Natalie Inchiosa

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.

Job Title: Radiation Therapist Job Type: Full-Time Location: San Antonio, TX Reports To: Radiation Oncologist Schedule: Monday - Friday 8a-5p Position Summary: We are seeking a dedicated and compassionate Radiation Therapist to join our oncology team. The successful candidate will be responsible for accurately administering ionizing radiation to patients in accordance with physician prescriptions and established protocols. This role involves working closely with radiation oncologists and clinical staff to ensure patient comfort, safety, and successful treatment outcomes. Key Responsibilities:

• Administer radiation therapy as prescribed by the physician, ensuring correct dose delivery to the appropriate treatment area.
• Review and interpret treatment prescriptions; ensure proper use of set-up accessories and radiation safety measures.
• Perform precise tumor localization using imaging equipment and treatment systems.
• Maintain accurate electronic medical records, including CT/Sim setup information, photographs, and daily treatment documentation.
• Monitor patients during treatments, reporting complications or adverse effects to the medical team.
• Perform regular machine safety checks and report any operational inconsistencies or equipment concerns.
• Assist physicists in maintaining treatment equipment and coordinate repairs as needed.
• Collaborate with radiation oncologists and dosimetrists in the preparation of customized treatment plans.
• Obtain and review weekly port films and maintain accurate billing records on a daily basis.
• Educate and support patients throughout the treatment process, explaining procedures and monitoring side effects.
• Ensure adherence to ethical and professional standards outlined by the radiation therapist code of ethics.

Qualifications:

• Bachelor’s Degree or Certificate in Radiation Therapy required.
• ARRT certification in Radiation Therapy preferred.
• Strong clinical background in Radiation Oncology; RTs with extensive radiation therapy experience will be considered.
• Proficient in electronic health records (EHR) and treatment planning systems.
• Demonstrated ability to build rapport with patients and work collaboratively with interdisciplinary teams.
• Knowledge of radiation safety principles and machine operation limits.
• CPR certification preferred.

Working Conditions:

• Clinical outpatient oncology setting
• Standing for extended periods, operating machinery, and direct patient interaction required

If you're a skilled professional passionate about delivering high-quality, patient-centered care in radiation therapy, we encourage you to apply today.  

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

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 dynamic and innovative CP4BA Architect to join one of our esteemed clients in McLean, VA. This role is perfect for a seasoned professional with a deep understanding of IBM CP4BA and a passion for designing, developing, and implementing scalable and efficient business automation solutions. If you are looking for an opportunity to join a large organization and work within a team-oriented culture that values digital transformation initiatives, we encourage you to apply today!

Applicants must be legally authorized to work in the United States. We do not provide visa sponsorship for this role now or in the future. Position Overview/Responsibilities for the CP4BA Architect: - Design, develop, and implement scalable and efficient business automation solutions with IBM CP4BA - Install CP4BA, including upgrades or patching - Work with IBM Business Automation software such as Business Automation Workflow, Automation Decision Services, and Enterprise Content Management - Articulate deployment methods available for the software such as containerized vs non-containerized - Understand and apply authorization or authentication concepts such as LDAP, IAM, UMS, teams, roles, or SSO Required Skills for CP4BA Architect: - Deep knowledge of CloudPak architecture, including common services, automation foundation, and operators - Experience with different deployment patterns such as starter and production - Proficiency in RedHat OpenShift Container Platform and CP4BA platform components - Familiarity with containers such as Kubernetes and RedHat OpenShift - Bachelor's degree in CS or IT and 8+ years of experience in IT, covering software development, enterprise architecture, enterprise integration, and automation solutions, or 10+ years of experience in IT in lieu of a degree #LI-Hybrid