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Tulare, CA – Seeking Emergency Medicine Assistant Medical Director Join the Physician Partnership Where You Can Increase Your Impact Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients. Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity • Oversee quality and safety initiatives., • Collaborate with hospital quality personnel to ensure compliance with all relevant regulatory standards., • Develop and implement projects to improve service excellence and patient experience., • Compare patient feedback survey results to Vituity state/region averages and national benchmarks., • Respond to written and verbal patient complaints in a timely manner utilizing service-recovery techniques., • Track and trend patient complaints, including the QI director as necessary in concerning cases., • Train and mentor providers in patient experience techniques., • Coordinate with hospital-patient experience personnel., • Coordinate efforts with key leaders in central operations., • Participate and lead multidisciplinary meetings involving nursing, providers, and ancillary services., • Initiate process improvement and engage hospital project management resources to implement change., • Coordinate workflows with nursing leadership, case managers, social workers, and hospital ancillary services., • Coaching underperformers and sharing best practices., • Participate in the hospital-wide throughput committee., • Create and champion clinical pathways., • Develop relationships with appropriate inpatient resources, case managers, hospitalists, and palliative care., • Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers., • Establish and actively manage an inventory of resources available for patients to assist in transition post-ED/post-inpatient. Ensuring best practices are utilized with regard to handoffs for all transitions., • Monitor site financial performance and identify and create new areas for growth and revenue., • Develop an expertise and understanding of the yearly budget, financial performance measures and monitoring systems, and billing and reimbursement issues / systems., • Improve patient census and billing practice statistics to optimize reimbursement for the practice., • Maintain awareness and interactions with payers such as significant IPAs, Medical Groups, Foundations, ACOs associated with the hospital / health system., • Coordinate efforts with key leaders in central operations. Required Experience and Competencies • Licensed physician as a Medical Doctor (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from an accredited medical school and completion of residency through an accredited residency program required., • Maintain membership and privileges on Hospital’s medical staff and comply with and abide by the bylaws, rules and regulations, and the policies and procedures of Hospital’s medical staff where services are being provided required., • Physician Partnership status required., • Superior clinical skills to serve as role model by setting high standards preferred., • Administrative experience and aptitude preferred., • Interest in interpreting complex financial data and with understanding of finance and accounting as they relate to practice management preferred., • Strong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred., • Excellent verbal and written communication skills preferred., • Excellent relationship building and process improvement skills preferred., • Meeting facilitation., • Excellent communication skills., • Change management/Process improvement., • Project management., • Process improvement., • Relationship building., • Technology skills. The Practice Adventist Health Tulare – Tulare, California • Primary Stroke Center., • 50-bed facility with a 12-bed Emergency Department., • Annual volume of 36,000 with a 20% admit rate., • Large network with availability of multiple specialists. The Community • Tulare, California, located in the heart of the San Joaquin Valley, is a vibrant agricultural hub with a rich history and a welcoming community., • Known for its role in the dairy industry, Tulare is home to the World Ag Expo, the largest agricultural trade show in the world, showcasing the region’s deep farming roots., • The city is surrounded by scenic landscapes, including the nearby Sequoia National Park, where residents and visitors can enjoy hiking, camping, and exploring giant sequoia trees., • Tulare’s Mediterranean climate offers hot summers and mild winters, making it ideal for outdoor activities year-round., • The city’s family-friendly atmosphere, affordable housing, and strong sense of community make it an attractive place to call home., • With its central location, Tulare provides easy access to nearby cities like Fresno and Visalia, while still maintaining a peaceful, small-town charm. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. • Superior Health Plan Options., • Dental, Vision, HSA/FSA, life and AD&D coverage, and more., • Partnership models allows a K-1 status pay structure, allowing high tax deductions., • Extraordinary 401K Plan with high tax reduction and faster balance growth., • Eligible to receive an Annual Profit Distribution/yearly cash bonus., • EAP, travel assistance, and identify theft included., • Student loan refinancing discounts., • Purpose-driven culture focused on improving the lives of our patients, communities, and employees. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Visa status applicants benefits vary. Please speak to a recruiter for more details. Applicants only. No agencies please.

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Job Description Serpa Packaging Solutions is looking for a new Field Service Technician to join our Service team. In this role, you will provide technical support to customers throughout the life of a machine. You will provide advice and physical assistance to the customer in identifying problems associated with the operation of our equipment, as well as offer innovative solutions to make the customer’s operation function more efficiently and economically. Great work culture, working environment, career growth opportunities! If this sounds like you, we want to connect! Requirements: • Install, integrate, repair, and troubleshoot machinery of a complex and involved design, ensure all established inspection, testing, quality, and operating specifications are met., • Direct customer’s personnel during plant machinery installations and integrations, as well as servicing (repair and/or troubleshooting)., • Function as a technical resource for Sales Representatives and the Engineering Design team to address and resolve inquiries and problems related to installation/integration or repair, • Review customers’ parts inventory, advise customers of necessary parts that should be included in customer stock, • Support Aftermarket team by receiving and responding to customer telephoned technical inquiries, • Prepare trip reports that update the company on status and condition of installed equipment and additional equipment/parts opportunities Desired Requirements: • 4+ years’ experience in technical support of an electromechanical product/system preferably coupled with formal technical training, • Electromechanical experience and skills, PLC programming skills is a plus, • Demonstrated ability to accurately use a variety of precision measuring instruments, • Proven ability to read and understand complex engineering designs, including wiring schematics, • Strong communication skills, both written and verbal, • Problem-solver with strong independent judgment skills, • Ability to travel domestically and internationally up to 75% What’s in it for you? There's no monopoly on innovative ideas or limits to how far you can advance with our team. We offer an open, communicative environment that fosters individual initiative. We pride ourselves in being a company where people are happy and choose to build a career. In addition to growth opportunities, as a ProMach employee, you receive more than just a paycheck. The education and experience you bring to a role with us matters. Placement within our salary range is determined based upon years of directly relatable experience for your position. These components, along with local and national compensation survey data, contribute to deciding a candidate's potential starting rate of pay. Total compensation includes your pay, potential short-term incentive opportunities, comprehensive medical/dental/vision programs, as well as life insurance, disability insurance, paid time off programs, a retirement savings plan with a company match, and a wellness program. And because we understand the importance of feeling protected, there is no waiting period for benefits – you are eligible on your first day of employment! Please note that the pay ranges listed on external job boards, outside our posting details, do not accurately reflect our internal compensation ranges. Hourly Rate Range: $26.00 – $42.00 Serpa has a track record of 40 years of strong economy proof Industries. We are known for our high quality and customized end-of-the-line machinery. Packaging Industries Markets: • Pharmaceuticals, • Food & Beverage, • Household, • Tobacco, • Pet Food, • Dairy ProMach is an Equal Opportunity Employer. Pro Mach uses E-Verify to verify employment eligibility of all new hires to work in the United States. Pro Mach is a drug-free workplace. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. #SERPA

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Job Description A&M Consulting Engineers is seeking a licensed California Civil Engineer (PE) to join our team and help deliver high-quality infrastructure projects exclusively for public agencies (cities, counties, special districts, and regional/state partners). This role provides the opportunity to lead and manage diverse civil engineering work spanning transportation, water/wastewater, drainage, and general municipal infrastructure—from planning and design through PS&E, bidding support, and construction management. The ideal candidate brings strong project management skills, practical design experience, and the ability to coordinate effectively with agency staff, stakeholders, and contractors while maintaining compliance with applicable standards and regulations. Key Duties & Responsibilities • Lead and manage projects from planning and design through construction support and closeout., • Develop scopes, budgets, and schedules; track progress and manage deliverables and deadlines., • Prepare and review engineering plans, details, and technical documents using AutoCAD, Civil 3D (as applicable)., • Coordinate with subconsultants (survey, geotech, environmental) and integrate their deliverables into plan sets., • Perform field reviews and construction inspections to confirm conformance with plans/specs, safety requirements, and quality standards., • Develop engineer’s estimates, quantity takeoffs, and cost analyses for budgeting and bidding., • Produce and manage project documentation, memos, and reports; perform plan reviews and markups using Bluebeam (or similar)., • Utilize GIS tools (e.g., ArcGIS) for mapping, exhibits, and spatial analysis., • Prepare roadway and streetscape design packages including typical sections, grading, drainage integration, and roadway cross sections., • Develop striping and signing plans, traffic control concepts, and construction staging/maintained access plans., • Support intersection and corridor improvements, including coordination for signals/lighting/ITS as applicable., • Design and/or coordinate ADA pedestrian improvements (curb ramps, sidewalks, crosswalks), including accessibility-focused plan details and field verification., • Support active transportation / Safe Routes to School improvements and public-facing exhibits as needed., • Coordinate with agencies and stakeholders on standards, plan check comments, and permitting (including encroachment/permitting support when required)., • Active, valid California Professional Engineer (PE) license is required., • Bachelor’s degree in Civil Engineering (Master’s preferred)., • Demonstrated experience leading civil engineering projects for public agencies (municipal capital improvement projects, public works, transportation, utilities, etc.)., • Proficiency with core industry tools such as AutoCAD/Civil 3D, and plan production/review workflows (e.g., Bluebeam)., • Strong working knowledge of construction inspection practices, project scheduling, and cost estimating., • Strong technical writing and documentation skills., • Ability to manage multiple concurrent projects while maintaining quality and attention to detail., • Experience with California transportation/public works standards and processes (e.g., Caltrans/agency standards, MUTCD/CA MUTCD, local agency standards, PS&E development, bidding support)., • Experience with drainage/hydrology modeling (HEC, SWMM) and municipal utility design coordination., • Experience preparing exhibits and supporting public outreach meetings for public infrastructure projects.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 Description Join the GEM Mortgage Team!1641 Lincoln Street Ready to be part of a leading mortgage lender that truly puts clients first. At VERO Mortgage, A Division of Golden Empire Mortgage, we've been a respected leader in the industry for nearly 40 years, guided by our core belief that our borrowers' interests come first. We're dedicated to providing clients with expert financing advice and believe that everyone deserves access to credit. Our mission is to build long-lasting relationships with borrowers and real estate partners, be an employer of choice with growth opportunities for our team members, and operate as a trustworthy, financially sound enterprise that positively influences our communities. At Golden Empire Mortgage, our LEADER values guide everything: • Loyalty to our team, borrowers, and partners., • Excellence in all we do., • Accountability—we take ownership., • Driven for continuous improvement., • Engaged to deliver success. Job summary Under general supervision of the Branch Manager, the Loan Processor is responsible for preparing mortgage documents for loan approval, advising mortgage lenders of needed documents according to established regulations and procedures and working with the title/escrow company towards “closing” of loan file. Essential job functions • Set up new files • Ordering appraisals, • Order title commitments, flood certifications, and other property certifications as required, • Customer contact regarding conditions required on loan approval, • Send for verifications as needed • Process active files for final approval • Re-submit for automated approval after verification of assets and income, • After loan approval, call customers and realtors with any conditions • Issue closing instructions to closing department. • Order survey, • Order final inspections, • Follow up on underwriting conditions still outstanding, • Check loan amount, interest rate, etc. in computer for accuracy, • Have evidence of POC’s • Constantly monitor lock expirations and close dates • Inform the loan officer immediately of any change in closing date, etc. • Coordinate closings with title/escrow company., • Follow up on missing conditions., • 2 years experience in processing, • Advanced knowledge of processing FHA, VA and Conventional loans preferred., • High School or GED required., • Ability to produce detailed and accurate documents., • Ability to communicate effectively., • Ability to work independently without direct supervision., • Ability to perform work timely and accurately in a fast-paced office environment., • Organizational ability and problem solving critical., • Ability to use various computer software programs required. At-Will Employment This position is classified as at-will employment in accordance with California law. Employment may be terminated by either the employer or employee at any time, with or without cause or notice, subject to applicable law. Work Location This position is primarily based in our office located at 700 W Center Avenue Visalia, Ca. Regular in-office attendance is required during standard business hours. Equal Opportunity Employer VERO Mortgage, A Division of Golden Empire Mortgage are Equal Opportunity Employers. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), gender, gender identity or expression, sexual orientation, marital status, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, military or veteran status, or any other characteristic protected under federal, state, or local law. Reasonable Accommodations VERO Mortgage, A Division of Golden Empire Mortgage is committed to providing reasonable accommodation for qualified individuals with disabilities during the application or recruitment process. If you need assistance or accommodation, please contact us at . California Consumer Privacy Notice VERO Mortgage, A Division of Golden Empire Mortgage, may collect personal information from job applicants for purposes related to employment consideration. We are committed to handling your information in compliance with the California Consumer Privacy Act (CCPA), as amended by the California Privacy Rights Act (CPRA). To learn more about how we collect, use, and protect your information, please review our Privacy Policy .