Demitrius Frausto

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 Technician 2 to join one of our top clients in Nashville, TN. This role offers an exciting opportunity to work with a dynamic team in a rapidly growing organization. If you are eager to contribute to a collaborative environment and expand your expertise in structured cabling and network systems, we encourage you to apply today!

Position Overview/Responsibilities for the Technician 2:

• Utilize your expertise in network cabling, CCTV, fire alarms, intrusion detection, access control, and networking

• Maintain and acquire necessary certifications, including LIFT, OSHA30, and BICSI Installer 1.

• Collaborate with our client's team to ensure high-quality installations and adherence to industry standards.

• Be prepared to travel within the Nashville area and surrounding regions for project needs.

Required Skills for Technician 2:

• Minimum of two years of experience as a Technician One or equivalent.

• Possession of industry manufacturer certifications or equivalent structured cabling experience.

• Proficiency in Microsoft Suite (Outlook, Excel, Teams, Word).

• Willingness to obtain BICSI Installer 1 certification upon hiring.

• Local to the Nashville area with flexibility for travel as needed.

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 an IBD Contractor (Financial Services / Asset Management) to join one of our top clients in Brighton, MA. This role is pivotal in supporting the Independent Broker-Dealer (IBD) channel marketing within the Global Wealth division. 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 IBD Contractor (Financial Services / Asset Management):

• Provide day-to-day marketing support for the IBD channel, including event promotion, invitations, and email campaigns. • Collaborate with the content strategy team to adapt materials for IBD advisors and coordinate with sales partners to ensure alignment. • Track and analyze the effectiveness of marketing efforts, sharing insights with the team to drive improvements. • Develop and execute strategic marketing initiatives, including multi-channel campaigns and digital program development. • Manage and coordinate world-class events and conferences to enhance relationships with financial advisors.

Required Skills for IBD Contractor (Financial Services / Asset Management):

• Minimum of 3 years of experience in financial marketing, with a focus on private wealth distribution and IBD firms. • Strong project management skills, with the ability to prioritize and execute tasks in a fast-paced environment. • Excellent communication and writing skills, with a keen eye for detail and accuracy. • Ability to work collaboratively across diverse teams and build strong relationships with stakeholders. • Proficiency in data-driven marketing, utilizing analytics to inform decisions and optimize campaigns.

What's in it for you?

Competitive compensation package

Full Benefits; Medical, Vision, Dental, and more!Opportunity to get in with an industry-leading organizationClose-knit and team-oriented culture

Why IDR?

25+ Years of Proven Industry Experience in 4 major markets

Employee Stock Ownership ProgramMedical, Dental, Vision, and Life InsuranceClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

#LI-Hybrid

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

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   

We are seeking a skilled Retail Operations Analyst to ensure accurate, timely customer transactions, account maintenance, and monthly billing. The ideal candidate brings strong analytical skills, process discipline, and working familiarity with data tools to help drive customer satisfaction and operational excellence. If you're looking for an opportunity to work for a rapidly growing company in New Jersey, APPLY TODAY! Responsibilities:

• Develop a thorough understanding of the electricity and gas customer lifecycle—from contract initiation through final account processing.
• Work within the customer management systems to process daily operational tasks and electronic transactions with vendors/utilities.
• Monitor and resolve transaction and billing exceptions within established SLAs; escalate appropriately when needed.
• Use reporting and analytical methods (e.g., Excel, SQL/Power BI where applicable) to identify issues and maintain compliance with internal/external SLAs.
• Perform root cause analysis to address exceptions, errors, and process gaps; recommend and implement fixes.
• Research and analyze complex business problems using software tools and knowledge of the retail energy market.
• Support execution of new business and regulatory requirements.
• Serve as a subject matter expert for transaction and billing questions.
• Create and maintain clear process documentation for training and reference; deliver training to colleagues as needed.
• Collaborate with internal teams, management, external vendors, and utilities to resolve issues and support projects.

Top Skills:

• 1-3 years’ experience within sales operations or back office related billing experience (Energy Supplier, Utilities, insurance, claims, loans, sales analyst, etc.)
• Strong excel skills – vlookups, pivot tables, and basic formulas
• Strong analytical skills with high attention to detail; Experience sifting through large datasets & identifying discrepancies

• Bachelor’s degree from accredited university

Nice to have:

• Energy Supplier back-office experience (Or similar utilities sector)
• Power BI and SQL

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-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  

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