<h3>Job Description</h3>
Job DescriptionCertified Medical Assistant II | $18.00 – $22.00 | Monday – Friday 8am to 5pm/In Office/TemporaryWhat Matters Most
<ul>
<li>Competitive Pay of $18.00 – $22.00 per hour </li>
<li>Schedule: Monday – Friday 8am to 5pm</li>
<li>Location: Medical Center – The Woodlands, 77384</li>
<li>Temporary-to-hire opportunity with career growth and stability</li>
<li>Weekly Pay with direct deposit or pay card</li>
<li>When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program</li>
</ul>
Job DescriptionOne of the premier Surgery clinics in The Woodlands is seeking a Certified Medical Assistant II who will perform patient care and assist clerical and administrative staff. If this is your time to make a difference in your community, apply today! Responsibilities:
<ul>
<li>Escorted patients to exam rooms, obtain medical history and measures vital signs.</li>
<li>Educated and may give directions to patient regarding medication and treatment plan as instructed by physician or physician assistant </li>
<li>Maintained patient charts ensuring all related reports, labs and information is filed and available in patient records. </li>
<li>Call in prescription refills. </li>
<li>Schedules patient test, procedures and appointments.</li>
</ul>
Qualifications and Requirements:
<ul>
<li>Two to three years of Medical Assistant experience within a clinic/physician office setting is required.</li>
<li>Must have obtained Medical Assistant diploma from an accredited program. </li>
<li>Medical Assistant Certification through an accredited professional organization (AAMA, AMT, ARMA, NCCT, NHA, NAHP, or AMCA).</li>
<li>Experience in Surgery or a specialty clinic is a strong plus.</li>
<li>Experience with Epic is a strong plus.</li>
</ul>
Benefits and Perks:
<ul>
<li>$18.00/hr. - $22.00/hr. </li>
<li>Once hired on with the organization they offer a comprehensive benefits package, which includes three weeks of Paid Time Off, PPO or HMO, and 401k. </li>
</ul>
Your New Organization:Our client is a Surgery organization with multiple locations within the Houston area. Your Career Partner:Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.In the spirit of pay transparency, we want to share the base salary range for this position is $18.00 – $22.00 not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future &amp; continued salary growth #TRN451IN

Certified Medical Assistant

<h3>Job Description</h3>
Job Description
Help at Home is hiring caregivers in your community TODAY!&nbsp;Start your career with the nation’s leading provider of in-home support to seniors and become a hero for someone in your community.&nbsp;
Get paid weekly with starting rates up to $16.35/hour!
 
Why should you join Help at Home?&nbsp;
<ul>
<li>Flexible scheduling&nbsp;</li>
<li>No experience required&nbsp;</li>
<li>Amazing benefits – health care, hazard pay, time off</li>
<li>Meaningful work with clients who need your help&nbsp;</li>
<li>Industry leader with&nbsp;40+ years of&nbsp;history in a high-demand field&nbsp;</li>
</ul>
 
This position assists clients of the Company with and performs household tasks, and assists with the performance of activities of daily living, when the clients are not able to perform the tasks themselves. Tasks are performed in accordance with a Plan of Care and/or under the direct supervision of the client family member or authorized representative. This position reports directly to the assigned Help At Home, Inc. Supervisor.
 
Responsibilities
<ul>
<li>Home Care Aides and Personal Care Attendants provide support to seniors in their own homes. In addition to light housekeeping and errands, they also may assist with bathing and grooming, and accompanying clients to appointments outside the home.</li>
</ul>
 
Qualifications
<ul>
<li>Valid driver’s license&nbsp;</li>
<li>Access to insured and reliable transportation&nbsp;</li>
<li>Dedication to professional development, including organizational and state-required training&nbsp;</li>
</ul>
 
 
Caregivers must comply with state background screening requirements. Compensation, benefits and time off vary by state and location, so please ask for complete details at your interview.&nbsp;
 
Data Security and Privacy Statement
At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties.
We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us.
Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information.

Home Care Aide

<h3>Job Description</h3>
Job DescriptionWe are actively looking to hire talented therapists in the area, who are passionate about patient care and committed to clinical excellence. Please contact: <a href="mailto:Michael.Healy@lifestance.comIs" target="_blank">Michael.Healy@lifestance.comIs</a> this you?
<ul>
<li>Wanting to deliver high quality behavioral healthcare.</li>
<li>Seeking work life balance.</li>
<li>Interested in growing professionally.</li>
</ul>
What we offer Therapists:
<ul>
<li>Flexible work schedules. </li>
<li>Full time income ranging from $90,000 to $100,000 </li>
<li> 100% outpatient clinic work</li>
<li>Telemedicine and in-person flexibility. Generous ‘above market’ compensation with unlimited/uncapped earnings. </li>
<li>Sign-on bonus. </li>
<li>Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, EAP and more. </li>
<li>Collegial work environment. </li>
<li>Newly designed and modern offices. </li>
<li>Full administrative support. </li>
<li>Latest in digital technology. </li>
<li>Strong work/life balance.</li>
</ul>
Licensed Therapists are a critical part of our clinical team. We’re seeking Licensed Therapists that are:
<ul>
<li>Fully licensed and credentialed in one or more US states.</li>
<li>Experienced in working with adult, and/or child and adolescent populations.</li>
</ul>
Please apply today or contact me directly: Mike HealyDirector, Practice DevelopmentLifeStance Health, Inc.(e)&nbsp;<a href="mailto:Michael.Healy@LifeStance.com" target="_blank">Michael.Healy@LifeStance.com</a>(c) 404-401-6322

Licensed Marriage and Family Therapist @ Oakland, PA

<h3>Job Description</h3>
Job Description
**Now Offering DailyPay**
OVERVIEW
NEW HIGHER WAGES
We're looking for skilled Licensed Practical Nurses (LPNs) who desire a career that matters in a company that values their expertise. The LPN directs resident care; collaborates with physicians, residents and multi-disciplinary team members; provides physical and psychological support to residents, families and team members. 
At Otterbein, you're more than an employee, you're a Partner in Caring. Together, we work side by side toward a shared goal: delivering person-centered care that respects every resident and the choices they make.
Whether in our vibrant communities, our welcoming small house neighborhoods, Home Health, Hospice or Home Office, we provide the highest level of compassionate, quality care.
Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and truly one-of-a-kind.
Available Shifts: Full Time and Part Time Days and Nights and PRN - 12 Hr shifts
Pay: Starting from $28.00 increases with experience
Shift Differential: $3.00/hour 2nd shift 
Responsibilities
<ul>
<li>Communicating a sense of caring, concern, and dignity for elders</li>
<li>Recognizing the autonomy and dignity of all elders</li>
<li>Understanding how to place decision-making in the hands of the elders</li>
<li>Focusing on providing high-quality service and care</li>
</ul>
Qualifications
<ul>
<li>Education: Graduate of approved nursing program</li>
<li>Licensure: Valid Ohio Licensed Practical Nurse (LPN) license, CPR</li>
<li>Experience: At least 6 months of direct care nursing practice desired; long term care experience preferred</li>
</ul>
BENEFITS*
Health &amp; Wellness
<ul>
<li>Medical Insurance with free virtual doctor visits</li>
<li>Vision &amp; Dental Insurance</li>
<li>Pet Insurance</li>
<li>Life Insurance</li>
<li>Employee Assistance Program (EAP) for personal and professional support</li>
</ul>
Financial Security
<ul>
<li>401(k) Retirement Savings Plan with company match</li>
<li>Paid Time Off (PTO) that accrues immediately from day one</li>
<li>Paid Holidays for a healthy work-life balance</li>
<li>Access to DailyPay, enabling you to access up to 100% of your earned wages on a daily basis</li>
<li>Tuition Reimbursement up to $5,250 per year for ANY field of study</li>
<li>Tuition Discounts through exclusive partnerships with the University of Cincinnati, University of Toledo, and Hondros College</li>
<li>Employee-Sponsored Crisis Fund available for those facing unforeseen challenges</li>
<li>Legal &amp; Identity Theft Protection</li>
</ul>
Growth &amp; Development
<ul>
<li>University Partnerships with University of Cincinnati, University of Toledo, and Hondros College for exclusive tuition discounts</li>
<li>Multiple Partner Discounts available for various products and services through Access Perks</li>
<li>Access to 1,000s of hours of personal and professional development material through RightNow Media @ Work</li>
</ul>
*Some benefits, including PTO and tuition reimbursement, are based on hours worked.
Why work for Otterbein SeniorLife:
For more than 100 years, Otterbein has provided senior housing options rooted in respect and community. We're a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents.
Otterbein SeniorLife consists of lifestyle communities, revolutionary small house neighborhoods, home health, and hospice care in Ohio and Indiana. We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services.
Apply today and begin a meaningful career as a Licensed Practical Nurse (LPN) at Otterbein!

<h3>Job Description</h3>
Job Description
Join a Company That Puts People First!
Licensed Practical / Vocational Nurse – LPN/LVN
We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart: Award-Winning Culture
<ul>
<li>Indeed’s Work Wellbeing Top 100 Company in 2024</li>
<li>Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably</li>
</ul>
Why Join Us?
<ul>
<li>Health, Dental, Vision and Company-Paid Life Insurance</li>
<li>Paid Time Off Available</li>
<li>Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!&nbsp;</li>
<li>24/7 Local support from operators and clinicians</li>
<li>Aveanna has a tablet in each patient’s home allowing for electronic documentation</li>
<li>Career Pathing with opportunities for skill advancement</li>
<li>Weekly and/or Daily Pay</li>
<li>Employee Stock Purchase Plan with 15% discount</li>
<li>Employee Relief Fund</li>
</ul>
*Benefit eligibility can vary and is dependent upon employment status and employment location
We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader.
Qualifications  &nbsp;
<ul>
<li>Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice</li>
<ul>
<li>Compact licenses must be transferred to your state of residence within 90 days  &nbsp;</li>
</ul>
<li>Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.</li>
<li>TB skin test (current within last 12 months)&nbsp;&nbsp;&nbsp;</li>
<li>Six months prior hands-on nursing experience preferred but not required&nbsp;&nbsp;&nbsp;</li>
<li>Must have reliable transportation  &nbsp;</li>
</ul>
Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.&nbsp;&nbsp;
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California

Private Duty Nurse LPN -TRACH/VENT EXPERIENCE WANTED

<h3>Job Description</h3>
Job Description
TRACH/VENT NURSES NEEDED!!! Ask about enhanced rate!
Position Overview The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.&nbsp; Essential Job Functions • Responsible for the delivery and coordination of quality patient care in compliance with physician orders. • Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate. • Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered. • Participate, implement and update the nursing care plan. • Takes appropriate nursing action based on assessment and achieves expected outcomes. • Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk. • Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act. • Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards. • Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs. • Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations. Requirements • Graduate of an accredited school of nursing. • Current, unrestricted state license as a Licensed Nurse in the state of practice • Current CPR certification • Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures Preferences • Six (6) months of recent experience as a Licensed Nurse in a clinical care setting • Home health experience Other Skills/Abilities • Attention to detail • Time Management • Effective problem-solving and conflict resolution • Good organization and communication skills Physical Requirements • Must be able to speak, write, read and understand English • Must be able to travel • Must be able to lift 50 pounds • Must be able to sufficiently reposition patients and move equipment without assistance • Prolonged walking, standing, bending, kneeling, reaching, twisting • Must be able to sit and climb stairs • Must have visual and hearing acuity • Must have strong sense of smell and touch • Must be able to sufficiently reposition patients and move equipment without assistance • Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport Environment • Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions • Possible exposure to blood, bodily fluids and infectious diseases Other Duties • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California

Licensed Practical Nurse (LPN/LVN)

<h3>Job Description</h3>
Job DescriptionAt LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.&nbsp; Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychiatric Nurse Practitioners in Heathrow, FL area, who are passionate about patient care and committed to clinical excellence. Is This You?
<ul>
<li>Wanting to deliver high quality behavioral healthcare.</li>
<li>Seeking work life balance.</li>
<li>Interested in growing professionally.</li>
<li>Now with the ability to provide Spravato. </li>
</ul>
What we offer Nurse Practitioners:
<ul>
<li>Flexible work schedules. </li>
<li>Telemedicine and in-person flexibility. </li>
<li>Generous ‘above market’ compensation with unlimited/uncapped earnings. </li>
<li>Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, EAP and more. </li>
<li>Collegial work environment. </li>
<li>Newly designed and modern offices. </li>
<li>Full administrative support. </li>
<li>Latest in digital technology. </li>
<li>Strong work/life balance.</li>
</ul>
Nurse Practitioners are a critical part of our clinical team. We’re seeking Nurse Practitioners that are:
<ul>
<li>Licensed in one or more US states with a Psychiatric Mental Health Nurse Practitioner Certification. </li>
<li>Experienced with adult and/or child and adolescent populations. </li>
<li>Experienced in both medication management as well as therapy.</li>
</ul>
About LifeStance Health&nbsp;LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose. If you elect to interact with us via our website, please only use&nbsp;<a href="http://www.lifestance.com&nbsp;or&nbsp;www.careers.lifestance.com.&amp;nbsp" target="_blank">www.lifestance.com&nbsp;or&nbsp;www.careers.lifestance.com.&amp;nbsp</a>; Additionally, our recruiters utilize email addresses with the&nbsp;@lifestance.com&nbsp;domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security. LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact&nbsp;our Human Resources Team at&nbsp; <a href="mailto:ADA@lifestance.com" target="_blank">ADA@lifestance.com</a>&nbsp;or by calling +1-800-308-0994.&nbsp;Please note:&nbsp;This contact is intended solely for accommodation requests. Inquiries regarding applications,&nbsp;resumes and applicant status&nbsp;should not be sent to this email address&nbsp;as they will not be reviewed or responded to. To apply for a position, please use our official&nbsp;careers page.&nbsp;&nbsp;

Psychiatric Mental Health Nurse Practitioner - Outpatient

Private Duty Nurse LPN

<h3>Job Description</h3>
Job DescriptionSpeech Therapist - The Woodlands, TX (New Graduates Welcome)
Location: The Woodlands, TX &amp; Surrounding Areas Setting: Home Health Care (Serving Adults &amp; Children) Shifts: Days/Nights/On-Call | Weekends optional but recommended (Full Time) Caseload: 3-5 patients per day
About the Role:
Seeking a compassionate Speech Therapist to provide expert speech and language therapy services across pediatric and adult home health care settings. You'll have the opportunity to make a real difference by improving patients' communication skills and supporting overall well-being.
Responsibilities:
<ul>
<li>
Conduct comprehensive speech and language assessments, including pediatric populations and early intervention programs.
</li>
<li>
Develop and implement individualized, evidence-based treatment plans.
</li>
<li>
Provide direct therapy to improve speech, language, voice, fluency, and swallowing.
</li>
<li>
Monitor progress and adjust strategies for optimal outcomes.
</li>
<li>
Collaborate with multidisciplinary teams and educate families on supportive techniques.
</li>
<li>
Maintain accurate documentation in compliance with healthcare regulations.
</li>
</ul>
Qualifications:
<ul>
<li>
Valid Speech Therapist or Speech-Language Pathologist license/certification.
</li>
<li>
Knowledge of pediatric speech therapy techniques, anatomy, physiology, and medical terminology.
</li>
<li>
Experience conducting assessments and developing treatment plans (school/pediatric experience preferred).
</li>
<li>
Strong communication and compassionate patient care skills.
</li>
</ul>
Why Join Us:
<ul>
<li>
Competitive pay with shift differentials for nights, weekends, and on-call.
</li>
<li>
Work with a supportive, patient-focused team.
</li>
<li>
Opportunity to impact lives across a variety of ages and settings. For more information, please reach out to Riju : at (469) 378-4213 or by Email: at <a href="mailto:riju.rajan@protouchstaffing.com" target="_blank">riju.rajan@protouchstaffing.com</a>.
</li>
</ul>
Company DescriptionWe are one of the leading healthcare staffing companies in the US. Our ethos is to deliver the best healthcare staffing solutions to both job seekers and employers. The experts at Protouch are specialized in sourcing highly skilled healthcare professionals. 
<h3>Company Description</h3>
We are one of the leading healthcare staffing companies in the US. Our ethos is to deliver the best healthcare staffing solutions to both job seekers and employers. \r\n\r\nThe experts at Protouch are specialized in sourcing highly skilled healthcare professionals.

Speech Therapist

<h3>Job Description</h3>
Job Description
Interested candidates can send updated resumes to mamcdonough @actalentservices .com or text Marisa at 330. 397. 1302 to set up an immediate phone interview!
Description
As a Color Lab Technician, you will prepare color samples for evaluation and formulation to support the Refinish Color Matching team. Reporting directly to the Color Lab Supervisor in our Delaware, Ohio Plant your primary responsibilities will include mixing wet paint, reducing/spraying paint samples, and general prep and cleanup of lab areas.
Key Responsibilities
• You will consist of both mixing and spraying functions to meet production demands.
• Acquire color formulations from Color Matcher &amp; prepare sample mixture based on pain formulations/recipe given.
• Ensure accurate dispensing and labeling of color lab paint samples.
• Acquire wet paint sample from mixing stations &amp; sprays sample according to predefined specifications.
• Maintain laboratory equipment in clean condition.
Additional Skills &amp; Qualifications
BS or AS is preferred 
OK with non-degreed is steady work history and good tenure in past roles. These roles need to be from fast pace/ on your feet environments
MUST be a US citizen or green card holder due to export controls
Job Type &amp; Location
This is a Contract position based out of Delaware, OH.
Pay and Benefits
The pay range for this position is $20.00 - $20.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental &amp; vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Delaware,OH.
Application Deadline
This position is anticipated to close on Jan 26, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email <a href="mailto:actalentaccommodation@actalentservices.com" target="_blank">actalentaccommodation@actalentservices.com</a> for other accommodation options.

57,593 Healthcare Jobs in Mesa County