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Intraoperative Neurophysiologic Monitoring Technologist

Lowell
Professional

Direct Hire

$36k - $50k (DOE)

The primary responsibility of an Intraoperative Neuromonitoring (IONM) Technologist is to collect and analyze, or to oversee the collection and analysis of multiple types of recordings and measurements of the electrical activity of the central and/or peripheral nervous system. This information allows intraoperative interventions that may reverse or minimize neurological morbidity, such as complete paralysis or loss of normal motor function. The IONM Technologist provides monitoring data effective in localizing anatomical structures and nervous system tissues, including sensorimotor cortex, mapping techniques, peripheral nerves and non-tumor tissue. The IONM Technologist is a valuable member of the IONM team along with the surgeon, anesthesiologist/anesthetist and IONM interpreting physician/neurophysiologist. The IONM Technologist's responsibilities extend to review and appropriate application of current developments in neurophysiological monitoring techniques and standards of practice.

 

Functions of the Neuromonitoring Technologist

1.     Application of knowledge in neuroanesthesia and its effect on neuromonitoring.

2.     Application of knowledge in anatomy and neurophysiology relative to the monitoring being performed.

3.     Knowledge and application of current practices in neuromonitoring, maintained through extensive reading of published literature and practice standards.

4.     Performance of all duties and responsibilities required for multi-modality monitoring.

5.     Maintenance of continuing education requirements by ABRET and Advanced Monitoring Services.

6.     Knowledge and practice of electrical safety relevant to equipment and type of monitoring performed.

7.     Establishment of practice policies and protocols consistent with current standards of care established by professional healthcare organizations, and appropriate regulatory bodies and government.

8.     Assessment of intraoperative procedure relative to orders for monitoring, taking action to address deviation from established practice protocols.

9.     Performance of duties according to established lab protocols for preoperative, intraoperative, and postoperative procedures

10.   Responsibilities may include but are not limited to managerial duties associated with the performance of intraoperative neuromonitoring.

 

Personal Accountability

1.     Demonstrates knowledge of current standards of care established by professional allied health organizations and appropriate regulatory bodies and government.

2.     Reviews current literature, as appropriate for modalities of monitoring performed, and integrates relevant findings into current practices.

3.     Establishes and maintains quality control methods for all monitoring performed.

 

Preoperatively:

The Surgical Neuromonitorist reviews planned intraoperative procedure and orders for monitoring to determine the structures at risk relative to patient history/pre-existing conditions and monitoring requested; makes needed adjustments in monitoring by communicating with correct personnel while maintaining patient confidentiality according to facility policy and procedures; communicates with needed departments to obtain access and scheduling of patient according to facility policy and procedures; prepares equipment and supplies for required monitoring of patient according to facility policy and procedures; identifies correct patient by name, ordering surgeon, and type of procedure to be performed and communicates the monitoring plan to the patient/caregivers/family in language consistent with their ability to understand; measures and marks correct recording and stimulation sites and applies electrodes according to facility policy and procedures.

Intraoperatively:

Surgical Neuromonitorist positions monitoring equipment in the operating room to ensure patient electrical safety and communicates with team members including anesthesia, surgeon, and nursing staff according to facility policy and procedures; communications directly with anesthesia team and surgeon to enhance monitoring results; discusses with surgeon baseline recordings according to facility policy and procedures; makes any needed adjustments in monitoring according to facility policy and procedures; monitors neurophysiologic central/peripheral functioning throughout the operative procedure communicating with surgeon, neurophysiologist, anesthesia team, and nursing staff as necessary according to facility policy and procedures; recognizes clinically significant events and follows facility policy and procedures regarding critical test results**; documents in surgery log throughout the monitoring process all relative communications/responses, physiological status, anesthetic adjustments, and changes in verbal responses according to facility policy and procedures; discontinues monitoring and removes all monitoring and stimulation electrodes checking sites for pre-monitoring status according to facility policy and procedures.

Post-operatively:

The Surgical Neuromonitorist provides findings, results, and a descriptive analysis according to facility policy and procedure; cleans/disinfects electrodes and equipment according to facility policy and procedures; restocks equipment and electrode supplies; prints needed documents including waveforms, neuromonitoring specialist report, and surgery log to be dictated by interpreting personnel according to facility policy and procedures; charges and logs patient according to facility policy and procedures.

 

Physical Skills:

1. Frequent walking

2. Sitting /standing

3. Reaching including above/below shoulder height

4. Frequent kneeling/crawling

5. Pulling and pushing > 50 pounds

6. Carrying or pushing < 50 pounds

7. Frequent bending /stooping/crouching/twisting and continuous repetitive movements

 

Physical Exposure: 

Lighting bright and dim, mechanical hazards, hazardous substances, infectious diseases, ionizing/non-ionizing radiation, and toleration of temperature ranges 60 to 75° F.

Physical Ability: Must exhibit normal or better: vision, hearing, manual dexterity, talking and speech, typing. Requires the ability to concentrate for long periods of time under stressful conditions and still perform properly and effectively.

Apply Online @ www.1stemployment.net (select Professional Branch)

Or call us at: 479-717-2910


**1st Employment is an Equal Opportunity Employer**

Job ID: 53198

 

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CDL

Lowell
Professional

Direct Hire

Salary: $52k

Regional Drivers Starting at $1,000/ week DOE

  • Drivers will be based out of Lowell, Fort Smith, Russellville or Little Rock Terminals Lanes AR, TX, MO, OK, IL, TN
  • Refrigerated, No touch freight
  • 6 days out 34hr reset at the house
  • Company insurance through UMR, Dental, Vision, Company paid Life, Company paid Short Term Disability Insurance, 5 days PTO Annually, Weeks’ Vacation after year
  • Eligible for 401K after year (company matched up to 5%)

Requirements:

  • Must have 2 recent years tractor trailer experience
  • No preventable accidents
  • Clean CSA
  • Ability to pass Criminal Background, Drug Screen & DOT Physical

 

Apply Online @ www.1stemployment.net (select Professional Branch)

Or call us at: 479-717-2910

**1st Employment is an Equal Opportunity Employer**

 Job ID: 53715

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CDL Driver - (OTR)

Lowell
Professional

Direct Hire

Salary: $59,800k

OTR Drivers

  • Starting at $1,150/ week DOE, and the amount of time out on the road
  • Drivers will be based out of Lowell, Fort Smith, Russellville or Little Rock Terminals
  • Lanes AR, TX, MO, OK, IL, TN
  • Refrigerated, No touch freight
  • 12 days out 2 days home time, 18 days out 3 days home time
  • Company insurance through UMR, Dental, Vision, Company paid Life, Company paid Short Term Disability Insurance, 5 days PTO Annually, Weeks’ Vacation after year
  • Eligible for 401K after year (company matched up to 5%)

Requirements:

  • Must have 2 recent years tractor trailer experience
  • No preventable accidents
  • Clean CSA
  • Ability to pass Criminal Background, Drug Screen & DOT Physical

 

Apply Online @ www.1stemployment.net (select Professional Branch)

Or call us at: 479-717-2910

**1st Employment is an Equal Opportunity Employer**

Job ID: 53716

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Pre-Certification / Insurance Specialist

Lowell
Professional

Direct Hire

$38k - $46k

Summary of Position

Responsible for filing and receipt of all pre-certification of IONM coding from insurance companies as applicable. Responsible for continued documentation reflecting prior approval process on all previous, current and future IONM cases. Responsible for uploading all relevant document to company’s practice management system as it pertains to the insurance billing process.

Duties and Responsibilities

  • Contact all insurance companies via phone, fax, or online registry in order to obtain prior certification for IONM CPT codes on a case by case basis.
  • Continuous maintenance of case volume spreadsheet reflecting the progress of each case’s pre-certification process.
  • Upload all pertinent case documentation (i.e. facesheets, insurance info, clinic notes, insurance approvals/denials etc.) into practice management software.
  • Customer representative liaison to hospitals, clinics, and patients as needed for insurance information that must be acquired.
  • Work closely with scheduling coordinator and other operations admin staff in order to share surgery/insurance information as needed.
  • Proper protection and utilization of PHI
  • Other duties as assigned

Qualifications

  • Oral Communication Skills
  • Written Communication Skills
  • Interpersonal Communication Skills
  • Organizational Skills
  • HIPAA/PHI Comprehension
  • Strategic Planning
  • Professionalism
  • Computer Literacy

Education/Experience

  • Medical coding certification (CPC)
  • Prior medical billing experience preferred

Apply Online @ www.1stemployment.net (select Professional Branch)

Or call us at: 479-717-2910

**1st Employment is an Equal Opportunity Employer**

Job ID: 53857

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Manufacturing Project Engineer

Fayetteville
Professional

Direct Hire

Salary: $60 – 80K (+) DOE


Duties and Responsibilities:

  • Develops and implements optimal, cost-effective manufacturing processes and methods in accordance with product specifications and quality standards.
  • Performs research, design, and development of manufacturing processes, including production flow, assembly methods, and production equipment.
  • Prepares and maintains detailed layouts of buildings and equipment.
  • Coordinates the manufacturing launch of new/revised products, including establishing goals and evaluating results.
  • Designs, develops, tests or sources, and cost-justifies various tools, machinery, and equipment for recommended manufacturing methods.
  • Performs product/process analysis for cost reduction, quality improvement, and efficiency improvement.
  • Represents manufacturing on cross-functional teams.
  • Creates and maintains documentation for manufacturing and shipping operations, i.e. work instructions, operating procedures, parts specifications.

 Position Requirements:

  • Bachelor’s degree in Industrial or Mechanical Engineering.
  • Experience with Kaizen and Lean Manufacturing techniques.
  • Technical skills in manufacturing processes and methods including flow, layout, assembly, and production equipment.
  • Experience with Safety program implementation and EPA and OSHA compliance preferred.
  • Able to organize and manage multiple priorities.
  • Quality orientation and attention to detail.
  • Problem analysis and problem resolution.
  • Excellent interpersonal and communication skills; team orientation.
  • Computer assisted design proficiency.

Apply Online @ www.1stemployment.net (select Professional Branch)
Or call us at: 479-717-2910

**1st Employment is an Equal Opportunity Employer**

Job ID: 54173

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Mechanical Designer

Fayetteville
Professional

Direct Hire

Pay DOE

The Mechanical Designer reports to a Senior Mechanical Engineer and provides technical design support to assist with the development of products, fixtures, tooling, and special machinery that will result in increasing productivity, improving reliability or enhancing product quality.  The Mechanical Designer is responsible for generating solid models for manufacturing tooling and fixtures along with detailed dimensioned drawings.  The Mechanical Designer creates mechanical drawings to support product development by conferring with engineers and reviewing sketches, descriptions, and specifications.  The Mechanical Designer also supervises the progress of new product prototypes and testing.

 

Qualifications of the Position Include:

•  5-10 years of relevant design experience required. 

•  Prior tool and die design experience required. 

•  Proficient in solid modeling with experience using Inventor.

•  Detailed knowledge of manufacturing processes such as die casting, machine & fabricated parts, and injection molding.

•   A two or four year technical degree is preferred.

•  Design experience from concept to completion preferred. 


Apply Online @ www.1stemployment.net (select Professional Branch)

Or call us at: 479-717-2910

**1st Employment is an Equal Opportunity Employer**

Job ID: 54173

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Senior Supply Chain Engineer

Fayetteville
Professional

Direct Hire

Salary DOE

General Description:

We are looking for a Senior Supply Chain Engineer for our Fayetteville, Arkansas facility. The successful candidate will be responsible for the management and execution of projects within the Supply Chain/Purchasing department. Improvement projects would focus on the areas of supplier quality, new supplier development and qualification, ERP system improvements, supply/demand modelling, logistics/transportation optimization, and supplier quality improvement.

ESSENTIAL FUNCTIONS:

  • Lead projects within the purchasing department including new supplier development, cost reduction, and process improvement

  • Apply statistical knowledge to identify area’s for improvement within manufacturing processes in supply chain

  • New & existing product sourcing

  • Maintain accurate project schedules and communicate any issues in a timely manner to management.

  • Cost based comparative analysis (Make vs Buy, Buy vs. Buy analysis)

  • Evaluate supplier capabilities with respect to our business demands

  • Perform inventory analysis & ERP process management (Safety Stock levels, Order Frequency, Order Quantity’s, etc.)

  • Work closely with the product development group to ensure new products are brought to production with adequate supply chain consideration

  • Manage Supplier Quality Issue Tracking system in Marshalltown and follow vendor related issues from creation to closure

  • Identify discrepancies in product specifications and work with vendors to correct any issues

 

MINIMUM REQUIREMENTS:

  • Requires a Bachelor’s degree in mechanical, industrial, or related engineering field

  • Master’s degree in mechanical, industrial, or related engineering field a plus

  • 5 years professional experience minimum

  • Experience with steel, aluminum, or plastics manufacturing processes

  • Demonstrated history of problem solving and project management experience in operations, manufacturing, or supply chain processes

  • Business system (ERP/MRP) experience a plus

  • Strong spreadsheet and database knowledge

  • Strong verbal and written communication skills required

  • Ability to consult and interact with suppliers and internal teams from  product development, manufacturing, marketing, finance, and suppliers

  • Some domestic and international travel will be required. (Less than 10%)


Apply Online @ www.1stemployment.net (select Professional Branch)

Or call us at: 479-717-2910

**1st Employment is an Equal Opportunity Employer**

Job ID: 54173

Apply For This Job