Fleet and Facility Maintenance Director

JOB SUMMARY This is an Operations position responsible for directing the activities associated with the general maintenance, repair, and appearance of the facility, fleet shop, outside grounds, office space, beverage department, security, and power industrial equipment and third party providers. Responsibilities include, but are not limited to, expense management, compliance with government regulations, ensuring safety and security of the building, its contents, and people and providing management and direction to beverage, fleet, and facility maintenance staff. RESPONSIBILITIES Directs the daily work and safety of associates engaged in building, grounds, sanitation, fleet maintenance, and repair, refrigeration systems, beverage department, power industrial equipment, and security. Advises labor hours and consumable supplies within budget. Prepares work schedules including extra work days and shifts as needed. Coordinates emergency response or crisis management activities, develops and maintains liaisons with local emergency management and other entities to facilitate plan development, response effort coordination and assists safety manager with training initiatives. Conducts the proper selection, purchase, utilization, and inventory of Company assets in support of the fleet and facilities departments. Collaborate with other departments as necessary to ensure upgrades and repairs are completed efficiently and effectively. Develop business relationships to ensure communication and efficient operations with third-party vendors, including but not limited to, janitorial, pest services, security, external contractors, fleet and facility maintenance and beverage. Maintains current certificate of insurance and hold harmless agreements for all contracted vendors. Prepares budget, profit plans, and capital requests as required. Evaluates metrics and adjusts activities to meet or exceed performance expectations. Suggests efficiency ideas, cost reduction measures and assists with the implementation of changes within fleet and facility maintenance, beverage, power industrial equipment and security. Establishes preventative maintenance schedules for all systems, equipment, and buildings including: ammonia refrigeration system, Heating, Ventilation, and Air Conditioning (HVAC) Systems, fire protection and security systems, electrical and energy management, dock doors/dock plate systems, power industrial equipment, building components (roof, interior and exterior floors/walls, doors, paved surfaces and landscaping). Handles priorities, assigns and monitors fleet and facility projects for quality and timely completion. Utilizes maintenance tracking software for task management. Administers audits ensuring all required inspections and documentation are completed accurately (including but not limited to food safety documentation, Department of Transportation (DOT) records, EPSM, PSM, etc.) and retained to ensure the minimum potential for loss. Preserves associate relations through regular department or pre-shift meetings. Maintains on-going interaction. Keeps open communication channels with associates by answering questions and explaining policies and procedures. Monitors associate morale. Submits and responds to ideas to improve associate engagement and enablement. Interprets trains and consistently enforces Company policies and procedures. Coordinates efforts with the Safety department to aid in training, conducting associate observations, up-dating preferred work methods, conducting accident investigations to determine root causes and routine safety inspections. Makes recommendations for disciplinary action and/or behavior modification where required. Executes management functions of staff selection, development, discipline, performance reviews and/or terminations. Performs the duties of associates supervised and other related duties as needed. Ensures accurate and up-dated re-certifications of commercial equipment and Commercial Vehicle Operators Registration (CVOR) (Canada) are compliant. Complies with local, state and federal regulatory agencies (i.e. OSHA, etc.) QUALIFICATIONS Education Bachelor's degree required or equivalent combination of education and related experience. Experience 7 years maintenance management experience required. Certificates, Licenses, and Registrations Must possess a valid state Driver's License and provide proof of liability coverage meeting Company standards. Complete a Sysco approved defensive driving program. Level 1 Ammonia Operation Certification required. HAZWOPER 24 hrs Training required. Incident Commander Training required, or obtains within 12 months. Certificate, licenses and registrations in refrigeration required. Obtain a Powered Industrial Equipment Certification from Sysco within 3 months. Certificate in diesel engines, electrical, hydraulic, pneumatic and braking systems preferred. Certificate in fleet trade/mechanic preferred. Professional Skills Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Able to write reports, business correspondence, and procedure manuals. Effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Can add, subtracts, multiply, and divides into all units of measure, using whole numbers, common fractions, and decimals. Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Demonstrate knowledge of Spreadsheet software and Word Processing software, and ability to learn Sysco technology software and programs. Working knowledge of ammonia and Freon systems. Proven knowledge of environmental regulations/legislation and governing bodies. Successfully engage and lead individual and team discussions and meetings. Apply all relevant policies in a consistent, timely and objective manner. Capable of working with peers and associates from other departments and shifts proactively and constructively. Work in a disciplined manner and capable of following established procedures, practices and comply with local, state and federal regulations. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Regularly required to talk or hear. Frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms and climb or balance. Occasionally required to stoop, kneel, crouch, or crawl. Must occasionally lift and/or move up to 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Working Condition To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Occasionally exposed to wet, hot, extreme cold and/or humid conditions; and moving mechanical parts and may be required to work in confined spaces. The associate works non-traditional business hours including evenings, nights, weekends, holidays and on-call. May occasionally be required to travel to other Operating Companies or the corporate office as business needs dictate (i.e. training, business continuation, etc.). Periodically exposed to high, precarious places and confined spaces. Sometimes exposed to fumes or airborne particles. The noise level in the work environment is usually moderate. The above information on this description has been designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. NOTICE: The above statements are intended to describe the general nature of the environment and the level of work being performed by this job. This job description in no way states or implies that the duties and responsibilities listed are the only tasks to be performed by the associate in this job. The associate will be required to follow any other instructions and to perform any other job-related duties requested by his or her supervisor. This job description supersedes prior job descriptions. When duties and responsibilities change and develop, the job description will be reviewed and is subject to changes of business necessity.

Registered Nurse-ECC Emergency Care-Full Time

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation. All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software. Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. CredentialGrace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: 7PM - 7AM Work Type: Full Time

Cardio Procedural Nurse (RN) Cardiac Function Testing/Part-Time

Description POSITION SUMMARY: The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit's standards of care. He/she demonstrates performance consistent with the mission, philosophy and goals of the unit and organization. Demonstrates quality and effectiveness in work habits and clinical practice. Treats staff, physicians, patients and families with consideration and respect. Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for Registered Nursing. CERTIFICATION/LICENSES: Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications must be obtained within 6 months of hire date. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew. (See Required Department Certification List detailed on the last page of this document.) SKILLS: Current knowledge and skills appropriate to age/type of patient population served Knowledgeable and sensitive to patients' rights in the delivery of care Communicates in a clear concise manner appropriate to the developmental age of patient. EXPERIENCE: NATURE OF SUPERVISION: -Responsible to: Patient Care Director or Manager ENVIRONMENT: Bloodborne pathogen C (OR, PACU, L & D); Bloodborne pathogen B (other Patient Care areas). Exposure to infectious diseases and x-rays. Works in a clean, well lighted, ventilated smoke-free environment. Subject to stressful professional relationships. Working hours are varied, with flexibility due to unexpected changes in schedule and emergencies. PHYSICAL REQUIREMENTS: Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing and walking. Requires heavy physical effort to position, push and/or transfer patients or equipment and supplies. Requires considerable reaching, stooping, bending, kneeling and crouching. Ability to judge distance and space relationships, see peripherally, distinguish and identify different colors. Hearing and visual acuity within normal or correctable limits. Manual dexterity and fine motor coordination required.

Emergency Department Technician - Emergency Room - Full Time

Description Summary: The Emergency Department Technician requires the skills and knowledge of many areas such as: ED Tech, Patient Registrar, Unit Clerk, and Monitor Tech. The Emergency Department Tech performs a variety of RN delegated tasks under the supervision of a registered nurse. He/she assists the nursing staff in providing patient care in accordance with training, competence and skill. He/she is knowledgeable of and follows all hospital policies and procedures. Consistently assists the patient care team with maintaining a clean, well-organized, adequately stocked and safe patient environment. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assists with admission, transfer, and discharges of patients. Commensurate with training, observes patient's condition, recognizes changes in patient status, and reports findings to the RN. Escorts stable patients to other departments as required. Cleans, procures, and returns equipment and supplies. Assists with ordering and maintaining stock items. Maintains competency to perform special procedures such as: venipuncture, splinting, staple and suture removal, nonsterile dressing changes, peak expiration flow rate, pulse oximetry, and crutch training. As delegated, sets up for Emergency Department procedures and assists the RN as directed. As delegated by the RN, operates patient monitoring equipment, records, rhythm strips, runs 12 lead EKGs, biomarkers, and glucometer readings. Performs phlebotomy, collects laboratory specimens as ordered, and inserts saline lock under the direction of the RN. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Appropriately adapts assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each patient served. Under the direction of the Registered Nurse, performs duties of a clerical and non-nursing nature on the nursing units. Activities include serving as a receptionist for the unit, transcribing orders and requesting items for patient care, and assisting with maintaining patient, unit, and hospital records. As a Patient Registrar - Greet all patients as they arrive in a friendly, courteous, and professional manner; Demonstrate and maintain a working knowledge of customer service principles, and departmental expectations regarding customer service. Show concern for patient problems and ensure comfort of the patient while waiting to be registered or seen by the provider. Document in the computer system all necessary demographic, insurance, and financial information. Compile or retrieve scheduled reports from computer system. Demonstrates adherence to the CORE values of CHRISTUS Health. Performs other duties as assigned. Job Requirements: Education/Skills A High School Diploma or GED is preferred Completion of one of the following educational programs or previous CHRISTUS Emergency Technician experience is required: Nursing Assistant program Medical Assistant program Basic EMT program, Intermediate EMT program PT Care Tech program Military basic combat training and Advanced Individual Training for military medics Experience 1 - 2 years of patient care experience in an acute care hospital, emergency department, EMT field/Emergency Care, or military medic setting preferred Licenses, Registrations, or Certifications BLS required Must maintain one of the following certifications: Certified Nursing Assistant license in the state of employment Certified Medical Assistant Certified Patient Care Tech Emergency Medical Technician (EMT) national registry or state license In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: 7PM - 7AM Work Type: Full Time

NP, Nurse Practitioner/PA, Physician Assistant - Walk-in/Primary Care

Description Job Summary We are seeking a Nurse Practitioner or Physician Assistant to join our Walk-In / Primary Care clinic in Wimberley, TX. This full-time role blends walk-in care with traditional primary care, offering the opportunity to provide high-quality, patient-centered care in a community-focused outpatient setting. The ideal candidate will be comfortable managing both acute and routine primary care needs across a broad patient population. Key Responsibilities Evaluate and treat patients presenting with acute, non-emergent conditions in a walk-in clinic setting Provide ongoing primary care including preventive services, chronic disease management, and routine follow-up visits Perform physical exams, diagnose illnesses, and develop appropriate treatment plans Order and interpret laboratory tests, imaging, and other diagnostics Educate patients on treatment plans, medications, and preventive care Collaborate with physicians and clinical staff to ensure continuity of care Maintain accurate and timely documentation in the EMR Qualifications Current Texas license as a Nurse Practitioner or Physician Assistant National certification (AANP, ANCC, or NCCPA) Previous experience in primary care, family medicine, or urgent care preferred Strong clinical decision-making and communication skills Ability to work independently in an outpatient setting Schedule & Compensation Full-time position with a consistent schedule Competitive compensation based on experience Comprehensive benefits including health, dental, and vision insurance, malpractice coverage, PTO, CME allowance, and a 403(b) retirement plan with employer match

Nursing Assistant-Certified Nursing Assistant / Inpatient Rehab Unit / Part-time

Description POSITION SUMMARY: The Rehab Liaison evaluates and assesses potential candidates and facilitates the admission process for patients appropriate for CHRISTUS St. Vincent Hospital's Inpatient Rehabilitation Program. This individual also negotiates length of stay with managed care organizations and performs Utilization Review functions. Serves as liaison with local and surrounding communities and providers, enhancing their knowledge and awareness of Rehabilitation Services at St. Vincent. Serves as a rehabilitation consultant, with attention to the clients rehabilitation potential, therapy and functional progress, discharge plan and feasibility, special equipment needs, rehabilitation services across the continuum of care, and care transitions. Serves as contact person for the rehabilitation team, internal admissions team, clients and external sources to enhance outcomes. Requirements EDUCATION: Licensed Clinician (Nursing, Occupational Therapist, Physical Therapist, or Speech Language Pathologist). Scope of practice must include patient assessment/evaluation. LICENSES/CERTIFICATIONS: Current licensure in New Mexico for applicable discipline. SKILLS: Demonstrated accountability in assessment / evaluation Decision making Time management Oral and written communication skills with individuals and groups Must also possess working familiarity with rehabilitation levels of care, as well as with the current managed care environment related to those settings EXPERIENCE: Five years of clinical experience, with at least two years in acute rehabilitation setting. It is recommended that the individual also possess at least two years of experience in management or a managed care role. Experience in marketing, public relations, or community education activities preferred. Experience with third party payor requirements, resources and parameters also preferred. NATURE OF SUPERVISION: -Responsible to: Director Inpatient Rehabilitation Services ENVIRONMENT: - Bloodborne pathogens - A PHYSICAL REQUIREMENTS: Must have a current and valid driver's license, and be able to travel locally and long distance (within central and Northern New Mexico). Moderate walking required, with occasional need to transport advertising/educational materials.