Fresenius USA Inc jobs in Lawrence, MA - 63 jobs

Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Supports and leads team in the accreditation and certification programs. Applies time management and flexibility to meet the needs of the organization. Analyzes and reports quality data internally and externally. Uses analytical data management skills to promote patient safety and performance improvements. Facilitates meetings and multidisciplinary teams to ensure participation of team facilitation skills and change management processes to engage others in support of the changes required to achieve performance improvement outcomes. Identifies and mitigates barriers that impede sustainable change. Demonstrates and teaches others the principles of performance improvement. Uses a range of quality improvement tools and techniques to evaluate and successfully redesign processes toward improved performance. Accesses and uses resources to demonstrate current / best practice, identify opportunities for improvement, and leads efforts toward improved outcomes. Advises on future data and information needs and resources to support performance and process improvement initiatives. Participates in DNV Hospital Accreditation, other regulatory surveys, and the hospital's survey readiness program Serves as a partner, teacher, and coach with assigned customer base. Other duties as consistent with this role. If supporting the Primary Stroke Center (PSC) Program: Serves as the DNV PSC subject matter expert Coordinates and facilitates the DNV PCS Survey Facilitates the PSC committee and drives program performance improvement Abstracts chart data or validates third party abstraction and maintains stroke registry Collaborates with education or others to provide stroke-related education Collaborates with the stroke program medical director for community education Maintains nursing competencies, as appropriate. If supporting the Hip and Knee Replacement Program (HKRP): Serves as the DNV HKRP Certification subject matter expert Coordinates and facilitates the DNV Hip HKRC Survey Collaborates Ortho Nurse Navigator to coordinate the HKRP committee Abstracts chart data or validates third party abstraction and maintains HKRP registry Collaborates with education or others to provide HKRP-related education Job Requirements Job Knowledge and Skills Experience with Regulatory and Accrediting bodies. Current computer skills, graphics, spreadsheets, and presentation software. Quantitative and analytic skills relevant to the role. Current knowledge of clinical processes and operations in a health care system Critical thinking and communication skills Project management knowledge and skills Education and Experience NH Registered Nurse license preferred Hospital Quality / Performance Improvement / Patient Safety experience required Five years of clinical experience preferred BS or BA strongly preferred CPHQ certification preferred, or eligible to obtain within 1 year Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $73,014.51 - $109,521.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

A Mental Health Technician (MHT) performs selected patient care activities under the supervision of the Program Director and/or Nurse Manager. Primary duties include observing and recording patient information pertinent to the treatment plan and reporting this information to the Staff Registered Nurse. This position is also responsible for escorting and monitoring patient activities and attending to their personal needs. The MHT must be capable of physically assisting patients, dealing with patient emergencies, and working as a member of the clinical team. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Restore and promote patient's health by assisting in their individual therapeutic treatment plan Conducts activities in accordance with patient diagnosis and needs Attend to patient personal needs (oral hygiene, toileting, bathing, dressing, transferring, etc.) as required. Escort and monitor patients during admissions, transfers and discharges; and provide line-of-sight or one-to-one support to patients as ordered by the physician Check and document luggage and personal belongings upon admission; maintain patient property list Regularly observe and record patients' behaviors, temperature, pulse, respiration, blood pressure and weight Monitor and document patient's food and fluid intake; feeding patients as required Complete and document 15 minute (or less) visual checks on patients per unit/hospital policy Insure patient dignity and respect patient values Establish a compassionate environment by providing emotional and psychological support to patients, families and friends Maintains patient privacy and confidentiality; and protects operations by keeping patient and program information confidential Operate within ethical standards Collaborate with physicians, nurses, and multidisciplinary team members Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and regulatory standards Coordinate and supervise therapeutic activities for individual patients and for groups in accordance with patient care treatment plans Help maintain unit cleanliness and neatness for patient comfort Assist in orientation for patients and families Per RN direction, and using approved methods, assist in safely placing patients in seclusion or restraints; observe suicide/seclusion precautions Monitor visitors and supervise visitation Intervene with patients who disregard, violate, or ignore unit safety rules. Report any signs of increasing aggression, suicidal behavior, and danger of elopement, violation of smoking rules, or violation of any other unit/facility safety rules. Assist in emergency care if necessary Maintain continuity among peers by documenting and communicating actions, irregularities, and continuing needs Protect patients and employees by adhering to safety standards; infection-control policies and protocols; storage procedures; and controlled substance regulations Use hygienic practices and teach patient hygienic practices Attends and contributes to therapeutic groups, community meetings and activities Attends appropriate facility in-service training programs Completes all required educational sessions, including staff meetings and competencies per unit/hospital policy Ensure operations of equipment by completing preventive maintenance requirements; calling for repairs; and evaluating new equipment and techniques Assist with tele psych equipment as required Provide feedback to supervisor on ongoing basis in regard to concerns, improvements, changes, etc. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Ability to manage anger, fear, hostility, and violence of others appropriately Ability to make decisions under pressure Ability to manage stress appropriately Proficient in applicable software applications Excellent interpersonal skills Ability to prioritize multiple tasks and deadlines Comfortable working in confined or crowded areas Comfortable working alone or in a team environment Proficient written and verbal communication skills Ability to read and comprehend instructions and correspondence moderate in complexity Ability to communicate the needs of the patients Education and Experience High School diploma or GED preferred Crisis prevention certification as required Basic Cardiac Life Support certification required Minimum one year experience with appropriate education preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds. Some stress related to high level of responsibility for quality care. MHTs work in close contact with patients who have moderate to severe psychiatric concerns and/or behavioral issues. There is the possibility MHTs could be exposed to violent behavior from patients and/or infectious diseases as part of their daily duties. This role periodically uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must be able to physically perform the requirements of the crisis prevention model utilized to provide safe physical holding of patients and transport techniques. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $18.62 - $27.92 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.

Essential Duties and Responsibilities: Supports and promotes the mission and values of Covenant Health Ministry. In coordination with the Program Director, develops, implements, coordinates, and evaluates clinical admission, referral and/or discharge processes. Responds to intake calls and completes admission paperwork. Coordinates treatment with physicians and other health and social agencies Coordinates and participates as a direct liaison with appropriate interested parties and physicians through the patient referral inquiry, admission, treatment and discharge process Provides appropriate support to patients' families Reviews newly admitted patient accounts for eligibility and authorization daily Addresses issues in a timely manner including crisis and higher level of care referrals. Maintains appropriate ethical and clinical boundaries with client, family members and other staff members. Maintains compliance with state and federal confidentiality laws as well as upholding confidentiality policies and procedures. Maintains a professional code of conduct as established by St. Joseph's Hospital Code of Conduct. Appropriately represents the Program at public and private outreach events Attends Unit and Hospital meetings as directed Actively participates in department processes as requested Enters required data into Horizon Plus system and generates monthly reports to track and trend referral, admission, and discharge data. Responds to requests for general information about the Program's treatment program and provides information about appropriate topic in response to community requests. Informs Program Director, S/VPO and VPCE of any potential adverse publicity Promotes and develops positive, professional interaction with patients and their families, peers, leadership, clients, etc. Corrects issues identified and reports errors to the Program Director Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Proficient in software applications; Microsoft Office Excellent written and verbal communication and presentation skills Ability to read and comprehend moderate to complex instructions and correspondence Ability to write detailed correspondence Ability to effectively present information in one-on-one and small group situations to patients and their families, Program leadership, employees, clients, providers, vendors, etc. Education and Experience RN, LPC or LMSW required A Bachelor's Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing or another related field preferred Three years of experience in a similar position and/or industry preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $35.10 - $48.34 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Environmental Services Assistant responsible for disinfection and cleanliness in patient care, outpatient, and other areas in the hospital. Follows the 7-step cleaning process and infection control guidelines. Performs other duties as assigned. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Maintains high level of cleanliness in assigned areas Restocks paper products and chemicals throughout hospital and public areas Removal of trash from assigned areas. Adheres to department policies and procedure Exemplary customer service to all patients, visitors, families, and staff. Discharge cleaning using approved chemicals Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Ability to work in fast paced environment Education and Experience Previous healthcare cleaning experience preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Occasional lifting/carrying up to 25 lbs. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $16.08 - $22.15 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Covenant Health New England Academic Leadership Opportunity | Mission-Driven Health System Covenant Health New England is seeking an Internal Medicine Residency Program Director to provide comprehensive leadership, oversight, and administration for our ACGME-accredited Internal Medicine Residency Program. This senior academic leadership role blends clinical excellence, educational innovation, and mission-driven service, offering the opportunity to shape the next generation of internists in a collaborative, community-focused environment. The Program Director serves as the academic and administrative leader of the residency program, ensuring excellence in education, compliance, resident development, and continuous quality improvement while supporting Covenant Health's Catholic health ministry mission and values. Key Responsibilities Program Leadership & Strategic Direction Maintain authority and accountability for full compliance with all ACGME Program Requirements Establish strategic direction to ensure program quality, reputation, and long-term success Design and conduct the residency program in alignment with community needs, institutional mission, and educational goals Lead curriculum design, resident mentoring, recruitment strategies, and quality improvement initiatives Foster a culture of resident well-being, professionalism, and team-based learning Educational Program Administration Organize and direct all educational activities, including rotations across all participating clinical sites Ensure high-quality didactic and clinical education at all training locations Develop and implement a comprehensive curriculum meeting ACGME and ABIM requirements Establish resident schedules and clinical assignments to meet educational objectives Oversee required foundational experiences, including: Minimum 10 months outpatient education Minimum 10 months inpatient and critical care Coordinate longitudinal continuity clinic experiences and individualized learning pathways Faculty & Personnel Leadership Recommend approval or removal of faculty at all participating sites in partnership with the Sponsoring Institution Recruit, develop, and evaluate Internal Medicine faculty and subspecialty educators Oversee Subspecialty Education Coordinators (SECs) across Internal Medicine disciplines Collaborate with the Sponsoring Institution on faculty development initiatives to enhance teaching excellence Supervise any affiliated subspecialty training programs to ensure ongoing ACGME compliance Resident Education & Development Lead resident recruitment and selection through the National Resident Matching Program (NRMP) Chair or oversee the Clinical Competency Committee (CCC) and milestone evaluations Make promotion and graduation decisions in collaboration with faculty leadership Develop and maintain a structured resident advising and mentorship program Ensure appropriate supervision standards based on training level and patient complexity Verify completion of training and provide official documentation of education Quality, Safety & Well-Being Ensure appropriate balance between service and education without excessive reliance on residents Promote a culture of patient safety, quality improvement, and systems-based practice Monitor and improve key program outcomes, including board pass rates and graduate success Participate in institutional quality and patient safety initiatives Implement fatigue mitigation strategies and resident wellness programs Compliance & Accreditation Submit accurate and timely reports to ACGME, GMEC, and institutional leadership Ensure compliance with ACGME Institutional and Program Requirements Prepare for accreditation site visits and lead continuous program improvement efforts Maintain working knowledge of GME finance, reimbursement, and funding models Participate in educational programs sponsored by APDIM and other professional organizations Scholarly Activity & Professional Development Demonstrate ongoing scholarly activity through publications, presentations, or quality improvement initiatives Participate in clinical conferences, teaching rounds, journal clubs, and academic forums Support resident scholarly activity and research in collaboration with the Sponsoring Institution Maintain active involvement in professional organizations and educational committees Qualifications Education & Certification MD or DO from an LCME- or AOA COCA-accredited medical school Board Certification in Internal Medicine by ABIM or AOBIM Completion of an ACGME-accredited Internal Medicine residency Eligible for faculty appointment at an affiliated medical school, commensurate with experience Experience Minimum 3-5 years as active faculty in an ACGME-accredited Internal Medicine residency program At least 3 years of documented educational and/or administrative leadership experience post-residency Ongoing clinical practice in Internal Medicine required throughout tenure Experience in curriculum development, resident mentoring, and quality improvement strongly preferred Time Commitment & Support Structure Minimum 50% FTE (≥20 hours/week) dedicated to administrative and educational leadership Up to 50% clinical practice, including supervision of resident continuity clinics Must be accessible and available to residents at primary teaching site(s) Supported by institutional GME infrastructure and administrative resources Why Covenant Health New England? Mission-driven Catholic health system committed to compassionate, high-quality care Opportunity to lead and shape a growing Internal Medicine residency program Collaborative academic environment with strong institutional support Meaningful impact on physician education, patient care, and community health Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $224,265.79 - $347,611.98 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Director of Supply Chain oversees procurement and control of supplies, equipment and materials utilized at St Joseph Hospital. Responsibility includes providing leadership and direction for department and employees. Focus is on cost effective and quality purchasing, distribution and control of inventory locations. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. System Contracts and MMIS Administrator works closely with the System Director for this role in managing HVI (high value implants) contracts and controlling the MMIS item file in the current software, Alscripts. This also requires liaison to our GPO and extensive understanding of individual, Yankee Alliance and Premier contracts for analysis in cost savings opportunities. Participates in Value Analysis, both supporting clinicians and developing savings conversions and contract compliance. Oversees Central Supply warehouse, receiving, printing and assists with purchasing/buyers. Coordinates with Ensemble for CDM and MMIS item file in relationship to charging for supplies in Epic. Coordinates efforts with Covenant Supply Chain team as well as with Director of Supply Chain for other acute care sites within Covenant. Also providing backup for the Covenant Supply Chain team. Responsibility to maintain and enhance the most accurate and best use of the Supply Chain Software, Alscripts including MMIS upkeep, training new users and maintaining appropriate oversite for requistioning rights and approvals. Financial expertise to run a budget for Supply Chain department. Includes working with accounting to provide financial assistance on expense codes, run reports and analyze for other cost centers by using Alscripts software. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Extensive knowledge of GPO contracts and ability to analyze for financial and clinical improvements. Leadership to promote high performance of Supply Chain departments. Strong analytical skills. Proficient in Microsoft Office. Strong interpersonal, oral and written communication skills. Education and Experience Bachelor's Degree in Finance, Business Management or Healthcare Administration or related field preferred - or 10 years' experience in Supply Chain management and/or 5 years in healthcare Supply Chain management. An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Occasional lifting/carrying up to 25 lbs. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $97,846.42 - $146,769.63 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Saint Joseph Hospital in Nashua, New Hampshire, is seeking an experienced Physician Assistant to join our team as a per diem. This is an excellent opportunity for experienced Physician Assistants looking for schedule flexibility and a collegial environment. Position Highlights: Assist with surgeries, including complicated robotic procedures Flexible schedule Collaborative Environment: Work in a supportive, team-oriented setting, with collegial providers, dynamic and engaged administrative leaders, and experienced support staff. Why Join Saint Joseph Hospital? Saint Joseph Hospital offers a rewarding and collaborative environment, where you'll have the opportunity to provide high-quality care while contributing to the growth and innovation of our surgical services. With access to cutting-edge technology and a strong support network, you'll be empowered to thrive both personally and professionally. Saint Joseph Hospital, founded in 1908, St. Joseph Hospital in Nashua is a leading healthcare provider in the region. The hospital is a 208-bed facility with state-of-the-art satellite centers in Milford and Merrimack. It is dedicated to providing exceptional patient care, promoting wellness, and advancing medical knowledge. About Nashua, New Hampshire: Nashua, New Hampshire, offers a perfect blend of urban and suburban living. It is known for its excellent schools, high quality of life, and rich history. The city features residential neighborhoods, parks, and recreational areas, with the scenic Nashua River offering opportunities for outdoor activities. The downtown area offers a vibrant mix of shops, restaurants, art galleries, and theaters. Whether you're interested in history, culture, or nature, Nashua has something to offer for everyone. Why Nashua? Great Quality of Life: Beautiful parks, outdoor activities, and a welcoming community. Proximity to Boston: Just a short drive to one of the nation's most vibrant cities. Vibrant Community: A blend of urban conveniences and suburban tranquility. This is a wonderful opportunity to join a dedicated healthcare team while enjoying the benefits of living and working in one of New Hampshire's most desirable communities. Apply today to be part of the exceptional team at St. Joseph Hospital in Nashua! Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Our people make the difference. See firsthand what makes our employees and culture shine!

We are seeking a dedicated and skilled Per Diem Nuclear Medicine Technologist to join our dynamic healthcare team at St. Joseph Hospital. The ideal candidate will possess expertise in performing diagnostic and therapeutic nuclear medicine procedures while providing excellent patient care in a fast-paced environment. As a per diem team member, you will have the flexibility to work on an as-needed basis, covering day shifts and taking Saturday morning call if desired. Key Responsibilities: Perform a variety of nuclear medicine procedures, including but not limited to Cardiac stress testing, bone scans, thyroid scans, SPECT/CT and other diagnostic imaging. Administer radiopharmaceuticals to patients, ensuring the correct dosages and handling of radioactive materials. Monitor patients for adverse reactions and ensure their safety during procedures. Collaborate with physicians, radiologists, and other healthcare professionals to ensure accurate imaging and diagnosis. Prepare and maintain accurate patient records and imaging reports. Ensure all equipment is calibrated and maintained according to safety protocols. Adhere to radiation safety guidelines and protocols to minimize exposure to patients and staff. Qualifications: Graduate of an accredited program in Nuclear Medicine Technology required. Current certification as a Nuclear Medicine Technologist (CNMT) by the Nuclear Medicine Technology Certification Board (NMTCB) or American Registry of Radiologic Technologists (ARRT) with a nuclear medicine specialty. Valid New Hampshire state licensure through the Board of Medical Imaging and Radiation Therapy Basic Life Support (BLS) certification is required. Previous experience in a hospital or clinical setting preferred. Proficiency in nuclear medicine imaging equipment and radiopharmaceuticals. Proficiency in intravenous (IV) placement. Strong understanding of radiation safety and infection control practices. Ability to work independently as well as part of a multidisciplinary team. Excellent interpersonal and communication skills, with a compassionate approach to patient care. Flexibility to work varied shifts, including day-time coverage and Saturday mornings cardiac stress testing as needed. Benefits: Competitive hourly pay Flexible schedule with per diem shifts Opportunity to work in a supportive and collaborative environment Access to continued education and professional development resources Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $55.29 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Under the supervision of the Chemistry Technical Supervisor and other Medical Laboratory Scientists, the incumbent performs handling and processing for all clinical specimens entering the Laboratory. Performs a wide variety of routine, quality control, and specialized laboratory tasks to include specimen accessioning, labeling, evaluating specimens received, performing pre-analytical quality validation, entering test orders into computer systems, preparing specimens for testing, expediting samples to the various testing sections, preparing specimens for transport to reference labs, inoculation of cultures to growth media, set-up, and preparation of test devices, testing of selected specimens (CLIA-waived methods) for the diagnosis, treatment and prevention of disease, troubleshooting and problem solving to help ensure accuracy of test results and effectively communicating with internal and external clients. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Operates pneumatic tube system proficiently to receive and send specimens and other items and maintains tracking information per policy. Proficient with all appropriate LIS functions necessary for receipt and processing of samples. Unpacks and receives specimens from outreach sites following proper protocol for tracking forms. Follows LEAN process to ensure accurate and efficient receipt of outreach specimens. Evaluates specimen pre-analytical variables for appropriateness, such as proper labeling, quantity, specimen type, etc. Checks and maintains accuracy of patient ID through all phases of test cycle. Investigates discrepancies, obtains any incomplete information, and rejects unacceptable specimens per policy. Follows up on missing, unlabeled, mislabeled, and rejected specimens or specimens without orders. Outliers are followed up as appropriate with hospital Occurrence Reporting System. Accessions specimens using the laboratory information system and enters patient registration information accurately and completely. Properly matches Sunquest computer labels to correct handwritten or HIS generated labels, keeping the original label with name or medical record number showing per labeling policy. Processes specimens as they are received to ensure continuous flow to testing sections. Demonstrates organizational skill with receiving, labeling, centrifuging, and distributing specimens. Delivers all specimens to their appropriate laboratory areas, with emphasis on timely delivery of STAT specimens and tests requiring special attention. Sorts, aliquots, labels and preserves specimens for in-house batch testing as needed. Appropriately follows aliquot policy. Orders laboratory tests in HIS and LIS with utmost accuracy. Able to make corrections when errors occur. Checks written orders that have not been correctly requested in LIS. Runs a pending list daily and follows up on delinquent tests. Uses occurrence tracking software as appropriate for outliers and follows up and communicates issues to supervisor. Processes specimens for referral to appropriate reference laboratory. Understands unique specimen requirements for handling esoteric test requests. Research specimen requirements using electronic and printed reference materials. Proficient with ordering referral tests using reference lab software, web sites and telephone inquiries. Accurately packages specimens for transport to reference labs following DOT regulations. Arranges courier pickup as needed. Registers patients accurately in the hospital information system by obtaining and verifying all required demographic and insurance information. Performs additional functions needed to produce a complete registration and order, such as adding on orders, crediting charges, adding “copy to” providers, obtaining and processing verbal orders, canceling orders, and using downtime procedures. Understands specimen requirements and collection techniques applicable to all age groups, including venipuncture and capillary puncture. Familiar with and competent in using all types of specimen collection equipment. Performs quality review of all orders for accuracy before drawing the patient's blood to ensure tests are crossing the interface and not missed. Collects appropriate specimen type and amount, according to established policy, to ensure specimens are suitable for accurate testing. Research specimen requirements as needed. Uses Clinical Collect device appropriately in both inpatient and outpatient settings. Following appropriate training, employees may, when necessary, collect human clinical specimens using techniques such as venipuncture and capillary puncture. Processes specimens received into Microbiology. Assures 100% patient identification in reviewing and matching all specimens, labels and orders as received into Microbiology. Sets up antibiotic sensitivity panels per standard operating procedure. Prepares specimens and sets up tests on the GeneXpert analyzer. Maintains proper storage of specimens. Properly recognizes and packages microbiology send outs. Sets up CLIA waived tests in a timely manner, interprets end point and reports results in the LIS. Inoculates specimens to appropriate growth media per standing operating procedure. Makes decisions regarding special media required for optimum recovery. Plants CAP survey materials. Answers telephone and follows up on inquiries, including those received in the Call Center. Effectively handles inquiries related to test results, specimen and test status, add-on requests, and client concerns. Responsible for problem form resolution and communication of issues to supervisor. Orders and maintains collection and shipping supplies for the Central Processing area. Assists technical staff with inventory control measures. Receives blood products and logs into LIS. Assists with routine preventive maintenance such as recording temperatures, cleaning equipment, and performing function checks. Receives and distributes reports from reference labs. Calls STAT results to clinician offices. Mails or faxes report copies to non-affiliated clinicians. Performs administrative and clerical tasks such as ordering tests, maintaining and filing important records in a filing system, retrieving data, and sending reports to physicians via phone, mail, fax, or computer. The employee may be required to help train new personnel. Uses excellent inter-personal communication skills (oral and written). Demonstrates courteous and cooperative behavior toward patients, visitors, peers and hospital staff with no documented complaints. Communicates effectively with co-workers to foster a team attitude, avoiding complaining and gossiping. Fosters an environment that nurtures collaboration, teamwork, and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationships. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Position requires knowledge of medical terminology and familiarity with clinical laboratory policies and procedures related to specimen collection, handling and processing. Ability to include enter and retrieve data from hospital and laboratory information systems. Excellent communication skills, interaction with the public and medical/nursing personnel to promote positive outcomes. Handle multiple priorities and manage stress effectively. Education and Experience High School Diploma or GED strongly preferred. Associate degree or higher education preferred. Medical terminology and training or experience in a related medical discipline is strongly preferred. A minimum of one year experience in a medical laboratory environment or a related medical discipline which includes experience handling and processing human clinical specimens is preferred. Previous experience in an anatomic pathology and/or microbiology laboratory is preferred. An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Occasional lifting/carrying up to 25 lbs. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $18.62 - $25.64 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Part-Time Medical Director - Mobile Health Clinic Saint Joseph Hospital | Nashua, New Hampshire Saint Joseph Hospital, a proud member of Covenant Health, is seeking a part-time Medical Director to provide clinical leadership and oversight for our Mobile Health Clinic program. This is an exciting opportunity to help expand access to care and improve the health of underserved communities in southern New Hampshire. Position Highlights Part-Time Role: Flexible schedule designed to complement an existing clinical practice or leadership position. Community Impact: Oversee the delivery of high-quality, mission-driven care through a mobile clinic model that brings essential services directly to patients in need. Leadership & Oversight: Provide medical direction, ensure clinical quality, and support the integration of care with hospital and community resources. Collaborative Environment: Work closely with advanced practice providers, nurses, and outreach staff to support patient-centered care. Mission-Driven Organization: Be part of a Catholic health system committed to serving with compassion, respect, and excellence. Former Medical Director describes as very rewarding work and noted that he had been published numerous times for the work Responsibilities Provide medical oversight for the Mobile Health Clinic, including policy development, protocols, and quality assurance. Collaborate with providers and staff to ensure the highest standard of patient care. Serve as a liaison between the clinic, hospital leadership, and community partners. Review and monitor clinical outcomes, compliance, and safety standards. Support staff education, mentorship, and development. Qualifications Board-certified physician (MD or DO) in Family Medicine, Internal Medicine, or another primary care specialty. Licensed (or ability to obtain licensure) in the state of New Hampshire. Prior leadership, administrative, or medical director experience preferred. Passion for community health, outreach, and serving underserved populations Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $1.00 - $999.99 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Patient Service Representatives' (PSRs) are responsible for performing a variety of daily office functions for a multi-physician hospital outpatient practice. The PSR serves as an ambassador of St. Joseph Healthcare as they act as the liaison between the practice(s) and its patients, visitors, and guests; the incumbent should consistently display a high level of customer service. In addition, they are the first people to make an impression on our patients/visitors when they enter any of our facilities. JOB REQUIREMENTS Education: High School Diploma/GED Experience: PSRs must be competent and knowledgeable of duties within the medical office setting, which may include filing, answering the telephone, patient registration, posting payments, charge entry, scheduling, third-party payers requirements, ICD-9 & CPT coding, medical records processing, patient contact, transcription, and assisting other personnel and physicians in all departments as needed. Certification: Medical Terminology preferred Other Skills Required: The PSR may have access to highly confidential patient information and must handle & protect the information in accordance with hospital & departmental protocol, HIPAA requirements and the highest level of ethical standards. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $17.73 - $24.42 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Collects, processes, and analyzes human clinical specimens using established, approved, medical laboratory methods. Testing methods used may be waived, moderately complex or highly complex as defined by CLIA. Proficient with use of laboratory analytical equipment. Performs preventive maintenance, troubleshooting and minor repair of complex instruments. Performs and interprets quality control procedures to ensure high degree of result accuracy and precision. Interprets analytical data and correlates to patient's clinical condition. Other required abilities include entering and retrieving data from Hospital and Laboratory Information Systems, excellent communication skills, interaction with the public and medical/nursing personnel, making decisions under pressure, handling multiple priorities, and managing stress appropriately. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Respects and maintains confidentiality of patient data (HIPAA). Performs medical laboratory procedures in one or more laboratory sections (clinical chemistry, hematology, microbiology, transfusion medicine) and specimen processing with a high degree of proficiency and understanding. Proficient with laboratory analytical equipment. Recognizes deviations from expected results and analyzes and corrects problems. Performs basic troubleshooting of instrument problems. Initiates vendor tech support as required. Recognizes abnormal and critical laboratory results and follows protocols for result verification and notification of physician. Correlates patient results with established reference ranges and available patient medical information. Recognizes, investigates and resolves discrepancies. Answers inquiries about test results, methodology, specificity, and sensitivity; answers questions about specific factors that can influence test results. Helps evaluate new techniques and procedures in terms of method validation, method comparison, cost analysis, establishing reference values, and personnel and space requirements. Writes and revises technical procedures. Uses technical knowledge and critical thinking ability to investigate laboratory discrepancies, determine courses of action and resolve problems to ensure high level of clinical accuracy. Familiar with and follows all CLIA, DNV, and CAP accreditation standards as they apply to operation of a clinical laboratory. Familiar with and consistently follows lab quality control protocols. Analyzes quality control materials, interprets data and makes judgments concerning appropriate action to maintain accuracy and precision. Consistently assures the release of accurate results through sample and result verification and properly follows all policies and procedures. Participates in proficiency surveys by organizing specimens, entering orders, making assignments to other staff, testing PT specimens and recording results. Maintains work area and equipment in the condition required by department standards and can describe his or her responsibilities related to general safety, department/service safety, and specific job‑related hazards Demonstrates ability to organize work during heavy workload situations to expedite patients' results. Recognizes, reports, documents, and seeks appropriate intervention for signs of complication or significant change in patient status (critical values, delta checks, unusual results, etc.). Meets or exceeds the laboratory standards for Stat turnaround times. Pulls pending lists frequently throughout the shift and follows up on outstanding specimens. Uses sound judgment to make decisions which may affect patient results. Works with clinicians, patients, and nursing staff to resolve issues. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Work may involve testing procedures which require high degree of theoretical knowledge and technical expertise, including practical knowledge of quality control and quality assurance as they relate to Laboratory Medicine. Position requires exercise of independent judgment with minimum degree of supervision Demonstrates proficiency with technologies common to operation of department analyzers and associated computer systems (HIS and LIS) used in the transfer of orders, monitoring, recording and reporting of results Education and Experience Earned Bachelor's Degree in Medical Laboratory Science, Medical Technology, or closely related field or equivalent education and experience as defined by CLIA standards strongly preferred National certification in Medical Laboratory Science or Medical Technology by ASCP or equivalent preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Occasional lifting/carrying up to 25 lbs. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $30.32 - $45.49 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

The Practice Operations Lead functions as a part of the Integrated Medical Group (IMG) administrative leadership for practice operations and any associated projects or assignments. In partnership with the Manager/Director, the Lead provides oversight of the daily administrative operations. This includes staff assignments, scheduling, and monitoring the operational flow. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Supervises the daily practice operations within area of responsibility, ensuring standards of access, service and expenses are met. Maintains compliance with all policies, procedures, and regulatory requirements. Establishes a positive work environment. Works to ensure adequate coverage within departments of responsibility. Ability to cross cover for all non-clinical positions. Keeps Manager/Director updated on significant operational issues that require escalation via daily Huddles. Serves as the on-site point person for staff performance and relations, includes resolving administrative problems at the practice level in collaboration with the Manager/Director. Serves as the on-site point person for patient relations, patient flow, response to patient inquiries, issue resolution, etc. and adjusts as necessary to enhance achievement of practice objectives. Participate in the monitoring of inventory and procurement systems, including working with Facilities and Purchasing to secure supplies and equipment necessary to operations. May provide back-up support for other areas and/or locations within or across practice locations on an as needed basis. Other duties as consistent with this role. Department-Specific Duties and Responsibilities For Specialty Practices: All of the above Essential Duties and Responsibilities are applicable to assigned IMG and HOD areas. Performs appointment scheduling, procedure and/or surgery scheduling related activities based on department including ambulatory clinics in both IMG and HOD. Job Requirements Job Knowledge and Skills Demonstrated organizational, leadership and teamwork skills. Strong organizational and problem resolution skills. Ability to develop and maintain effective relationships with medical and administrative staff, providers, patients and the public. Excellent critical thinking and problem-solving skills required, including the ability to identify, analyze and resolve operational issues. Demonstrates team building skills. Ability to cross cover for all administrative positions. Excellent communication and leadership skills, and ability to work independently and autonomously. Proven excellent written and verbal communication skills. Ability to work both independently and within a team environment and a multi-dimensional environment. Creative, flexible, self-motivated, professional must possess sound judgment ability to implement activities consistent with achieving service excellence. Prior medical front office or customer service experience Electronic Medical Record (EMR) experience Microsoft Office suite (i.e., Word, Outlook, Excel) Education and Experience High school diploma or GED strongly preferred Associates or Bachelor's degree preferred 2 years of increased responsibility or prior leadership experience required. An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Occasional lifting/carrying up to 25 lbs. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $19.55 - $26.92 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Job Title: Palliative Care Physician Job Type: Per Diem Department: Palliative Care About Saint Joseph Hospital: Saint Joseph Hospital, in Nashua, NH has been a beacon of care for over 100 years, providing a nurturing environment for both our patients and staff. Join our team and become part of a legacy of excellence in patient care. Saint Joseph Hospital is seeking a dedicated and compassionate Palliative Care Physician to join our esteemed team. Our hospital is renowned for providing comprehensive, patient-centered care and is equipped with state-of-the-art medical technology and resources. We are in the heart of Nashua,NH offering a dynamic and supportive environment for medical professionals. Position Overview: The Palliative Care Physician will play a crucial role in delivering high-quality, patient-focused care to individuals with serious, life-limiting illnesses. The ideal candidate will possess a strong commitment to providing compassionate, comprehensive palliative care, working collaboratively with a multidisciplinary team to address the physical, emotional, and spiritual needs of patients and their families. Key Responsibilities: Provide expert palliative care consultations and follow-up care to patients in various settings, including inpatient, outpatient, and home care. Collaborate with a multidisciplinary team, including physicians, nurses, social workers, and chaplains, to develop and implement individualized care plans. Conduct thorough patient assessments, including medical history, physical examinations, and diagnostic evaluations. Manage complex symptoms, including pain, nausea, and respiratory distress, to improve the quality of life for patients. Facilitate discussions with patients and families regarding prognosis, goals of care, and advance care planning. Educate and support healthcare providers, patients, and families about palliative care principles and practices. Participate in quality improvement initiatives, research, and educational activities to advance the field of palliative care. Qualifications: Medical degree (MD or DO) from an accredited medical school. Board certification or eligibility in Hospice and Palliative Medicine. Valid state medical license. Demonstrated expertise in palliative care, pain management, and symptom control. Strong interpersonal and communication skills, with the ability to build rapport with patients, families, and healthcare team members. Commitment to continuous professional development and staying current with advancements in palliative care. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Our people make the difference. See firsthand what makes our employees and culture shine!

Incumbent collects human clinical specimens using established, approved laboratory methods, in a safe and efficient manner. Methods employed may include venipuncture, capillary puncture, and collection of swabs for detection of microorganisms. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Established patient identification protocols are followed consistently. Inpatients are identified by their wristbands, with no errors. Outpatients, including residents of assisted living facilities, are identified by having patient verbally spell complete name, confirm state and date of birth. Interprets laboratory orders from clinical provider staff and enters orders into hospital computer systems. Clinical Collect device is used appropriately in both inpatient and outpatient settings. Outpatient specimens are collected based on the requisition (not label). Compare requisition to Clinical Collect to verify all information. Correctly selects existing patient file from a search list 100% of time. Quality Assurance review of all orders for accuracy is done before drawing the patient's blood to ensure tests are crossing the interface and not missed. Duties may include registering patients in the hospital admission and billing systems, verifying insurance coverage, placing physician orders into the order entry system, verifying information for medical coding and billing, and resolving client concerns and inquiries. May register patients for non-lab departments, such as Diagnostic Imaging (to include X-ray, Ultrasound, Bone Density and Mammogram) and Milford Urgent Care. Performs minor specimen processing tasks which may include centrifugation of specimens, separation of serum/plasma and specimen preservation. Interacts with patients, physicians, and hospital staff members in a professional manner. Periodically, phlebotomists will be required to collect and process blood samples for legal blood alcohol testing when requested by law enforcement. Performs clerical duties as needed to create, maintain, and communicate patient data to health care providers. All specimens are labeled and initialed according to established policies. Ask patients to verify labeled specimens. Specimens accepted from patients or healthcare providers are verified for proper labeling and specimen integrity prior to allowing the individual to leave. Understands specimen requirements and venipuncture techniques applicable to all age groups. Familiar with and competent in using all types of specimen collection equipment. Organizes / prioritizes test requisitions to ensure timely collection of specimens. Obtains STAT specimens within 15 minutes of request. Collects appropriate specimen type and amount, according to established policy, to ensure specimens are suitable for accurate testing. Research specimen requirements when needed. Performs capillary puncture according to established procedures. Understands and follows special collection protocols, such as collecting blood cultures, timed specimens, tolerance tests, throat cultures, nasal swabs and breath tests. Productivity standards are consistently met: An average of 6 to 8 minutes for one inpatient; 5-7 minutes for each outpatient. Handles collected specimens to ensure they are delivered for optimum laboratory processing. Uses pneumatic tube appropriately. STAT specimens sent to lab immediately Repeat venipuncture attempts are minimized and conducted according to policy. Checks the collection lists and computer to consolidate requests and verify patient has/has not been recently drawn. Monitors wait list regularly to achieve low patient wait times and help meet patient satisfaction goals. Uses routine scheduled collection times to optimize patient flow. Recognizes, reports, and seeks appropriate intervention for signs and symptoms of complication or significant change in patient status (e.g., fainting, nausea, etc.). Provides patient education as needed including instructions for pre-collection preparation, specimen collection, and specimen labeling Performs administrative and clerical tasks such as registering patients, ordering tests, maintaining patient records in a filing system, filing important records, retrieving data, and sending reports to physicians via phone, mail, fax, or computer. Operates hospital and laboratory information systems effectively to enter and retrieve patient data. Performs basic patient reception and specimen processing duties to include registration, ordering of tests, test add-ons, centrifuging, poring off specimens (aliquoting), and preserving specimen appropriately. Registers patients accurately in the hospital information system by obtaining and verifying all required demographic and insurance information. Orders laboratory tests in HIS and LIS with utmost accuracy. Able to make corrections when errors occur. Identifies and effectively resolves specimen collection problems. Rejects improperly collected samples when appropriate. Documents follow-up for patient recalls. Ensures patient consent has been obtained, Medicare Secondary Payor questionnaires and Advanced Beneficiary Notices are completed as necessary. Performs phlebotomies at sites remote from the main hospital, including clinic collection stations, physician offices, nursing homes, business clients and health fairs. Assists in training new phlebotomists, students, and clinic office staff as needed. Acts as a resource in obtaining difficult venipunctures and answering technical phlebotomy questions. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Position requires knowledge of medical terminology and familiarity with clinical laboratory policies and procedures related to specimen collection, handling and processing. Entering and retrieving data from hospital and laboratory information systems Excellent communication skills, interaction with the public and medical/nursing personnel to promote positive outcomes, handling multiple priorities, and managing stress effectively Education and Experience National certification (ASCP or equivalent) in Phlebotomy is preferred but not required 6 months experience in phlebotomy preferred. Training in an approved school or program of phlebotomy is desired, but on-the-job training and experience will be evaluated through display of job knowledge and skills High School Diploma or GED preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Occasional lifting/carrying up to 25 lbs. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $17.73 - $24.42 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Nashua, New Hampshire: Full time Emergency Department PA St. Joseph Hospital Excellent Full time Opportunity for an Experienced Emergency Services Physician Assistant: Hospital ED location Work in a rewarding environment where you are a valued member of the team Join collegial group providers in a mission-based health system Work with caring and experienced support staff and administration Competitive Pay Emergency experience required (as a PA) New Hampshire is a Wonderful Place to Work, Live and Play: Nashua is the only city in the country voted the “Best Place to Live in America” twice by Money magazine. Located just north of the Massachusetts border, Nashua is nicknamed the "Gate City" for its proximity to. Boston, the White Mountains and the seacoast. This once-small mill town is now New Hampshire's second-largest city after Manchester, with a diverse population of more than 175,000 people. Nashua and the Greater Nashua region offers a wide array of ethnic foods and entertainment, as well as other attractions such as the historic downtown area, the Nashua Pride professional baseball team, the Spartan's Drum and Bugle Corps, the Nashua Symphony and the Northern Ballet. Nashua and surrounding areas offer a selection of excellent public, private and parochial schools. 1hr to Boston, 1.5hrs to Providence, 4.5hrs to NYC, 22min to Manchester, 2hrs to Portland. New Hampshire residents pay no state income tax or sales tax! Link to Community St. Joseph's Nashua Highlights Include: St Joseph Hospital Nashua, a member of Covenant Health, is a regional full-service hospital serving the Greater Nashua area, western New Hampshire and northern Massachusetts since 1908. The 208-bed hospital combines the latest technologies with personalized medicine and includes around-the-clock Emergency Care services; a DNV GL-accredited Stroke Program; comprehensive Breast Care Center; specialized Cancer Center; Cardiovascular and Diabetes Center; Labor and Delivery services at the Childbirth Center; and an extensive network including primary and specialty care providers. To learn more, please visit: stjosephhospital.com. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $1.00 - $999.99 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry Uses established nursing standards/policies when designing patient care following the New Hampshire Board of Nursing, State and Local requirements, and ANA guidelines. Establishes and measures general and unit specific competencies in collaboration with clinical education, and provides opportunity for staff members to achieve their required competencies. Ensures staff complete all onboarding requirements. Chairs nursing-related committees and councils. Provides mentorship for staff enrolled in clinical advancement. Use of an electronic medical record Establishes an environment to promote ongoing clinical research, inquiry, and expansion of the clinical nursing knowledge base. Uses evidence for best practice Facilitates active involvement in recruitment activities, interviews, and candidate selection. Involves staff with the interview process Promotes continuous improvement through proactive department auditing and Process Improvement Plan (PIP) requirements. Reporting results at various committees focused on improved quality outcomes. Identifies personnel issues, consults with human resource department and/or appropriate manager/director. Resolves issues appropriately and completes necessary documentation. Is creative with communication to disseminate information in a timely fashion and encourage early and direct input into the decision-making process with all stakeholders Facilitates the Unit Advisory Committee activities to address issues relevant to staff members within the unit/department, promoting shared governance. Supervises and evaluates work performance of Clinical Resource Nurse in terms of patient care and staff development. Ensures timely and effective evaluation of all unit personnel. Ensures timely and effective evaluations of all unit personnel. Ensures timely completion of all employee career interviews. Actively participates in routine Leadership rounding with patients and staff. Actively participates in Environment of Care (EOC) Rounds, reporting issues for correction. Acts as a resource for nursing care areas when acuity and census outweigh resource availability. Responsible to monitor and ensure staff compliance with mandatory certifications and education requirements Identifies and implements unit goals. Participates in meetings to discuss and suggest strategies for improvement in the patient care environment. Disseminates outcomes of nurse driven process improvement initiatives and reports out to quality council Provides a just culture environment. Responds to all safety and or risk events in a timely manner Meets requirements of outside regulating agencies, including DNV, CMS, and other agencies as appropriate to the clinical area. Monitors and disseminates patient and staff satisfaction scores to unit with a focus on achieving 75th percentile ranking. Facilities staff education on regulatory compliance. Assures staff is competent in providing culturally diverse care. Attends leadership training sessions offered by the Employee Experience Department. Monitors unit productivity daily and flexing staff to achieve 98% or better. Evaluates staffing patterns annually to meet patient care needs and formulates accurate operating and capital budgets. Operates within the budgeted FTEs and maintains position control. Identifies reasons for variances and develops action plans. Ensures unit schedule is posted on time with adequate staffing to support the needs of the department. Promotes certification and membership in a professional organization. Maintains active nursing licensure and certifications, required for the department. Competes review of assigned policies, providing edits when due and follows the approval process. Completes review of assigned contracts annually including assessments as required. Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Registered Nurses working in specialty areas must meet requirements for those specialties as determined by that specific discipline. Certification in specialty or Nursing Leadership preferred Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience Current New Hampshire RN license required Minimum of 3-5 Years clinical nursing experience required. ASN, BSN degree strongly preferred. MSN degree preferred. Basic Life Support (BLS) required. Crisis Prevention Institute de-escalation training (CPI) required or obtained within 60 days of hire. Advanced Cardiac Life Support (ACLS) preferred - required within 60 days of hire, excluding Inpatient Rehab. and Senior Behavioral Health units NRP- Preferred - required within 60 days of hire for Maternal Child Health and ED. PALS- Preferred - required within 60 days of hire for Emergency Department. TNCC - Preferred - required within 1 year of hire for the Emergency Department TCAR - Preferred - required within 1 year of hire for the ICU, PACU and OR Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $88,749.59 - $133,124.39 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

The Advanced EMT (AEMT) performs patient care functions under the direction of ED providers and RNs. It should be understood that the primary responsibility for an individual patient will remain with the assigned RN. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry Perform standard assessments using basic and complex equipment Based on assessments, identify patient care priorities Reassess patient status/needs at appropriate intervals Report patient status changes/needs to appropriate RN, Paramedic or ED physician/treating clinician Initiate/maintain IV access lines in ED and other patient areas, excluding central lines Initiate/maintain intraosseous (IO) access lines with physician approval Perform blood draws and send to lab according to policy Removal of IV/IO lines Obtain 12 lead EKG and present to ordering provider Obtain and evaluate FSBG Wound dressing application Obtain Clean Catch Urine Transport patients to other departments or inpatient rooms Administer medications as ordered by ED physician/treating clinician, in accordance with the National Scope of Practice for AEMT's and in accordance with Hospital Policies and Procedures. Set up suture sets Simple splint Application Order entry using RN Symptom-Based Order Guidelines Restocking of supplies as needed Maintains confidentiality Able to communicate verbally and in writing Communicate patient status or needs to RN, Paramedic or ED physician/treating clinician, as needed Document procedures, medications, etc. in electronic medical record Serve as patient advocate as needed Monitor department for cleanliness and safety issues and report as appropriate Meet standards of job analysis form Ensure patient comfort Collaborate with ED Team to expedite care Pay attention to patient needs Interact positively with members of team, other departments and services Respect patient's culture, lifestyle, religion and age when planning or implementing care Accept constructive criticism and channels emotional reaction in a positive manner Other duties as trained and credentialed Job Requirements Job Knowledge and Skills Workplace Violence Point of care competencies (urine dip, glucose monitoring) IV competencies EKG/Automatic External Defibrillation IO insertion/removal Learning and Leadership Development Academy modules, as assigned Education and Experience: Current New Hampshire licensed AEMT required. BLS Certification required. Minimum five years as a practicing pre-hospital AEMT preferred. An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $24.95 - $37.42 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Prepares patient for examination/visit. Obtains and thoroughly documents patient vital signs and reason for visit. Prepares patient chart for provider. Reviews current medications, allergies, treatments, height, weight, problem list and additional criteria as requested by provider. Reviews and documents patient history (immunization, screenings, etc.). Instructs patient in collection of samples and preparation for tests. Assists providers with patient examinations and procedures. Assists with the preparation of equipment/instruments Assists with patient education. Screens and documents patient calls determining the urgency of the problem; consults with provider regarding treatment and advises patient accordingly. Performs patient triage. Documents charts including returned phone calls, missed appointments or other clinical issues, with initials, date and time. Takes messages and assists providers with return phone calls. Calls in prescriptions per provider orders and protocols. Retrieves records and files/imports patient test results. Notifies patient of test results per provider direction thoroughly documenting patient outreach in a timely manner. Perform all required QCs (test and equipment) Preloads pertinent patient history in EMR. Performs tests as instructed (i.e., EKGs, lab, vision, hearing, PFT, non-stress). Administers allergy injections, medications, immunizations and other measured injectables per provider orders. Performs dressing applications and changes. Removes sutures. Performs venipuncture per provider orders. Prepares, cleans and stocks exam rooms. Schedules patient appointments and assists in scheduling patient tests. Prepares or performs pre-certifications and prior authorizations. Orders and maintains medical supplies. Orders and maintains vaccine inventory. Assists front office as needed. Completes general filing/scanning/importing Coordinates and completes paperwork/forms as directed related to referral, health/school/sports, immunizations, excused from/return to work/school, childcare and medication administration. Charts completion as required. Performs duties per scheduled hours arriving/leaving on time and completing assigned responsibilities. Demonstrates flexibility in assisting with support/coverage within the practice network. Other duties as consistent with this role. *For Specialty Practices: Performs appointment scheduling, procedure and/or surgery scheduling related activities based on department including ambulatory clinics in both IMG and HOD. Job Requirements: Job Knowledge and Skills Maintain competency in those activities which contribute to ongoing professional development and those required by department/organization policy. Demonstrates the ability to organize and prioritize work to expedite patient care. Education and Experience RN State of New Hampshire license. BLS/CPR, AED Certification Required (must be completed within 3 months of hire date) 3+ years nursing experience preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $31.84 - $47.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!