Outpatient PMHNP

Psychiatric Mental Health Nurse Practitioner (PMHNP) Kaleidoscope Rx | Vancouver, WA | In-Person | Exempt Full Time - 4 days per week Part-time considered (minimum 3 days per week) WHO WE ARE Kaleidoscope Rx is a neurodiversity-affirming, LGBTQIA-affirming outpatient psychiatric medication management clinic in Vancouver, WA. Founded by a PMHNP and an RN, we prioritize unconditional patient dignity and clinician support. As a queer, neurodivergent-owned practice, our team's lived experience with ADHD and autism shapes our clinical approach. We believe in providing thoughtful, comprehensive care; our tagline, "Clear perspective is good medicine," reflects our commitment to our patients. We serve patients ages 4 and up across Washington and Oregon—including adults, adolescents, and children—via in-person and telemedicine visits, focusing on complex, longitudinal care that values clinical skill and patient autonomy. We are an equal opportunity employer and we strongly encourage applications from LGBTQIA individuals and underrepresented communities. WHO WE ARE LOOKING FOR We are seeking a PMHNP dedicated to intentional, collaborative practice. You approach complex cases with curiosity and view medication management as a partnership with the patient, their families, and their broader care teams. Our practice is rooted in neurodiversity-affirming and LGBTQIA-affirming care, which we uphold as core values in every interaction. We prioritize thoughtful, whole-patient care and active coordination with outside treatment teams. We serve patients starting at age 4 and require a commitment to delivering high-quality pediatric and adolescent care. We offer mentorship and support for clinicians dedicated to growing their skills in pediatric psychopharmacology. WHAT YOU'LL DO Provide comprehensive psychiatric assessments and evidence-based medication management for patients aged 4 and older, including those with complex medical histories. Partner with patients and their families to develop personalized treatment plans that focus on achieving their unique personal goals. Maintain accurate, timely clinical documentation and efficiently handle administrative tasks like patient messages and refill requests. Collaborate actively with our leadership team and colleagues through regular case reviews and peer consultation. Apply a neurodiversity-affirming approach as the standard foundation for all patient interactions and clinical decision-making. WHAT TO EXPECT — STRUCTURE & SCHEDULE We prioritize sustainable, high-quality care by structuring our clinical model to prevent burnout: Schedule: Monday–Thursday, 8:00 AM – 5:30 PM (No Fridays). Part-time roles (minimum 3 days) are available. Patient Appointments: 90-minute intakes and 30-minute follow-ups. Dedicated Admin Time: 90 minutes of protected time daily for documentation, refills, authorizations, and case management. Location: This is an in person position, based at our Vancouver, WA clinic with options for telemedicine follow-ups for established patients. REQUIRED QUALIFICATIONS You hold a Master's or Doctorate in Psychiatric Mental Health Nursing. You have an active, unrestricted APRN/ARNP license in Washington. Active Oregon APRN license required prior to start date (we see Oregon patients via telemedicine) You maintain an active DEA registration. You are board-certified as a PMHNP through the ANCC or AANPCB. You feel comfortable prescribing for pediatric patients (ages 4) or are excited to grow in this area. We value this clinical focus and provide the mentorship and training you need to feel confident. You share our heart for neurodiversity-affirming and LGBTQIA-affirming care, viewing these as the essential foundation of your clinical practice. VALUED EXPERIENCE While not required, we'd love to hear about any background you have working with children, adolescents, or neurodivergent populations. It is helpful if you are familiar with evidence-based psychopharmacology across the lifespan, especially when managing complex comorbidities. Experience with collaborative care or brief therapeutic interventions is always a plus in our team environment. If you've practiced telepsychiatry before, that experience will translate well here. Previous use of Valant or similar EHR systems can help you hit the ground running. Bilingual skills are a wonderful asset that helps us better serve our community. COMPENSATION & BENEFITS Salary range: $140,000 – $187,000 annually (equivalent to $75 - $100 per hour), commensurate with experience and career level. Benefits include: Employer-paid medical, dental, and vision insurance CME stipend with DEA registration and licensure support Paid time off 9 paid holidays per year Unpaid time off available 401k with employer match Employer sponsored whole life insurance EAP program available This is a salaried exempt position. Compensation is tied to our PMHNP Career Levels framework, which provides a structured pathway for growth and advancement based on demonstrated clinical performance.

Distribution Center Facility Maintenance Senior Manager (Franklin, KY)

Overall Job Summary This position is responsible for acting as the leader of the Facility Maintenance Team at a TSC distribution center, the Facility Maintenance Manager will manage and supervise the planning, development and execution of the preventive maintenance program for the distribution center’s mobile material handling vehicles, package conveyor system, the building and it’s supporting mechanical, electrical, and other equipment and systems. The FMM will be responsible for developing and executing a comprehensive maintenance program covering preventive and routine maintenance of all the DC’s equipment and systems, excluding the Information Systems hardware and software. Essential Duties and Responsibilities (Min 5%) Supervise the daily activities and maintain the performance of all facility maintenance and housekeeping workers and maintenance helpers. Ensure standardization of the maintenance practices, positions, and records. Develop and monitor adherence to standard maintenance procedures and schedules. Monitor the performance of all assigned equipment and systems and conduct a variety of maintenance services to ensure the availability and performance of the equipment and building systems. Maintain local spare parts, tools and equipment, purchase replacement parts and components as needed, and maintain sufficient local knowledge of operations to ensure the efficient and effective operation of the facility and systems. Develop and conduct formal evaluations to meet the prescribed schedule of maintenance review. Develop and document costs and justification to ensure the validity of replacement parts inventories, purchases, and capital expenditures. Prepare and present maintenance analyses of proposed changes to DC operations, material handling systems, layouts, and equipment, and then develop appropriate adjustments to maintenance programs and budgets. Update and maintain all spare parts and replacement schedules when new equipment or systems are installed. Create and maintain a prioritized list and implementation schedule for all maintenance and housekeeping activities and general services in concert with the facility Operations Management plan. Participate in facility operations meetings and management reviews to coordinate operations with maintenance activities. Develop and propose changes to the annual capital and operating expense budget allocations to support the maintenance of the facility equipment and systems. Develop emergency procedures and identify “essential” maintenance personnel ready to assist in emergencies, including equipment failures, weather-related actions, mission-critical activities and security incidents. Track and maintain certificates of occupancy, occupant safety, and compliance (i.e. HVAC, fire, elevator, OSHA), in accord with all relevant state, local, and federal codes and regulations relating to the building and its equipment and systems. Required Qualifications Experience: 5 years of full-time experience in facilities and equipment maintenance management is required. Experience with modern powered conveyor systems, fork truck equipment, and computer-based maintenance systems is preferred. Education: Bachelor’s degree is preferred. Minimum qualifications include a high school diploma with a technical school certificate or higher education, preferably in facility maintenance or related areas; any suitable combination of education and experience will be considered. Professional Certifications: Preferred knowledge, skills or abilities Demonstrated expertise in facility maintenance management, staff supervision, budgeting, and maintenance training, with proven success in maintaining mobile material handling vehicles (fork trucks), powered conveyor and sortation systems, storage racks and fixtures, and various building systems including electrical, HVAC, plumbing, fire safety, and related equipment is required. Demonstrated knowledge and understanding of advanced equipment maintenance tracking software applications, safety standards programs, and formal building maintenance programs. Direct experience leading and managing a comprehensive maintenance program. Ability and proficiency with cost/benefit analysis and capital expenditure justification. Detailed knowledge and demonstrated skills in general plumbing, electrical, HVAC, building maintenance (i.e. carpentry, painting, masonry), fork truck and conveying equipment maintenance, life safety systems, and other general trades, including electrical and motor circuitry, machine repair and installation, building automation and systems, plumbing and piping, water treatment systems, hydraulics, workplace ergonomics and safety. Working Conditions Normal office working conditions Occasional travel required Physical Requirements Sitting Standing (not walking) Walking Kneeling/Stooping/Bending Reaching overhead Lifting up to 50 pounds Ability to drive or operate a vehicle for business needs. Disclaimer This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. A team member should perform all duties as assigned by his/ her supervisor. Company Info At Tractor Supply and Petsense by Tractor Supply, our Team Members are the heart of our success. Their dedication, passion, and hard work drive everything we do, and we are committed to supporting them with a comprehensive and accessible total reward package. We understand the evolving needs of our Team Members and their families, and we strive to offer meaningful, competitive, and sustainable benefits that support their well-being today and in the future. Our benefits extend beyond medical, dental, and vision coverage, including company-paid life and disability insurance, paid parental leave, tuition reimbursement, and family planning resources such as adoption and surrogacy assistance, for all full-time Team Members and all part-time Team Members. Part time new hires gain eligibility for TSC Benefits by averaging at least 15 hours per week during their 90-day lookback period. The lookback period starts the first of the month following the date of hire. If the 15-hour requirement was met, the benefits eligibility date will be the first day of the month following 4 months of continuous service. Please visit this link for more specific information about the benefits and leave policies applicable to the position you’re applying for.

Radiology Technologist MRI - Days

Job Summary Up to $25,000 sign on bonus for eligible applicants This posting reflects an opening for a MRI Technologist I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include MRI Technologist II based on their skills, qualifications, and experience. We encourage all qualified individuals to apply. Magnetic Resonance Imaging (MRI) Technologists are responsible for the use of radiofrequencies within a magnetic field for diagnostic, therapeutic or research purposes. MRI technologists performs magnetic resonance imaging and acquire and analyzes data needed for diagnosis at the request of and for interpretation by a licensed practitioner. Magnetic resonance technologists independently perform or assist the licensed practitioner in the completion of magnetic resonance imaging procedures. Magnetic resonance technologists prepare, administer and document activities related to medications in accordance with federal and state laws, regulations, or lawful institutional policy. Job Duties Ensures correct order is obtained, patient is properly identified and prepared for exam, and that clinical history is corroborated and appropriately documented while respecting confidentiality. Utilizes appropriate imaging protocol and optimizes technical factors while maximizing patient safety, optimizing patient care, and applying principles of ALARA (As Low as Reasonably Achievable). Preparing and/or administering, as applicable, medications through new or existing vascular access site as prescribed by a licensed practitioner. Evaluates images for proper positioning and acceptable technical quality and verifies archival storage and/or transfer of data, post processing of data if applicable. Educating and monitoring students and other health care providers. Applying principles of magnetic resonance safety to minimize risk to patient, self, and others. Assisting the licensed practitioner with magnetic resonance interventional procedures. Performing magnetic resonance imaging procedures as prescribed by a licensed practitioner. Selecting appropriate pulse sequences with consideration given to established protocols and other factors influencing data acquisition parameters. MRI safety knowledge and participates in MRI Safety implant investigation and approval process. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position. Position Details One of the following certifications is required upon hire: American Registry of Radiology Technologist (ARRT) Nuclear Medicine Technologist and Certification Board (NMTCB) American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) ​ New graduates must obtain ARRT-R registry or primary ARRT-MR or NMTCB or ARMRIT prior to first day of employment. Applicants hired after March 10, 2024, must complete steps required for advancing to level 2, including advanced certification, within 24 months. Education Graduate from Specialty Training Program-Radiologic Technology (Required), Bachelor's Degree-Related Field of Study (Preferred) About Geisinger OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.