perceptiveness, • Complex problem solving, • Respect patient confidentiality

Job Description Veterinary Receptionist (Client Service Representative) As a Veterinary CSR, you’ll be the friendly face and calming voice that welcomes our clients and their pets. Your role is essential in creating a warm, organized, and efficient experience from the moment clients walk through our doors or call on the phone. What You’ll Do: • Greet clients warmly and check them in for appointments., • Answer incoming calls, schedule appointments, and provide basic information., • Process payments, invoices, and maintain accurate records., • Relay messages and prescription requests to veterinarians and techs., • Keep the reception area clean, welcoming, and well-stocked., • Experience in a veterinary or medical office preferred., • Excellent customer service and communication skills., • Ability to multitask in a fast-paced environment., • Comfortable with computer systems and scheduling software., • Passionate about animals and dedicated to client care. As a Veterinary Assistant, you’ll support our doctors and technicians in providing high-quality, compassionate care to pets. From assisting in exams to patient handling and treatment prep, your hands-on role helps keep things running smoothly behind the scenes. What You’ll Do: • Assist veterinarians and technicians with exams and procedures., • Restrain animals safely and compassionately., • Prepare exam rooms and surgical areas., • Clean and sanitize equipment and kennels., • Monitor and care for hospitalized or recovering patients., • Prior experience as a veterinary assistant or similar role is a plus., • Comfortable working with animals of all sizes and temperaments., • Team player with a positive attitude and willingness to learn., • Strong attention to detail and ability to follow instructions., • Able to work weekends and flexible shifts.Company DescriptionWe are a compassionate and client-focused veterinary practice dedicated to providing top-tier care for pets. We pride ourselves on offering exceptional customer service and ensuring that every client and their pet receive the best experience possible. We are currently seeking a friendly and motivated Veterinary Customer Service Representative (CSR) and Veterinary Assistant to join our team.We are a compassionate and client-focused veterinary practice dedicated to providing top-tier care for pets. We pride ourselves on offering exceptional customer service and ensuring that every client and their pet receive the best experience possible. We are currently seeking a friendly and motivated Veterinary Customer Service Representative (CSR) and Veterinary Assistant to join our team.

Job DescriptionFull Charge Bookkeeper Property Management Company | North Fresno, CA Full-Time | Excellent Benefits | Supportive Team Environment A well-established property management company in North Fresno is seeking an experienced Full Charge Bookkeeper to join their accounting team. This role offers the opportunity to manage the day-to-day accounting for multiple entities while working closely with a supportive and approachable Controller who values collaboration and professional development. This is an excellent opportunity for someone who enjoys taking ownership of the accounting process while working in a stable, team-oriented environment. About the Company This organization manages a diverse portfolio of properties and has built a strong reputation for professionalism, reliability, and long-term relationships. The accounting team plays a key role in supporting operations across multiple entities, and the culture emphasizes organization, teamwork, and a positive work environment. Team members enjoy strong leadership, clear processes, and a workplace that values both productivity and balance. Position Overview The Full Charge Bookkeeper will be responsible for managing the full-cycle accounting functions for multiple entities within the property management portfolio. This position works closely with the Controller and plays an important role in maintaining accurate financial records and supporting month-end reporting. Key Responsibilities * Maintain general ledgers for multiple entities * Process accounts payable and accounts receivable * Perform bank and account reconciliations * Prepare journal entries and assist with month-end close * Track and record property-related income and expenses * Assist with financial reporting and internal reporting needs * Maintain organized accounting records and supporting documentation * Collaborate with the Controller on accounting processes and improvements What the Company Offers * Competitive salary * Excellent benefits package, including health, dental, and vision coverage * 401(k) retirement plan * Generous paid time off and holidays * A stable and well-organized company * A supportive Controller and leadership team * A positive and collaborative working environment * Long-term career stability Qualifications * 5+ years of bookkeeping or accounting experience * Experience handling full-cycle bookkeeping or multiple accounting functions * Strong understanding of general ledger accounting and reconciliations * High attention to detail and strong organizational skills * Ability to manage multiple entities or accounts simultaneously * Comfortable working independently while collaborating with a team * Property management or real estate accounting experience is a plus, but not required Why This Opportunity Stands Out This role offers more than just bookkeeping responsibilities—it provides the chance to work in a well-run organization with strong leadership and a supportive accounting team. You’ll have the opportunity to manage meaningful accounting work while working alongside a Controller who encourages collaboration and professional growth. If you're looking for a stable accounting role with excellent benefits and a positive work environment, we’d welcome the opportunity to connect. Apply today to learn more about this opportunity in North Fresno.

Job Description Billing Coordinator Location: Fresno, CA Pay: $28 per hour Schedule: Full-Time Industry: Construction Job Summary We are seeking a detail-oriented Billing Coordinator with construction industry experience to join a growing team. This role is responsible for managing project billing, supporting accounting operations, and ensuring accurate invoicing related to construction projects. The ideal candidate will have experience with construction billing processes, including progress billing and lien documentation, and be comfortable working closely with project managers and accounting staff. Key Responsibilities • Prepare and process construction project billings, including progress billing and time & materials invoices, • Review contracts and job details to ensure accurate billing according to project terms, • Coordinate with project managers and accounting teams to gather billing information, • Track and maintain billing schedules, change orders, and project documentation, • Assist with AIA billing and lien waivers when applicable, • Monitor accounts to ensure invoices are submitted accurately and on time, • Resolve billing discrepancies and respond to client inquiries, • Maintain organized billing records and documentation Qualifications • 2+ years of billing or accounting experience, preferably in the construction industry, • Experience with construction billing processes (AIA billing preferred), • Strong attention to detail and organizational skills, • Ability to manage multiple projects and deadlines, • Proficiency with Excel and accounting software, • Strong communication skills and ability to collaborate with internal teams Preferred Qualifications • Experience with construction accounting software (Sage, QuickBooks, Foundation, or similar), • Knowledge of lien waivers, progress billing, and job cost accounting Benefits • Competitive hourly pay at $28/hr, • Opportunity to work with a growing construction company, • Professional and collaborative team environment, • Potential for long-term career growth Apply today to join a team where your attention to detail and construction billing expertise will make a direct impact.

Job Description Overview MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions across a wide range of industries, including healthcare, retail, government, education, telecom, technology e-commerce, and financial services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability and reduce costs. At MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organization. Join our executive management team as an Accountant and play a vital role in supporting the financial integrity and strategic growth of our organization. In this position, you will perform a range of professional accounting duties, including compiling, maintaining, and analyzing financial data and records. You’ll ensure all financial reporting aligns with Generally Accepted Accounting Principles (GAAP) and complies with internal policies, legal standards, and professional guidelines across MCI programs and business operations. To be considered for this role, you must complete a full application on our company careers page, including all screening questions and a brief pre-employment test. Responsibilities Key Responsibilities • Manage Accounts Receivable functions: invoicing, manual payment application, aging reports, and account reconciliation., • Record routine journal entries and bank transactions., • Process accounts payable bills and credit card transactions as needed., • Perform month-end closings and account reconciliations., • Investigate, correct, and adjust discrepancies in accounting data., • Conduct bank reconciliations., • Collaborate with and support team members across departments. Qualifications WONDER IF YOU ARE A GOOD FIT FOR THIS POSITION? The ideal candidate for this role would share and understand the high growth objectives of Mass Markets. Demonstrated ability in an accountant role a must. The right candidate will exhibit good business judgment and acumen and be both confident and flexible in their views. This position will require the ability to work with multiple business units to acquire operational knowledge and execute on departmental initiatives. Demonstrated interpersonal skills and oral and written communication skills are a must. • Bachelor’s degree in Accounting or Finance., • 1–2 years of experience with accrual-based accounting, including AR, journal entries, month-end close, and bank reconciliations., • Proven reliability and consistent attendance., • Excellent oral and written communication skills; comfortable engaging with all levels of the organization., • Strong organizational skills with the ability to plan, prioritize, and manage projects effectively., • High attention to detail with strong proofreading and editing abilities., • Ability to thrive in a fast-paced environment, working independently and efficiently., • Highly self-motivated, proactive, and results-driven., • Must be able to pass a background check and drug screening.

Job DescriptionSalary: $68,000-$90,000 D.O.E Are you stuck in a stagnant JOB? Are you feeling uninspired by your work? Then you just need to find your way. Our mission is to bring unity, faith, and compassion to our community. Our mission is why we wake up excited for the challenge to change an entire industry. Its why we work 40 hours a week. We come to work to serve thousands of neighbors throughout California. We strive to enhance the community experience forever, and it all starts with our TEAM. If what youre doing isnt giving you a sense of purpose and you want to join our quest to change an industry, apply today! About Unity, Inc.: We are an HOA management company founded in 1979 and rebranded to Unity, Inc. in 2020, owned by Sal Silva. We have over 40 team members who are 100% dedicated to our mission and making a difference. We service the entire Central Valley, Northern California, and Central Coast, and our headquarters are in Fresno, CA. And by the way, we are not stuffy or corporate around here. Here are some of the perks and benefits at Unity, Inc Paid week off in December to observe the holiday season A 401(k) match of 4% after six months as a team member Health, Dental, and Vision Insurance on Day 90 One fully paid workweek to volunteer for your favorite charity or nonprofit Generous PTO and paid sick time off Professional development and tuition aid We prioritize work-life balance with health and wellness days along with hybrid work opportunities after 90 days. It is a calling, and we are on a mission to bring UNITY and FAITH to an entire industry. The Senior Client Accountant serves as a key financial partner to homeowners associations managed by the company. This role is responsible for overseeing association financial operations, supporting community managers and boards of directors, and ensuring accurate and timely financial reporting for a portfolio of HOA clients. This position is highly customer-facing and requires strong communication skills, attention to detail, and the ability to translate financial information clearly to non-financial stakeholders. The role guarantees adherence to the established GAAP guidelines in all tasks. What Winning Looks Like: • Prepare and review monthly financial statements for assigned HOA portfolios, • Ensure accuracy of balance sheets, income statements, and supporting schedules, • Monitor association operating and reserve accounts, • Reconcile bank accounts and investigate discrepancies, • Monitor and analyze accounting data, balance sheet reconciliations, financial reports, and statements., • Coordinate with Community Managers regarding financial activity and board requests, • Attend board or finance committee meetings as needed to present financials, • Respond to board member and homeowner financial inquiries professionally and timely, • Provide financial guidance and support to community managers., • Assist with annual budget preparation and financial planning, • Maintain organized financial records for all associations, • Maintain banking documentation and compliance requirements, • Monitor cash balances and investment maturities, • Coordinate transfers between operating and reserve accounts, • Open and manage association bank and CD accounts, • Supervise and support one direct report responsible for transactional accounting tasks, • Review work for accuracy and completeness, • Assist with process improvements and workflow efficiencies, • Support annual audits, tax preparation, and CPA requests, • Ensure adherence to HOA governing documents and financial policies, • Maintain organized financial records for all associations, • Follow internal accounting controls and best practices, • Perform other finance duties as needed or assigned Skills Needed to Win: • Required Bachelors degree in accounting, finance, business, or related field, • Must have 3+ years of accounting or bookkeeping experience, • Strong understanding of financial statements and reconciliations, • Customer-service mindset with professional communication skills, • High attention to detail and organizational ability, • Proficiency in accounting software and Microsoft Excel, • HOA or property management accounting experience, • Experience working with multiple client accounts or portfolios, • Banking or cash-management experience, • Experience supporting audits or CPA reviews, • Client-focused communication, • Financial analysis and problem-solving, • Time management across multiple accounts, • Ability to explain financial concepts to non-accountants The range for this role considers a wide range of factors in making compensation decisions, including but not limited to skill sets, experience, training, licensure, certification, and other business and organizational needs. Compensation decisions are based on the facts and circumstances of each case. The current range is a reasonable estimate. Join our quest! Apply now!

Job DescriptionOverview Ansible Government Solutions, LLC (Ansible) is currently recruiting a General Surgeon to provide onsite services to eligible beneficiaries of the Fresno VA Medical Center located at 2615 East Clinton Avenue Fresno, CA 93703. 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. Competitive full-time pay packages are available to qualified candidates. 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 • Administrative duties designated by the Chief of Surgery., • Duties involving preventative medicine, emergency preparedness, Join Commission, and other internal and external health systems requirements deemed by the Chief of Surgery., • Supervision and training of Surgical Residents, other trainees, and physician extenders., • Provide fair and equitable on-call services during daytime, after-hours, weekends, and holidays based on mutually agreed upon and pre-determined schedule., • Demonstrates courtesy, respect, and a positive attitude towards all stakeholders., • Has the knowledge and skill to assist customers with questions or concerns., • Understands the importance of and participates in service recovery., • Recognizes the need and modifies care as necessitated by patient’s age and abilities., • Ability to provide accurate and understandable instructions to patients., • Understands the importance and is compliant with participating in patient identification and time-out processes., • Ability to recognize patient signs of physical distress and monitor the patient’s condition during treatment., • Knowledge of computerized patient records system, and their application to surgical patients, to include approved abbreviations and the format for completion of progress notes.Qualifications, • Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed., • Board Certified or Board Eligible in Surgery., • Active, full, and unrestricted license to practice medicine in any U.S. State, Territory, Commonwealth, or the District of Columbia., • Physicians must have completed residency training, approved by the Secretary of Veteran Affairs in an accredited core specialty training program leading to eligibility for board certification., • NPI report printout., • Active DEA license., • 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 YcleoFVVMy

Job DescriptionBenefits: • 401(k), • Competitive salary, • Dental insurance, • Flexible schedule, • Health insurance, • Paid time off Search no further. Compassionate Care Hospice was established to serve our communitys terminally ill, so that their last days on earth are peaceful and dignified. Help us write beautiful final chapters for those in need. We are headquartered in Fresno and services the Central Valley, including the following counties: Fresno, Merced, Madera, Tulare, Kings, Mariposa, Stanislaus, and Kern County. Our top priority is maintaining our culture of respect and love for our patients and team, alike. Our commitment to our core values allows us to be a provider and employer of choice. We understand that our employees are key to providing quality care and are our most important resource. We actively seek career-oriented individuals, to whom we offer job security and upward mobility when appropriate - based on merit and performance. We proudly employ an accomplished team of professionals and our team is as diverse as the communities we serve, representing different ethnicities, religions, ages, national origins, and sexual orientations. Join us today and grow with us! We are currently seeking to fill the Hospice RN position. -Position to be performed in Fresno/Clovis areas -Compensation $50-$55/ hr (negotiable, based on experience, etc.). -1 year of experience in Hospice required. Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es)., 2. Provides professional nursing care by utilizing all elements of the nursing process and as defined in the state Nurse Practice Act., 3. Assesses and evaluates patient's status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change., 5. Uses health assessment data to determine nursing diagnosis., 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process., 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care., 8. Counsels the patient and family in meeting nursing and related needs., 9. Provides health care instructions to the patient as appropriate per assessment and plan., 10. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care., 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate., 2. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required., 3. Communicates with community health related persons to coordinate the care plan., 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group., 5. Provides and maintains a safe environment for the patient., 6. Assists the patient and family/caregiver and other team members in providing continuity of care., 7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver., 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy., 2. Ensures that arrangements for equipment and other necessary items and services are available., 3. Supervises ancillary personnel and delegates responsibilities when required., 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes., 5. Fulfills the obligation of requested and/or accepted case assignments., 6. Actively participates in quality assessment performance improvement teams and activities. Qualifications 1. Graduate of a National League of Nursing accredited school of nursing., 2. Current license in California and current CPR certification., 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of one years' experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred., 4. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order., 5. Management experience not required. Responsible for supervising hospice aides., 6. Self-directed and able to work with minimal supervision., 7. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Employees and patients are equally precious to us. Your happiness is our happiness - we offer you the following benefits for any full-time position: Dynamic, fun, team-oriented work environment Unparalleled company culture Local company with soul Countless growth and development opportunities Flexible Schedules Medical, dental and vision insurance Mileage Reimbursement at current Federal rate Gas reimbursement for those in company cars PTO Paid Holidays Paid Sick Days 401K And so much more! Compassionate Care Hospice has grown into the Valleys leading Hospice establishment. Compassionate Care provides in-home medical, rehabilitative, and support services by seasoned professionals with comprehensive clinical training and robust hospitality experience. CompassionateCare.com

Job Description Accounts Receivable Specialist Key Responsibilities:

Job Description Are you a reliable and compassionate At Home Senior Caregiver in the Clovis, CA area? Would you like to know what it's like to be treated like an "Angel?" Visiting Angels of Fresno is hiring a reliable, compassionate, and dependable At Home Senior Caregiver to join our team in the Clovis, CA area. What Are the Benefits to Being an At Home Senior Caregiver? • Competitive Pay - $13-$14 per hour, • Opportunity to participate in a 401k with employer match!, • We treat you well because we are thankful for the work that you do, • Flexible schedules tailored to your availability, • Training opportunities, • We provide excellent communication and feedback to our employees, • Bonus Opportunities and Employee Incentives, • Aflac Visiting Angels is a locally owned and operated home care franchise dedicated to ensuring that seniors are able to age gracefully in the place that we call home. We are 2018 Employer of Choice award winners! At Home Senior Caregiver Responsibilities: • Provides personal care to the client., • Provides continuous companionship for the client while on duty., • Assists in meal planning, purchases of foods, and food preparation., • Washes dishes and cleans the kitchen after meals., • Assists the client to live in a clean, healthy, and safe environment., • Observes the client's general physical, emotional, and mental conditions, and reports all changes in condition., • Keeps appropriate records of all activity while in the client’s home., • Provides a sense of security for the client and protects the client as much as possible from any harm resulting from the debilitating effects of his or her illness., • Assists client as needed, excluding medical care., • Must have a strong sense of professionalism when interacting with team members and clients, • Must be on the California State Registry or be willing to sign up (we offer reimbursement!), • Minimum of one year of caregiving experience with at least 6 months-experience caring for senior or disabled adults, • Valid California Driver's License REQUIRED, • Must have personal, reliable transportation to and from shifts, • Must be 18 years of age or older, • Self-directed and able to work with minimal supervision, • Must comply with all agency policies, • Dementia/Alzheimer's experience a plus What do our caregivers say about us? "Visiting Angels has friendly staff members and administrators. They have a family-oriented atmosphere." "The office staff is very friendly, makes me feel comfortable, and they are very descriptive when helping me with any questions I may have." Apply today! We’d love to hear from you! The caregiver position is open at our Fresno/Clovis office, located at 2350 W Shaw Ave #129, Fresno, CA 93711. Our office serves the Fresno and Clovis area and may require travel to Fresno and areas around Fresno, CA. Powered by JazzHR 0kGzT23hAn

As a Remote Records Processor, you will be responsible for inputting and maintaining data accurately from home, including: input data accurately into company systems from home.

Inspire Health Medical Group is seeking a full-time Physician Assistant to join an enthusiastic team in the Trauma (TSS)/Acute Care Surgical (ACS) Division that serves the growing population of Fresno, CA at Community Regional Medical Center (CRMC).CRMC is the only Level 1 Trauma Center in the Centr

As a Police Records Specialist, you will be responsible for maintaining and organizing police records, including: manage and maintain police records and databases.

This role involves handling a variety of clerical tasks, maintaining accurate patient records, and serving as a key point of contact for patient and staff communication. Handle clerical tasks, maintain patient records, and assist with document preparation.

As a Records Management Specialist, you will be responsible for maintaining and organizing police records, including: manage and maintain police records and databases.