<h3>Job Description</h3>
Job Description
The Program Manager will be responsible for overseeing and improving services for individuals with intellectual disabilities and autism. Key responsibilities include developing quality management systems, analyzing program data to identify service gaps, developing and implementing policies, and serving as a liaison with stakeholders to ensure the safety and well-being of individuals with developmental disabilities.&nbsp;
Interprets and enforces ODP regulations, standards, policies, bulletins, procedures, and programs related to incident and risk management, restraint use, positive interventions, and related participant safeguards.
Provides consultation and technical assistance to ODP service providers regarding incident and risk management policies, best practices, use of Enterprise Incident Management (EIM) system, investigation procedures, and related topics to intellectual disability service providers, County/AEs, SCOs, and other stakeholders for purposes of quality improvement.
Consults with intellectual disability service providers to ensure compliance with regulatory and programmatic requirements relating to staff development, service provision, initiatives for quality improvement, and overall compliance with ODP standards of practice.
Utilize case management systems, (HCSIS), Medicaid Management Information System (PROMISe), EIM, and other DHS systems and applications to complete research and record review. Examines and evaluates records and supporting documentation relating to risk and incident management policies and practices of intellectual disability service providers, administrative entities, and other oversight agencies responsible for compliance with ODPs risk and incident management requirements.
Conducts on site investigations of high profile, critical incidents to ensure that state and federal requirements were met, with particular emphasis on suspected abuse or neglect of participants. Investigations may include interviewing providers and individuals in care in accordance with ODP's certified investigation protocols.
Assists in the coordination of and provide consultation related to complaint and incident investigations conducted by ODP Regional Offices, County/AEs, SCOs, Providers, and when applicable, law enforcement agencies.
Reviews, evaluates, and approves risk and incident management reports.
Develops and conducts statewide trainings related to incident management/ risk management.
Collaborate with other state departments, program offices, and private Human Service organizations to develop and implement state initiatives.
Serves as an ODP Central Office subject matter expert for incident and risk management, which includes providing technical assistance to the regional risk managers and incident managers within ODP's four regional offices regarding policy clarifications and demonstrations of incident management best practices for statewide operational implementation.
Develops performance measures for quality management and quality improvement purposes specific to individual rights and participant safeguards in accordance with ODP's quality management principles and applies these principles for ongoing review and analysis of related data and systems. Prepares data analyses and reports and participates in ISAC subcommittee, including presenting data to all stakeholders.
Extract statewide data for risk management analysis to be conducted by ODP's Regional and Central Offices. Analyzes data from regional reports to create a statewide report to interpret and evaluate data and provide narration to explain data in context.
Develops and manages the business processes for incident reporting and incident detection applications. This involves regular evaluation of the effectiveness of the business processes, making recommendations for changes to the processes and then implementing the changes. Participates in project management activities including business requirement gathering, general and detailed system design, user acceptance testing, production deployment and post implementation activities for DHS enterprise wide system applications.
Manages the incident fidelity detection tools and oversees the processes and protocol.
Represents ODP on various internal and external work groups.
Company DescriptionAt Holland Wheelhouse, we prioritize personalized care tailored to each client's unique needs, fostering independence and enhancing quality of life. Our dedicated team offers comprehensive support—from daily living assistance to specialized programs—ensuring every individual receives the respect and expert care they deserve. 
<h3>Company Description</h3>
At Holland Wheelhouse, we prioritize personalized care tailored to each client's unique needs, fostering independence and enhancing quality of life. Our dedicated team offers comprehensive support—from daily living assistance to specialized programs—ensuring every individual receives the respect and expert care they deserve.

ODP Program Manager

<h3>Job Description</h3>
Job Description
Position Title:&nbsp;PAYROLL SPECIALIST - MIDDLETOWN, PA&nbsp;
Pay Grade:&nbsp;5&nbsp;
Reports To:
Salary:&nbsp;&nbsp;$18.00 - $22.00
Other Forms of Compensation: Bonus opportunities&nbsp;
Growth. Opportunity. Excellence.
Fresh &amp; Ready Foods is a member of Canteen.&nbsp;Canteen&nbsp;sets the national standard for&nbsp;excellence&nbsp;in automated retail, and&nbsp;EVERY&nbsp;segment of our business is thriving.&nbsp;&nbsp;We employ the best team in the industry and their dedication, collaboration and passion fuel our&nbsp;growth.&nbsp;&nbsp;YOU&nbsp;bring enthusiasm, customer service, and commitment; we’ll supply the&nbsp;opportunity&nbsp;and innovation.&nbsp;&nbsp;TOGETHER&nbsp;we’ll continue transforming the micro-market, dining, coffee, and vending industry.
Come grow with us. We are Canteen.
This position is eligible for an Employee Referral Bonus! If you know someone that is qualified for this role, please use the ‘job search’ in PeopleHub to refer your referral and email them a link to apply. Your referral will be able to apply by clicking the link in the email. You can check the status through your profile, accessible via Careers in PeopleHub, by clicking on ‘referral tracking.’ For Employee Referral guidelines, FAQs and the Compass Employee Referral Policy, email&nbsp;<a href="mailto:MyReferral@compass-usa.com" target="_blank">MyReferral@compass-usa.com</a>.&nbsp;
Job Summary
The Payroll Specialist at Fresh and Ready Food Group is responsible for executing all administrative tasks associated with people management, with a primary focus on payroll processing and employee time tracking. This role works closely with the Operations Manager, and the HR Generalist and provides administrative support to both office and operational staff on&nbsp; various matters. The ideal candidate will be highly organized, detail-oriented, and capable of maintaining confidentiality and discretion. Bilingual candidates are strongly preferred.
 Key Responsibilities: • Process payroll on a regular schedule, including off-cycle and bonus payments. • Maintain and update the employee time clock system. • Monitor and correct time sheets daily; ensure all hours are entered correctly and promptly.&nbsp; timely manner. • Enter and track holiday, vacation, and sick pay in accordance with company policies. • Assist with onboarding new hires and conducting orientation sessions. • Enter and track bonuses when implemented in the facility. • Maintain accurate and organized employee personnel files (paper and digital). • Intercept and track call-offs and late arrivals, communicating appropriately with&nbsp; operations and HR. • Respond to employee inquiries and assist with vacation forms, paystubs, and W-2s&nbsp; requests. • Prepare HR documentation as requested by operations, including Attendance Progressive&nbsp; Counseling Reports (note: this position is not responsible for administering discipline). • Lead and organize culture and employee engagement events, including Staff&nbsp; Appreciation, Perfect Attendance, Holiday celebrations, and seasonal decorations. • Maintain and update company policy and compliance documentation, such as labor law&nbsp; posters, Workers' Compensation, acknowledgment forms, and required notices. • Assist with the translation of documents and interpretation during conversations with&nbsp; associates, as needed. • Support HR projects and initiatives as needed.
Qualifications: • Associate's or bachelor's degree in Human Resources, Business Administration, or&nbsp; related field preferred. • Minimum of 2 years of payroll or HR administrative experience required. • Proficiency in payroll systems and Microsoft Office (Excel, Word, Outlook). • Strong understanding of payroll procedures and relevant laws. • Effective oral and written skills. • Ability to understand and suggest a resolution to issues. • Excellent attention to detail, organizational, and time management skills. • Ability to handle sensitive and confidential information. • Strong interpersonal and communication skills. • Bilingual (English/Spanish) preferred
Apply to Canteen today!
Canteen is a member of Compass Group USA
Click here to Learn More about the Compass Story
&nbsp;Compass Group is an equal opportunity employer.&nbsp; At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act.&nbsp;
Applications are accepted on an ongoing basis.&nbsp;
Canteen maintains a drug-free workplace.
Associates at Canteen are offered many fantastic benefits. •&nbsp;&nbsp; &nbsp;Medical •&nbsp;&nbsp; &nbsp;Dental •&nbsp;&nbsp; &nbsp;Vision •&nbsp;&nbsp; &nbsp;Life Insurance/ AD •&nbsp;&nbsp; &nbsp;Disability Insurance •&nbsp;&nbsp; &nbsp;Retirement Plan •&nbsp;&nbsp; &nbsp;Paid Time Off •&nbsp;&nbsp; &nbsp;Holiday Time Off (varies by site/state) •&nbsp;&nbsp; &nbsp;Associate Shopping Program •&nbsp;&nbsp; &nbsp;Health and Wellness Programs •&nbsp;&nbsp; &nbsp;Discount Marketplace •&nbsp;&nbsp; &nbsp;Identity Theft Protection •&nbsp;&nbsp; &nbsp;Pet Insurance •&nbsp;&nbsp; &nbsp;Commuter Benefits •&nbsp;&nbsp; &nbsp;Employee Assistance Program •&nbsp;&nbsp; &nbsp;Flexible Spending Accounts (FSAs) •&nbsp;&nbsp; &nbsp;Paid Parental Leave •&nbsp;&nbsp; &nbsp;Personal Leave &nbsp;
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws.&nbsp;For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information.
Req ID:1462149
Fresh &amp; Ready Foods&nbsp;&nbsp;
Jacinda Moore&nbsp;

Bilingual (English/Spanish) Payroll Specialist

<h3>Job Description</h3>
Job Description
<ul>
<li>We have an opening for full time TRASH TECHNICIAN positions.</li>
<li>Location: 3327 E Harrisburg Pike, Middletown, PA 17057. Note: online applications accepted only.</li>
<li>Schedule: Full time schedule. Monday through Thursday, 6:00pm - 4:30am OR Thursday through Sunday, 6:00pm - 4:30am/5:00pm - 3:30am. More details during interview.&nbsp;</li>
<li>Requirement: One year of janitorial experience is preferred.&nbsp;</li>
<li>Pay Rate:&nbsp;$16.50 per hour&nbsp;</li>
</ul>
ESFM is the corporate Integrated Facilities Management (IFM) division of Compass Group USA and a Keystone member of the International WELL Building Institute (IWBI).&nbsp;
We Make Applying Easy!&nbsp;Want to apply to this job via text messaging? Text JOB&nbsp;to 75000&nbsp;and search requisition ID number&nbsp;1453432.
The advertised program is a conversational recruiting assistant that helps you apply to jobs with Compass Group. Message frequency varies. Message and data rates may apply. Text STOP to opt out or HELP for help. Terms and conditions: <a href="http://olivia.paradox.ai/moSkg" target="_blank">http://olivia.paradox.ai/moSkg</a>
Rooted in hospitality, ESFM elevates the workplace experience as the single source of innovative FM solutions that ensure a safe, healthy, and sustainable environment. ESFM’s clients include many household names from Life Science, Technology, Oil &amp; Gas and Manufacturing markets.
ESFM self-performs 80% of all IFM solutions provided to clients. Their portfolio of service categories includes Environment, Health &amp; Safety, Facilities Maintenance &amp; Engineering, Sustainability, Janitorial &amp; Industrial Cleaning, Laboratory Support and Workplace solutions.&nbsp;&nbsp;This self-performance model creates a consistent hospitality experience for clients, resulting in higher engagement and productivity from their employees.
In 2020, ESFM (formerly Eurest Services) won the George Graves Award for Facility Management Achievement from the International Facilities Management Association (IFMA).
Job Summary
Summary: Collects, transports, and properly disposes of trash and bio-hazardous materials following established safety protocols. Essential Duties and Responsibilities:
<ul>
<li>Identifies, transports, and disposes of trash, chemicals, and bio-hazardous materials using proper safety procedures.</li>
<li>Performs cleaning functions as assigned; properly operates cleaning equipment as designated.</li>
<li>Recognizes safety hazards and acts accordingly.</li>
<li>Performs other duties as assigned.</li>
</ul>
 Qualifications:
<ul>
<li>Must have physical ability to walk, stand and push trash containers weighing 50 to 100 pounds.</li>
<li>Ability to follow written and oral instructions in English.</li>
</ul>
Associates at ESFM are offered many fantastic benefits.
Full-time and part-time positions offer&nbsp;the following benefits to associates:&nbsp;Retirement Plan,&nbsp;Associate Shopping Program,&nbsp;Health and Wellness Programs,&nbsp;Discount Marketplace,&nbsp;Identity Theft Protection,&nbsp;Pet Insurance,&nbsp;Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program
Full-time positions also offer&nbsp;the following benefits to associates:&nbsp;Medical,&nbsp;Dental,&nbsp;Vision,&nbsp;Life Insurance/AD,&nbsp;Disability Insurance,&nbsp;Commuter Benefits,&nbsp;Employee Assistance Program,&nbsp;Flexible Spending Accounts (FSAs)
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws.&nbsp;For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information.
About Compass Group: Achieving leadership in the foodservice and facility management industry
Compass Group is an equal opportunity employer.&nbsp; At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation.&nbsp;Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity.&nbsp;
Applications are accepted on an ongoing basis.
ESFM maintains a drug-free workplace.
ESFM&nbsp;

TRASH TECHNICIAN (FULL TIME)

<h3>Job Description</h3>
Job Description
Unidine is hiring immediately for full time and part time WAITER/WAITRESS positions.
<ul>
<li>Location: Homestead Village - 1800 Village Circle, Lancaster, PA 17603</li>
<li>Schedule: Full and part time schedule. Days and hours may vary. Must be able to work every other weekend. More details upon interview.</li>
<li>Requirement: Good customer service skills required.</li>
<li>Perks: Willing to train! Free shift meal!</li>
<li>Pay Range: $15.00&nbsp;per hour to&nbsp;$17.00&nbsp;per hour</li>
</ul>
WHAT'S IN IT FOR YOU&nbsp;A fun work environment, robust benefits package, great team members, and a career with one of the top hospitality companies in the nation! You'll work with a talented and supportive team that makes a real impact in the lives of those we serve.
YOU'D MAKE A GREAT ADDITION TO OUR TEAM&nbsp;Our culinary team is the core of our business. Every day brings new opportunities to enhance lives, create connections, and make a difference. If you enjoy creating memorable experiences, you will be a great addition to the Unidine team!
Job Summary
 Summary: Takes food and beverage orders and efficiently delivers items to dining room guests. Essential Duties and Responsibilities: 
<ul>
<li>Promptly and warmly greet guests in the dining room; takes food and beverages in an efficient manner, following established steps of service. </li>
<li>Delivers food promptly and professionally; maintains safe food handling and sanitation standards. Follows up periodically to assist with any additional needs or requests. </li>
<li>Demonstrates complete understanding of menu items and ingredients. Advises guests on appropriate combinations of food and drinks when requested; accommodates reasonable requests and notes preferences. As needed, demonstrates knowledge of specialized diets and allergens. </li>
<li>Communicates directly with back-of-the-house staff to ensure that orders are delivered correctly and special requests are accommodated. </li>
<li>Exhibits exceptional communications skills and demonstrates ability to get along well with others. Remains flexible and patient when communicating with guests and staff. </li>
<li>Collects tickets and follow proper cash-handling procedures. </li>
<li>Promotes a clean, safe and neat environment for guests. </li>
<li>Maintains a high level of sensitivity and confidentiality regarding personal or medical information that is shared. </li>
<li>Promptly addresses complaints or issues; relays relevant information or complaints directly to supervisor. </li>
<li>Ensures that the dining room is properly set up prior to and after the service period; keeps area clean and neat while meeting established sanitation standards. </li>
<li>Operates a variety of equipment, including fire extinguishers, telephones, iced tea/soda machines, soup wells and coffee machines. </li>
<li>Works with staff of other departments to perform job duties during special events and functions. </li>
<li>Performs other duties as assigned. </li>
</ul>
BENEFITS FOR OUR TEAM MEMBERS
<ul>
<li>Full-time and part-time positions offer the following benefits&nbsp;to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, and Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program</li>
<li>Full-time positions also offer the following benefits&nbsp;to associates: Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee Assistance Program, Flexible Spending Accounts (FSAs)</li>
</ul>
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information.
 Unidine is a member of Compass Group. Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity.
Applications are accepted on an ongoing basis Application Deadline: applications are accepted ongoing until all openings are filled for this position. If an applicant is declined due to the position being filled, they may still be considered for future opportunities and are always welcome to reapply.
 ​Req ID: &nbsp;1448378&nbsp;

WAITER/WAITRESS (FULL TIME AND PART TIME)

<h3>Job Description</h3>
Job DescriptionAbout Abby Care
Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving. Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide at home. Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide. We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizations. We're supported by top, mission-driven VCs to empower families throughout the country.
The Role
We're looking for a passionate Registered Nurse to join our team as a RN Case Manager. This role will report into the Director of Nursing in Pennsylvania. This is a Full-Time Hybrid opportunity based in the Lebanon,PA Area. 
The RN Case Manager at Abby Care is responsible for overseeing the comprehensive care and coordination of services for patients within their caseload. This role requires a nurse with excellent organizational skills, strong communication abilities, and a dedication to providing high-quality patient care. The RN Case Manager will work closely with patients, families, Primary Care Physicians (PCPs), therapy providers, and internal support teams to ensure optimal patient outcomes.
Key Responsibilities: 
<ul>
<li>Patient Care and Coordination:</li>
<ul>
<li>Manage a diverse caseload, ensuring quality patient care and efficient care coordination.</li>
<li>Provide coaching, oversight, and support to Home Health Aides (HHAs) to ensure high-quality patient care and adherence to clinical standards.</li>
<li>Develop and implement individualized care plans based on patient assessments and goals.</li>
<li>Coordinate with PCPs, therapy providers, and internal support teams to ensure comprehensive care.</li>
<li>Provide education and support to patients and families regarding their health care needs and treatment plans.</li>
</ul>
<li>Clinical Documentation:</li>
<ul>
<li>Maintain accurate and timely electronic charting, with a preference for real-time documentation.</li>
<li>Ensure all documentation meets regulatory and Abby Care standards, with a minimum of 24-hour turnaround time.</li>
</ul>
<li>Communication and Collaboration:</li>
<ul>
<li>Establish and maintain effective communication with PCPs, therapy providers, and internal support teams.</li>
<li>Escalate appropriate issues to Clinical Leads in a timely manner, such as order management and patient concerns.</li>
<li>Participate in on-call rotation (approximately one weekend per month), holiday rotation, and possible phone triage night coverage during weekdays.</li>
</ul>
<li>Quality Assurance:</li>
<ul>
<li>Achieve caregiver satisfaction by providing high-quality, compassionate care and support.</li>
<li>Monitor and work to improve patient readmission rates.</li>
<li>Ensure extended visits remain within acceptable ranges and administrative tasks (e.g., mileage reimbursements) are completed thoroughly.</li>
</ul>
</ul>
The Requirements:
<ul>
<li>An Associate's Degree or A Baccalaureate School of Nursing Degree.</li>
<li>Current and valid license as a Registered Nurse in the state of Pennsylvania or a Compact/Multi-state Unencumbered License required.</li>
<li>2 years of experience as a Registered Nurse in a clinical setting; 1 year of home health experience preferred.</li>
<li>Case management/supervisor experience and pediatric/adult care experience preferred.</li>
<li>Knowledge of Medicaid paid family caregiving program and HHA scope of practice preferred (training provided if needed).</li>
<li>Reliable transportation, valid driver's license, and current auto insurance required.</li>
<li>Ability to work flexible hours, travel locally, and provide on-call service to patients/families.</li>
<li>Knowledge of OASIS preferred (training provided if needed).</li>
</ul>
Our Values
<ol>
<li>Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, "Would we want this for our own families?" </li>
<li>Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand. </li>
<li>Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity. </li>
<li>Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve. </li>
<li>Driven to Redefine What's Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care. </li>
</ol>
Benefits:
<ul>
<li>Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.</li>
<li>Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.</li>
<li>Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays. </li>
<li>Team bonding. We love bringing our teams together. As a full-time employee, you'll get to connect, collaborate, and have fun through team activities and our annual company retreat.</li>
<li>Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).</li>
<li>Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.</li>
</ul>
This is a full-time role with an estimated salary range of $78,000-$82,000 annually + bonus and benefits.
We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Home Health RN Case Manager

<h3>Job Description</h3>
Fusion Medical Staffing-Nursing is seeking a travel nurse RN PICU - Pediatric Intensive Care for a travel nursing job in Hershey, Pennsylvania.
Job Description &amp; Requirements
<ul>
<li>Specialty: PICU - Pediatric Intensive Care</li>
<li>Discipline: RN</li>
<li>Start Date: 10/07/2025</li>
<li>Duration: 13 weeks</li>
<li>36 hours per week</li>
<li>Shift: 12 hours, days</li>
<li>Employment Type: Travel</li>
</ul>
Travel PICU RN
Company: Fusion Medical Staffing
Location: Facility in Hershey, Pennsylvania
Job Details
Fusion Medical Staffing is seeking a skilled PICU RN for a 13-week travel assignment in Hershey, Pennsylvania. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
Required Qualifications:
<ul>
<li>One year of recent experience as a PICU RN </li>
<li>Valid RN license in compliance with state regulations </li>
<li>Current BLS (AHA/ARC) certification </li>
<li>PALS (AHA/ARC) or ENPC certification</li>
</ul>
Preferred Qualifications:
<ul>
<li>ACLS (AHA/ARC) certification </li>
<li>CCRN certification </li>
<li>Other certifications and licenses may be required for this position</li>
</ul>
Summary:
The PICU Registered Nurse provides advanced specialized care to critically ill infants, children, and adolescents in high acuity settings. This role includes comprehensive patient assessment, implementing complex care plans, administering treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, patient-centered care in a fast-paced, high-acuity environment. The position requires strong pediatric critical care skills, advanced clinical judgment, excellent communication, and a commitment to maintaining the highest standards of patient safety and professional ethics in pediatric intensive care.
Essential Work Functions:
<ul>
<li>Explain procedures and treatments to pediatric patients and their families to ensure understanding, cooperation, and emotional support during critical situations </li>
<li>Administer prescribed medications and treatments in accordance with approved pediatric nursing techniques and protocols </li>
<li>Prepare and operate advanced medical equipment, including ventilators, central line setups, and hemodynamic monitors, while assisting physicians during treatments and examinations </li>
<li>Continuously observe and evaluate patient conditions, record significant findings, and promptly notify physicians of critical changes or adverse reactions to treatments </li>
<li>Monitor and interpret vital signs and other clinical data to detect deviations from normal, initiating rapid interventions when necessary </li>
<li>Respond to life-saving situations based upon pediatric nursing standards, policies, procedures, and protocols specific to intensive care </li>
<li>Initiate a patient education plan according to the individualized needs of the patient and family, as prescribed by a physician and/or hospital policy </li>
<li>Document all relevant history and physical assessments for assigned patients accurately in medical records </li>
<li>Perform other duties as assigned within the scope of practice </li>
<li>Adhere to hospital safety protocols, infection control guidelines, and regulatory standards</li>
</ul>
Required Essential Skills:
<ul>
<li>Critical thinking, service excellence, and good interpersonal communication skills </li>
<li>The ability to read, write, and communicate in the English language </li>
<li>Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills </li>
<li>Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend </li>
<li>Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism </li>
<li>Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment </li>
<li>Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail </li>
<li>Sensory - Must possess visual acuity and ability to effectively communicate</li>
</ul>
Benefits Include:
<ul>
<li>Highly competitive pay for travel professionals </li>
<li>Comprehensive medical, dental, and vision insurance with first day coverage </li>
<li>Paid Time Off (PTO) after 1560 hours </li>
<li>Life and Short-term disability offered </li>
<li>401(k) matching </li>
<li>Aggressive Refer-a-friend Bonus Program </li>
<li>24/7 recruiter support </li>
<li>Reimbursement for licensure and CEUs</li>
</ul>
Why Choose Fusion?
At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you — that’s why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we’re here to guide and celebrate you along your journey. You take care of others; we take care of you.
Other Duties Disclaimer:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed 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. Other duties may be assigned. This job description is not a comprehensive list of all activities, duties, or responsibilities that are required of the employee for this job and is subject to change at any time with or without notice.
Start your rewarding career as a Travel PICU RN with Fusion Medical Staffing and join our mission to improve lives. Apply now!
*Fusion is an EOE/E-Verify Employer
 
Fusion Medical Staffing - Nursing Job ID #1794046. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
About Fusion Medical Staffing-Nursing
With a mission to improve the lives of everyone we touch, Fusion Medical Staffing connects healthcare travelers to opportunities in the locations they've always dreamed of living. Our recruiters act as your co-pilots to support you in your next step – no matter what, where and when. This traveler-first mentality ensures you're in charge of your own destiny, but with the tools you need to succeed. Regardless if you’re a first-time traveler or an established road warrior, you get to choose the best position that not only fits your unique personality but also your personal and professional needs.
As a medical traveler, you’ll get to meld your career with personal life experiences, make informed decisions and the freedom to control your career. Competitive compensation packages and opportunities to learn new skills are among some of the perks being a medical traveler with Fusion Medical Staffing. Not to mention you get to explore new cities, take adventures, meet new people, and create memories that last a lifetime.
We are not just a place to find your next opportunity, but where you'll love to work. We've won awards for our ethical business practices, lasting community impact, and commitment to being an incredible place to work.&nbsp;
 
Benefits
<ul>
<li>Benefits start day 1</li>
<li>Medical benefits</li>
<li>Dental benefits</li>
<li>Vision benefits</li>
<li>Referral bonus</li>
<li>Mileage reimbursement</li>
<li>License and certification reimbursement</li>
<li>Weekly pay</li>
<li>Cancelation protection</li>
<li>Guaranteed Hours</li>
<li>Employee assistance programs</li>
<li>Continuing Education</li>
</ul>

Travel Nurse RN - PICU - Pediatric Intensive Care

<h3>Job Description</h3>
Job Description
<ul>
<li>We are hiring immediately for on call CATERING ATTENDANT positions.</li>
<li>Location: NE Catering - 3201 Fulling Mill Road, Middletown, PA 17057 Note: online applications accepted only.</li>
<li>Schedule: On call schedule. Days and hours may vary. More details upon interview.</li>
<li>Requirement: Food service experience preferred.</li>
<li>Fixed Pay Rate:&nbsp; $23.00 per hour. *Internal Employee Referral Bonus Available</li>
</ul>
The advertised program is a conversational recruiting assistant that helps you apply to jobs with Compass Group. Message frequency varies. Message and data rates may apply. Text STOP to opt out or HELP for help. Terms and conditions:&nbsp;<a href="http://olivia.paradox.ai/moSkg" target="_blank">http://olivia.paradox.ai/moSkg</a>
About Canteen: 
Canteen brings break time to everyone. We combine food, service, and experience backed by industry-leading technology to help companies create a better workplace and connect their employees. Canteen’s solutions include markets, office coffee and snacks, unattended retail, and culinary.&nbsp; &nbsp; Our people are at the heart of everything we do. Their dedication, collaboration, and passion fuel our growth. Interested in joining our team? You bring the enthusiasm, customer service, and commitment; we’ll supply the opportunity and innovation. &nbsp;Together, we’ll continue to transform our industry.&nbsp;
Come for the job, stay for the career. We are Canteen.
Job Summary
 Summary: Delivers and serves food at scheduled functions under the supervision of the catering captain. Ensures the accurate execution of all events during his/her shift. May drive a catering delivery truck. Sets up and serves at functions; cleans event area during and after events; breaks down the setup and leaves the area neat and clean; returns leftover food and equipment to the catering facility in a timely manner. Essential Duties and Responsibilities: 
<ul>
<li>Assembles and delivers all food and supplies for catered functions to their scheduled locations. </li>
<li>Logs and maintains food temperatures. </li>
<li>Arranges tables and decorations. </li>
<li>Arranges buffet tables with food, beverage and service items according to standards. </li>
<li>Serve food and beverages to guests. </li>
<li>Thoroughly cleans location after event is completed. </li>
<li>Returns food and beverages, serving equipment and utensils to catering facility. </li>
<li>Distributes and collects customer comment cards for catered functions. </li>
<li>Stocks, cleans and maintains catering facility and equipment. </li>
<li>Ensures guests receive friendly, courteous service at all times. </li>
<li>Maintains in-depth knowledge of complete menu and products on hand. </li>
<li>Maintains clean and safe work environment. </li>
<li>Follows safety and sanitation policy and procedures at all times. </li>
<li>Performs other duties as assigned. </li>
</ul>
 Qualifications: 
<ul>
<li>Valid driver's license may be required; must possess or able to obtain a valid food handler's permit and/or alcohol servers' permit where required by state law. </li>
</ul>
Associates at Canteen are offered many fantastic benefits.
Full-time and part-time positions offer the following&nbsp;benefits to associates:&nbsp;Retirement Plan,&nbsp;Associate Shopping Program,&nbsp;Health and Wellness Programs,&nbsp;Discount Marketplace,&nbsp;Identity Theft Protection,&nbsp;Pet Insurance,&nbsp;Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program
Full-time positions also offer the following benefits to associates:&nbsp;Medical,&nbsp;Dental,&nbsp;Vision,&nbsp;Life Insurance/AD,&nbsp;Disability Insurance,&nbsp;Commuter Benefits,&nbsp;Employee Assistance Program,&nbsp;Flexible Spending Accounts (FSAs).
&nbsp;Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Maryland, Washington State, or to be performed Remotely, click here for information on additional company-provided time off benefits.
About Compass Group: Achieving leadership in the foodservice industry &nbsp;
Compass Group is an equal opportunity employer.&nbsp; At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation.&nbsp;Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity.
Applications are accepted on an ongoing basis.
Canteen maintains a drug-free workplace.
Req ID:1462797
Canteen&nbsp;

CATERING ATTENDANT (ON CALL)

<h3>Job Description</h3>
Job Description
<ul>
<li>We are hiring immediately for full time and part time&nbsp;FOOD SERVICE WORKER positions.</li>
<li>Location: Steelton-Highspire - 250 Reynders Street, Harrisburg, PA 17113 Note: online applications accepted only.</li>
<li>Schedule: Full and part time schedule. Anywhere between 6:30 or 7:00 am until 3:00 pm. More details upon interview.</li>
<li>Requirement: Customer service experience would help but kitchen experience needed.</li>
<li>Perks: After completing 6 months! Paid Holidays! 401K! Sick time!</li>
<li>Pay Range:&nbsp;&nbsp;$14.00&nbsp;per hour to&nbsp;$15.50&nbsp;per hour. *Internal Employee Referral Bonus Available</li>
</ul>
We Make Applying Easy!&nbsp;Want to apply to this job via text messaging? Text JOB&nbsp;to 75000&nbsp;and search requisition ID number&nbsp;1435955.
The advertised program is a conversational recruiting assistant that helps you apply to jobs with Compass Group. Message frequency varies. Message and data rates may apply. Text STOP to opt out or HELP for help. Terms and conditions:&nbsp;<a href="http://olivia.paradox.ai/moSkg" target="_blank">http://olivia.paradox.ai/moSkg</a>
 Diversity&nbsp;of thought and inclusion for all is what drives our success - we invite you to start your journey with us today!
 Chartwells K12's goal is to make sure students leave the cafeteria happier and healthier than they came in, by serving food kids love to eat and creating custom dining programs. With more than 16,000 associates in 4,300 schools, ranging from large public institutions to small charter and private schools, Chartwells K12 is built on decades of food, education and operational experience driven by top culinary, nutrition, wellness, and sustainability talent. For more information, visit&nbsp;<a href="http://www.ChartwellsK12.com" target="_blank">www.ChartwellsK12.com</a>.
Job Summary
 Summary: Prepares, presents and serves food as needed. Essential Duties and Responsibilities: 
<ul>
<li>Performs prep work such as washing, peeling, cutting and seeding fruits and vegetables.</li>
<li>Weighs and measures designated ingredients.</li>
<li>Carries pans, kettles and trays of food to and from work stations, stove and refrigerator in accordance with safety standards.</li>
<li>Stores food in designated areas following wrapping, dating, food safety and rotation procedures.</li>
<li>Cleans work areas, equipment and utensils.</li>
<li>Distributes supplies, utensils and portable equipment.</li>
<li>Utilizes approved food recipes and production standards to ensure proper quality, serving temperatures and standard portion control.</li>
<li>Serves customers in a friendly, efficient manner following outlined steps of service.</li>
<li>Resolves customer concerns and relays relevant information to supervisor.</li>
<li>Ensures compliance with company service standards and inventory and cash control procedures.</li>
<li>Assures compliance with all sanitation and safety requirements.</li>
<li>Performs other duties as assigned.</li>
</ul>
Associates at Chartwells K-12&nbsp;are offered many fantastic benefits.
Both full-time and part-time positions offer the following&nbsp;benefits to associates:
<ul>
<li>Retirement Plan</li>
<li>Associate Shopping Program</li>
<li>Health and Wellness Programs</li>
<li>Discount Marketplace</li>
<li>Identity Theft Protection</li>
<li>Pet Insurance</li>
<li>Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program</li>
</ul>
In addition, full-time positions also offer the following benefits to associates:
<ul>
<li>Medical</li>
<li>Dental</li>
<li>Vision</li>
<li>Life Insurance/AD</li>
<li>Disability Insurance</li>
<li>Commuter Benefits</li>
<li>Employee Assistance Program</li>
<li>Flexible Spending Accounts (FSAs)</li>
</ul>
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws.&nbsp;For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information.
About Compass Group: Achieving leadership in the foodservice industry
Compass Group is an equal opportunity employer.&nbsp; At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. &nbsp;
Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation.&nbsp;Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity.&nbsp;
Applications are accepted on an ongoing basis.
Chartwells K-12 maintains a drug-free workplace.&nbsp;

FOOD SERVICE WORKER (FULL TIME AND PART TIME)

<h3>Job Description</h3>
About the Role
At Care Options for Kids, we provide 1:1 care in the home, and we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams.
Instead, you work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away we offer 24-hour, 365-day support and on-demand clinical resources.
Benefits for Registered Nurses (RN)
<ul>
<li>Paid Time Off (PTO) and flexible schedule</li>
<li>Medical, Dental and Vision Coverage</li>
<li>401k</li>
<li>Weekly pay and direct deposit</li>
<li>24/7 On Call for support</li>
<li>Career advancement</li>
<li>Nurse Referral bonus</li>
<li>Training opportunities</li>
<li>Respiratory therapists on staff to provide training and mentorship</li>
</ul>
Responsibilities of Registered Nurses (RN)
<ul>
<li>Providing one-to-one nursing care in a home environment</li>
<li>Taking direction from clinical team and being overseen by a registered nurse</li>
<li>Following the plan of care</li>
<li>Following all clinical and office policies</li>
</ul>
Requirements for Registered Nurses (RN)
<ul>
<li>Valid Pennsylvania RN License or Multistate License</li>
<li>PPD or Chest X-Ray</li>
<li>Valid BLS CPR card (obtained in person not online)</li>
<li>Valid driver's license</li>
<li>G-tube, trach, vent experience or willing to train</li>
</ul>
About Care Options for Kids
Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.
With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.
We value the health and well-being of our nurses and understand the vital role you play in caring for our clients. PPE is provided in each home including masks, gloves, and hand sanitizer. We follow CDC guidelines to ensure you, your client, and your family stays healthy.
#APPNUHAR #RDNUHAR
Salary:
 $70720.00 - $74880.00 / year

RN Registered Nurse (Homecare)

<h3>Job Description</h3>
Job Description
Join the HCRBrands Family — Now Hiring Structural Engineers Location: York, PA Manufacturing Facility

Who We Are

At YorkHoist, we don’t just build and service cranes—we lift people, too. As a third-generation family-owned business, we’ve spent decades fostering a culture of care, respect, and relentless pursuit of excellence. Our team is our greatest asset, and when you join us, you're not just taking a job—you're becoming part of a family that values trust, growth, and showing up for one another.
We’re proud to be a leading force in the material handling industry, but what sets us apart isn’t just our top-tier equipment or national client base—it’s our people-first philosophy and unwavering belief that doing the right thing always comes first.

About the Role

We are seeking a highly skilled Structural Engineer to join our engineering team specializing in overhead lifting equipment. In this role, you will be responsible for the design, specification, and review of structural components and systems including cranes, hoists, runways, and Below-the-Hook (BTH) devices. You’ll work on new designs as well as reverse-engineering existing systems, ensuring structural integrity, safety, and compliance with applicable standards.
This is a hands-on engineering role involving everything from concept design and calculations to detailed fabrication drawings and bills of material.
 
⭐ Why YorkHoist? Because You Are Family Here.
<ul>
<li>$8,000 Retention Bonus (paid over 3 years)</li>
<li>Day 1 Benefits &amp; Perks</li>
<li>Company Provided Vehicle – Yours to Take Home</li>
<li>Generous Relocation Assistance Available - talk to HR for more information</li>
<li>Semi-Annual Performance Profit Sharing Bonus</li>
<li>Annual Holiday Bonus</li>
<li>Family-Focused Culture that Prioritizes You</li>
</ul>
???? Compensation
<ul>
<li>Base Salary: $85,000 - $125,000</li>
</ul>
????️ Perks &amp; Benefits — Starting Day One
<ul>
<li>Generous Time Off: Enjoy 4 weeks of PTO to relax, recharge, or travel.</li>
<li>401(k) Retirement Plan: Save for the future with a company-matched 401(k).</li>
<li>Comprehensive Health Coverage: We cover up to 95% of your premium (based on plan selected).</li>
<li>Vision &amp; Dental Fully Covered: 100% paid coverage for both you and your family.</li>
<li>Disability Coverage: Short-term and long-term disability insurance fully provided.</li>
<li>Life Insurance: Company-paid life insurance to give you and your loved ones peace of mind.</li>
<li>Tech Perks: Get a company-provided iPhone for business and personal use.</li>
<li>Wholesale Club Memberships: Choose a Sam’s Club, BJ’s, or Costco membership on us.</li>
<li>Entertainment On Us: Subscriptions to Netflix, Hulu, ESPN, and Apple Music—yep, we’ve got your downtime covered.</li>
<li>Home Internet Stipend: We help cover your home internet expenses.</li>
<li>Clothing Allowances: Annual stipends for company branded apparel and safety shoes.</li>
<li>Professional Development: Access to company-sponsored training to keep your skills sharp.</li>
<li>Team Culture: Enjoy employee events and a team-focused environment that values connection and collaboration.</li>
<li>Company sponsored employee events</li>
<li>Opportunity for promotion and growth</li>
<li>Semi-Annual Performance Profit Sharing Bonus</li>
</ul>
???? Schedule &amp; Travel
<ul>
<li>Typical Hours: 7:00 AM – 4:00 PM (average 45 hours per week) (With early starts, off-shift work, and overtime as needed to support your team)</li>
<li>Out of Town Travel: Up to 15% (Most trips are 3 nights or fewer)</li>
</ul>
???? What You'll Do
<ul>
<li>Design and analyze structural components for overhead crane systems, hoists, runway beams, supports, and below-the-hook (BTH) devices</li>
<li>Reverse-engineer and evaluate existing crane structures and systems for upgrade, modification, or repair</li>
<li>Design structural supports and foundations for new installations, retrofits, and complex integration projects</li>
<li>Produce detailed engineering deliverables, including approval drawings, fabrication/shop drawings, connection details, and structural calculations</li>
<li>Develop and maintain accurate bills of materials (BOMs) for each project phase</li>
<li>Ensure code compliance, adhering to relevant industry and safety standards (ASME, CMAA, AISC, AWS, OSHA, etc.)</li>
<li>Collaborate cross-functionally with sales, estimators, project managers, and fabrication teams to ensure seamless execution from concept to completion</li>
<li>Provide engineering support during manufacturing, field installation, and system commissioning</li>
<li>Participate in project reviews, client calls, and on-site meetings as needed to confirm technical alignment and successful project delivery</li>
<li>Continuously improve design processes by implementing best practices and contributing to internal knowledge libraries</li>
</ul>

✅ Your Experience &amp; Skills
<ul>
<li>Bachelor’s degree in Structural Engineering or a closely related discipline from an ABET-accredited institution (required)</li>
<li>Structural PE license or EIT certification (preferred or in-progress)</li>
<li>2+ years of experience in structural design, ideally involving cranes, hoists, lifting equipment, or industrial structures</li>
<li>Experience working with steel fabrication, load path analysis, and finite element modeling (FEM software a plus)</li>
<li>Familiarity with rigging, BTH devices, and overhead crane design is highly desirable</li>
<li>Ability to read and interpret technical drawings, welding symbols, and electrical schematics</li>
<li>Excellent communication skills, both verbal and written—able to simplify complex concepts for diverse stakeholders</li>
<li>Strong working knowledge of structural codes and standards (ASME B30, AISC, AWS D1.1, CMAA, OSHA, etc.)</li>
<li>Proficient in CAD (AutoCAD, SolidWorks, or equivalent), with strong drafting and detailing capabilities</li>
<li>Familiarity with structural analysis software (e.g., RISA, STAAD, SAP2000, or equivalent) is a plus</li>
<li>Positive, solution-oriented attitude and a high degree of accountability</li>
<li>Comfortable working independently in a fast-paced environment with shifting priorities and real-world field constraints</li>
</ul>
YorkHoist is more than a workplace. It’s a place where your work matters, your voice is heard, and your growth is our priority.
If you're ready to work hard, lead with integrity, and join a company that puts people first, then we can't wait to meet you.
Apply today and let’s build something incredible together.

19,349 Jobs in Salunga-Landisville, PA, USA