<h3>Job Description</h3>
TidalHealth, located in Salisbury, MD, is seeking an Internal Medicine Physician to join our expanding team at our Internal Medicine Residency Clinic. We are part of a physician-led multi-specialty group that promotes quality care that is community driven. Our over 500 providers enjoy an outstanding work-life balance in this beautiful coastal region.&nbsp;
Benefits:&nbsp;
<ul>
<li>Base Salary Range: $294,000 – $379,000 (commensurate with experience and specialty)&nbsp;</li>
</ul>
<ul>
<li>Eligibility for productivity and quality incentives&nbsp;</li>
</ul>
<ul>
<li>Comprehensive benefits package including health, retirement, malpractice coverage, and CME allowance&nbsp;</li>
</ul>
<ul>
<li>Sign-on bonus with commitment&nbsp;</li>
</ul>
<ul>
<li>On-Site Child Care&nbsp;</li>
</ul>
Opportunity Highlights:&nbsp;
<ul>
<li>Provide high-quality, patient-centered care in an outpatient internal medicine clinic&nbsp;</li>
</ul>
<ul>
<li>Monday – Friday schedule&nbsp;</li>
</ul>
<ul>
<li>No call requirements&nbsp;</li>
</ul>
<ul>
<li>Spacious examination rooms with state-of-the-art equipment&nbsp;</li>
</ul>
<ul>
<li>Participate in teaching and supervising residents in both clinical and didactic settings&nbsp;</li>
</ul>
About TidalHealth:&nbsp;
TidalHealth has grown to more than 50 locations in Maryland and Delaware and is anchored by three award-winning hospitals: TidalHealth Peninsula Regional, TidalHealth Nanticoke, and TidalHealth Atlantic. Our vision is to ensure every person in the region has access to high-quality care close to home, with advanced specialties such as comprehensive cancer care, neurosurgery, cardiothoracic surgery, and more. Together, we are better — working as one to bring a robust and reliable care network to our community.&nbsp;
About Our Region:&nbsp;
Our region offers the perfect blend of small-town charm, coastal living, and easy access to the cultural hubs of the mid-Atlantic. Find your home near beautiful beaches, bays, and byways—ideal for those who enjoy the gentler pace of rural living, as well as endless opportunities for outdoor adventure.&nbsp;&nbsp;
&nbsp;Families will find highly regarded public and private schools, family-friendly neighborhoods, and a welcoming community. Local highlights include minor league baseball with the Delmarva Shorebirds, live performances at the Freeman Arts Pavilion, waterfront dining, and year-round festivals featuring nationally acclaimed musicians. With fresh seafood, farm-to-table produce, and year-round community events, our region truly has something for everyone.&nbsp;
Whether you are seeking coastal relaxation, active outdoor living, or a central location within day-trip distance to D.C., Philadelphia, and New York City, you’ll find an exceptional quality of life here on Maryland’s Eastern Shore. Come and explore for yourself!&nbsp;

Internal Medicine Physician Opportunity on the Eastern Shore

<h3>Job Description</h3>
Job DescriptionCompany Description 
The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high-quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing, and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban, and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit <a href="http://www.umms.org" target="_blank">www.umms.org</a>.
Shore Regional Medical Center
Location:&nbsp; Easton, MD.
UM Shore Medical Center is a member of University of Maryland Medical System, you can learn, grow, and make a lasting impact on patients and families. You’ll experience the support of a collaborative work environment and a sense of collegiality unlike any other. Our comprehensive system offers many locations and practice options throughout the beautiful Eastern Shore of Maryland.
Job Description 
General Summary
Under the direction of professional nursing staff, provides direct patient care. Takes vital signs, checks surgical dressings, aids patient’s with activities of daily living.&nbsp; This role performs blood draws and collects specimen samples. Observes and collects data and communicates about the patient’s status in order to identify needs and provides needed care. Serves as a member of the interdisciplinary patient care services team.
Principal Responsibilities and Tasks:
The following statements are intended to describe the general nature and level of work being performed by the person assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
<ul>
<li>Performs testing and manages the care of the patient based on results achieved and clinical findings.</li>
<li>Records patient care along the continuum, including activities of daily living (ADLs): feeding, bathing, dressing, toileting and transferring.</li>
<li>Completes, documents and reports patient vital signs (temperature, blood pressure, pulse, respiration, oxygen saturation and reported pain level).</li>
<li>Assists in admission, transfer and discharge of patients.</li>
<li>Participates in cost effective strategies to optimize patient outcomes.</li>
<li>Promotes patient safety including fall prevention. Ensures the safety of the clinical environment for patients, visitors, and other staff members.</li>
<li>Maintains order and appearance of patient rooms and work area. Maintains patient care supplies and linen.</li>
<li>Provides post-mortem care.</li>
<li>Collaborates with members of the health care team to carry out the plan of care, including reporting observed changes in patients’ condition.</li>
<li>Ensure patient comfort relative to their pain status.</li>
<li>Measures and documents dietary intake and patient urinary and stool output. Documents calorie count. Measures and documents patient weight.</li>
<li>Conducts indwelling urinary catheter care. Applies, maintains and removes external urinary catheter devices.&nbsp;</li>
<li>Conducts blood glucose monitoring.</li>
<li>Provides wound care to promote healing and maintain structural integrity of the skin. Performs skin care and hygiene and reports impaired skin integrity and/or wound impairment. Assists with appropriate strategies and/or treatment measures to provide wound care.</li>
<li>Assists with collection of patient specimens for laboratory testing. Incorporates proper techniques for patient identification, method for collection of appropriate specimen(s) and documentation.</li>
<li>Provides orthopedic/rehab device care: e.g. braces, splints, CPM.&nbsp; Dons/doffs compression wraps/stockings.</li>
<li>Participates in hourly patient rounding in collaboration with the health care team.</li>
<li>Responds to patient triggered alarms, including call light, chair alarm, bed alarm, tele-sitter alarm, etc.</li>
<li>Complies with the The Joint Commission National Patient Safety Goals within scope of practice.</li>
<li>Detects, reports, and acts to avoid or correct safety risks.&nbsp; Reports adverse events and near misses to appropriate management authority.&nbsp;</li>
<li>Provides professional vigilance to assigned patients, including when assigned as a patient safety companion.</li>
<li>Incorporates safe lifting techniques and body mechanics in daily practice.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li>
<li>Improves patient flow and prevents care delays.</li>
<li>Performs other duties as assigned.</li>
</ul>
Knowledge, Skills, and Abilities:
<ul>
<li>Able to effectively communicate using verbal and written skills.&nbsp;</li>
<li>Maintain interpersonal relationships and use teamwork skills to provide care along with other team members in a cohesive manner.</li>
<li>Ability to organize work priorities, perform several duties simultaneously and function in stressful situations.</li>
<li>Ability to learn and use computer systems</li>
<li>Demonstrates proper technique and skills needed for obtaining accurate blood glucose results and documenting findings.</li>
<li>Demonstrates the ability to perform delegated nursing tasks according to the age, culture, ethnicity, spirituality, and individual diagnostic needs of the persons served.</li>
</ul>
Qualifications 
Education &amp; Experience:
<ul>
<li>High school diploma or equivalent required.</li>
<li>Current Maryland state certification as a Certified Nursing Assistant (CNA) or Geriatric Nursing Assistant (GNA) is required.&nbsp;&nbsp;&nbsp;</li>
<li>No previous experience required;
<ul>
<li>Previous direct patient care experience in a health care facility preferred.</li>
</ul>
</li>
<li>Current Basic Life Support (BLS) certification required.</li>
</ul>
 Additional Information 
All your information will be kept confidential according to EEO guidelines.
Compensation:
<ul>
<li>Part-Time, Days (7am-7:30pm)</li>
<li>Pay Range:&nbsp;&nbsp;$17.17 - $24.76</li>
<li>Other Compensation (if applicable):</li>
<li>&nbsp;Review the 2025-2026 UMMS Benefits Guide</li>
</ul>
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at <a href="mailto:careers@umms.edu" target="_blank">careers@umms.edu</a>.

Patient Care Technician I, Part-Time

<h3>Job Description</h3>
Job Description
Join the VitalCore Team in Delaware! We're people fueled by passion, not by profit! 
 
VitalCore Health Strategies (VCHS), an industry leader in correctional healthcare, has an opening for a Full Time Physician/Medical Director at Sussex Correctional Institution located in Georgetown, Delaware!!!
At VitalCore we pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.
PHYSICIAN / MEDICAL DIRECTOR POSITION SUMMARY
The Physician / Medical Director is responsible for providing clinical leadership, medical oversight, and quality assurance for healthcare services delivered within the correctional institution. This role ensures that medical care is provided in accordance with applicable laws, regulations, accreditation standards, and organizational policies while supporting the safe, effective, and ethical delivery of healthcare to those in a correctional environment. 
PHYSICIAN / MEDICAL DIRECTOR BENEFITS PACKAGE:
<ul>
<li>Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day</li>
<li>Medical</li>
<li>Dental</li>
<li>Vision</li>
<li>Health Savings Account</li>
<li>Dependent Care Flexible Spending Account</li>
<li>Life Insurance</li>
<li>Short-Term/Long-Term Disability</li>
<li>Identity Theft Protection</li>
<li>Pet Insurance</li>
<li>Employee Assistance Program and Discount Center</li>
<li>401K &amp; Plan Matching</li>
<li>PTO</li>
<li>Annual Incentive Bonus</li>
<li>Dependent Care Flexible Spending Account</li>
</ul>
 
PHYSICIAN / MEDICAL DIRECTOR MINIMUM REQUIREMENTS
<ul>
<li>Graduate of an accredited medical school.</li>
<li>Fully licensed to practice in the state of Delaware.</li>
<li>Current DEA Registration.</li>
<li>Preferred Board Certified.</li>
<li>Must be a supportive team member who contributes to and demonstrates teamwork and team concept.</li>
</ul>
PHYSICIAN / MEDICAL DIRECTOR ESSENTIAL FUNCTIONS
<ul>
<li>Consult with medical providers in the community to resolve issues in delivering services to patients.</li>
<li>Supervise the clinical services provided by the professional and paraprofessional staff.</li>
<li>Ensure and provide on-call services.</li>
<li>Annually review and approve clinical protocols, policies and procedures, and medical disaster plans.</li>
<li>Manage referrals to outside healthcare facilities for appropriateness, quality, and continuity of care.</li>
<li>Sponsor Physician Assistants and Nurse Practitioners in compliance with the state law for correctional facilities.</li>
<li>Serve as a resource to all staff Physicians and applicable clinical staff at the facility(s).</li>
<li>Assist in screening, interviewing, evaluating credentials, and hiring of healthcare providers.</li>
<li>Participate in in-service training classes.</li>
<li>Represent the healthcare program in discussions with local civic groups or visiting officials as requested.</li>
<li>Attend medical, clinical and other meetings, as required.</li>
<li>Complete sick call, chronic care and infirmary care as required.</li>
<li>Document all encounters in patient's medical record.</li>
<li>Ensure all documentation is timed, legible and signed.</li>
<li>Ensure all verbal or telephone orders are countersigned as required.</li>
<li>Adhere to approved formulary for therapeutic regimens before utilizing non-formulary procedure.</li>
<li>Review all non-formulary requests to ensure documentation of pertinent observations and treatment conclusions.</li>
<li>Utilize available in-house resource personnel for treatment and resolution of identified problems before utilizing off-site</li>
<li>referral.</li>
<li>Provide emergency treatment on-site and respond appropriately in urgent or emergency situations.</li>
<li>To redefine benchmarks for the industry utilizing core values, strong partnerships, effective clinical practices, and innovative healthcare strategies.</li>
<li>Ensure competence in proper technique for basic cardiopulmonary resuscitation and AED use.</li>
<li>Follow evidence base standards of medical care through adherence to existing policies and procedures.</li>
</ul>
VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.
 
 
 Full Time

Physician / Medical Director

<h3>Job Description</h3>
Job Description
Registered Nurse
Job Summary: The Registered Nurse is a critical part of the health care team and is responsible and accountable to the patients. Choptank Community Health System (CCHS) encompasses direct patient care, phone triage, health promotion, patient education, patient advocacy, and coordination of services for patients throughout the health care system. Utilizing the nursing process, the staff nurse will assess and identify a patient’s health status and evaluate the patient’s responses. CCHS registered nurses maintain a safe, comfortable, and hazard free environment for patients, visitors, and staff. Registered nurses assume responsibility and accountability for their individual nursing judgments and actions, exercises informed judgment and use individual competence and qualifications as criteria in accepting responsibilities. This is a nonexempt, full-time position in pay grade 7 with the pay range of $31.41 - $45.55. The Registered Nurse reports directly to the Medical Clinical Care Director. 
Required Skills/Abilities: 
<ul>
<li>Working knowledge of automated patient data systems.</li>
<li>Must demonstrate the ability to use medical equipment and materials safely.</li>
<li>Must be proficient in computer skills.</li>
<li>Must be proficient in venipuncture, telephone triage, calculating doses of medications, injections, EKG’s, nebulizer treatments, spirometry, pain screening, collecting, and preparing laboratory specimens and performing basic laboratory tests.</li>
<li>CPR certified within orientation period.</li>
<li>Working knowledge of ICD-9 and CPT coding.</li>
</ul>
Education and Experience:
<ul>
<li>Graduate of an accredited school of nursing.</li>
<li>Current licensure by the Maryland State Board of Nursing.</li>
<li>Minimum six months nursing experience preferred.</li>
<li>Preferred experience in various medical settings to include family practice, pediatrics, and women’s health.</li>
</ul>
Working Conditions and Physical Requirements:
<ul>
<li>General office environment</li>
<li>Occasional travel </li>
<li>Frequent exposure to workplace conditions includes bending, climbing stairs, walking, kneeling, and reaching. </li>
<li>Includes fine and gross motor skills, lifting less than 20 pounds, and vision.</li>
<li>Occasional exposure to workplace conditions includes air borne pathogens, blood borne pathogens and cleaning agents.</li>
</ul>
Standards of Behavior: 
<ul>
<li>Commitment To Service </li>
<li>Respect </li>
<li>Quality </li>
<li>Teamwork </li>
<li>Patient Focus </li>
<li>Integrity </li>
<li>Accountability </li>
<li>Caring &amp; Compassion </li>
<li>Professionalism </li>
<li>Listening &amp; Responding </li>
<li>Safety </li>
<li>AIDET </li>
</ul>
Job Related Competencies:
<ul>
<li>Empathetic Outlook- The ability to perceive and understand the feelings and attitudes of others; the ability to place oneself “in the shoes” of another and to view a situation from their perspective. </li>
<li>Attention to Detail- The ability to process detailed information effectively and consistently.</li>
<li>Problem Solving- Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions.</li>
<li>Communicates Effectively- Developing and delivering multi-mode communication that convey a clear understanding of the unique needs of different audiences.</li>
<li>Values And Ethics- Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair.</li>
<li>Time Management- The ability to effectively manage one’s time and resources to ensure that work is completed efficiently.</li>
</ul>
Commitment to Community: 
Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by: 
<ul>
<li>Prioritizing access for all individuals;</li>
<li>Offering ongoing training for staff to promote health awareness, preventive measures and early detection for the varied patient population on the Eastern Shore;</li>
<li>Actively engaging with patients, families and staff;</li>
<li>Fostering a workplace culture in which everyone is treated with dignity.</li>
</ul>
Duties/Responsibilities:
<ul>
<li>Patient Interaction and Collaboration
<ol>
<li>Collects health status data relevant to the patient’s presenting problem in accordance with infection control policies and protocols, medication administration and storage procedures in a continuous, systemic, and complete manner.</li>
<li>Consistently and accurately documents in the Electronic Health Record according to established procedures.</li>
<li>Establishes appropriate priorities in planning patient care.</li>
<li>Properly prepares patient for Clinician by following established intake standards as needed. </li>
<li>Protects patients by adhering to infection control policies and protocols, medication administration and storage procedures.</li>
<li>Assists in implementing the plan of care as requested by the Clinician including medication reconciliation, venipuncture, calculating doses of medications, injections, EKG’s, nebulizer treatments, pain screening, collecting, and preparing laboratory specimens, performing dressing changes and wound care, and performing CLIA waived tests.</li>
<li>Assists clinician during patient procedures and/or examinations including but not limited to, pap smears, vaginal exams and swabs, colposcopy, incision and drainage, punch biopsies, ear lavage, mole removals, toenail evulsions, Nexplanon insertion and removal, IUD insertion and removal.</li>
<li>Collaborates with other health team members during the entire patient visit process including phlebotomist, clinician, medical assistant, referral coordinator, patient outreach specialist, and PSS. </li>
</ol>
</li>
<li>Planning, Implementation of Patient Care, and Patient Education
<ol>
<li>Performs daily or weekly huddles with Provider Council Leader and other health team members. </li>
<li>Delivers plan of care as directed by provider.</li>
<li>Delivers patient education based on diagnosis and outcome with up to date and validated materials. </li>
<li>Administers nursing care in a competent manner and consistently performs duties efficiently.</li>
<li>Provides for implementation of nursing care through communication with appropriate individuals within the healthcare system. This includes specialists, health departments, long term care facilities, group homes, schools, and employers. </li>
<li>Provides care and education during nurse visits. These nurse visits may include:
<ul>
<li>Diabetic education</li>
<li>Medication reconciliation and education</li>
<li>Medication administration by oral route or injection per provider’s order. </li>
<li>Injections- B12, testosterone, Depo Provera, PPD placement, injectable antibiotics and steroids; allergy injections as ordered by the patient’s ENT/Allergist. </li>
<li>PPD reading.</li>
<li>INR/Coumadin management- fingerstick INR, coordinates with provider to manage Coumadin dosing and education. </li>
<li>Suture and Staple removal</li>
<li>Wound care</li>
<li>Diet and exercise education to promote health and well-being.</li>
<li>Weight checks </li>
<li>Blood pressure checks</li>
<li>A1c </li>
<li>Ear lavage</li>
<li>Vaccine administration per age and CDC recommendations</li>
</ul>
</li>
</ol>
</li>
<li>Triage
<ol>
<li>Demonstrates high level triage skills. </li>
<li>Provides patients with clear and accurate health information and education. Gives the patient clear advice on handling their situation and addresses their needs in a prioritized and organized manner.</li>
<li>Conducts phone triage per established policies and procedures.</li>
<li>Assesses patient’s questions and concerns during the triage process, assigning appropriate level of acuity and decides course of action, always following established procedures during face-to-face patient encounter and telephone triage.</li>
<li>Documents all aspects of patient telephone encounter in the patient’s electronic health record for every call made and received. Directs patient’s needs and concerns to the appropriate members of the healthcare team as needed. </li>
<li>Informs patients of test results per clinician’s instruction and interpretation. </li>
<li>Consistently demonstrates ability to effectively prioritize daily tasks.</li>
</ol>
</li>
<li>Management of Prescription Medication Requests and Prior Authorizations
<ol>
<li>Keeps updated information regarding benefit restrictions for all payor groups regarding DME and medication formularies.</li>
<li>Processes prescription medication requests as directed by the prescribing clinician. </li>
<li>Completes medication prior authorizations in a timely and effective manner. </li>
<li>Coordinates with clinicians and pharmacists to ensure patient receives medications appropriately and adjusts as needed with the prescribing clinician. </li>
</ol>
</li>
<li>Documentation within the Electronic Health Record
<ol>
<li>Documents every patient encounter, phone call, and interaction within the patient’s electronic health record. </li>
<li>Properly documents and completes ICD-9 and CPT coding for services administered during the patient visit.</li>
<li>Checks patient’s electronic health record for last office visit, lab work, and CDS/PDMP compliance if necessary.</li>
<li>Appropriately documents when a patient picks up patient assistance or sample medications within the patient’s electronic health record.</li>
</ol>
</li>
<li>Maintains a safe and hygienic environment for patients.
<ol>
<li>Cleans and sterilizes exam room after every patient visit in addition to removing all patient specimens.</li>
<li>Properly dons and doffs PPE as required for each type of patient encounter. </li>
<li>At the end of each day, the nurse will work with the medical assistants to ensure proper disinfection of every exam room and work area including lab. </li>
<li>Follows protocol for distinction of clean and dirty areas within the lab. </li>
</ol>
</li>
<li>Effectively Communicates Within the Center
<ol>
<li>Communicates with members of the healthcare team to address patient’s questions and/or concerns.</li>
<li>Consistently identifies patients at risk and communicates with clinician on emergent patient needs.</li>
<li>Consistently displays professionalism and respect during interaction with CCHS customers, staff, and clinicians.</li>
</ol>
</li>
<li>Performs Other Duties as Required
<ol>
<li>A Staff Nurse’s duties may include Nurse visits, answering telephones, greeting patients, scheduling appointments, assisting with facilitating referrals as needed, and maintaining medical records.</li>
<li>Takes initiative to solve problems and recommends improvements to the managers and directors. </li>
<li>Travels to other CCHS sites to cover shortages within the department.</li>
<li>Consistently displays professionalism during interaction with CCHS customers, staff, clinicians, and visitors.</li>
<li>Attends monthly site meetings, department meetings and full staff meetings as required. </li>
<li>Promotes customer service with patients and outside contacts during every interaction both in person and on the phone. </li>
<li>Takes initiative and prioritizes effectively.</li>
<li>Works with other staff to achieve a desirable working environment.</li>
</ol>
</li>
<li>Regular, reliable attendance is a requirement of this job.</li>
</ul>
Benefits: 
<ul>
<li>Tuition and education assistance</li>
<li>Certification scholarships available </li>
<li>Paid holidays (9) </li>
<li>Flexible paid time off and vacation scheduling</li>
<li>403(b)</li>
<li>403(b) matching</li>
<li>Employee assistance program</li>
<li>Flexible spending account</li>
<li>Health insurance</li>
<li>Dental insurance</li>
<li>Vision coverage</li>
<li>Life insurance</li>
<li>Referral program</li>
<li>Employee wellness program</li>
<li>Discretionary Bonuses</li>
</ul>
Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Registered Nurse- Covering Easton & Cambridge Health Centers

<h3>Job Description</h3>
Job DescriptionStarting Wage $18.80 +
Looking for persons to work with individuals in their homes and activities in the community. Looking for persons to work with individuals who have developmental disabilities. Full-time, part-time evening, weekend, and overnight hours available. Limited full time work available for the right candidate. 
This position is for evenings (330p-12a), overnight (12a-830a, 1130p-830a), 7on7off (Friday-Friday), and weekends (8a-12a and 6a-10p). DDA trainings and CMT preferred. Must be able to complete two weeks of training Monday-Friday 8a-4p. Prior experience is a plus. Must be able to pass a background check, drug screening, and a DOT physical. Must have a valid driver's license with an excellent driving record.

Aide

<h3>Job Description</h3>
Job Description
About Delaware Guidance Services
Delaware Guidance Services for Children and Youth, Inc. (DGS) is the largest provider of outpatient behavioral health services to children and families in Delaware. We operate offices in Wilmington, Newark, Dover, Lewes, and Seaford, and we are the only statewide not-for-profit outpatient behavioral health organization for children and adolescents accredited by JCAHO. In 2020, we were honored as a Compassionate Champion for our dedication to serving youth and families using a trauma-informed approach. 
Through DGS, clients and families have access to outpatient counseling, group therapy, parent-child interaction therapy, and school-based services. Our community-based service lines serve youth and families who require a more intense therapeutic protocol. DGS’ 24-hour statewide Mobile Response and Stabilization Services (MRSS) dispatches skilled crisis intervention clinicians to provide immediate care to children experiencing behavioral health crises. Therapeutic options are available for a wide range of diagnoses including depression, anxiety, mood disorders, eating disorders, traumatic stress-related disorders, and suicidal ideation. In 2021, DGS clinicians provided over 54,000 direct care hours to children, youth, and families in Delaware. Over 93% of clients report improvement in their level of functioning following treatment, and therapeutic benefits derived from trauma-informed care extend to clients’ siblings, caregivers, classmates, and peers. 
Our client population is racially and ethnically diverse; 80% of DGS clients are Medicaid recipients and 90% have household incomes under $30,000. Many of our clients present with significant treatment challenges including learning impacts due to missed school and negative economic impact due to parental missed work. We provide care to anyone in need, regardless of insurance status or ability to pay for care. DGS also provides services specifically tailored to meet the unique behavioral health care needs of child welfare-involved families and foster youth
 
Why Work at Delaware Guidance Services? 
DGS strives to build a collaborative, flexible, and client-focused work environment. Employee wellness is a top priority. In addition to offering flexible work arrangements, DGS offers a comprehensive and competitive employee benefits package including the following:
<ul>
<li>Competitive Compensation</li>
<li>Incentive Pay for Specific Roles</li>
<li>Generous Paid Time Off (starting at 44 days of paid leave a year)</li>
<li>Up to 6% Annual Contribution to Your Retirement Fund</li>
<li>Free Professional Development Opportunities</li>
<li>Medical, Dental and Vision Insurance </li>
<li>Life and Long-term Disability Insurance</li>
</ul>
 
Position Highlights:
<ul>
<li>Flexible / Hybrid work environment (community based)</li>
<li>Generous benefits and time off policies</li>
<li>Ability to work with children through a mission driven organization</li>
<li>Sign on bonus for eligible positions (up to $5000)</li>
<li>Shift differential for eligible shifts starting after 11am (up to $4000 annually)</li>
</ul>
 
Summary/objective 
Under the supervision of the Crisis Clinical Coordinator, the Crisis Clinician will provide rapid response screening and assessment and counseling intervention services to youth and families experiencing urgent psychological and emotional problems (ie. aggressive and defiant behavior due to problems with emotion regulation, suicidal/homicidal ideation, plans, or attempts, family conflicts, etc.) while maintaining safety and implementing therapeutic treatment plans in a community-based setting. The incumbent is responsible for conducting risk assessments, consulting with appropriate supervisors or DPBHS workers to make decisions about level of care needed to maintain safety, and providing short-term, therapeutic crisis intervention services for up to 30 days. In addition, the incumbent is responsible for therapeutic documentation of cases from intake through discharge.

Essential functions:
Risk Assessment
<ul>
<li>Maintain professional, trauma-informed, and empathetic interactions during crisis interactions with families and all stakeholders</li>
<li>Use critical thinking and risk management skills when assessing and making decisions about the least restrictive level of care</li>
<li>Understand and utilize knowledge about warning signs and risk factors associated with suicide risk and risk of harm to others</li>
<li>Develop comprehensive skills in planning for safety and providing evaluations, diagnosis and therapeutic crisis intervention services to children, adolescents and their families.</li>
</ul>
 
Case Management
<ul>
<li>Provide therapeutic recommendation and referrals for children, adolescents, and their families referred for assessments and follow-up services</li>
<li>Communicate with and provide appropriate documentation to the DPBHS team</li>
<li>Communicate with appropriate stakeholders to maintain a systems-based approach to stabilization of crisis situations</li>
<li>Maintain complete, accurate, and timely documentation</li>
</ul>

Therapeutic Crisis Intervention
<ul>
<li>Plan and administer solution-focused and trauma-informed interventions to maintain safety, build skills, and address problem solving, communication, and relationship conflicts. </li>
</ul>

General Responsibilities
<ul>
<li>Uphold professional standards of treatment and the mission of the organization</li>
<li>Maintain a quality code of conduct, ethics and professionalism </li>
<li>Provide goal-directed and team-oriented services </li>
<li>Communicate effectively and professionally with all stakeholders </li>
<li>Participate in Clinician On-Call rotation</li>
<li>Rotation of on-call telehealth for after hours 11p-7a 2-3 days a month</li>
</ul>

Competencies/ Capabilities:
<ul>
<li>Reliability &amp; Flexibility </li>
<li>Customer Service</li>
<li>Written and Verbal Communication</li>
<li>Collaboration and Teamwork</li>
<li>Assessment and Intervention Skills</li>
</ul>

Supervisory responsibilities: None

Work environment: Community-Based, Office location in Lewes, Dover, or Newark, DE
Travel required: Travel to locations where the client resides or is located

Minimum qualification:
<ul>
<li>Bachelor's degree from an accredited school in a Human Services field</li>
<li>Valid driver’s license and satisfactory driving record</li>
</ul>

Preferred qualification:
<ul>
<li>Master’s degree from an accredited school in a Human Services field</li>
<li>Education/Training in suicide risk prevention and intervention</li>
</ul>
EEO: 
Delaware Guidance Services is an Equal Opportunity Employer. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
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. 
 
 Available shifts: New Castle County- 4p-12p (m-f) Kent County- 12p-8p (m-f), 4p-12a (m-f, 10 month) Sussex County- 12p-8p (m-f), 4p-12a (m-f)

Mobile Youth Crisis Clinician

<h3>Job Description</h3>
Job Description
 
Position Summary:
The Home Health Aide (H.H.A) will provide personal care services under the direction of the Registered Nurse (RN). The H.H.A is assigned specific clients by the R.N. or additional professionals of such status level and performs needful services to clients to maintain their personal comfort.
Duties/ Responsibilities
<ol>
<li>Performs simple procedures such as an extension of nursing care under the direction and supervision of the nurse.</li>
</ol>
<ul>
<li>Range of motion exercises</li>
<li>Assistance in ambulation or exercises</li>
</ul>
<ol>
<li>Performs personal care activities, including but not limited to:</li>
</ol>
<ul>
<li>Bathing</li>
<li>Shampooing</li>
<li>Skin care / nail care</li>
<li>Oral hygiene</li>
<li>Shaving</li>
<li>Dressing</li>
</ul>
<ol>
<li>Performs household services essential to health care at home, including but not limited to:</li>
</ol>
<ul>
<li>Meal preparation / feeding</li>
<li>Laundry</li>
<li>Light housekeeping</li>
</ul>
<ol>
<li>Assist in handling the medication to the client administration of medications that are ordinarily self-administered under the direction and supervision of an R.N. (per state practice laws and Agency policy)</li>
<li>Reports any observed or changes in the client’s condition and / or needs to the Registered Nurse. Following reporting guidelines in the Care of Plan</li>
<li>Documents care provided to client and completed the forms required for the client’s records. Completes the appropriate records to document care given and pertinent observations. Submits documentation per agency requirements- at least weekly.</li>
<li>Promotes personal safety and a safe environment for clients by observing infection control practices, following Agency guidelines, and reporting unsafe situations to the Supervisor/ Case Manager.</li>
<li>Demonstrate safe practice in the use of equipment. Does not use equipment until orientation about its operation has been provided. Notifies supervisor of educational needs.</li>
<li>Communicates effectively with all members of the interdisciplinary team through verbal reports, participation in staff meetings, and team conferences, as requested.</li>
<li>Maintains confidentiality in all aspects of the job.</li>
<li>Attends in-service programs to meet compliance requirements. Identifies learning needs to agency supervisor.</li>
<li>Performs other related duties and responsibilities as deemed necessary.</li>
</ol>
Qualifications and Education Requirements
<ul>
<li>Successful completion of a formal certification training program and/ or written skills test and competency evaluation</li>
<li>Must be 18 years of age.</li>
<li>Verify their capability to read, write and follow a written plan of care.</li>
<li>Demonstrate good interpersonal skills.</li>
<li>High School diploma or GED equivalent</li>
<li>Criminal Background check</li>
<li>Current Driver’s License or ID Card</li>
</ul>
Preferred Skills
<ul>
<li>Current CPR / 1st Aide Certification</li>
</ul>

Home Health Aide

<h3>Job Description</h3>
Job DescriptionSupervises landfill support personnel including Landfill Equipment Operators, Landfill Operator/Mechanic, Skilled Laborers, Laborers and contractors; prepare and conduct staff evaluations. Operates all heavy equipment including, but not limited to, landfill compactors, bulldozers, motor graders, hydraulic excavators, backhoes, loaders, etc. Inspects the storm water system, and completes inspection forms. Prepares reports and oversees the completion of reports by subordinates. Directs and assists in the maintenance and repairs of equipment. Conducts inspections as required by permit. Monitors phone messages for staff call outs; prepares staff schedules and resource/equipment allocation. Locks and unlocks facility, and enables security system. ADDITIONAL DUTIES: Orders materials and supplies. Pulls leachate pumps, and hauls daily cover. Meets with contractors, and directs temporary laborers. Performs other duties as assigned. Requires a high school diploma or equivalent and eight (8) years of heavy equipment experience and two (2) years of supervisory experience. Possession of a valid Commercial Driver"s License CDL Class 'B' and be able to obtain and maintain a Medical Examiner"s Certificate as required by the Federal Motor Carrier Safety Administration (FMCSA). Must possess First Aid and CPR certification . Knowledge of maintenance equipment and procedures. Advanced knowledge of the hazards and safety precautions associated with Laborers, Skilled Laborers, Heavy Equipment Operators, and Mechanics in a landfill setting. Knowledge of safety procedures including safety training as required. Skill and ability to operate heavy equipment safely. Skill in motivating, developing and directing people as they work. Ability to supervise a diverse group of people. Ability to work a variable schedule. Ability to communicate effectively. Physical Requirements: This position requires standing, walking, sitting, reaching with hands and arms, stooping, kneeling, crouching, or crawling, climbing or balancing, talking and hearing. This position requires lifting up to 50 pounds. The position requires close vision (clear vision at 20 inches or less). Distance vision (clear vision at 20 feet or more); Color vision (ability to identify and distinguish colors); Peripheral vision (ability to observe an area that can be seen up or down or to the left and right when vision is fixed on a given point); Depth perception (three-dimensional vision, ability to judge distances and spatial relationships). Position risks exposure to indoor environment, outdoor environment, noise, extreme temperatures, vibration, moisture and/or humidity, dust, fumes, gases, electrical hazards, mechanical hazards, chemical hazards, explosive hazards and burn hazards. EOE #ZRNC

Landfill Operations Foreman

<h3>Job Description</h3>
Job Description
Atwell, LLC is a bold leader in the consulting, engineering, and construction services industry, delivering a broad range of creative solutions to clients in the real estate &amp; land development, and energy markets. We have a strong national presence and a diverse, award-winning project portfolio. Atwell is a privately owned company, with 2,000+ passionate team members across 55+ locations and growing!
Atwell, LLC is a proud recipient of the following 2024 awards:
<ul>
<li>Nine consecutive years in a row as a "Best Place to Work" (#16) by Zweig Group</li>
<li>Recognized as #10 in the "Top 100 Fastest Growing AEC Firms" in the U.S. by Zweig Group</li>
<li>Recognized as #71 in the ENR Top 500 Design Firms, ranked in every region.</li>
<li>Recognized in Crains "Fast 50" as one of the fastest-growing firms based in Michigan.</li>
<li>Recognized in Crains Magazine as one of Michigan's largest privately held companies.</li>
</ul>
What You'll Do:
<ul>
<li>Work on land development and site/civil engineering projects from concept through construction.</li>
<li>Design site grading, roadway geometry, potable water and wastewater systems, stormwater management, and related civil components.</li>
<li>Prepare plans, reports, and calculations using AutoCAD Civil 3D and related software.</li>
<li>Manage project tasks, schedules, and deliverables to support successful project execution.</li>
<li>Coordinate permitting and entitlements with local and state agencies.</li>
<li>Communicate with clients, agencies, and internal teams to maintain project progress and quality.</li>
</ul>
Qualifications: 
<ul>
<li>Bachelor's Degree in Civil Engineering (EAC/ABET accredited).</li>
<li>Professional Engineer (PE) required.</li>
<li>4–10 years of civil engineering and land development experience.</li>
<li>Proficiency in AutoCAD Civil 3D; WaterCAD/StormCAD/SewerCAD experience preferred.</li>
<li>Strong understanding of site design, permitting processes, and regulatory requirements.</li>
<li>Experience with Maryland's Eastern Shore is a plus.</li>
<li>Ability to manage multiple tasks and work effectively with clients and team members.</li>
</ul>
#LI-RD1
Atwell Benefits: To attract and retain the best professionals in the industry, we aim to provide an excellent working environment and a progressive benefits program designed to support your personal and professional needs.
Work/Life:
<ul>
<li>Generous Paid Time Off</li>
<li>Paid Parental Leave</li>
<li>Flexible work schedules are available for some positions</li>
<li>Tenure Awards — Travel Vouchers to see the world based on your travel preferences</li>
</ul>
Compensation:
<ul>
<li>Competitive Compensation packages </li>
<li>Annual bonuses, spot bonuses and peer recognition awards</li>
<li>401K match - 1:1 up to 4% of compensation </li>
<li>Tuition Assistance</li>
<li>Student Loan Repayment up to $25K</li>
<li>Paid Licensing / Certification Fees and Renewals</li>
<li>Financial Rewards for Obtaining Licensure</li>
<li>Employee Referrals up to $5,000</li>
<li>Annual Wellness Reimbursement up to $500 for anything wellness related (Gym memberships, fitness tracker, home gym equipment, etc.)</li>
<li>Dependent Care Match</li>
</ul>
'Atwell'ness:
<ul>
<li>Medical (BC/BS), Dental (Delta), and Vision (VSP)</li>
<li>Family Planning &amp; IVF Benefits</li>
<li>Pet Insurance</li>
<li>Health Savings Account &amp; Flex Spending Account options</li>
<li>Employer paid LTD, STD, and life insurance</li>
<li>Metlife Supplemental Benefits covering accident, hospitalization, and critical illness</li>
<li>Member Assistance Program (MAP) with complimentary counseling sessions, legal benefits, financial consultations, and work/life referral services</li>
</ul>

Civil Project Engineer - Land Development

<h3>Job Description</h3>
Job DescriptionTransteck, Inc. one of the largest Freightliner dealers in the North East with 14 locations and 4 body shops. We have over 200 trained technicians, over $7,000,000 in parts inventory and utilize state of the art facilities. Our large size means that we have the resources to provide the best in class facilities, training and equipment while working with the industry leader in large heavy duty trucks. But despite our size, our 14 locations located from Pittsburgh to New Jersey through Maryland to Northern VA are all small enough to get the personal touch needed to keep you trained and motivated. Learn more about us at <a href="http://www.transteck.com.Transteck" target="_blank">www.transteck.com.Transteck</a> has an immediate opening for a part time CDL Driver at our Easton Truck Center. This position is not a freight hauling position. Primary responsibilities are picking up trucks for repairs and delivering trucks back to customers after repairs, parts pick up, and road testing vehicles after repairs.What Transteck Offers:
<ul>
<li>Competitive pay rates based on experience</li>
<li>State of the art facilities</li>
<li>Best in class training programs in our very own technical training center</li>
<li>The chance to advance your technical and leadership skills through on-the-job training, growth, and development.</li>
<li>You can keep your dirt at work – laundry service for your company provided uniforms.</li>
<li>Job specific PPE</li>
<li>Boot allowance</li>
<li>Prescription safety glasses</li>
<li>Group Medical, Dental, Vision, Disability, and Life Insurance</li>
<li>401k</li>
</ul>
Position Requirements:
<ul>
<li>Must have a valid CDL</li>
<li>Must be registered in the national drug and alcohol clearinghouse</li>
<li>Must pass background &amp; criminal records check, physical exam and drug screen</li>
<li>Must be able to drive manual transmission</li>
<li>Solid work history</li>
<li>Clean driving record</li>
<li>Excellent customer service</li>
</ul>
We are an equal opportunity employer. Must pass background &amp; criminal records check, physical exam and drug screen. 
**Must pass background &amp; criminal records check, physical exam and drug screen.

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