American Ambulance jobs in Visalia, CA

Multi-Facility Physical Therapist (PT) Lead Needed!! - Join Avante Skilled Nursing and Rehabilitation Center! Are you a PT looking to grow in your career? Are you a PT dedicated to patient care? Avante Group has the role for you!!! Based out of Avante at Ocala Skilled Nursing and Rehabilitation Center, we are seeking a Multi-Facility Physical Therapist Lead to oversee and coordinate resident assessments, ensuring compliance with federal, state, and local regulations for our in-house therapy departments in Marion and Lake Counties. If you're looking for a role that truly makes an impact, we invite you to join our compassionate and driven team! Why Avante? At Avante, we believe in providing the highest quality of care to our residents while fostering a supportive and rewarding work environment for our team. Benefits You'll Love: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision and more!) Strong Retirement Plan for Your Future Paid Time Off & Holidays to Recharge Tuition Reimbursement - Invest in Your Education Health & Wellness Programs to Keep You Feeling Your Best Employee Recognition Programs - Win prizes & an annual cruise! A Collaborative Work Environment - We value your voice! (Employee surveys, check-ins, & town halls) Advancement Opportunities - Grow Your Career with Us! Avante Offers DAILY PAY! Work Today, Get Paid Today! Job Function: Provides and directs Physical Therapy services to residents, including assessment, treatment, program planning and implementation, related documentation, and communication. Functions under physicians' orders. Responsibilities Include: • Provides Physical Therapy services to residents and initiates referrals when appropriate and in accordance with department procedures. • Conduct screenings of residents at regular intervals to determine the need for intervention/treatment. • Evaluates residents to obtain data necessary for treatment planning and implementation. • Conduct specialized evaluations as indicated. • Adheres to established confidentiality standards. • Implements and conducts treatment as outlined in treatment plan. • Follows management direction. • Performs other duties as assigned. Education and Experience: • Bachelor of Science in Physical Therapy from an accredited program. • Successful completion of National Certification Examination for Registered Physical Therapist. • Current state licensure or license eligible. • 1-3 years of long-term care experience. If you are passionate about patient care and a rewarding work environment, Don't Hesitate- Apply Today! Avante provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Avante expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of Avante's employees to perform their job duties may result in discipline, up to and including, discharge.

Kaiser Permanente - Southern California Permanente Medical Group has an opening for the Medical Physics Residency Program in Diagnostic Imaging and Nuclear Medicine. The residency program is accredited by the Commission on Accreditation of Medical Physics Education Programs (CAMPEP). The program provides structured training and progress assessment in all aspects of clinical medical physics in diagnostic imaging and nuclear medicine, with direct supervision by the medical physics faculty. Training occurs in 15 regional hospitals and affiliated medical offices across Southern California. The curriculum provides comprehensive, mentored, hands-on experience, and progressive responsibility providing the opportunity to work towards becoming fully independent upon completion of the program. The medical physics resident will be expected to work in this training position for 3 years to qualify for both ABR Diagnostic and Nuclear Medical Physics certification exams. Essential Responsibilities: Under supervision, performs acceptance testing on all types of radiological imaging equipment to meet new equipment specifications and baseline image quality assurance metrics. Under supervision, performs radiation dosimetry calculations and computerized data analysis. Under supervision, performs equipment surveys including State of California, American College of Radiology (ACR) and Joint Commission required testing of diagnostic modalities such as radiography, fluoroscopy, mammography, CT, ultrasound, MRI and nuclear medicine equipment. Support clinical medical physics of diagnostic imaging modalities to maintain compliance with regulatory and accreditation requirements. Assist with clinical support as well as health system staff training and education. Assist with administrative efforts with regards to inspections and regulations. Fulfill duties as assigned, including proper and complete documentation of clinical projects and clinical rotations. Basic Qualifications: Experience N/A Education M.S. or Ph.D. in medical physics, physics, engineering or a closely related discipline. License, Certification, Registration N/A Additional Requirements: Candidates must provide proof of eligibility to work in the United States. Candidates must have excellent verbal and written communication skills, basic knowledge in radiation physics, and a strong interest in working with a multidisciplinary medical team. Preferred Qualifications: Preferred candidates should have a degree from CAMPEP accredited Medical Physics graduate program, or have completed all the CAMPEP required didactic coursework.

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation. Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new hires and trains students. Fills in as necessary in the absence of the Supervising Radiology Technologist. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 851 Basic Qualifications: Experience Minimum of two (2) years of experience in two Specialties (Identify specilaities: IR, and/or CT) OR one year of experience in each Specialty with an American Registry of Radiologic Technologists (ARRT) Certification in each Specialty,OR 1 year of experience in one Specialty with an ARRT in that Specialty and two years of experience in a second Specialty. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Certified Radiologic Technologist - Mammography Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Basic Life Support Additional Requirements: ACLS - When required for the position. Ability to perform all general diagnostic and routine fluoroscopic duties on patients of all ages as determined by the employer. Ability to read, write and comprehend instructions, correspondence, and memos. Ability to effectively present information to individuals and groups with varying knowledge of Radiology services. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed Radiologic Technologists working on or before October 05 at Kaiser Permanente WITHOUT California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. California Mammography Certificate, when required for the postion. Preferred Qualifications: N/A

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new hires and trains students. Fills in as necessary in the absence of the Supervising Radiology Technologist. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 817 Basic Qualifications: Experience Minimum of two (2) years of experience in a Specialty (CT) OR one year of experience in a Specialty with an American Registry of Radiologic Technologists (ARRT) Certification in that Specialty. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Fluoroscopy Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Basic Life Support Additional Requirements: ACLS - When required for the position. Ability to perform all general diagnostic and routine fluoroscopic duties on patients of all ages as determined by the employer. Ability to read, write and comprehend instructions, correspondence, and memos. Ability to effectively present information to individuals and groups with varying knowledge of Radiology services. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. Radiologic Technologists working on or before October 05 at Kaiser Permanente WITHOUT California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. California Mammography Certificate, when required for the position. Preferred Qualifications: N/A

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation. Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new staff and trains students. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 797 Basic Qualifications: Experience N/A Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Venipuncture Certificate (California) Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Basic Life Support Additional Requirements: California Mammography Certificate (when required for the position).Ability to perform all general diagnostic and routine fluoroscopic duties as determined by the employer. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. (2) Radiologic Technologists working on or before October 05 at Kaiser Permanente without California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. Preferred Qualifications: N/A

Under the direction of the Diagnostic Imaging Director, prepares, measures, and administers radiopharmaceuticals in diagnostic and therapeutic studies. Utilizing efficient and safe processes, performs related technological functions to ensure optimal diagnostic quality of patient care. Essential Responsibilities: As prescribed by Physician, performs diagnostic studies on patients using scanners or scintillation cameras to detect radiation emitted and to produce image of organ on photographic film. Under the general supervision of the Physician, prepares stock solutions of radiopharmaceutical materials, calculates doses, and administers doses. Administers therapeutic doses of radiopharmaceuticals under direct supervision of the physician. Measures radioactivity, using Geiger counters, scalers, and scintillation detectors. Calibrates equipment. Follows radiation safety techniques in use and disposal of radioactive materials. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Corporate Compliance Accountability: Consistently supports the precepts of Corporate Compliance and Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures. Grade 865 Basic Qualifications: Experience N/A Education High School Diploma/GED License, Certification, Registration Nuclear Medical Technologist Certificate (California) Basic Life Support Additional Requirements: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other incumbents of the organization. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Preferred Qualifications: May be registry eligible with the American Registry of Radiologic Technologists (ARRT), American Society of Clinical Pathologists (ASCP) and/or Nuclear Medicine Technology Certification Board (NMTCB).

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). EOE, disability/veterans

Under the indirect supervision, provides patient services using imaging modalities. Performs a variety of angio interventional procedures on patients of all ages. Evaluates images for technical quality. Exercises professional attitude and judgment in the performance of duties. Provides patient care essential to angio interventional procedures. Recognizes patient conditions requiring immediate action and initiates life support measures. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Customer Service: Is responsive to the needs of others by maintaining a professional behavior toward members and coworkers and creating a positive image for the department, as demonstrated by: willingness to take the initiative to resolve member issues. Handling a high number of member contacts. Dealing with customer complaints in a positive way. Providing compassionate service. Treating coworkers with respect and appreciation. Fostering teamwork and thinking positively. Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences. Demonstrates competence in the operation of radiographic equipment, both mobile and stationary in various patient care settings. Consistently selects correct technical factors relative to the requirements of the study and the patients age and body habitus. Consistently selects other equipment settings/parameters (e.g. locks on equipment and tables, tube placement, control panel settings, etc.) appropriately. Consistently processes radiographic images properly, utilizing automated equipment. Uses proper sterile technique. Consistently operates imaging computer properly and in accordance with department protocols (CT, MRI). Demonstrates knowledge of, and consistently uses ancillary equipment (e.g. catheters, guidewires, etc.) properly. (Angio) fostering teamwork and thinking positively. Demonstrates competence in the positioning of patients for radiographic imaging. Routinely positions patients accurately relative to the requirements of the study as stated in the department protocols. Utilizes various immobilizing devices such as sponges and sandbags whenever necessary to obtain acceptable radiographs and/or electronic images. Always takes special care in handling/positioning patients with critical injuries or trauma to avoid further injury. Age Specific Criteria: Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of the age group served. Able to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his or her age specific needs and to provide the care needed in accordance with department policy. Neonatal pediatric adolescent adult geriatric adjusts technical factors relative to the requirements of the study and the physical maturation of the patient. Modifies patient positioning techniques relative to the patients physical and cognitive abilities. Always takes special care in handling, positioning and/or restraining infants and geriatric patients to avoid injury or excessive radiation exposure. Never leaves infant, pediatric or disoriented geriatric patient unattended. Exercises Good Clinical Judgment: Consults with the radiologist or other clinician for purposes of clarifying orders. Selects alternate or additional view appropriately relative to the patients condition. Does not attempt to perform an exam in any case in which it cannot be performed safely and/or properly. Documents clinical activities in a timely, comprehensive, and accurate manner. Completes and initials the standard consultation form and the Radiology Processing Record accurately and immediately following each procedure. Additional Performance Standards for Senior Technologist: Provides functional direction to assigned staff. Consistently assigns work to staff appropriately so that exams are performed in a timely manner. Routinely provides timely feedback to management regarding operational problems and personnel issues. Communicates effectively with other departments to promote positive interdepartmental relationships. Demonstrates organizational skills and creativity in the resolution of operational problems within the department. Organizational Rules, Policies, and Procedures: Observes all organizational, regional, medical service area and Diagnostic Imaging Department policies and procedures. OIs compliant with organizational, regional and medical service area policies and procedures. Observes Regional Radiation Safety Standards and Department Safety Policies. Quality of Service: Maintains standards of professional behavior established to enhance quality of service. Greets members promptly and courteously with eye contract and a pleasant expression and tone of voice. Informs members of reason for any delays or anticipated delays in their care. Treats all patients in accordance with the Patients Bill of Rights. conducts only work related conversations when members are waiting for service. Communication: Demonstrates good communication skills. Communicates verbally in a clear and concise manner. Demonstrates courteous and appropriate telephone skills. Speaks English in the presence of patients except as required to interpret for non English speaking patients. Communicates in writing accurately, completely and legibly, and routes such communication appropriately and in a timely manner. Professional Maturity: Demonstrates professional maturity in all interactions with patient and staff. Strives to maintain good working relationships and rapport with patients, other members of the department and the health care team. OIs flexible and cooperative about schedule changes made to maximize productivity and efficiency. Responds appropriately to constructive criticism from supervisors and peers. Functions independently within defined scope of position. Productivity: Meets productivity norms achieved by peers within the department or the Region. Equipment, Supplies and Work Area: Maintains equipment, supplies and work area in accordance with department guidelines. Keeps equipment and work area clean at all times. Routinely handles equipment with care to avoid damage. Reports equipment malfunctions to supervisory staff promptly. Assume other activities and responsibilities from time to time as directed. Basic Qualifications: Experience Minimum two (2) years experience as a staff technologist in Interventional Radiology or successful completion of the department angiography interventional training program. Education N/A. License, Certification, Registration Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Radiologic Technologist Certification from American Registry of Radiologic Technologists Basic Life Support within 3 months of hire Additional Requirements: N/A. Preferred Qualifications: Certificate of advanced qualification: ARRT-Vascular Interventional Radiography (VI) and/or Cardiovascular Interventional Radiography (CV) Venipuncture Certificate Additional training in the use and practices of angiography interventional procedures Notes: Rotational afterhours, weekend, and holiday standby/call. 30-minute report time for call shift.

Operates magnetic resonance imaging equipment to produce cross-sectional images (photographs) of patients body for diagnostic purposes. Under the direction of the Chief of Radiology and the Imaging Services Director, with latitude for independent judgment, ingenuity and initiative, performs related technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs patient studies according to set protocol including placing specified coil close to area of interest. Operates imaging and other equipment devices so that quality diagnostic services are provided, including keying commands to specify scan sequences into computer, adjusting transmitters and receivers, and keying in data on keyboard of camera to photograph images. Interviews patient to explain magnetic resonance imaging procedures to address patient concerns and exhibits a high degree of tact, courtesy and poise when interacting with patients, staff, and visitors. Ensures patient and staff safety, including explaining safety protocol, requesting removal of hazardous metal objects, alerting staff of danger or carrying metal around magnet, and monitoring patients via closed circuit TV. Orients new hires and trains MRI Technologist, students, trainees. Trains MRI Technologists I in MRI procedures. May be required to direct, check and train other MRI employees in absence of MRI Supervising Technologist. Perform other related duties as necessary. Supervisory Responsibilities This job has no supervisory responsibilities. Grade: 870 Basic Qualifications: Experience Have two (2) years Regular (twenty (20) hours or more per week) continuous recent experience as a MRI Technologist and be fully proficient in all the duties required of a MRI Technologist II to the satisfaction of the department manager. Education High School Diploma/GED. License, Certification, Registration Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) within 6 months of hire Basic Life Support Additional Requirements: Must have demonstrated proficiency in teaching other Technologists. May be required to direct, check and train other MRI employee. Must be fully proficient in MRI to the full satisfaction of the department manager and have knowledge of the required protocols in performing complex MRI procedures. Effective oral and written communications skills. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other incumbents of the organization. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Preferred Qualifications: ARRT certification preferred.

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new hires and trains students. Fills in as necessary in the absence of the Supervising Radiology Technologist. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 817 Basic Qualifications: Experience Minimum of two (2) years of experience in a Specialty (CT) OR one year of experience in a Specialty with an American Registry of Radiologic Technologists (ARRT) Certification in that Specialty. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Fluoroscopy Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Basic Life Support Additional Requirements: ACLS - When required for the position. Ability to perform all general diagnostic and routine fluoroscopic duties on patients of all ages as determined by the employer. Ability to read, write and comprehend instructions, correspondence, and memos. Ability to effectively present information to individuals and groups with varying knowledge of Radiology services. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. Radiologic Technologists working on or before October 05 at Kaiser Permanente WITHOUT California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. California Mammography Certificate, when required for the position. Preferred Qualifications: N/A

PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients' response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. · Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. · Performs assessment and identifies barriers of the Home Dialysis candidate's home environment and partner / family readiness and ability to perform dialysis treatments in the home. · Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. · The position may require travel to training sites, other facilities or patient homes. · May be asked to provide essential functions of this position in other locations including patient's home with the same physical demands and working conditions as described above. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 12 months experience as a RN. · Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Minimum of 1-year experience as a Registered Nurse (preferred) · Home dialysis therapy experience (preferred). The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $34.50 - $59 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

Under direct supervision, performs diagnostic and therapeutic procedures utilizing radiopharmaceuticals. Prepares pharmaceuticals for diagnostic and therapeutic procedures. Applies principle of radiation protection. Calibrates radiation detection equipment. Exercises professional judgment in performance of service. Provides patient care. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Customer Service: Is responsive to the needs of others by maintaining a professional behavior toward members and coworkers and creating a positive image for the department, as demonstrated by: willingness to take the initiative to resolve member issues. handling a high number of member contacts. dealing with customer complaints in a positive way. providing compassionate service. treating coworkers with respect and appreciation. fostering teamwork and thinking positively. Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences. Demonstrates competence in the operation of complex Nuclear Medicine equipment, both mobile and stationary in various patient care settings. consistently selects correct technical factors relative to the requirements of the study. consistently selects other equipment settings/parameters appropriately. consistently processes electronic images properly, utilizing automated equipment. consistently selects, prepares and assays the correct radiopharmaceutical for the required exam. routinely selects and operates quality control monitoring equipment appropriately to produce accurate results. Administers radiopharmaceuticals safely and properly. always administers the correct isotope. always measures and administers the correct dose. always verifies the identity of the patient before administration. routinely adheres to infection control techniques relative to radiopharmaceutical administration. routinely performs venipuncture in accordance with established department procedure. Age Specific Criteria: Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of the age group served. Able to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his or her age specific needs and to provide the care needed in accordance with department policy. neonatal. pediatric. adolescent. adult. geriatric. adjusts dosage and technical factors relative to the requirements of the study and the physical maturation of the patient. modifies patient positioning techniques relative to the patients physical and cognitive abilities. always takes special care in handling, positioning and/or restraining infants and geriatric patients to avoid injury or excessive radiation exposure. never leaves infant, pediatric or disoriented geriatric patient unattended. Exercises Good Clinical Judgment. consults with the radiologist or nuclear medicine physician for purposes of clarifying orders. selects alternate or additional view appropriately relative to the patients condition. does not attempt to perform an exam in any case in which it cannot be performed safely and/or properly. Documents clinical activities in a timely, comprehensive, and accurate manner. completes and initials the standard consultation form and the Radiology Processing Record accurately and immediately following each procedure. consistently documents required statistics relative to the use of radiopharmaceuticals (e.g. dosage, dose administered, disposal records, etc.) Additional Performance Standards for Senior Nuclear Medicine Technologist. Provides effective, functional direction to assigned staff. consistently assigns work to staff appropriately so that exams are performed in a timely manner. routinely provides timely feedback to management regarding operational problems and personnel issues. communicates effectively with other departments to promote positive interdepartmental relationships. demonstrates organizational skills and creativity in the resolution of operational problems within the department. Organizational Rules, Policies and Procedures. Observes all organizational, regional, medical service area and Diagnostic Imaging Department policies and procedures. oIs compliant with organizational, regional and medical service area policies and procedures. observes Regional Radiation Safety Standards and Department Safety Policies. Quality of Service. Maintains standards or professional behavior established to enhance quality of service. greets members promptly and courteously with eye contact and a pleasant expression and tone of voice. informs members of reason for any delays or anticipated delays in their care. treats patients in accordance with the Patients Bill of Rights. conducts only work related conversations when members are waiting for service. Communication. Demonstrates good communication skills. communicates verbally in a clear and concise manner. Communicates verbal instruction to member in a manner that is conducive to understanding and compliance. demonstrates courteous and appropriate telephone skills. speaks English in the presence of patients except as required to interpret for non English speaking patients. communicates in writing accurately, completely and legibly, and routes such communication appropriately and in a timely manner. Professional Maturity. Demonstrates professional maturity in all interactions with patients and staff. strives to maintain good working relationships and rapport with patients, other members of the department and the health care team. oIs flexible and cooperative about schedule changes made to maximize productivity and efficiency. responds appropriately to constructive criticism from supervisors and peers. functions independently within the defined scope of position. Productivity. Meets productivity norms achieved by peers within the department or the Region. Equipment, Supplies, and Work Area. Maintains equipment, supplies and work area in accordance with department guidelines. keeps equipment and work area clean at all times. routinely handles equipment with care to avoid damage. reports equipment malfunctions to supervisory staff promptly. orders, receives, handles, and stores radiopharmaceuticals appropriately and in accordance with Regional Radiation Safety policies. Reports to Assistant Director, Diagnostic Imaging. Assume other activities and responsibilities from time to time as directed. Basic Qualifications: Experience N/A Education Please refer to the minimum work experience. License, Certification, Registration American Registry of Radiologic Technologists Certificate - Nuclear Medicine Technologist from American Registry of Radiologic Technologists OR Nuclear Medicine Technologist Certificate from Nuclear Medicine Technology Certification Board Nuclear Medical Technologist Certificate (California) Basic Life Support within 4 months of hire Additional Requirements: N/A Preferred Qualifications: Two (2) years of experience as a Nuclear Medicine technologist in a major medical center. Knowledge of Marconi, GE, and Siemens equipment. Notes: This position requires working every weekend at all locations in the San Diego service area.

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation. Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new staff and trains students. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 797 Basic Qualifications: Experience N/A Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Venipuncture Certificate (California) Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Basic Life Support Additional Requirements: California Mammography Certificate (when required for the position).Ability to perform all general diagnostic and routine fluoroscopic duties as determined by the employer. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. (2) Radiologic Technologists working on or before October 05 at Kaiser Permanente without California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. Preferred Qualifications: N/A

Under direct supervision of the Imaging Services Director and Chief of Diagnostic Imaging, operates bone densitometry equipment to produce quality images. Perform related technical functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Assists radiologists and/or technologists during procedures. Maintains the highest standard of patient care as specified in regional and local policies and procedures. Assembles supplies needed for examinations and transports patients as needed. Operates and records bone densitometry images of optimal diagnostic quality by set standards and procedures based upon individual patient needs. Completes scans re-analysis and distribution to referring physicians, outpatient records, and bone density files. Performs procedures such as archiving, copying, and sending optical/floppy discs to other facilities as well as archiving database. Retrieves and delivers film jackets as needed. Uses computerized systems to maintain daily logs, patient schedules and performs any other related clerical duties as needed. Understands the computer programs and required protocols for examinations. Maintains proper file room inventories. Assumes responsibility for the orderliness and cleanliness of the bone density suite and other imaging areas assigned. Cleans technical and auxiliary equipment to ensure quality and hygiene for infection control purposes. Answers phones and explains department procedures when needed. Must be able to train new B.D.T. employees and students, as needed. Perform other related duties as necessary. This job has no supervisory responsibilities. Grade 445 Basic Qualifications: Experience Two (2) years experience. Per the National Agreement, current KP Coalition employees have this experience requirement waived. Education High School Diploma/GED. Must have completed a State of California approved course of training in Bone Densitometry. Graduate of an accredited Medical Assisting Program or an in-house Kaiser Permanente Medical Assisting program, or have at least two (2) years of experience assisting patients and physicians in a high-volume department. License, Certification, Registration Bone Densitometry Technologist Permit (California) Basic Life Support Additional Requirements: Must be fully proficient in Bone Densitometry to the full satisfaction of the department manager and have knowledge of the required protocols in performing Bone Densitometry procedures. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Preferred Qualifications: N/A

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new hires and trains students. Fills in as necessary in the absence of the Supervising Radiology Technologist. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 817 Basic Qualifications: Experience Minimum of two (2) years of experience in a Specialty (IR) OR one year of experience in a Specialty with an American Registry of Radiologic Technologists (ARRT) Certification in that Specialty. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Fluoroscopy Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Basic Life Support Additional Requirements: ACLS - When required for the position. Ability to perform all general diagnostic and routine fluoroscopic duties on patients of all ages as determined by the employer. Ability to read, write and comprehend instructions, correspondence, and memos. Ability to effectively present information to individuals and groups with varying knowledge of Radiology services. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. Radiologic Technologists working on or before October 05 at Kaiser Permanente WITHOUT California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. California Mammography Certificate, when required for the position. Preferred Qualifications: N/A

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new hires and trains students. Fills in as necessary in the absence of the Supervising Radiology Technologist. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 817 Basic Qualifications: Experience Minimum of two (2) years of experience in a Specialty (CT) OR one year of experience in a Specialty with an American Registry of Radiologic Technologists (ARRT) Certification in that Specialty. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Fluoroscopy Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Basic Life Support Additional Requirements: ACLS - When required for the position. Ability to perform all general diagnostic and routine fluoroscopic duties on patients of all ages as determined by the employer. Ability to read, write and comprehend instructions, correspondence, and memos. Ability to effectively present information to individuals and groups with varying knowledge of Radiology services. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. Radiologic Technologists working on or before October 05 at Kaiser Permanente WITHOUT California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. California Mammography Certificate, when required for the position. Preferred Qualifications: N/A

As an EMT, your mission is to maximize effective unit hours to best serve our community with responsiveness and professionalism. You will provide high-quality care, treatment, and transportation to all patients, ensuring compassion, respect, and equity in interactions with patients, their families, and co-responders. We value continuous learning and technical excellence, encouraging you to grow from experience and embrace challenges as opportunities for improvement. We expect integrity, accountability, and commitment to doing right. Essential Job Functions Maximize effective unit hours with timely log-ons, minimize chute times by moving with purpose, minimize scene times as per CCEMSA policy, and minimize hospital drop times with best efforts. Adhere to all American Ambulance and CCEMSA protocols, policies and procedures. Continually improve skills and knowledge base of pre-hospital medicine. Care for equipment, vehicles and facilities as if they are your own. Perform as exemplary employee at all times. Responsible for completion and accuracy of all paperwork and computerized records. Arrives to all work assignments on time, in the appropriate uniform, and with all appropriate certifications and credentials. Assures all safety rules and guidelines are followed. Maintains a Professional Appearance at all times when representing American Ambulance. Attend all training and meetings as required. Promote good morale by exhibiting exemplary conduct, a positive attitude, and support for all personnel and American Ambulance. Treats all patients, patient's families and friends, health care agency personnel, and all members of the public with respect and professionalism. Other Job Function This is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with notice. Qualifications High School diploma or GED Incoming age - 19 years Current CCEMSA EMT Certification Current Basic Cardiac Life Support Certification - Provider or Instructor Meets Operations Physical Fitness Test Standards Current California Driver's License, must have possessed the DL for 2 years. Current California Ambulance Driver Certificate Current DOT Medical Examiner's Card Meets insurability requirements for vehicle operation Current Tuberculosis test (not required for hire) Authority May not release employee-related information. May release call-related information. May not release Company-related information. May not use Company letterhead. Key Performance Measurements Attendance Punctuality Equipment Demands All Operations Ambulance Gurney Oxygen Equipment Stethoscope Sphygmomanometer Cardiac Monitor Suction Unit Radios/Pagers Pen-based tablet computer Emotional Demands Work any hours and days of the week Work irregular hours Work with different agencies Work with the public Work closely with co-workers Work with tight deadlines under pressure Work with frequent interruptions Professional appearance and conduct Good organizational skills Be confidential with privileged information Physical Demands Strength Test Lift 155 lbs. x 2 while maintaining control of the weight, proper lifting technique and foot position - simulates the strength/work required for one person lifting the head end of the gurney with a 250 lbs. patient. Physical Agility Test Carrying one piece of equipment in each hand (25 - 30 lbs. each), walk 100 yards which will include uneven terrain, a decline and an incline. Complete two minutes of continuous CPR compressions, maintaining adequate rate and depth of compression (< three errors). Pick up a barbell with 110 lbs., carry 20 yards forward and backward - simulates carrying a 200 lbs. patient. Environmental Demands Be able to work in temperatures with sudden changes Be able to work in poor lighting conditions Be able to work in a moving vehicle Be able to work indoors or outdoors Be able to work in all types of weather Position Type/Expected Hours of Work This is a full-time position (preferred). Days and hours of work may vary as job duties demand. Shifts are typically 12 or 24 hours in duration. Work weeks are from 48 - 60 hours. Travel Must be able to travel to assigned posts throughout Kings and Fresno Counties. Kings County currently has 5 designated posts, and Fresno County has 11. There may be occasional travel for conferences, seminars, and training. At-Will Employment Disclosure Employment with American Ambulance is at-will, meaning that either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice, and for any lawful reason or no reason at all. Nothing in this job description, employee handbook, or any other company document should be interpreted to create a contract of employment, express or implied, or alter the at-will nature of employment. Only a written agreement signed by the President can change the at-will status of employment. Reasonable Accommodations American Ambulance is committed to providing equal employment opportunities to qualified individuals with disabilities. If you require accommodations during the application or interview process, or to perform essential job functions, please contact ************************. We will work with qualified individuals to provide reasonable accommodations unless doing so would cause an undue hardship to the company or pose a direct threat to the health or safety of the employee or others. Supervises None Classification Non-exempt Effective Date February 1, 2006 Updated April 23, 2025

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation. Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new staff and trains students. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 797 Basic Qualifications: Experience N/A Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Venipuncture Certificate (California) Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Basic Life Support Additional Requirements: California Mammography Certificate (when required for the position).Ability to perform all general diagnostic and routine fluoroscopic duties as determined by the employer. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. (2) Radiologic Technologists working on or before October 05 at Kaiser Permanente without California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. Preferred Qualifications: N/A

Under the direction of the Imaging Services Director and Chief of Diagnostic Imaging, performs radiographic diagnostic imaging procedures to assist physicians in the diagnosis of disease and injuries. Operates the radiographic equipment to produce radiographic recorded images of the body. Performs technological functions to ensure optimal diagnostic quality of patient care utilizing efficient and safe processes. Essential Responsibilities: Performs specialized and routine diagnostic radiology procedures. Exhibiting a high degree of tact, courtesy, and poise, explains procedures to patient to reduce anxieties and obtain patient cooperation Prepares and positions patient for diagnostic imaging procedures. Adjusts immobilization devices to obtain optimum views of specified area of body requested by physician. Determines exposure factors based on height, weight, portion of body involved, and degree on penetration required. Moves imaging equipment into specified position. Adjusts equipment controls to set exposure factors and produce images of proper detail, density, and accuracy. Operates mobile radiologic equipment in operating room, emergency room, or at patients bedside. Assists radiologists and other qualified physicians who have a valid CA DHS RHB Supervisor Operator Permit for Fluoroscopy in fluoroscopic and special x-ray examinations. Prepares images for reading by radiologist or requesting physician. Processes images and reviews for proper identification and quality control. Performs routine maintenance, diagnoses malfunctions, and makes minor repairs on radiologic equipment, arranging for repairs as needed. Practices radiation protection techniques to minimize radiation to patient and staff. Completes forms and maintains records, logs, and reports of work performed. Orients new hires and trains students. Fills in as necessary in the absence of the Supervising Radiology Technologist. Performs other related duties as necessary. Supervisory Responsibilities: This job has no supervisory responsibilities. Grade: 817 Basic Qualifications: Experience Minimum of two (2) years of experience in a Specialty (Mammography) OR one year of experience in a Specialty with an American Registry of Radiologic Technologists (ARRT) Certification in that Specialty. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Certified Radiologic Technologist - Fluoroscopy Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Basic Life Support Additional Requirements: ACLS - When required for the position. Ability to perform all general diagnostic and routine fluoroscopic duties on patients of all ages as determined by the employer. Ability to read, write and comprehend instructions, correspondence, and memos. Ability to effectively present information to individuals and groups with varying knowledge of Radiology services. Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Radiologic Technologist Career Ladder Agreement (1) Radiologic Technologists without Venipuncture Certification - Working in a Modality where Venipuncture is NOT performed. Radiologic Technologists working on or before October 05 at Kaiser Permanente WITHOUT California Venipuncture Certification in a Modality where it is NOT performed as part of their work assignment will not be required to obtain it. For promotions, transfers or training in a Specialty that requires Venipuncture, the Technologist must obtain CA Venipuncture certification on or before the date of application. The employer will provide the Technologist with educational opportunities in order to pass the California permit test at the Technologists request. California Mammography Certificate, when required for the position. Preferred Qualifications: N/A