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Job DescriptionPAPE’ MATERIAL HANDLING, INC. – FRESNO, GONZALES, & SACRAMENTO, CA MOTIVE POWER MANAGER: Are you looking for a challenge? Do you enjoy leading a team and driving results? Do you enjoy working in a fast-paced, high-energy environment? If you answered yes to these questions, we want to hear from you! Pape’ Material Handling, the premier capital equipment dealer in the West, is seeking a highly motivated and experienced Motive Power Manager to lead their teams in Fresno, Gonzales, and Sacramento, CA. At Pape’, we invest in your growth. From robust training programs to continuous support, we equip our team members with the tools to succeed. In return for your hard work, we offer competitive compensation, exceptional benefits, and a strong work-life balance designed to support you and your family. Make a difference. Grow your career. Join the Pape’ Team! WHAT YOU’LL DO: As our Motive Power Manager, you will be in a leadership role where you will oversee, lead, and support all Motive Power department members and operations. This will include supervision and management of all processes, budgeting, financials, mechanic development and coaching, safety, inventory levels, and ensuring customer satisfaction. Picture yourself leading the Motive Power team to success, all in an effort to ensure our customers can count on us to keep their equipment running in peak form. To thrive in this role, you must be a great leader, results-driven, and have a desire to create a great experience for our customers. WHAT YOU NEED: • Prior sales, management and/or operational experience with an understanding of budgeting, staffing, and personnel procedures., • Ability to maintain good customer and member relations., • Strong customer relations and marketing skills., • Excellent oral and written communication skills., • Bilingual in Spanish a plus. Compensation: $103,085-154,628/yr (Depending on Experience) Why work for Pape’: • Competitive pay based on your skills, training, and experience level., • Outstanding benefits including – 401(k) & Roth 401(k) Retirement Plans with Company Match; Medical, Dental, Vision and Prescription Insurance; Flexible Spending Accounts (Flex Plans); Life Insurance; Short- and Long-Term Disability Insurance; Employee Assistance Program; Online and Instructor-Led Training; Tuition Reimbursement for Training Programs., • Progressive Vacation Plans, Sick Leave & Paid Holidays – Members receive 80 hours of vacation (First year is prorated for new hires based on start date), 40 hours of Sick Leave, and 7 paid holidays each year. Pape’ vacation plans also have tiers based on your seniority, so as your seniority grows, your vacation time off does as well., • Advancement – Pape’ is a dynamic, growth-oriented organization with a focus on promoting from within., • Stability and reputation — Pape’ is a family-owned, fourth-generation company with over 160 locations, over 4,000 members and 85 plus years of experience. Pape’ is known for their stability, honesty and integrity., • Equipment – Pape’ has the largest equipment inventory in the West and an unparalleled parts inventory!, • Employee impact – Enjoy an open-door policy where your voice will be heard and your opinions will matter., • Training – You will be provided with training and mentoring to prepare you for your role and continued learning to grow your skills. The Pape’ Group maintains a drug-free workplace and as such, requires candidates to successfully pass a pre-employment drug test.

Job DescriptionSalary: $23-$25 WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just arent getting the medical care they need. Were on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost. Join us in our mission! SUMMARY The Lead Care Manager (LCM) is responsible for case management of members and their families in obtaining and understanding services and programs available through the Enhanced Care Management (ECM) program. The LCM is tasked with improving health and overall well-being through our services. The ideal LCM is an energetic self-starter who can collaboratively and cross-functionally work in a team environment and with external representatives. WHERE YOULL WORK This position is hybrid. Work from home and go into the field (Fresno County) as needed. LCMs are required to travel to members within designated areas. You will have full control over your schedule when meeting members. You are eligible for mileage reimbursement for the use of your vehicle for business-related travel. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm. WHAT YOULL DO • The LCM is responsible for an assigned caseload of adult and pediatric members, • Conduct comprehensive assessments to determine the physical, emotional, and social needs of members, • Develop individualized care plans based on assessment findings, considering medical history, preferences, and specific needs, • Tailor care plans to individual needs and goals, • Coordinate and facilitate communication between healthcare providers, social workers, therapists, and other members of the care team to ensure a comprehensive and integrated approach to care, • Collaborate with medical Doctors, Clinical Consultants, Housing Navigators, and Leaders to make recommendations tailored to member needs, • Monitor the progress of members and update care plans as needed per policy and compliance requirements, • Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member status, • Provide positive member client service experience through multiple support channels including telephone and in-person, • Maintain accurate and up-to-date records of assessments, care plans, and interactions with members Ensure compliance with relevant regulations and standards, • Complete all required documentation accurately, in a timely manner and in accordance with company standards, • Provide leaders with case progress periodically/required basis, • Advocate for patients or clients, helping them navigate the healthcare system, understand their treatment options, and access the services they require, • Provide education to members and their families on health-related topics, treatment options, and self-care strategies, • Identify and connect members with appropriate community resources, support services, and programs to address their needs, such as housing assistance, financial aid, or counseling services, • Plan and coordinate the discharge process for members leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting, • Participate in training new employees, • Perform other duties as assigned or required per departmental policy WHO YOU ARE Sensory Requirements • Fluent in English (written and verbal), Bilingual in Spanish, • Ability to communicate clearly in-person, by phone, and electronically, • Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation, • Ability to identify problems and use logic and related information to develop and implement solutions, • Excellent organizational skills and attention to detail, • Ability to lift, carry, push, or pull up to 2025 pounds(e.g., laptop bag, forms, mobile equipment), • Ability to climb stairsor navigate uneven terrain in community and home environments, • Ability to bend, reach, and conduct in-person visits in non-traditional environments, • Must be able to remain in a stationary position, • Must be able to move around the office and/or travel throughout community, • Work may occur in homes, shelters, outdoor settings, hospitals, or community organizations, which may include exposure to pets, smoke, odors, clutter or unsanitary condition, and varying temperature conditions, • Ability to maintain professionalism and safety in diverse environments, • Frequent use of computers, keyboard, and handheld/mobile devices, • Ability to type for extended periods, • Competent with computers, email, virtual platforms, and Microsoft Office based programs WHAT YOULL NEED • Diploma/GED required, associate degree preferred, • Minimum 1+ years of experience in healthcare, social services, or care coordination, • Current and valid Drivers License with a clean driving record, • Reliable transportation and proof of auto insurance, • Current BLS certification from the American Heart Association upon start date, • Distraction-free home workspace with a secure internet connection WHAT YOULL ENJOY • Make an impact: an organization who cares about its employees, communities, and the future of healthcare, • Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself, • Growth: opportunities to develop and grow your career with us, • Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business, • Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy, • Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model, • Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan, • Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare, • Flexible Spending, Health Savings & Dependent Care Accounts, • Life/AD&D insurance funded 100% by Titanium Healthcare, • Supplemental Short-Term Disability, • Employee Assistance Programs, • Protect your pet(s) with Pet Insurance, • 401(k) plan EEO Statement At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce. Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.

Job Description Overview To improve the health status of the community is a driving force in our mission and as a Registered Nurse for Surgery at a Level 1 trauma and burn center, your role as a RN in the Operating Room plays an integral part in directly affecting those we serve. We LOVE to provide learning opportunities for our staff, as well as children and families in our community. Whether you are attending robotic training opportunities offered throughout the year, or helping to facilitate career day events, your passions will be encouraged here. You can also have easily accessible and hand’s on opportunities with the local AORN chapter as we are the area host facility. Your role here will include opportunities for growing your clinical skillset, as well as advancement through a clinical ladder that is achievable with experience and leadership activities. With an average of over 26,000 cases a year and 24 licensed operating rooms (including 2 hybrid OR’s and a Burn Unit OR), you will have the unique opportunity to learn from multiple disciplines, develop close relationships with surgeons and anesthesiologists alike, and be able to make a difference in the lives of thousands. You can expect to see the following types of cases: trauma, burn, pediatrics, neurosurgery, cardiac surgery, gynecology, surgical oncology, general surgery, robotics, oral and maxillofacial (OMFS), urology, ophthalmology, plastics, dental, and more! • Comprehensive relocation package and concierge service, • Progressive sign-on incentive paid over time for eligible candidates, • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek, • Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas), • RN Advancement Pathway for growth, built for nurses, by nurses, • Free Continuing Education and certification including BLS, ACLS and PALS, • Tuition reimbursement, education programs and scholarships, • Vacation time starts building on Day 1, and builds with your seniority, • Free money toward retirement with a 403(b) and matching contributions, • Great food options with on-demand ordering, • Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities Your ability to prioritize and adapt is crucial due to the fast-paced environment. Your critical thinking skills are essential and you are self-assured and confident. One of your most important responsibilities is that of being an unwavering patient advocate as you are their voice during procedures. From documenting all activity during surgery, to ensuring that all processes run safely and efficiently, and that the patient’s needs are put first-- you deliver the excellent care and attention to detail that our patients deserve. Qualifications • Graduate of approved nursing program required, • RN - Current State of California Registered Nurse license required, • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required

Job Description Counselor Pinnacle’s Voice: A Tale of Transformation & Recovery “I found myself like a lot of people in a position I never thought I would be in. I needed help bad… It all started with a call… one of the easiest and hardest things I’ve ever done. Every day I wake up and think how good it feels and how lucky I am to have found this place.” -Patient, Pinnacle Treatment Centers About Us: Pinnacle Treatment Centers is a leading provider of comprehensive addiction treatment services, committed to transforming lives through compassionate care. Our approach is rooted in evidence-based practices, focusing on the holistic well-being of our patients, and treating our teammates with the same level of individualized compassion and empathy. We believe in providing a supportive and inclusive environment for both our patients and our dedicated team of professionals. Pinnacle transforms the lives of more than 35,000 individuals daily resulting in a network of care spanning across the country. Position Overview: As a Counselor, you will play a crucial role in the recovery journey of our patients. Pinnacle’s unique approach combines compassionate care with innovative treatment methods to address the diverse needs of individuals seeking help for substance use disorders. Join us in making a positive impact on the lives of those we serve. Teammate Appreciation Benefits: At Pinnacle Treatment Centers, we value our teammates and offer a variety of benefits to support their personal and professional growth. 1. Variable Pay Structure: Competitive compensation based on experience, education, and licensure., 2. Defined Career Pathing: Clear advancement opportunities through our Counselor Tier Program, designed to reward achievement in education, licensure, and credentials., 3. Bonus Incentives: Recognizing and rewarding quality patient care with monthly performance-based bonuses., 4. STAR LRP Eligibility: 90% of our facilities are eligible for the Student Loan Repayment Program. This federal program selects applicants to forgive 100% of their student loans., 5. Continuing Education: Free access to over 600 CEU courses to enhance your skills and knowledge., 6. Paid Time Off: 18 days of PTO, sick leave, and 8 paid holidays to maintain a healthy work-life balance., 7. Diversity, Equity, and Inclusion Initiatives: Be part of a workforce that reflects the diversity of our patient population., 8. Free Clinical Supervision: Available based on licensure and availability to support your professional growth. Key Responsibilities: • Provides orientation to new patients to the programs’ rules, policies, procedures, and patients' rights., • Conduct Intakes, Discharge Planning, Initial Assessments, and Initial Treatment Plans professionally and within time guidelines as required by applicable federal and state regulation, CARF guidelines and Pinnacle Policies., • Involve patients in the assessment, treatment planning, and intervention aspects of treatment, which provides the patient with a sense of entitlement to their own recovery., • Administer the biopsychosocial assessment, which evaluates all areas of patients' lives, including their addictions, medical and mental health history, socioeconomics, legal, etc. at intake and on an ongoing basis., • Recognize and utilize patients’ Strengths, Needs, Ability, and Preferences (SNAP), to develop and implement individualized Treatment Plans that effectively help patients to meet their short & long-term goals. • Determine the clinical necessity of counseling services based on the clinical assessment and evaluation of the patients., • Monitor closely, and document any change of circumstances with the patients, especially as it relates to matters that may affect their recovery, identifying and addressing relapse indicators to promote relapse prevention interventions in an early stage., • Comply with and implement the Medical Q.A (Quality Assurance) and Clinical Risk Management Policies, including:, • Evaluate the patients for any high-risk conditions (e.g., liver failure, pregnancy, overdose, bipolar, schizophrenia, etc.), which may endanger the patient (suicidal) or other parties (homicidal)., • Administer the BAM-R, C-SSRS, GAD-7, and PHQ-9 screening tools to determine the severity of the patient's mental/emotional status., • Evaluate the risk factors concerning each such case, considering the appropriateness of, and professionalism in treating such individuals in an OTP in comparison to treatment in a residential facility or other treatment modalities., • Review and ask about other practitioners' involvement in the treatment of these high-risk conditions. Recommend immediate referral to such a specialist in case of need. Request the patient sign a waiver for release of information which will allow communication with the other practitioner in case of need (e.g., deterioration of the patient’s condition)., • Flag high-risk patients to the Medical Directors, Physician Extenders, and Regional Clinical Leadership (RCL) and highlight the conditions concerned., • Refer such patients to the Medical Directors, Physician Extenders or RCLs (Regional Clinical Leadership) based on the urgency, utilizing the informal Referral Policy or the scheduled Treatment Team/Case Conference session., • Review physician notes, following the Medical Directors or Physician Extenders’ session with the patient, verifying that they noted and addressed the high-risk factor, or otherwise bring it immediately to the attention of the supervising counselor, as well as the clinic manager, until the matter’s proper and professional handling by the physician or physician extender., • Advise, in writing, other staff members (including the clinic manager, supervising counselor, dispensing nurse and front office) of high-risk patients and their condition. Maintain and circulate minutes from treatment team/case conference sessions to the other staff members., • Provide professional counseling and referral services by:, • Addressing patients’ clinical and special needs by maintaining referrals to specialized (“second tier”) services rendered by physicians, physician extenders and counselors within Aegis, as well as referrals to Keys to Recovery (or other twelve-step) support groups, and other community resources (e.g., agencies and practitioners outside of Aegis), acting as a liaison to these agencies, as necessary., • Providing individual and group counseling as clinically necessary, to address the problem issues identified in the Initial Assessment and Treatment Plans. The counseling service will include protocols for the treatment of Relapse Prevention, Peer Pressure, Anger Management, Domestic Violence, Parenting, Family Preservation, Vocational Rehabilitation, etc., • Utilizing advanced counseling techniques such as Cognitive Behavioral Therapy, Motivational Interviewing, etc., • Scheduling regular counseling sessions with patients; issue patient appointment cards and record scheduled or rescheduled sessions in EHR scheduler., • Documenting counseling entries, including signature and date, as required by applicable federal and state regulations, CARF guidelines and Pinnacle policies., • Engaging in Community Relations and Outreach efforts., • Attending all recommended training including Physician Training of Counselors, RCL training, and case conferences with the program physicians and physician assistants., • Collecting research data when requested., • Observing the collection of patients’ urine samples when required, • Attend team meetings and complete all training courses timely as required. Counselor I: $20/hour to $21/hour • Possess an associate degree in a relevant field or a majority of approved counselor certification courses, license, or certification necessary to provide counseling services to our patient population. Kern County requires a bachelor's degree or 75% of required counselor certification courses), • Possess counselor registration/certification by a “Certifying Organization: recognized by the Department of Alcohol and Drug Programs. Proof of registration is required immediately once employed with a California Alcohol and Drug Program certifying body. Employees must be registered prior to providing any counseling services per the DHCS (Department of Health Care Services)., • Possess an associate degree in a relevant field or a majority of approved counselor certification courses, license, or certification necessary to provide counseling services to our patient population. Kern County requires a bachelor's degree or 75% of required counselor certification courses), • Possess counselor registration/certification by a “Certifying Organization: recognized by the Department of Alcohol and Drug Programs. Proof of registration is required immediately once employed with a California Alcohol and Drug Program certifying body. Employees must be registered prior to providing any counseling services per the DHCS (Department of Health Care Services)., • Degrees must include being licensed, licensed eligible, or certified. Clinical skills must be effective in complex cases. Along with the below:, • Possess certification as an Alcohol and Other Drug Counselor with a CA approved certification agency or current credentials as licensed or license-eligible with the Board of Behavioral Sciences or the Board of Psychology. If license-eligible, must maintain the Board’s requirements to be able to practice including receiving the necessary amount of clinical supervision by a Board approved supervisor. INDCA123

Job Description Overview Opportunities for you! • Comprehensive relocation package and concierge service, • Progressive sign-on incentive paid over time for eligible candidates, • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek, • Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas), • RN Advancement Pathway for growth, built for nurses, by nurses, • Free Continuing Education and certification including BLS, ACLS and PALS, • Tuition reimbursement, education programs and scholarships, • Vacation time starts building on Day 1, and builds with your seniority, • Free money toward retirement with a 403(b) and matching contributions, • Great food options with on-demand ordering We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities As a Charge Nurse at Community Health System, you oversee daily clinical operations and support your care team to ensure safe, high quality patient care. You serve as the main liaison for your assigned area, working with physicians, staff, patients and families. You’ll coordinate patient flow, guide staff assignments and take responsibility for patient safety, quality and regulatory activities across the unit. You lead with purpose, grow your leadership skills and make a visible impact every shift, supported by a team that values your voice, your judgment and your commitment to excellent care. Qualifications Education • High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required, • Bachelor's Degree in Nursing preferredExperience, • 2 years of experience as a staff RN in the area of assignment or demonstrated competency by achieving a minimum of 35 points on the RN Competency Model Evaluation form required, • 6 months of experience as a Relief Charge RN, or in a team leadership role requiredLicenses and Certifications, • RN - Current and valid Registered Nurse license to work within the state of California required, • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required

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 * Clean driving record

Strong command of intonation, diction, and emotional range Ability to follow scripts precisely while maintaining natural delivery Reliable availability for 10–20 hours per week over the project duration Preferred Experience recording for TTS, audiobooks, IVR systems, or AI voice datasets Familiari

Altium Packaging - 2875 South Elm Avenue - Responsibilities: Package materials and finished products; Load and move materials and operate packaging equipment; Follow Good Manufacturing Practices and PPE policies; Monitor conveyor belts and inspect bottle quality; Maintain inventory levels and restoc

Altium Packaging - 2875 South Elm Avenue - Responsibilities: Demonstrates safe work practices by wearing correct PPE and following safety policies.Monitor conveyor belts and clear bottle jams from lines.Inspects the quality of bottles during production, packaging, and labeling.Move finished goods to

Cintas Corporation - - Responsibilities: Hang customer garments on hangers safely and accurately; Visually inspect garments to identify repairs or defects; Maintain cleanliness of the work area; Adhere to safety policies and guidelines; Meet or exceed production standards and participate in job try

With over 60 years of expertise, the company specializes in offering a wide range of premium meat products, including beef, pork, lamb, and poultry, as well as ground beef, portion-controlled steaks, and marinated offerings. The Production Associate will support daily production operations, assist w