Natalie Inchiosa

Advance Practice Provider - Palliative Care Position: Home Health - Advanced Practice Provider – Full Time Hybrid/Remote - (1-2 Days Remote) (3-4 Days In Patient Homes) Mileage and Cell phone Reimbursement + Quarterly Bonus + Possible Relocation Monday – Friday (No weekends, no call) Client is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitioner at Client is a key member of an integrated Care Team, which includes a Registered Nurse and a Social Worker. The patients we serve often struggle with multiple serious diseases. Our Nurse Practitioners and Physician Assistants help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes. Using your skills in this position will allow you to deliver personalized, compassionate medical care to individuals mainly chronic illness or kidney disease. You will also be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow-up appointments to patients as required. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. We strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. Roles and Responsibilities • Conducts assessments, including comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment • Counsels and educates patients and families about benefits and programs available to help them live healthier lives • Documents items such as: appropriate chief complaint, all applicable diagnoses, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan • Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services • Completes all documentation and paperwork in a timely manner • Maintains quality of care standards as defined by the practice • This position will not be office-based but will be remote in the state in which employed and will need to attend periodic training/meetings outside of that state • Delivers evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first • Prescribes medications, orders tests, and collaborates with the patient’s Client physician • Performs effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily • Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing • Assists patients with enrolling to access educational videos • Participates in the integrated care team meetings • Knowledge of disease diagnosis and prevention • Makes assessments of patients' health status • Develops treatment plans • Implements plans consistent with appropriate plans of care • Follows up and evaluates patients' status • Other duties as assigned Position Requirements • Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license • Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA) • Current and unrestricted DEA certificate • Ability to work without direct supervision and practice autonomously • Access to transportation, a valid driver's license, and car insurance • Must be proficient with medical instruments and equipment required by the work • Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology • Ability to communicate effectively in verbal and written form with retail and medical partners at various levels, patients, family members, physicians, and representatives of the community • Sound understanding of all federal and state regulations including HIPAA and OSHA • 2 or more years of direct patient care required • Managed Care/IPA/Health Plan experience • Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home Benefits • Comprehensive medical, dental, vision, and life insurance • Paid vacation and holiday time • 401(k) plan with matching contributions (employer match vested 100% from day 1) • Pet Insurance • Company-paid life insurance • FSA & HSA  

IDR is seeking a Senior Manager of Income Tax to join one of our top clients in Nashville, TN. This pivotal role involves leading the global ASC 740 income tax provision calculations and disclosures, managing both domestic and international tax accounting processes, and guiding a team of tax professionals.

Position Overview/Responsibilities for the Senior Manager of Income Tax:

• Oversee the preparation of consolidated global interim and annual ASC 740 income tax provision calculations and related disclosures for SEC reporting.

• Lead and develop a team of tax professionals, ensuring quality deliverables and effective workload management.

• Manage domestic and international post-acquisition tax integration and determine tax entries for US GAAP purchase accounting.

• Collaborate with tax colleagues to develop effective tax rate reconciliations and tax cash-flow support.

• Ensure adherence to SOX controls and support continual improvement of tax processes and systems.

Required Skills for Senior Manager of Income Tax:

• Bachelor's Degree and CPA Certification.

• Over 10 years of related income tax experience in public accounting or a large multinational public company tax department.

• At least 3 years in a supervisory or management role overseeing a team and multiple projects.

• Strong understanding of GAAP, including ASC 740 and ASC 805, and tax statutes for domestic and international jurisdictions.

• Proficiency with tax software such as OneSource, and experience with Oracle ERP.

What's in it for you?

• Competitive compensation package

• Full Benefits; Medical, Vision, Dental, and more!

• Opportunity to get in with an industry-leading organization

• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets

• Employee Stock Ownership Program

• Medical, Dental, Vision, and Life Insurance

• ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

  #LI-Hybrid

IDR is seeking a Technical Writer to join one of our top clients in Jackson, MS. This role involves crafting clear and user-friendly documentation to support system modernization efforts for public sector programs. If you are looking for an opportunity to join a growing organization and work within an ever-growing team-oriented culture, please apply today!

Position Overview/Responsibilities for the Technical Writer:

• Develop and maintain comprehensive technical documentation, including user guides, process flows, and training materials.
• Translate complex technical concepts into accessible content for diverse audiences.
• Collaborate with business analysts, developers, project managers, and subject matter experts to gather requirements and ensure material accuracy.
• Edit, proofread, and standardize documentation to meet program templates and state standards.
• Support the creation of stakeholder communication materials and presentations.

Required Skills for Technical Writer:

• 5-8 years of professional experience in technical writing.
• Proven ability to produce clear and accurate technical content.
• Experience with large-scale IT, government, or consulting projects, with a preference for public sector experience.
• Proficiency in Microsoft Office Suite; familiarity with tools like Visio, SharePoint, or Adobe Acrobat is advantageous.
• Strong collaboration, interviewing, and communication skills.
• Bachelor's degree in English, Communications, Information Systems, or a related field is preferred.

What's in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry leading organization
• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets
• Employee Stock Ownership Program
• Medical, Dental, Vision, and Life Insurance
• ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

#LI-Hybrid

We are looking for a skilled IT Support Tech to join one of our clients in Stephenville, TX.  This person will be working at events and on weekends so you must be flexible on your work hours. If you're looking for an opportunity to get your foot in the door with a great company in Stephenville, TX APPLY TODAY!  Top Skills:

• 2+ years basic networking support (port testers, VLAN verification, IP address resolution, SSID checks).
• 2+ years desktop support (device resets, peripheral troubleshooting, software issues).
• 2+ years’ of basic wired/wireless troubleshooting ports, cables, connectivity.

What’s in it for you? 

• Competitive compensation package 

• Full Benefits; Medical, Vision, Dental, and more! 

• Opportunity to get in with an industry leading organization 

• Close-knit and team-oriented culture 

  ?Why IDR? 

• 27+ Years of Proven Industry Experience in 4 major markets 

• Medical, Dental, Vision, and Life Insurance 

• ClearlyRated’s Best of Staffing® Client and Talent Award winner 10 years in a row 

  #LI-Onsite   

Delphi Support Engineer – Bilingual (Spanish)

Locations: Remote (Must work Mexico time zone hours) Schedule: Full-time – Mexico Time Zone (Mountain Time)

IDR is seeking a Delphi Support Engineer to join a high-performing internal technology team supporting legacy and modern application environments. This role provides hands-on support for Delphi-based applications and related database systems. The ideal candidate will be fluent in Spanish and English, and able to work regular business hours aligned to Mexico’s time zone.

Position Overview / Responsibilities:

• Provide application support and technical troubleshooting for Delphi-based software

• Diagnose and resolve database issues in MS SQL Server and Firebird

• Support installations, upgrades, and configurations of internal platforms

• Analyze logs and replicate bugs to identify root causes

• Collaborate with development and QA teams to escalate and resolve complex issues

• Engage directly with end users and stakeholders to ensure smooth operation

• Document technical solutions and contribute to support knowledge base

• Participate in virtual meetings with global internal teams, including leadership stakeholders

Required Skills:

• 5+ years of hands-on experience with Delphi (Object Pascal)

• Experience supporting or developing with MS SQL Server (2019 preferred)

• Fluent in Spanish and English – able to support Spanish-speaking stakeholders

• Comfortable working Mexico time zone (Mountain Time) schedule

• Strong understanding of client-server architecture and Windows OS environments

• Excellent problem-solving, communication, and documentation skills

Preferred Qualifications:

• Familiarity with Firebird 4 and Report Builder

• Experience with version control systems (e.g., Git, SVN)

• Prior work in a technical support or customer-facing engineering role

• Exposure to REST APIs, web services, and cross-platform integrations

What’s in it for you?

• Opportunity to work on niche, legacy-support initiatives with long-term impact

• Remote-first role with flexible geographic options aligned to time zone

• High visibility across global teams and direct engagement with leadership

• Dynamic, collaborative environment focused on internal excellence and delivery

Job Title: Surgical Technologist - 5K Sign On Bonus Department: Surgical Services Pay: $22-$36/hr (depending on experience) + 5K Sign on Bonus!  Overview: We are seeking a skilled and dependable Surgical Technologist to join our Operating Room team. Under the supervision of a Registered Nurse, this role supports surgical and invasive procedures by preparing instruments, maintaining a sterile field, and assisting the surgical team to ensure safe and efficient patient care. Reports To: Clinical Leader, RN Manager, or Director of Surgical Services Employment Type: Full-Time | Non-Exempt Join a team that is committed to excellence in surgical care. Work alongside a group of professionals where your skills make a difference every day, and where ongoing education and growth are supported. Key Responsibilities:

• Assist in surgical procedures by setting up and maintaining sterile instruments, supplies, and equipment.
• Serve as the scrub person for operative cases, passing instruments and anticipating surgical team needs.
• Ensure sterile field integrity and address contamination issues as needed.
• Perform counts with the circulating RN to ensure patient safety.
• Help clean and turn over ORs between procedures.
• Transport used instruments for decontamination and processing.
• Follow infection control and universal precaution protocols.
• Participate in ongoing training and skill development related to perioperative practices.

Qualifications: Education:

• Graduate of an accredited Surgical Technologist program OR 5 years of surgical tech experience required.

Experience:

• 1 year of perioperative experience preferred.

Licensure/Certification:

• No certification required.
• BLS certification (American Heart Association) required within first week of employment and must be maintained.

Skills & Abilities:

• Strong understanding of sterile technique and OR workflows.
• Positive interpersonal skills and ability to work well in a team.
• Basic computer proficiency.
• Initiative in maintaining job-related expertise.

IDR is seeking a Manufacturing Operations Technology Engineer - 1st Shift to join one of our top clients in Huntley, IL. This pivotal role is designed for a forward-thinking engineer eager to modernize manufacturing processes and drive technological advancements. If you are looking for an opportunity to join a growing organization and work within an ever-growing team-oriented culture, please apply today!

Position Overview/Responsibilities for the Manufacturing Operations Technology Engineer - 1st Shift:

• Evaluate and implement cutting-edge technologies such as automation and smart sensors to enhance operational efficiency and visibility.
• Lead digital transformation initiatives by digitizing workflows and establishing real-time performance tracking systems.
• Drive continuous improvement through Lean and Six Sigma methodologies to eliminate inefficiencies and optimize production processes.
• Collaborate with cross-functional teams to troubleshoot issues, train staff, and standardize best practices across shifts.
• Participate in the specification and installation of new equipment, focusing on automation and digital interfaces.

Required Skills for Manufacturing Operations Technology Engineer - 1st Shift:

• 3+ years of hands-on experience in manufacturing or operations engineering.
• Bachelor's degree in Mechanical, Industrial, Manufacturing Engineering, or a related field.
• Proven experience leading technology-based improvement projects in a manufacturing setting.
• Proficiency in Lean, Six Sigma, TPM, and 5S methodologies.
• Familiarity with MES, ERP, and data visualization tools like Power BI or Tableau.

What's in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry-leading organization
• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets
• Employee Stock Ownership Program
• Medical, Dental, Vision, and Life Insurance
• ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

IDR is seeking a Software Development Manager to join one of our top clients in DFW. This leadership role is instrumental in driving the to lead the full lifecycle of customized JDE World application — support, enhancements, and development. This role combines hands-on technical work with managing a small team of local and remote developers. Required Skills for the Software Development Manager:

• 10+ years of application development experience
• Experience within JDE World Modules (Ex: Accounting, Sleeper, Dream Writer, World Writer, Data Dictionary)
• 2+ years in a supervisory or project lead role
• Experience working with AS400 operating systems for (User/Group profile, File Journaling, Subsystem Maintenance, Object Authorities, or IFS commands)

What’s in it for you?

• Competitive compensation package
• Full Benefits: Medical, Vision, Dental, and more!
• Opportunity to join an industry-leading, enterprise organization
• Work within a forward-thinking, team-oriented culture

#LI-Onsite