Pain Management Attendant- Bluffton (PRN)

PURPOSE OF THIS POSITION The Pain Management ORA will be responsible for assisting the clinic and OR staff with the daily operations of the Pain Management department such as: transportation and care of patients to and from the department, assisting patients and staff with scheduling, pulling information, and communicating pertinent information. Responsibility for additional functions include, assisting in general cleaning, running errands, relaying messages, assisting with patient care and room turnover. JOB DUTIES/ RESPONSIBILITIES Duty 1: Responsible for the safe transport of patients to and from the pain management department Duty 2: Assists in positioning, lifting, and/or transferring patients as directed Duty 3: Consistently displays a caring and professional attitude toward the patient. Duty 4: Organizes information material and equipment in preparation for patient care activities Duty 5: Demonstrates responsibility with setting up pre/post-op bays for patients. Duty 6: Functions as a team member in accomplishing room turnover within an accepted time frame and cleans all designated supply areas and equipment. Duty 7: Assists nurses as needed in patient care Duty 8: Responsible for general upkeep of area (kitchens, dirty utility rooms, sub-sterile rooms, scrub sink areas, patient care areas, etc.) to provide a safe, clean and organized environment for patients/customers/team members Duty 9: Ability to process data from physicians to provide complete and accurate schedules utilized in the clinic & procedural areas. Duty 10: Collects and distributes data to the correct individuals while maintaining HIPAA confidentiality. REQUIRED QUALIFICATIONS High school education or equivalent Cardiopulmonary Resuscitation Certificate required within 120 days of hire Able to understand the operation of some equipment and machinery. Self-directed and able to function independently. Capable of communication/comprehending English language PREFERRED QUALIFICATIONS One year’s medical experience PHYSICAL DEMANDS This position requires a full range of body motions with intermittent walking, lifting, bending, squatting, kneeling, twisting, and standing. The associate will be required to walk for four to six hours a day, sit for one hour a day and stand for six hours a day. The individual must be able to lift, push, pull, catch, or roll fifty pounds. Must be able to reach work above the shoulders. The individual must have good eye-hand coordination and fine finger dexterity for simple grasping tasks. The individual must have excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range. This position is classified at risk for possible occupational exposure to blood borne pathogens. (HBV, HIV, etc.).

Communications Operator - Part Time, 1st Shift

PURPOSE OF THIS POSITION The purpose of this position is to receive and relay telephone traffic in a timely and efficient manner, operate the public address system and activate alert systems in the event of emergencies. JOB DUTIES/RESPONSIBILITIES Duty 1: Promptly responds, screens, directs traffic to appropriate area in a courteous and efficient manner. Uses multi-tasking skills to efficiently and effectively operate programs directly related to switchboard Duty 2: Monitors all light and sound alarm signals. Responds in a timely, appropriate manner to activate signals. Dispatches appropriate repair or emergency response network. Duty 3: Provides on call services as requested Duty 4: Complies with visiting restrictions within patient information guidelines Duty 5: Assists in promoting a safe environment consistent with standards at BVHS Duty 6: Attends and participates where / when requested in educational activities, in services, performance/process improvement, accreditation processes, and customer service/satisfaction Duty 7: Responsible to turn in departmental documentation within established time frames REQUIRED QUALIFICATIONS High school graduate or GED equivalent Accurate keyboard & records maintenance skills Multi-tasks & timely response abilities Minimum of two years’ phone and office experience, preferably in a hospital or similar setting. Must be able to move about hospital and between workstations Effective interpersonal skills. Must be able to input and retrieve information from computer. Must possess effective communication skills as they are the first point of contact for the caller. Must possess the ability to work in a high stress environment and exercise proper decision-making skills in pressure situations. Must work independent and possess critical thinking skills to effectively handle emergency calls – Suicidal, Code Blue, Disaster, Bomb Threats, etc. Requires 4-6 weeks of full time training on 1st, 2nd and 3rd shifts. Positive service-oriented interpersonal and communication skills required. Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedure. PREFERRED QUALIFICATIONS Previous switchboard operation experience preferred Registration experience helpful PHYSICAL DEMANDS Requires a full range of body motion including the individual being able to sit seven-nine hours a day and some walking and lifting. Individual associate must be able to lift 20 pounds. Associate must have good eye/hand coordination to operate the telephone and the switchboard. Individual must have excellent verbal skills. Associate must have corrected vision and hearing in the normal range.

Diagnostic Radiologic & Cat Scan Technologist - 36 hrs/wk, 3rd shift

Up to $18,000 Sign-on Bonus, restrictions apply and shift premium for 3rd shift PURPOSE OF THIS POSITION The purpose of a Diagnostic Radiologic and Cat Scan Technologist is to provide diagnostic radiographs as well as Cat Scans efficiently and completely for the purpose of diagnosis and/or treatment of anatomical and physiologic disorders under the direction and supervision of a Radiologist while maintaining professional ethics. JOB DUTIES/RESPONSIBILITIES Duty 1: Produces images of high diagnostic quality Duty 2: Follows Radiology imaging & procedure protocols, as approved by Radiologist and Imaging Director Duty 3: Demonstrates knowledge to improvise when situations are not normal. Duty 4: Consistently is able to multi-task work in a timely manner and adjusts to busy or stressful situations easily. Duty 5 : Demonstrates good problem solving skills and seeks guidance as needed. Duty 6: Follows department line of management and communication. Duty 7: Strives to educate self, regarding new equipment, procedures, and protocols. Duty 8: Coordinates with other departments, radiologist, receptionists, and offices to enhance productivity, customer satisfaction & referral patterns. Duty 9: Applies all documentation policies, including consent forms, pregnancy forms, contrast forms, time out verification, etc. Duty 10: Explains procedures to patient, representation and or family to ensure comfort, safety, and privacy. Duty 11 : Selects proper technique and protocols pertaining to the CT scan. Able to tailor protocols depending on the patients abilities/inabilities, in order to achieve the highest imaging quality. REQUIRED QUALIFICATIONS Registered by American Registry of Radiologic Technologists (ARRT) Following a registration in Radiologic Technology, the associate must then pass an advanced level examination in CT through the American Registry of Radiologic Technologist (ARRT), within 24 months of hire date Licensed by the state of Ohio as Radiologic Technologist (ODH) BLS Certification within 30 days of hire Possess high service excellence skills. Computer skills required. Possess the ability to assess patient needs and requirements relative to age or status. Possess ability and skills to follow organizational and departmental policies and procedures. Accepts organizations policy regarding occupational radiation protection monitoring, and exposure. On-call duties require the associate to arrive at the facility within 45 minutes after being contacted by hospital personnel. Positive service-oriented interpersonal and communication skills required Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures PREFERRED QUALIFICATIONS Experience preferred, but not mandatory. PHYSICAL DEMANDS This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting and standing. This position requires continuous walking and standing for extensive periods of time. The associate must be able to lift 50 pounds or more to assist with direct patient care. The associate must have corrected vision and hearing in the normal range. Individual must have excellent eye-hand coordination, finger dexterity to operate equipment, push and pull patients while providing treatment, and reach above their shoulders. Associate must have excellent verbal skills to communicate with patients, physicians, and co-workers. This position is classified “at risk” for possible occupational exposure to blood borne pathogens, HIV, HBV etc.

Armed Security Guard-OH

SUMMARY Bering Straits Professional Services, LLC (BSPS) is currently seeking a qualified Armed Security Guard for the Centers for Disease Control and Prevention in Cincinnati, OH. Armed Security Guard enforces regulations designed to prevent breaches of security; exercises judgment and uses discretion in dealing with whether first response should be to intervene directly (asking for assistance when deemed necessary and time allows), provide access and egress services to property, keep situation under surveillance, or to report situation so that it can be handled by appropriate authority. Duties require specialized training in methods and techniques of protecting security areas. Commonly, the guard is required to demonstrate continuing physical fitness and proficiency with firearms or other special weapons. ESSENTIAL DUTIES & RESPONSIBILITIES The Essential Duties and Responsibilities are intended to present a descriptive list of the range of duties performed for this position and are not intended to reflect all duties performed within the job. Other duties may be assigned. SGOs conducting tours are required to register their locations on all rounds by "swiping" their government-issued cardkey/ID badge at designated cardkey readers or by "swiping" at Patrol Scan/guard tour stations. The length or interval of each guard tour and the number of locations will vary according to the shift being worked, the zone or zones being covered, and the facility location as identified in the Guard Post Orders. Guards shall make routine checks of offices, laboratories, corridors, parking lots, storage sites, and other such locations, as appropriate for each round and tour. Authorize deviations from the established schedules whenever unusual conditions or circumstances occur. In such cases the reasoning for the deviation shall be noted on the guard’s tour report. Perform all designated guard functions including testing, monitoring, and responding to building fire alarm and electronic security systems, closed circuit television, participation in fire evacuation, access and egress services and other emergency evacuation plans. Perform all necessary services to ensure the safety and protection of the building personnel and property against injury, molestation, loss, or damage from preventable causes, including, but not limited to, fire, trespass, civil disturbance, theft, espionage, acts of terrorism and sabotage. Perform all necessary services to protect Government property, materials, equipment, supplies, records, and data against loss, damage, unauthorized access, or unauthorized removal. Report hazardous conditions and items in need of repair or attention, such as leaky faucets, pipes, toilet stoppage, burned-out lights, broken floor tiles, elevator malfunctions, inoperative doors or locks, freezer alarms, cardkey malfunctions, fence washouts, etc. Maintain daily reports and log entries for visitors (either written or on electronic media furnished by the Government) of activities that occur at the facilities during each 24-hour period. Facility assessment reports contain but are not limited to information concerning safety issues, general, unusual or adverse security situations, and workload/manpower/post statistics for each one-month period. A single report shall be provided with separate data for each facility having guard coverage. Prepare additional reports using Government provided or approved forms or electronic media as required and identified in the Guard Post Orders for all incidents such as thefts, auto accidents, parking citation issuance statistics (names dates, locations, violations) etc. Provide and maintain a high state of security in and around the buildings, and as necessary, provide a response capability and assist in emergency management situations, acts of terrorism, bomb threats, internal disorder, civilian employee demonstrations, or other criminal acts which adversely affect the security and/or safety of the Government, employee property, and the public lawfully in the building or on the grounds. Notify the Visitor Control Center and when directed, the police and fire departments in the event of an emergency or an unusual occurrence adversely affecting the interest of the Government. Turn off unnecessary lights; close windows; open, close, and secure doors; and check safes vaults, cabinets, and security doors, if possible. Annotate and make notifications of discrepancies found. Observe and enforce building regulations and "General Services Administration Rules and Regulations Governing Public Buildings and Grounds" as appropriate. Also, review and be familiar with the Code of Federal Regulations 41 CFR 101-20 titled Management and Buildings and Grounds. Check machinery/equipment malfunctioning when alarms, unusual noises, and odors occur (if applicable). Also, report any evidence of potential fire hazards to the Visitor Control post or an authorized representative. Comply with established procedures, as outlined in Post Orders, pertaining to lost and found articles. Record the recovery of found property and attempt to identify and return property to their proper owner. After 24 hours, unclaimed found property shall be turned in to the Visitor Control Center. Supervisors and guards shall be familiar with all areas of the buildings and surrounding grounds to insure a quick response to routine and emergency calls. (Due to the potential of response situations on CDC property, government-provided HAZWOPER awareness training is required). Participate in quarterly exercises at designated site location. The exercise shall test the responsiveness of the guard force and knowledge of their responsibilities in a variety of emergency situations. Exercises shall be documented and an after - action review conducted. Be familiar with operation of elevators for transport of building occupants as required in cases of emergency and with the operation of emergency evacuation chairs. Issue permanent and/or temporary identification (ID) cards/badges and perform all functions necessary to furnish the completed photo identification to authorized CDC-NIOSH employees, contractors, service personnel, and visitors. Provide specific ancillary services needed by programs at leased properties such as those mentioned above that have been coordinated with the COR and the Program Manager. Conduct visitor center operations that include issuing badges; maintaining visitor records; and operating x-ray machines and metal detectors. Assist with traffic operations on the properties to control traffic flow. Conduct rover foot patrols, both interior and exterior, as well as motorized patrol responding to fire, intrusion, and other alarms; answering service calls and documenting all reports of crimes, security violations, or incidents; providing emergency first aid and escorts; assisting with emergency evacuations; manning vehicle check points and conducting inspections. Perform enhanced access control procedures for CDC laboratories and special exclusion areas. QUALIFICATIONS - EXPERIENCE, EDUCATION AND CERTIFICATION To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed below 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. Required (Minimum Necessary) Qualifications Be at least 21 years old or older. Have a High School Diploma or G.E.D. Be a citizen of the United States. Have not had a previous private investigator or security guard license revoked or denied in any state. Have not been declared incompetent by a court because of a mental defect or illness. In the past or presently suffer from narcotics addiction or dependence or habitual drunkenness. Have not been convicted of a misdemeanor under the “Lautenberg Amendment” (18 U.S.C. § 922(g)(9)) Have not been convicted of a felony in any state or territory. Has not filed for bankruptcy or another form of documented financial distress in the past 48 months . Have not been convicted of any of these crimes: Illegally using, carrying or possessing a pistol or other dangerous weapon Making or possessing burglar's instruments Buying or receiving stolen property Entering a building unlawfully Aiding an inmate's escape from prison Distributing illicit drugs; or Any misdemeanor involving moral turpitude or for which dishonesty of character is a necessary element. Have never: Engaged in the private investigation or security guard business without a license Transferred security guard or firearms license to an unlicensed person or subcontracted with an unlicensed person or firm to conduct investigations or security guard business Employed anyone to conduct investigations or security guard business who was in violation of any of the prohibitions or requirements of law Falsely represented that they are, or any other person is a law enforcement official, or a person licensed as an investigator or guard. Made any false report with respect to any matter relating to employment Divulged any information obtained from or for a client without express permission Knowingly accepted employment to obtain information intended for illegal purposes; or Authorized or encouraged another person to engage in any of the above activities. All potential employees must hold a Position of Trust. Must have Security Guard License for applying state. Pre-assignment evaluations of each security officer will assess the suitability of the officer to CDC’s security program. Prospective employees must submit to a CDC administered Background Check. Such evaluations will include a minimum of the following: Previous employment verification (up to 10 years) Education certificate(s) verification Past residences (up to 10 years) Record of previous military service (if applicable) Record of all criminal convictions (No felony or moral turpitude convictions) Citizenship: Must be U.S. Citizens Drug testing/screening by a certified drug screening service. A random drug testing program must also be submitted to and approved by CDC. Credit Report to indicate financial responsibility and low risk for financial pressure A valid state driver’s license and a motor vehicle driving history report that indicates a low-risk record. Prospective employees must be literate in English to the extent of speaking, reading and understanding printed regulations, detailed written orders, training instructions and materials, and be able to compose and write reports which convey complete and accurate information which is understandable and readable. The members of the security force must have basic knowledge of computerized access control, and video monitoring systems. Prospective employees must pass drug test prior to hire and be subject to a random program that tests 25% of the workforce on a quarterly basis. Knowledge, Skills, Abilities, and Other Characteristics Applicant must be proficient with computer applications, to include but not limited to Outlook, Excel, Word, and PowerPoint. Applicant must pass all government required training to include but not limited to, bi-annual firearms qualifications, and First Aid/CPR/AED Certification (every 2 years). NECESSARY PHYSICAL REQUIREMENTS 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. Employees must always maintain a constant state of mental alertness. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Prospective employees must be able to meet and maintain a medical surveillance program requirement. This program consists of a mandatory annual medical physical to ensure that each employee is fit for duty. Each member of the Security Guard Force who is required (and authorized per applicable state laws) to carry a firearm must pass the Physical Efficiency Battery (PEB). New security guards must pass the PEB prior to assuming security duties at the CDC’s NIOSH facilities and maintain their fitness throughout the contract. After initial PEB qualifications, must re-qualify on an annual basis. SGOs failing to meet the minimum standards during annual requalification be allowed thirty (30) calendar days to successfully meet minimum standards. Security Guards failing to meet requirements after 30 calendar days will be placed on Weapons Restriction. Physical Efficiency Battery: The PEB is a fitness test consisting of three differing components to measure the fitness level of the officer. The PEB is categorized by age and gender and with a graduated (percentile) scale that ranks officer’s performance from the highest (99th percentile) to the lowest (1st percentile). As an example, a male between 35 to 39 years old is in the 99th percentile if they have 25.00 inches of flexibility, can push 172.14% of their body weight and can run 1.5 miles in 9:15. The same person would be in the 1st percentile with scores of 10 inches of flexibility, 51.50% of body weight pushed and a 1.5 mile run in 22:00. Candidates must meet or exceed the 25th percentile as discussed during the hiring interviews. Sit and Reach – This tests the officer’s flexibility in the lower back, legs and shoulders. The officer shall sit on the floor in front of the measuring device. They shall bend at the waist pushing a block down the device. The stretch must be a static stretch and the officer’s calves must remain in contact with the floor. The test is measured to the quarter inch. Bench Press – This test measures the officer’s upper body strength for one repetition. The test is conducted on a single fulcrum bench for safety purposes. The officer is to press the weight straight up until they have locked out their arms. The test is measured in 5-pound increments. Officers are weighed at the time of the test (in PT gear) and the appropriate percentage of the officer’s weight is used to determine the percentage to be bench pressed. 1.5 Mile Run – This test measures the cardio-respiratory fitness of the officer. It is conducted on a flat surface track / pre-measured (flat) course/treadmill. The test is measured in minutes and seconds. DOT COVERED/SAFETY-SENSITIVE ROLE REQUIREMENTS This position is not subject to federal requirements regarding Department of Transportation “safety-sensitive” functions. WORK ENVIRONMENT Work Environment characteristics described here are representative of those that must be borne by an employee to successfully perform the essential functions of this job. Work Environments for this position include but are not limited to, exposure of inclement weather, stand/sitting/walking for long periods of time, office environment (computer exposure), emergency situations, and any other environment exposure because of performance of outlined essential duties. SUPERVISORY RESPONSIBILITIES No supervisory responsibilities. ADDITIONAL QUALIFYING FACTORS As a condition of employment, you will be required to pass a pre-employment drug screening and have acceptable background check results. Shareholder Preference. BSNC gives hiring, promotion, training, and retention preference to BSNC shareholders, shareholder descendants and shareholder spouses who meet the minimum qualifications for the job. Bering Straits Native Corporation is an equal opportunity employer. All applicants will receive consideration for employment without regard to any status protected by state or federal law, or any other basis prohibited by law.

Work Control Manager

SUMMARY SVI, a company within the BSNC family, is currently seeking a qualified Work Control Manager for a contract in Groton, CT with various regions. The Work Control Manager will manage the development and implementation process of an organization’s services involving departmental or cross-functional teams focused on the delivery of new or existing projects. Develops work breakdown structures, helps identify resource conflicts, manages schedule risks, ensures deliverables schedule is met and provides technical writing skills. Monitors the project from initiation through execution and closing. Work assignments involve active participation in projects that may include design, development, and implementation, while evaluating, monitoring, and reporting on the status of project activities. Wage/Salary $55k/$75k Applicants will be contacted via phone or email within ten (10) business days of submittal. ESSENTIAL DUTIES & RESPONSIBILITIES The Essential Duties and Responsibilities are intended to present a descriptive list of the range of duties performed for this position and are not intended to reflect all duties performed within the job. Other duties may be assigned. Provide PM and SSHO to the following facility locations: Maine, New Hampshire, Vermont, Massachusetts, Connecticut, and Rhode Island. Manage the development and implementation process involving departmental or cross-functional teams. Develops project plans and supervises the execution of the Statement of Work requirements. Creates and tracks task lists; developed timelines for deliverables; creates and executes communications plan through scheduled meetings, E-mails and telephone calls while managing company resources to ensure quality performance from all employees. Ensures customer satisfaction through periodic project reviews, reports, and status briefings. Provides supervision to include the direction, coordination, and evaluation of contract personnel. QUALIFICATIONS - EXPERIENCE, EDUCATION AND CERTIFICATION To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed below 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. Required (Minimum Necessary) Qualifications (applies to both this section and KSAO’s) Five to seven (5-7) years facility maintenance experience Three to five (3-5) years PM or OM experience on a facility maintenance contract Thirty (30) hours OSHA safety class or equivalent within the past three (3) years Three (3) years of satisfactory experience in preparing and enforcing a safety program on contracts of similar size ($10M) and complexity. Knowledge, Skills, Abilities, and Other Characteristics Excellent attention to detail Excellent oral and written communication skills Ability to work in a fast-paced, dynamic environment Ability to interface with all levels of management Excellent time management, scheduling, and organizational skills Ability to work well independently or in a team setting Ability to manage multi-state departments and employees Preferred Facility maintenance experience with the DoD preferred. HVAC Mechanic/Stationary Engineer/Maintenance Mechanic experience or state license/certification desired. NECESSARY PHYSICAL REQUIREMENTS Essential and marginal functions may require maintaining physical condition necessary for bending, stooping, sitting, walking or standing for prolonged periods of time; most of time is spent sitting in a comfortable position with frequent opportunity to move about. DOT COVERED/SAFETY-SENSITIVE ROLE REQUIREMENTS This position is not subject to federal requirements regarding Department of Transportation “safety-sensitive” functions. WORK ENVIRONMENT The job is performed in an office setting with exposure to computer screens and requires extensive use of a computer, keyboard, mouse, and multi-line telephone system. The work described herein is primarily a modern office setting. Occasional travel may be required. SUPERVISORY RESPONSIBILITIES Hires and supervises direct reports. ADDITIONAL QUALIFYING FACTORS As a condition of employment, you will be required to pass a pre-employment drug screening and have acceptable background check results. If applicable to the contract, you must also obtain the appropriate clearance levels required and be able to obtain access to military installations. Shareholder Preference. BSNC gives hiring, promotion, training, and retention preference to BSNC shareholders, shareholder descendants and shareholder spouses who meet the minimum qualifications for the job. Bering Straits Native Corporation is an equal opportunity employer. All applicants will receive consideration for employment without regard to any status protected by state or federal law, or any other basis prohibited by law.

RN Case Manager (PRN)

PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under the direction of the attending provider. The RN Case Manager will assist in identifying and addressing the physical and psychosocial needs of patients to achieve an optimal level of health, both during hospitalization and after discharge. JOB DUTIES/RESPONSIBILITIES Duty 1 : The RN Case Manager collaborates with the interdisciplinary team to assess patient needs, confers with patients and families to determine an effective plan of care, and documents the physical and psychosocial needs and plan in the electronic medical record. Duty 2 : The RN Case Manager actively participates in interdisciplinary rounds to identify and communicates physical and psychosocial needs that will require intervention during and after hospitalization. The RN Case Manager communicates identified patient needs with associates, physicians, and outside referral services to enhance continuity of care and documents psychosocial assessment in the electronic medical record. Duty 3: The RN Case Manager, as assigned, participates in various committees and meetings to contribute information regarding transitions of care and utilization of care resources for the purpose of improving patient care and outcomes. Duty 4: The RN Case Manager addresses the safety of patients by reporting suspicions of abuse and neglect to Protective Services. Duty 5 : The RN Case Manager confers with patients and families as indicated to present options toward enhancing the patient’s well-being. Duty 6 : The RN Case Manager, on an ongoing basis, helps to maintain accurate information about provider agencies and community resources to better assist with appropriate linkages of patients and families to these services. Duty 7 : The RN Case Manager, develops, evaluates and updates clinical care protocols/clinical pathways and leads process improvement to continually enhance quality of services provided. Duty 8: The RN Case Manager ensures after hour coverage for emergent care plan needs and provides a handoff of their cases to ensure that all members of the interdisciplinary team are aware of the care plan during hours that the RN Case Manager is not providing coverage. Duty 9 : The RN Case Manager directly communicates ongoing needs of their patients with the receiving party (family, facility or agency) and hands off the care to that party to ensure safe, smooth and sustainable transitions of care. Duty 10 : When it is not possible to hand off care to a receiving party, the RN Case Manager follows up with patients who have left the acute care setting who are identified as high risk to ensure the transitional plan of care was success Duty 11 : Collects, monitors and analyzes dashboard data related to patient populations i.e. length of stay, readmission rates, cost per case information, protocol utilization, and pathway variance information. Utilizes data findings for performance improvement planning, and to evaluate effectiveness of case management program. Duty 12: Assists in the development, implementation, monitory and evaluation of the total joint program and stroke program. Duty 13: Serves as a clinical resource/consultant to physician and ancillary staff to optimize communication and effective utilization of health care resources. REQUIRED QUALIFICATIONS Licensed by the Ohio Board of Nursing as a Registered Nurse. Four (4) years clinical nursing experience. BCLS certification required winthin six (6) months and renewed annually. Positive service-oriented interpersonal and communication skills required. Individual must demonstrate the ability to collaborate with interdisciplinary team, patients, families, and external organizations/agencies in complex problem-solving, communication and planning. Individual must be able to use the computer for documentation in the electronic medical record and demonstrate the ability to document in a timely manner. Possesses knowledge/experience with care improvement processes and resource utilization/coordination strategies. Possesses knowledge and skill in coordinating and managing patient cases across the continuum. Individual must be able to demonstrate the knowledge and skills necessary to provide a smooth, safe and sustainable transitional care plan for patients of all ages. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures. PREFERRED QUALIFICATIONS 2 years case management experience Healthcare experience 2 years’ experience managing chronically ill patients Certification in Case Management, or willingness to pursue PHYSICAL DEMANDS This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting and standing. The associate must be able to lift ten pounds. The individual must have corrected vision and hearing in the normal range to provide efficient patient care. Individual must have excellent verbal skills to communicate with patients, physicians and co-workers. The associate must have excellent eye-hand coordination to grasp, push, and pull and have fine finger manipulation. This position is classified “at risk” for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)

Construction Superintendent

SUMMARY Stampede Ventures, a company within the BSNC family, is currently seeking a qualified, highly motivated individual with DoD contract experience. The candidate will be performing all facets of the Bering Straits East Coast model to include quality control management, submittal tracking, daily reporting, communicating deficiencies to the customer, running multiple sites simultaneously, and other various tasks as assigned. This position is in support of a current contract that supports various DOD locations. Depending on workload, this position may be extended to additional contracts as needed. Applicants will be contacted via phone or email within ten (10) business days of submittal. ESSENTIAL DUTIES & RESPONSIBILITIES Previous Federal DoD contract experience Management of task order projects in the Washington DC region Ability to read and communicate with subcontractos about drawings / prints. Safety experience in multi-trade construction projects OSHA 30 and QCM certificates Experience enforcing corporate or site control programs. Written and Oral communication with customer, subcontractors, and internally to provide project updates. Knowledge of all aspects of a construction project (electrical, HVAC, Fire Alarm, Fire Suppression, architectural, etc.) NON-ESSENTIAL DUTIES Have existing experience with Federal government & DoD customers in the MidAtlantic Region Previous experience working with 8(a) companies. Other duties as assigned. QUALIFICATIONS - EXPERIENCE, EDUCATION AND CERTIFICATION Required (Minimum) Qualifications Experience as a Superintendent, Safety Officer and Quality Control Manager on industrial or commercial projects Experience on projects exceeding $500,000 (specifically secure room construction and interior fit-out) Experience working with the USACE Must be US Citizen OSHA 30 Certification and Valid Driver’s License Current clearance, or ability to get a security clearance is preferred. Knowledge, Skills and Abilities Current favorable National Agency Check with Inquiry (NACI), in accordance with AR 380-67 Valid Driver’s License Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce. Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Knowledge of Local vendor and subcontractor companies. Must be organized and have excellent communication skills. NECESSARY PHYSICAL REQUIREMENTS 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. Employees must always maintain a constant state of mental alertness. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential and marginal functions may require maintaining physical condition necessary for bending, stooping, sitting, walking, or standing for prolonged periods of time; most of time is spent sitting in a comfortable position with frequent opportunity to move about. DOT COVERED/SAFETY-SENSITIVE ROLE REQUIREMENTS This position is not subject to federal requirements regarding Department of Transportation “safety-sensitive” functions. WORK ENVIRONMENT Work Environment characteristics described here are representative of those that must be borne by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee often works in an office environment. The employee is required to visit job sites regularly and will be subject to a lift and/or move up to 25 pounds. The employee is occasionally required to stand, climb or balance and stoop, kneel, crouch or crawl. During visits to job sites, the employee may be exposed to extreme cold or hot weather conditions. SUPERVISORY RESPONSIBILITIES Supervising onsite subcontractors and field employees. ADDITIONAL QUALIFYING FACTORS As a condition of employment, may be required to pass a pre-employment drug screening, as well as have acceptable reference and background check results to obtain access to military base. Must have reliable transportation to/from work as a necessity and must be able to obtain access to military installations. Shareholder Preference. BSNC gives hiring, promotion, training, and retention preference to BSNC shareholders, shareholder descendants and shareholder spouses who meet the minimum qualifications for the job. Bering Straits Native Corporation is an equal opportunity employer. All applicants will receive consideration for employment without regard to any status protected by state or federal law, or any other basis prohibited by law.

Facility Manager

SUMMARY BSGI, a company within the BSNC family, is currently seeking a qualified Facility Manager for a contract in the National Capital Region. The Facility Manager will manage the development and implementation process of an organization’s services involving departmental or cross-functional teams focused on the delivery of new or existing projects. Develops work breakdown structures, helps identify resource conflicts, manages schedule risks, ensures deliverables schedule is met and provides technical writing skills. Monitors the project from initiation through execution and closing. Work assignments involve active participation in projects that may include design, development, and implementation, while evaluating, monitoring, and reporting on the status of project activities. Wage/Salary Range: $65K - $90K Applicants will be contacted via phone or email within ten (10) business days of submittal. ESSENTIAL DUTIES & RESPONSIBILITIES The Essential Duties and Responsibilities are intended to present a descriptive list of the range of duties performed for this position and are not intended to reflect all duties performed within the job. Other duties may be assigned. Provide PM and SSHO to various locations within the National Capital Region. Manage the development and implementation process involving departmental or cross-functional teams. Develops project plans and supervises the execution of the Statement of Work requirements. Creates and tracks task lists; developed timelines for deliverables; creates and executes communications plan through scheduled meetings, E-mails and telephone calls while managing company resources to ensure quality performance from all employees. Ensures customer satisfaction through periodic project reviews, reports, and status briefings. Provides supervision to include the direction, coordination, and evaluation of contract personnel. QUALIFICATIONS - EXPERIENCE, EDUCATION AND CERTIFICATION To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed below 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. Required (Minimum Necessary) Qualifications Five to seven (5-7) years facility maintenance experience Three to five (3-5) years PM or OM experience on a facility maintenance contract Thirty (30) hours OSHA safety class or equivalent within the past three (3) years Three (3) years of satisfactory experience in preparing and enforcing a safety program on contracts of similar size ($2-5M annually) and complexity. Knowledge, Skills, Abilities, and Other Characteristics Excellent attention to detail Excellent oral and written communication skills Ability to work in a fast-paced, dynamic environment Ability to interface with all levels of management Excellent time management, scheduling, and organizational skills Ability to work well independently or in a team setting Ability to manage multi-state departments and employees Preferred Facility maintenance experience with the DoD preferred. HVAC Mechanic/Stationary Engineer/Maintenance Mechanic experience or state license/certification desired. Construction experience NECESSARY PHYSICAL REQUIREMENTS 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. Employee must maintain a constant state of mental alertness at all times. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DOT COVERED/SAFETY-SENSITIVE ROLE REQUIREMENTS • This position is not subject to federal requirements regarding Department of Transportation “safety-sensitive” functions. WORK ENVIRONMENT Work Environment characteristics described here are representative of those that must be borne by an employee to successfully perform the essential functions of this job. This job is performed primarily sitting at a desk in an office setting, but will occasionally visit sites to ensure work is being completed at a level at or above the BSGI standard. Additionally, site visits will occur where climbing, bending, crawling, reaching, etc. may be necessary to fully understand requirements of the project. SUPERVISORY RESPONSIBILITIES • No direct supervisory responsibilities currently, but supervisory responsibility of subcontractors is required for this position. ADDITIONAL QUALIFYING FACTORS As a condition of employment, you will be required to pass a pre-employment drug screening and have acceptable background check results. If applicable to the contract, you must also obtain the appropriate clearance levels required and be able to obtain access to military installations. Shareholder Preference BSNC gives hiring, promotion, training, and retention preference to BSNC shareholders, shareholder descendants and shareholder spouses who meet the minimum qualifications for the job. Bering Straits Native Corporation is an equal opportunity employer. All applicants will receive consideration for employment without regard to any status protected by state or federal law, or any other basis prohibited by law.

CT Technologist

PURPOSE OF THIS POSITION Provide diagnostic CT studies officially and completely for the purpose of diagnosis and/or treatment of anatomical and physiologic disorders under the direction and supervision of Radiologist while maintaining professional ethics. JOB DUTIES/RESPONSIBILITIES Duty 1: Selects proper technique and protocols pertaining to the CT scan. Able to tailor protocols depending on the patients abilities/inabilities, in order to achieve the highest imaging quality. Duty 2: Consistently able to multi-task, work in a timely manner and adjust to busy or stressful situation easily and calmly. Duty 3: Demonstrates knowledge of the department and management line of authority and follows proper lines of communication. Shows good problem solving skills and seeks guidance and direction as necessary. Duty 4: Regularly strives to educate themselves regarding new procedures equipment etc… within the CT Department and shows willingness to learn new procedures. Duty 5: Coordinates with other departments, radiologist, and offices to enhance the imaging productivity, customer satisfaction, and referral pattern. Duty 6: Explains procedures to patient ensuring understanding comfort, safety and privacy as well as inquiring of patient, and /or representative, a thorough medical history, as it pertains to procedure being done. Duty 7: Adheres to all policies, procedures, rules and regulations as they pertain to the department and/or regulatory agencies. Duty 8: Finishes all work prior to leaving shift (including stocking and cleaning rooms) and completes all computer and paperwork prior to starting exam. Discharges patient with proper information. Duty 9: Demonstrates complete working knowledge of the CT scan hardware, software, and other hospital programs such as PACS. REQUIRED QUALIFICATIONS Licensed by the state of Ohio as Radiologic Technologist (ODH) Registered by American Registry of Radiologic Technologists (ARRT) Following a registration in Radiologic Technology, the associate must then pass an advanced level examination in CT through the American Registry of Radiologic Technologist (ARRT), within 24 months of hire date BLS Certification within 30 days of hire On-call duties require the associate to arrive at the facility within 45 minutes after being contacted by hospital personnel. Positive service-oriented interpersonal and communication skills required. Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures. PREFERRED QUALIFICATIONS Three months of CT experience preferred. PHYSICAL DEMANDS This position requires a full range of body motion including handling and lifting of patients. Associate must be able to lift intermittently 50 pounds or more throughout the day. Total lifting time per day is approximately one (l) hour. This position requires standing and walking for extensive periods of time. The position does require some bending, kneeling and twisting. The associate must be able to push and pull the patient while providing treatment. The associate must have corrected vision and hearing in the normal range to provide efficient patient care. Individual must have excellent eye/hand coordination and finger dexterity to operate equipment and to perform injections. The associate must be able to tolerate a cold work environment of 68 degrees. Individual must be able to work by themselves to take on-call and weekend assignments. This position is classified “at risk” for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)

Namic Sales Specialist

Job Summary Responsible for selling, marketing, and servicing products to current and prospective customers in a professional and ethical manner in order to achieve organizational goals in assigned territory. Job Description MAJOR RESPONSIBILITIES: Creating and conducting sales presentations on product lines to multiple decision makers. resent multiple products and solutions. Calling on healthcare facilities within assigned territory to expand the sales of the products. Leading all customer product evaluations and implementations. Assisting Medline Sales Reps with questions via email, phone calls or in person. Following up with the customers and sales reps when evaluations/implementations are completed. Participating in division overall product strategy, competitive analyses, research and development requirements as well as other duties as assigned. Maintaining existing business and presenting new products to grow business. MINIMUM JOB REQUIREMENTS: Education & Experience: Bachelor’s degree and at least 2 years of quota-based sales experience demonstrating a background in cold calling, commission, full-cycle sales experience OR at least 5 years of quota-based sales experience demonstrating a background in cold calling, commissioned, full-cycle sales experience. Certification / Licensure: n/a Knowledge / Skills / Abilities: Strong presentation skills and effective communication skills to a sales organization and customers. Excellent organizational, planning, communication and follow-up skills. MS Office (Word and Excel) required. Must live within assigned territory. Due to the nature of an outside sales representative position, the ability to drive a car, travel in that car 90% of each day, and interact with healthcare providers on site is required. Position will require up to 30% travel within assigned territory. The anticipated compensation for this position includes $75,000 in guaranteed base salary with additional commission ranging between 10-20% net sales growth . This role is bonus eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here . For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We’re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here . Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

HANCO EMS Paramedic (Full-Time & PRN)

$7,500 Sign-on Bonus for Full-time, Restrictions Apply Annual Salary = $67,500 (FT) with Benefits 24/48 Shifts and 911 Provider PURPOSE OF THIS POSITION The purpose of the HANCO EMS Paramedic is to deliver pre-hospital and trauma care within the scope of their specific certification level. Pre-hospital and trauma care must be rendered in compliance with the established medical protocol developed and approved by the Medical Director as well as all state and federal laws. HANCO EMS is the primary 911 Provider for the local community and also provides a wide spectrum of medical transport services. JOB DUTIES/RESPONSIBILITIES Duty 1: The primary duty of the Paramedic is to deliver pre-hospital and trauma care within the scope of their specific certification level. This obligation includes but is not limited to: Scene survey, Triage and assessment, Extrication, Stabilization, Treatment, Transporting, and Communication Duty 2: No employee shall recommend a specific physician/hospital. All patients will be as transported to the nearest appropriate hospital or medical facility. This may be deviated from for patient’s personal preference taking in to consideration proximity of facilities, current resources, and severity of the situation. Duty 3: Completes all required reports in an accurate concise manner, obtaining required signatures and providing the receiving medical facility with a copy of the run report. Patient confidentiality is a high priority! Only the executive officers are permitted to release information to the news media. Discussion of runs or company business will be limited to debriefing sessions. Duty 4: Accurately records all required information into the Ohio State Reporting program. Duty 5: Restocks all supplies used on the call for service and confirm that all equipment used has been retrieved and is returned to its appropriate location. Duty 6: Sanitizes and disinfects the transport vehicle and equipment when indicated. Duty 7: Participates in all debriefing sessions. Duty 8: Keeps up with job related updates in pre-hospital procedures and regulations. Duty 9: Participates in monthly training events or CEU classes to maintain respective certification and licensure. Duty 10: Performs daily and weekly vehicle inspections and at the same time becoming knowledgeable on the placement of all equipment including equipment located on the Mobile Intensive Care unit. Duty 11: Performs daily and weekly vehicle inspections and at the same time becoming knowledgeable on the placement of all equipment including equipment located on the Mobile Intensive Care unit. Becomes proficient in the operation of all equipment carried on each response vehicle. Duty 12: Participates in building/grounds maintenance. REQUIRED QUALIFICATIONS Ohio Division of EMS certification as a Paramedic Any Paramedic level certification from another state must apply for ODPS EMT certification through the process of reciprocity. (ODPS card must be obtained prior to orientation) Current Advanced Cardiovascular Life Support (ACLS) within 30 days Current Healthcare Provider Cardio Pulmonary Resuscitation (CPR) within 30 days A valid driver's license is required (if you do not have a valid Ohio driver’s license you must obtain one within 30 days of your residency in the state). You must also meet BVHS's company fleet policy, Hanco’s insurance company requirements, and any other requirements that may be required to operate a vehicle: Drivers at least 25 years old must have no more than three moving violations or one accident and one violation within the last three years. Drivers 21, 22, 23 and 24 years old can have no more than two moving violations within the last three years. Drivers 18, 19 and 20 years old must have no moving violations on the driving record. Drivers under 18 are not acceptable. No driver may have any major convictions within the last five year period. All drivers are subject to insurance company’s prior approval. Positive service-oriented interpersonal and communication skills required. Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status and interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures. Within 6 months of employment Current Pediatric Advanced Life Support (PALS) NIMS IS-100, 200, 700 and 800 (National Incident Management System) NIMS ICS 300 and 400 HazMat Awareness Level International Trauma Life Support (ITLS), or Pre-hospital Trauma Life Support (PHTLS) Within 1 year of employment Neonatal Resuscitation Program (NRP) CEVO (Coaching the Emergency Vehicle Operator course) PHYSICAL DEMANDS Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, sitting for long periods of time, and handling of materials. The ability to lift and maneuver and walk up and down stairs carrying 120 pounds or more with assistance and without difficultly. This position is classified “at risk” for possible occupational exposure to blood borne pathogens (HBV, HIV, etc).

IS Systems Analyst Lead - D365(Sales)

Job Summary Medline is seeking a talented individual with experience working on enterprise grade CRM implementations. The CRM Team Lead position will be leading internal teams of developers and analysts to deliver high quality enterprise CRM and reporting solutions. You will be managing consultations/solution design/development/deployment with the respective squads. This includes demonstrated knowledge of installation and configuration of Dynamics CRM and its related components. Ideal candidate will be a technically sound IT professional with thorough working knowledge of the Microsoft Dynamics 365 platform, as well as effective ways to integrate with external systems. This position requires a self-motivated employee who has a strong passion for improving end user experiences, system availability and a drive for efficiency and process improvement. Job Description Responsibilities include Lead function (40%) Manages and customizes the CRM system to support and enhance business processes and user needs. Collaborate with business partners to draft functional and technical requirements that clearly articulate the design, architecture, and business objective of needed solutions. Act as primary point of contact for Dynamics 365 CRM related issues and evaluate the impacts due to enterprise changes or integrated systems. These may be related to technology, business capabilities, compliance, IT security, infrastructure etc. Understand and adhere to existing change delivery processes. Suggest process/tooling improvements and automation where applicable. Participate in hiring, mentoring and onboarding of new team members System design and development (40%) Define appropriate system design to meet business requirements while keeping in mind existing code and design patterns, performance expectations, integration points and downstream impacts of the change Perform coding and configuration customizations, code walkthroughs and assist other team members as needed. Manage user permissions, creating workflow rules, analyzing data, coordinating integrations, and ensuring data integrity. System availability and support (20%) Focus on maintaining system uptime and keeping any backend jobs running successfully. Learn and support application performance management tools used for the platform. Analyze production issues as necessary to determine the cause of the issue and determine the necessary course of action for resolution. Partner with the team and provide coaching as needed. On-call support during critical operational issues, enterprise migrations, Hypercare and Infrastructure support. Knowledge of Azure App Insights. Job requirements Must have: Minimum of 7 years’ experience in coding/customizing on the Dynamics 365 CE platform (Online/On-premises) or similar platforms. Comprehensive understanding and hands on experience of the various configuration/management features available on the Dynamics platform. Platform security, governance, data modeling, plugins, workflow/Power Automate authoring, consuming Dynamics web APIs, security model, platform non-code customization and solution/app management. Knowledge of best practices on user license and online capacity management. Strong communication (verbal and written) skills are needed. Articulate technical information and business solutions to non-technical business users in a clear manner. At the same time be able to discuss technical nuances with team members, architects, infrastructure teams, etc. Strong at C# .NET, T-SQL, JavaScript, HTML, FetchXML, SOAP, and REST API concepts/technologies. Experience managing integrations with API gateways, concept of queuing systems, bulk data sync from cloud to local data stores, advanced reporting solutions using enterprise reporting tool like Power BI or Tableau. Experience with Jira, Agile development processes and DevOps Deep functional knowledge of the D365 sales module (Bonus points for any other additional modules like Customer Service, Field service, etc.) Have an exploratory, analytical and creative mindset. Keep up with technology and community tools available. Seek out new techniques and information sources required to solve business or technical needs that arise. Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $115,440.00 - $173,160.00 Annual The actual salary will vary based on applicant’s location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here . For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We’re dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here . Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.