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Pate Rehabilitation jobs in Fort Worth, TX

- 482 jobs
  • Assistant Project Manager

    Vitality Group 4.5company rating

    Fort Worth, TX job

    We are looking for a Senior Project Engineer/Assistant Project Manager. We're looking for someone with the desire to build a career in construction. Our structure allows for professional growth for individuals with a desire to learn, a willingness to go the extra mile and who take pride in their work. Your path to become a Project Manager will go as quickly as the pace that you set. PRIMARY FUNCTION: As a Project Engineer/Assistant Project Manager, you will provide support to the team with the planning, developing and managing of tenant improvement commercial construction projects. With the rapidly changing conditions of the industry, this is a critical role and we are looking for someone with stable work history and Top ENR General Contractor experience. Duties include: participate in owner's meetings, meet alongside the PM with the design team and coordinate subcontractors and adjust the schedule as needed with the help of the PM and the Superintendent as well as drive the communication with the Subcontractors throughout the course of the project. You will be taken under the mentorship of a great leader/mentor who will do everything they can to teach you what you need to know to grow your career. All inquiries are confidential. This opportunity offers a competitive salary, plus a comprehensive benefits, bonus, training and development program, mentorship program and opportunities to advance at your own pace.
    $62k-80k yearly est. 3d ago
  • Project Director - Data Center

    Vitality Group 4.5company rating

    Dallas, TX job

    Data Center Project Director - Construction Dallas, TX | $250K - $345K We're looking for a highly capable Construction Leader with a strong track record delivering world-class data center projects. With significant opportunities ahead, we need someone who can lead and develop teams, drive growth, and shape operational strategy within a rapidly expanding data center division. We are a $750M+ Commercial General Contractor and have decades of experience in Life Sciences, Healthcare, Mission Critical, Higher Education sectors. We have a culture built upon transparency, quality work, client satisfaction, repeat business and a workplace that is energetic, positive, encouraging, optimistic and collectively believe we are doing great work for people and clients who need us. Desired Experience 15+ years of Commercial Construction experience 10+ years experience with Data Center Construction 5+ years of people leadership responsibilities Strong operational and technical competencies Strong oral and written communication skills Desire to lead the vision and strategy as the Business Unit Leader Bachelor's Degree in Construction Management, Engineering or related We offer a highly competitive compensation package that includes executive level perks, bonus, vehicle allowance and the resources needed to successfully lead this Division. If you are not local to Dallas, we offer a relocation package for non-local candidates. All inquiries are confidential. Please apply with your resume and we will schedule a call with you to discuss the details if you meet the requirements of the position.
    $99k-125k yearly est. 3d ago
  • Centralized Scheduler

    Select Medical Corporation 4.8company rating

    Dallas, TX job

    Baylor Scott & White Institute for Rehabilitation Centralized Scheduler Hours: vary between Monday - Friday 7am - 7pm (8 hour shifts) Full Time Compensation depends upon candidate's years of experience and internal equity. Minimum starting salary: $18 - $25 per hour based off experience This is NOT a remote position, applicants are required to come into the office. Benefits of becoming a Centralized Scheduler with us: We strive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors. * Health, Dental, and Vision insurance; Life insurance; Prescription coverage * Paid Time Off (PTO) and Extended Illness Days (EID) * A 401(k) retirement plan with company match * Short and Long Term Disability * Personal and Family Medical Leave * Eligibility and effective dates vary Responsibilities The centralized scheduling department is a high demand department responsible for scheduling referrals for all 100+ BSWIR outpatient clinics. * Answering incoming rollover calls from clinics * Calling referrals received from provider sources * Overall high call volume and returning patient's voicemails * Working out EPIC, Therapy source and other sites to obtain and call referrals * Team of 15 Schedulers Qualifications Minimum Qualifications * High School Diploma or equivalent required Preferred Qualifications * Bilingual preferred * Courses in bookkeeping and accounting OR work experience in a healthcare or related setting. * One to two years medical billing and administrative experience preferred. * Interpersonal skills necessary to communicate and relate ideas effectively with staff members, supportive personnel, management staff, third party payers, patients, and physicians. * Must have strong skills in computer equipment and software, detailed documentation, problem-solving and excellent customer service. #BSWIR-Outpatient Additional Data Equal Opportunity Employer including Disabled/Veterans #BSWIR-Outpatient
    $18-25 hourly Auto-Apply 5d ago
  • Neuro Resident

    Select Medical Corporation 4.8company rating

    Dallas, TX job

    Baylor Scott & White Institute for Rehabilitation Dallas, TX 2026 Neuro Residency Physical Therapist - Neuro Resident Seize the opportunity to join our highly trained and respected Baylor Scott & White Institute for Rehabilitation and Texas Woman's University Neurologic Residency Program; whose mentors provide training across the continuum of rehabilitative services to help improve quality of life for people affected by neurological disorders. Responsibilities The program is a 1 year multi-site residency program with rotations in inpatient rehab (Dallas campus), outpatient (Frisco campus) and acute care (BUMC). Mentoring includes direct patient care, 1:1 mentoring time, didactic education, live patient exams, labs, projects and presentations. The residency includes lecturing to entry level DPT students at TWU and participation in research through Baylor Research Institute (BRI). Didactic content is online through TWU (PT 6773: Clinically Applied Neuroscience) and Neuroconsortium. Each resident is responsible for their tuition. This is a multi-step application process: initial application, screening questionnaire, request for supporting documents (essay and letters of recommendation) and interview. Qualifications * Valid TX Physical Therapy License Required * American Heart Association CPR Required * 1 -3 years of PT experience preferred #BSWIR- Inpatient Additional Data Equal Opportunity Employer including Disabled/Veterans
    $58k-68k yearly est. Auto-Apply 56d ago
  • Medical Coding and Compliance Auditor --CPC

    Select Medical 4.8company rating

    Addison, TX job

    Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Auditor, Coding & Compliance - Occupational Medicine and Specialty will perform detailed coding and documentation audits and reviews to ensure compliance with clinical and coding guidelines. This function is critical to the overall revenue cycle in supporting charge entry, level of service selection, procedure and diagnosis coding, as well as one on one, and group education and training to employed and contracted clinicians. The Auditor will provide in-depth, real-time feedback on appropriate documentation, charge capture and Level of Service code selection. A thorough knowledge of state specific worker's compensation coding and billing guidelines is required for this position. The audit findings are compiled and analyzed and then the results scheduled and presented to the clinical by the auditor, via telephone of video platforms in accordance with the clinician's schedule. Responsibilities Complete compliance audits for designated clinicians/centers consistent with established audit protocols and nationally recognized guidelines. Meet the production and QA standards as set out in Concentra Coding and Compliance policies. Analyze audit findings and identify/assess potential compliance risks related to coding and billing and notify clinical leadership regarding outliers. Organize and present the audit findings to each clinician as indicated by either the audit results, denial and down coding trends, and/or as requested by medical leadership, center leadership or Central Billing Office leadership Schedule meetings to present audit findings and be available to meet with clinicians via Zoom as their schedules dictate, accommodating calls outside of normal working hours when the need arises. Assist CBO's with reconsideration, appeals process and coding support as requested Participate in special projects and collaborate with other departments to support coding, auditing, and compliance initiatives. Provide clinician support, education and training related to the quality of documentation, level of service, procedure and diagnosis coding consistent with established coding guidelines and standards Collaborate with Medical Leadership in development of clinician training plans and for active support in the training process under guidance of coding leadership Monitor Coding and State Workers' Compensation changes to ensure that most current information is available Ensure adherence to all State and Federal guidelines applicable to coding, billing and documentation compliance for Worker's Compensation in all served markets This job description 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 or without notice. Qualifications Education Level: High School Diploma or GED Certifications and/or Licenses: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Maintain a coding credential from AAPC or AHIMA organization. Must complete CEUs to maintain this credential bi-annually or as required by the organization Obtain and maintain membership to the AAPC or AHIMA organization Experience in lieu of required education is acceptable: Yes Job-Related Experience Customarily has at least four (4) years of experience working as a certified Coder Prefer at least three (3) years in coding and compliance/clinical audit field Prefer experience in dealing directly with, and in presenting work product to clinicians Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Coding and auditing experience Moderate to advanced computer skills with programs such as PowerPoint, Word, Excel, Access and similar databases Working knowledge of routine and non-routine concepts, practices and procedures within billing and coding Strong understanding and application of Evaluation and Management Guidelines Excellent process and time management skills High degree of accuracy and attention to detail Organized and ability to analyze multiple sources of data Proficient written, oral communication Work independently and as part of a team Able to multi-task Ability to meet multiple deadlines Expertise in scheduling and facilitating Training and presentation skills (in person and virtual) Familiarity with state specific workers' compensation regulations Coding analytics experience Additional Data Employee Benefits: $2,000 Sign On Bonus We offer an internet service reimbursement Annual certification reimbursement (AAPC or AHIMA) Monthly CEUs (Continuing Education Units) credits. Company issued laptop and two monitors for improved productivity Internal subscriptions for coding manuals, and access to Codify. Healthcare benefits including medical, dental vision - PPO and HMO plans Internal growth opportunities in leadership PTO Accrual 401(k) Retirement Plan with Employer Match Life & Disability Insurance Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required. *This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management* Concentra is an Equal Opportunity Employer, including disability/veterans
    $37k-54k yearly est. Auto-Apply 12d ago
  • Physical Therapist Assistant-Pt/Prn

    Progressive Rehab Solutions 3.6company rating

    Carrollton, TX job

    Job Details Carrollton - Carrollton, TX PRN Physical Therapist AssistantDescription Physical Therapist Assistant (PTA) Reports To Physical Therapist / Director of Rehabilitation Provides therapy services under supervision of PT. Delivers treatment programs, monitors progress, and assists patients in achieving independence. Essential Duties & Responsibilities Carry out PT treatment plans for individuals and groups. Provide therapeutic exercises and activities as directed. Educate patients on mobility and assistive devices. Document treatment and patient response. Report changes to supervising PT. Qualifications Associate's Degree from accredited PTA program. Current state PTA license. Clinical experience preferred. Knowledge, Skills, and Abilities- KSAs Knowledge of therapy techniques and equipment. Ability to follow treatment directions. Strong interpersonal skills. Physical & Environmental Requirements Ability to lift, transfer, and move patients safely. Frequent standing, walking, bending, reaching. Work in long-term care and healthcare environments. EEO & ADA Statement: Progressive Rehab Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Reasonable accommodations may be made under ADA. Qualifications An Associate's Degree in Physical Therapy Assisting from an accredited program is required. A current state license to practice as a Physical Therapist Assistant is required and must be maintained. Clinical experience in rehabilitation or long-term care settings is preferred.
    $46k-57k yearly est. 60d+ ago
  • Engineer, IT Systems - DBA Specialist

    Select Medical 4.8company rating

    Addison, TX job

    Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The IT Systems Engineer - Database Administration Specialist (DBA) (Level 3) role involves designing, implementing, and maintaining database systems to ensure performance, security, and reliability. Database Admins optimize data storage and retrieval processes, manage database configurations, and perform regular maintenance to uphold system integrity. They work with development and operations teams to address database-related issues promptly, ensuring seamless integration with applications. Additionally, they monitor database performance metrics and implement security measures to protect sensitive data. This role optimizes critical database systems, enhances core system stability through regular maintenance, and strengthens accountability with robust monitoring practices. It complies with security and regulatory requirements while embracing automation to improve database processes and workflows. The role also prioritizes training and development to foster a culture of continuous improvement among technical staff. Responsibilities Application/Database Administration Install, configure, and maintain SQL Server instances across development, testing, and production environments. Manage database performance, security, backups, and recovery plans. Support database design, development, and deployment for application projects. Collaborate with developers to optimize database schemas, queries, and stored procedures. Provide support for database-centric application troubleshooting and issue resolution Cloud Database Management (Azure & AWS) Manage cloud-based database services, including Azure SQL Database, Azure Managed Instances, AWS RDS for SQL Server, and other cloud-native solutions. Implement and support hybrid database architectures and cloud migration strategies. Monitor and optimize cloud database performance and cost efficiency. Performance Tuning Analyze and optimize SQL queries, indexes, and database structures to enhance database and application performance. Conduct regular performance monitoring and troubleshooting Troubleshoot performance bottlenecks at both the database and application level High Availability and Disaster Recovery Design and implement HA/DR solutions in cloud and hybrid environments, such as Azure Availability Zones, AWS Multi-AZ, and Always On. Test and maintain backup, recovery, and failover processes. Ensure database systems meet recovery time objectives (RTO) and recovery point objectives (RPO). Security and Compliance Implement database security best practices, including encryption, role-based access control, and threat protection. Ensure databases comply with regulatory and organizational security standards Automation, Scripting & DevOps Integration Develop automation scripts to streamline routine tasks using PowerShell, T-SQL, or other tools. Implement database monitoring and alerting systems. Integrate database management with DevOps pipelines (e.g., Azure DevOps, AWS CodePipeline, or Jenkins). Cloud Migration and Modernization Lead or participate in projects to migrate on-premises databases to Azure or AWS. Modernize existing databases by leveraging cloud-native features and tools. Monitoring and Reporting Use monitoring tools (e.g., Azure Monitor, AWS CloudWatch, SQL Server Profiler) to track database health and performance. Generate reports on database usage, capacity planning, and operational efficiency. Maintain up-to-date documentation for database configurations, processes, and procedures. Collaboration and Support Work closely with application development teams to design and optimize database architectures. Provide guidance and mentorship to junior DBAs and engineers. Upgrades and Migrations Plan and execute SQL Server upgrades, migrations, and patching. Evaluate new features and tools to enhance the database environment. Documentation & Mentorship Document processes, standards, and best practices for database and cloud environments. Mentor junior DBAs and application developers on database best practices. Qualifications Bachelor's Degree; Major: Computer Science, Information Technology. Experience in lieu of required education is acceptable. Master's Preferred 8+ years of experience as an SQL Server DBA, focusing on application support. 3+ years of experience managing cloud-based SQL Server environments on Azure and AWS Hands-on experience with multiple database technologies, including relational and NoSQL databases. Expertise in database performance tuning, backup and recovery, disaster recovery, and high availability architectures. Strong understanding of database security practices and regulatory compliance. Expertise with SQL Server (2016 and later) and cloud database services (Azure SQL, AWS RDS, etc.). Strong understanding of T-SQL, query performance tuning, and indexing strategies. Proficiency with cloud-native tools like Azure Data Factory, AWS Glue, and Data Migration Services. Hands-on experience with containerized database environments using Docker or Kubernetes is a plus. Familiarity with ETL processes, data warehousing, and BI tools is desirable. Experience with large heterogenous enterprise environments Developing and enforcing data retention policies to comply with regulatory standards like HIPAA. Leading or participating in database migration projects, including on-premises to cloud transitions or upgrades to newer technologies. Planning and executing regular disaster recovery drills to validate backup and restoration strategies. Incident management, including experience in diagnosing and resolving database-related incidents in a high-pressure environment, ensuring minimal downtime. Creating and maintaining detailed documentation for database systems, configurations, policies, and disaster recovery procedures. Job-Related Skills/Competencies Works with leaders and team members to drive change and influence decision making by using objective metrics, comprehensive viewpoints, and strong partners Ability to influence decision making by preparing objective metrics, comprehensive viewpoints, and strong partnerships Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems Identifies and accomplishes challenging objectives or personal goals. Works effectively with others to achieve goals. Looks for and takes advantage of opportunities. Maintains a high level of interest, enthusiasm Experience with Healthcare preferred
    $56k-71k yearly est. Auto-Apply 60d+ ago
  • Registered Dietitian (RD) - Per Diem

    Select Medical Corporation 4.8company rating

    Denton, TX job

    Select Rehabilitation Hospital of DentonJoint venture/Partnership/Affiliation with Select MedicalPosition: Registered DietitianLocation: Denton, TXSchedule: Per Diem/PRN/As NeededCompensation: $36.00 per HourSign-On Bonus: $3,500 Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas. Why Join Us: * Start Strong: Extensive orientation program to ensure a smooth transition into our setting. * Opportunity for Advancement: Demonstrate your skills and dedication, which could lead to potential full-time opportunities * Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part-time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part-time employees. * Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities * Provide quality nutritional care to patients such as the development, implementation and monitoring of Medical Nutrition Therapies. * work collaboratively with the medical staff, patients, families and food service department to ensure the patients' nutrition care plans are implemented and departmental standards are maintained. * Perform nutritional assessments and re-assessments, identifying goals, recommending nutrition interventions, monitoring and evaluating patient progress. * Develop and monitor enteral and/or parenteral nutrition support regimens. * Work closely with the Speech Therapy Department to assist with the progression of textured modified diets to ensure patient safety and optimize oral intake. * Clarify admission orders to ensure nutrition support, diet and oral supplement orders are consistent with the facility's established nutrition support formulary and diet manual. * Consider religious, cultural and ethnic factors in development of nutrition care plans. * Review yearly updates and approves therapeutic diet manual annually. Educates clinical and food service staff on location of the Nutrition Care Manual. Maintains hard copy of simplified diet manual for downtime. * Keeps current with nutritional practices and theories. Maintains current professional registration requirements (i.e., Professional Portfolio, self-development and continuing education). Demonstrates interest in continuing education, academics or specialized certification to further enhance professional skills. * Evaluate potential food/drug interactions, and/or herb/supplement interactions. * Attend interdisciplinary team meetings and communicating progress and special needs. * Participate in developing, planning and standardizing menus. * Perform meal rounds to ensure patients' meal trays are consistent with the prescribed diet and meet standards as to quality, quantity, temperature and appearance. Qualifications Minimum Qualifications * Bachelor's degree with major studies in Food and Nutrition related field. * Current state licensure/certification, if required by state. * Current registration by the Commission on Dietetics Registration. * One (1) year of work experience in a facility setting with clinical responsibilities or equivalent. Additional Data Equal Opportunity Employer/including Disabled/Veterans
    $36 hourly Auto-Apply 10d ago
  • Medical Billing Specialist

    Select Medical 4.8company rating

    Addison, TX job

    Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward - always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better. The ideal candidate will perform under general supervision a variety of moderately complex to complex tasks related to ensuring timely and accurate medical billing and reconciliation of discrepancies. This includes electronic, paper and invoice billing and rebilling tasks. The position requires excellent communication, customer service and organizational skills. All tasks must be performed in a timely and accurate manner in accordance with Concentra and Central Billing Office practices, policies, and procedures. Responsibilities Processes all billing, state reports/transcriptions as required by each state. Processes client bills with special billing arrangements/agreements. Monitors transcriptions hold reports. Monitors claims indexing reports. Monitors Electronic Data Interchange billing reports. Provides assistance to clients with special billing requests. Monitors claim hold reports, releases charges when appropriate. Thoroughly reviews bills for accuracy following all Central Business Office, market and state guidelines This job description 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 or without notice. Qualifications Position Requirements: Must be able and willing to work Monday - Friday 8 am - 5 pm. This position is onsite. Must be able and willing to interview, train, and work at: 15812 Midway Road Addison, Texas 75001 Education Level: High School Diploma or GED Some college or specialty training in medical billing or equivalent job relevant experience preferred Job Related Experience: 2 or more years' experience in medical billing Experience with a multi-location practice CPT/ICD-9/HCPC knowledge Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Strong computer skills Microsoft Word and Excel knowledge and experience Ability to operate 10 key numerical pad by touch Ability to work under tight time schedules Ability to set priorities and deliver in a fast-paced environment. Strong customer service and communication skills, ability to deal with service areas, consultants, and clients. Excellent problem-solving skills and ability to handle multiple tasks Ability to work independently Ability to be detailed oriented Ability to assist peers Ability to communicate verbally and in writing Additional Data Employee Benefits: 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, & Dental Plans Life & Disability Insurance Paid Time Off & Extended Illness Days Offered Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an Equal Opportunity Employer, including disability/veterans
    $28k-36k yearly est. Auto-Apply 60d+ ago
  • Telemetry Technician - Per Diem

    Select Medical 4.8company rating

    Plano, TX job

    Telemetry Technician Schedule: Per Diem/PRN, 12 hour shifts Compensation: $25.00 per Hour Select Specialty Hospital - Dallas/Ft Worth is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives - and Telemetry Technicians play a central role in providing compassionate, excellent care every step of the way. Why Join Us: Start Strong: Extensive orientation program to ensure a smooth transition into our setting. Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees. Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities You will assume responsibility for continuously watching and ensuring appropriate and timely responses to alarms. Verifying correct identification of basic rhythms, lethal rhythms and artifact; maintaining EKG monitor alarms and responding to all alarms as needed. Continuously observing all monitors assigned and responding to alarms promptly and appropriately. Completing EKG interpretations including: rate, regularity, PRI, QRS, QTI, QTc, ST segment, wave form alterations, and rhythm interpretation. Ensuring strip interpretations are validated by RN. Qualifications Minimum Qualifications: Must complete and pass EKG class for Monitor Techs and required competencies on education platform within 30 days of start date in position and pass other tests/competencies as required by Select Medical. Preferred qualifications High school diploma or equivalent. Preferred background as a Licensed Practical Nurse (LPN)*, Licensed Paramedic or RN nursing student with EKG training (*LPNs are limited to working as telemetry tech only.) Additional Data Equal Opportunity Employer/including Disabled/Veterans
    $25 hourly Auto-Apply 3d ago
  • Therapy Aide

    Select Medical Corporation 4.8company rating

    Plano, TX job

    Baylor Scott & White Institute for Rehabilitation Plano, Texas Therapy Aide Acute Care Per Diem (As Needed) Shift Hours: Days and weekends needed 8:00am - 4:30pm Pay Rate: $20/hr Baylor Rehabilitation in Plano is looking for a Therapy Tech to join our Acute Care team! Must have therapy aide experience in an acute inpatient rehab or acute care therapy setting. Minimum requirements are 2 weekend days per month and availability around 1 summer/1 winter holiday. Proficient in Microsoft Office applications preferred. Responsibilities * Performs patient related tasks assigned by therapist * Lifts patients to/from mats, treatment and tilt tables, wheelchairs and other equipment appropriate to the facility/department. * Assists patients with transfer activities to all surfaces. * Assists patients in donning/doffing all appliances specific to the facility/department. * Positions patients in parallel bars and prepares patients for standing with appropriate orthotic/prosthetic devices and equipment. * Transports patients to/from therapy as needed. * Assists therapist with other patient related treatment activities as appropriate and providing equipment. * Assist with patient related activities including equipment set-up and patient positioning in preparation for therapy session as outlined in the State Practice Qualifications * High school graduate or equivalent required * Certified BLS or completion in first 90 days of employment required. * Must have at least 1 year of experience as a therapy tech or nursing technician #BSWIR- Inpatient Additional Data
    $20 hourly Auto-Apply 6d ago
  • Engineer III, Sys - Server & Virtualization

    Select Medical 4.8company rating

    Addison, TX job

    Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Engineer III, Systems - Server & Virtualization Specialist is responsible for designing, implementing, and managing robust VMware virtualization infrastructures that support Concentra's IT operations. This role involves optimizing server performance through advanced configuration and monitoring techniques, ensuring high availability of critical systems. Colleagues in this position utilize VMware virtualization technologies to create scalable environments that maximize resource utilization while minimizing costs. Responsible for troubleshooting complex issues related to server performance and virtualization platforms and providing solutions that enhance system reliability and efficiency. Responsibilities Provides Technology Support and Service, Develops and Maintains Systems, Applications, and Infrastructure Support. Leads\Develops strategies and processes to ensure that stakeholders' needs are identified and met, commitments are delivered upon and that stakeholders receive superior quality service. Manages\Develops creative solutions to effectively handle difficult incidents, and various techniques to diffuse situations and keep stakeholder's calm. Exhibits extensive knowledge of IT systems, applications, cloud computing and/or networks, and utilizes this knowledge to develop training for other technical supporters. Serves as a role model to others for translating complex and technical information, mentoring to junior engineers and operations teams. Develops and Maintains Systems, Applications, and Infrastructure. Follows IT security best practices, policies, and procedures in support of IT security programs. Analyzes user requirements, develops, and implements functional specifications and configurations for complex systems, and ensures requirements are met. Champions best practices within functional area to enhance IT solutions and improve processes and results. Champions recommendations and improvements to system and process performance and functionality. Monitors and manages overall system and recommends solutions to hardware or software problems and issues. Maintains IT systems and performs regular proactive maintenance and system updates. Participates in the planning and execution of platform upgrades, patches, and lifecycle management. Maintains system documentation, SOPs (Standard Operating Procedures), and architectural diagrams. Participates in on-call rotation and support incident/problem resolution. Collaborates with other IT infrastructure teams on cross-functional projects and service delivery improvements Qualifications Education Level: Bachelor's Degree ; Major: Computer Science, Information Technolog VMware VCP, VCAP or VCIX Certification preferred Experience in lieu of required education is acceptable Customarily has at least 10 years of experience that includes: Systems engineering with a focus on VMware technologies, knowledge of server OS (Windows/Linux), and data disaster recovery strategies. Advanced hands-on experience managing large enterprise VMware vSphere environments based on: vCenter Server, ESXi, vSAN, and associated components. Familiarity with NSX (policy-based networking, basic troubleshooting). High-Level experience with administering and handling hardware issues such as on Dell VxRail and Cisco UCS infrastructures. Exposure to VMware Aria Suite (vAria Operations, Automation, Automation Config (SaltStack) etc.) or similar automation platforms/tools. Performing virtual server administration in a large (500+) server environment. Performing virtual server OS/software installation, configuration, and troubleshooting (MS Windows Server 2019/2022/2025, and Linux-Based VMs/Appliances). Strong understanding of enterprise storage, networking, and data center operations. General understanding of Active Directory and Group Policy administration. Experience with scripting (PowerShell/PowerCLI, Python, or similar). Experience with VMC on AWS (VMware Cloud) is a bonus, not a requirement. Knowledge of other hypervisors (e.g., Hyper-V, KVM, Nutanix) is preferred but not required. Experience with VMware Tanzu Platform is nice to have. Job-Related Skills/Competencies Ability to effectively multi-task and adapt to changing business priorities. Excellent attention to detail. Willingness to learn new technologies. Superior analytical and problem-solving skills. Ability to identify patterns and logical relationships. Excellent time management and organizational skills are required. Proven drive towards continuous improvement. Strong interpersonal and communication skills a must; ability to read, write, and speak in a professional manner. Capable of clearly and accurately describe a design, implementation, configuration, or error when documenting or communicating. Superior customer service skills. Must possess a personal sense of urgency. Requires superior teamwork skills. Additional Data Employee Benefits 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, & Dental Plans Life & Disability Insurance Paid Time Off Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required. *This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management* Concentra is an Equal Opportunity Employer, including disability/veterans
    $76k-89k yearly est. Auto-Apply 60d+ ago
  • Speech Pathologist-Pt/Prn

    Progressive Rehab Solutions 3.6company rating

    Carrollton, TX job

    Job Details Carrollton - Carrollton, TX PRN Speech Language PathologistDescription Speech Therapist (ST) Reports To Director of Rehabilitation Diagnoses and treats patients with speech, language, cognitive, and swallowing disorders. Develops therapy plans to maximize communication and swallowing safety. Essential Duties & Responsibilities Conduct diagnostic evaluations of speech, language, swallowing. Develop and implement therapy plans. Document evaluations, treatment plans, and progress notes. Educate patients, families, and caregivers. Collaborate with interdisciplinary teams. Qualifications Master's Degree in Speech-Language Pathology. Certificate of Clinical Competence (CCC-SLP) preferred. Current state license. Knowledge, Skills, and Abilities- KSAs Expertise in communication and swallowing disorders. Strong documentation skills. Ability to educate patients and families. Physical & Environmental Requirements Assist patients during therapy activities. Frequent sitting, standing, light lifting. Healthcare and LTC facility work environment. EEO & ADA Statement: Progressive Rehab Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Reasonable accommodations may be made under ADA. Qualifications A Master's Degree in Speech-Language Pathology from an accredited program is required. Certificate of Clinical Competence (CCC-SLP) from ASHA when eligible. A current state license to practice as a Speech Therapist is required and must be maintained in good standing. At least one year of clinical experience is preferred.
    $52k-70k yearly est. 60d+ ago
  • Occupational Therapist

    Progressive Rehab Solutions 3.6company rating

    Carrollton, TX job

    Job Details Carrollton - Carrollton, TX Full Time Occupational TherapistDescription Occupational Therapist (OT) Reports To Director of Rehabilitation Provides OT evaluations and treatments to patients with functional or adaptive needs to improve independence in daily living. Essential Duties & Responsibilities Conduct assessments and establish treatment goals. Provide interventions such as self-care training and adaptive equipment. Document evaluations, treatments, and progress. Supervise COTAs and collaborate with care teams. Train caregivers and nursing staff. Qualifications Bachelor's or Master's Degree in Occupational Therapy. Current state OT license. Experience in long-term care preferred. Knowledge, Skills, and Abilities- KSAs Knowledge of OT interventions and rehab techniques. Communication and problem-solving skills. Strong organizational ability. Physical & Environmental Requirements Lift up to 100 lbs with assistance. Frequent standing, walking, bending, kneeling, reaching. EEO & ADA Statement: Progressive Rehab Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Reasonable accommodations may be made under ADA. Qualifications A Bachelor's or Master's Degree in Occupational Therapy from an accredited program is required. A current state license to practice Occupational Therapy is required and must be maintained in good standing. Experience in long-term care or rehabilitation settings is preferred.
    $62k-78k yearly est. 60d+ ago
  • Neuro Resident

    Select Medical 4.8company rating

    Dallas, TX job

    Baylor Scott & White Institute for Rehabilitation Dallas, TX 2026 Neuro Residency Physical Therapist - Neuro Resident Seize the opportunity to join our highly trained and respected Baylor Scott & White Institute for Rehabilitation and Texas Woman's University Neurologic Residency Program; whose mentors provide training across the continuum of rehabilitative services to help improve quality of life for people affected by neurological disorders. Responsibilities The program is a 1 year multi-site residency program with rotations in inpatient rehab (Dallas campus), outpatient (Frisco campus) and acute care (BUMC). Mentoring includes direct patient care, 1:1 mentoring time, didactic education, live patient exams, labs, projects and presentations. The residency includes lecturing to entry level DPT students at TWU and participation in research through Baylor Research Institute (BRI). Didactic content is online through TWU (PT 6773: Clinically Applied Neuroscience) and Neuroconsortium. Each resident is responsible for their tuition. This is a multi-step application process: initial application, screening questionnaire, request for supporting documents (essay and letters of recommendation) and interview. Qualifications Valid TX Physical Therapy License Required American Heart Association CPR Required 1 -3 years of PT experience preferred #BSWIR- Inpatient Additional Data Equal Opportunity Employer including Disabled/Veterans
    $58k-68k yearly est. Auto-Apply 55d ago
  • Rehab Patient Support Tech - Night

    Select Medical 4.8company rating

    Dallas, TX job

    Baylor Scott & White Institute for Rehabilitation - Neuro Transitional Rehabilitation Dallas, TX Neuro Rehab Coach (Rehab Support Tech, Therapy Aide, Caregiver, CNA, PCT) Hours: 6:45 p.m. - 7:15 a.m. Full Time Compensation depends upon candidate's years of experience. Minimum Hourly Pay: $20.00 per hour Benefits of becoming a Neuro Rehab Coach with us: We strive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors. Health, Dental, and Vision insurance; Life insurance; Prescription coverage. Paid Time Off (PTO) and Extended Illness Days (EID). A 401(k) retirement plan with company match. Short and Long Term Disability. Personal and Family Medical Leave. Tuition Assistance Student Loan Assistance *Eligibility and effective dates vary Responsibilities This position functions under the direction of rehabilitation therapists and nurses to help individuals with a brain injury or spinal cord injury, regain their independence and return home. In this position you will be part of the therapy and nursing team and you will have a key role in helping patients re-learn to walk, talk, dress, cook, and manage their own medical needs. You will not do it for them. An ideal candidate has a passion for serving and helping others, previous experience in the healthcare field as a technician or direct care provider or in school pursuing a degree in related field On a daily basis: Help patients with day to day living activities such as bathing, grooming, dressing, eating, cooking, washing clothes, make their bed, loading the dishwasher, cleaning their suite, etc. Driving patients into the community for medical appointments, community activities Assisting the rehabilitation therapists with patient activities Assisting patients with nurse delegated tasks after completing the training we provide to ensure your competency. These tasks may include taking vital signs, medication administration, and peg tube feedings Additional tasks as needed Qualifications Minimum Qualifications Education: High School diploma or equivalent required Current State Driver's License in good standing required Certified BLS completion required; for new hires, see CPR Requirement Guidelines for New Hires Preferred Experience Previous Neuro Transitional Rehab experience preferred Therapy or Rehab Aide Preferred Certified Nurse Assistant (CNA) or Certified Medication aide preferred #BSWIR- Inpatient Additional Data Equal Opportunity Employer including Disabled/Veterans
    $20 hourly Auto-Apply 6d ago
  • Medical Coding and Compliance Auditor --CPC

    Select Medical 4.8company rating

    Addison, TX job

    Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Auditor, Coding & Compliance - Occupational Medicine and Specialty will perform detailed coding and documentation audits and reviews to ensure compliance with clinical and coding guidelines. This function is critical to the overall revenue cycle in supporting charge entry, level of service selection, procedure and diagnosis coding, as well as one on one, and group education and training to employed and contracted clinicians. The Auditor will provide in-depth, real-time feedback on appropriate documentation, charge capture and Level of Service code selection. A thorough knowledge of state specific worker's compensation coding and billing guidelines is required for this position. The audit findings are compiled and analyzed and then the results scheduled and presented to the clinical by the auditor, via telephone of video platforms in accordance with the clinician's schedule. Responsibilities Complete compliance audits for designated clinicians/centers consistent with established audit protocols and nationally recognized guidelines. Meet the production and QA standards as set out in Concentra Coding and Compliance policies. Analyze audit findings and identify/assess potential compliance risks related to coding and billing and notify clinical leadership regarding outliers. Organize and present the audit findings to each clinician as indicated by either the audit results, denial and down coding trends, and/or as requested by medical leadership, center leadership or Central Billing Office leadership Schedule meetings to present audit findings and be available to meet with clinicians via Zoom as their schedules dictate, accommodating calls outside of normal working hours when the need arises. Assist CBO's with reconsideration, appeals process and coding support as requested Participate in special projects and collaborate with other departments to support coding, auditing, and compliance initiatives. Provide clinician support, education and training related to the quality of documentation, level of service, procedure and diagnosis coding consistent with established coding guidelines and standards Collaborate with Medical Leadership in development of clinician training plans and for active support in the training process under guidance of coding leadership Monitor Coding and State Workers' Compensation changes to ensure that most current information is available Ensure adherence to all State and Federal guidelines applicable to coding, billing and documentation compliance for Worker's Compensation in all served markets This job description 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 or without notice. Qualifications Education Level: High School Diploma or GED Certifications and/or Licenses: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Maintain a coding credential from AAPC or AHIMA organization. Must complete CEUs to maintain this credential bi-annually or as required by the organization Obtain and maintain membership to the AAPC or AHIMA organization Experience in lieu of required education is acceptable: Yes Job-Related Experience Customarily has at least four (4) years of experience working as a certified Coder Prefer at least three (3) years in coding and compliance/clinical audit field Prefer experience in dealing directly with, and in presenting work product to clinicians Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Coding and auditing experience Moderate to advanced computer skills with programs such as PowerPoint, Word, Excel, Access and similar databases Working knowledge of routine and non-routine concepts, practices and procedures within billing and coding Strong understanding and application of Evaluation and Management Guidelines Excellent process and time management skills High degree of accuracy and attention to detail Organized and ability to analyze multiple sources of data Proficient written, oral communication Work independently and as part of a team Able to multi-task Ability to meet multiple deadlines Expertise in scheduling and facilitating Training and presentation skills (in person and virtual) Familiarity with state specific workers' compensation regulations Coding analytics experience
    $37k-54k yearly est. Auto-Apply 12d ago
  • Centralized Scheduler

    Select Medical 4.8company rating

    Dallas, TX job

    Baylor Scott & White Institute for Rehabilitation Centralized Scheduler Hours: vary between Monday - Friday 7am - 7pm (8 hour shifts) Full Time Compensation depends upon candidate's years of experience and internal equity. Minimum starting salary: $18 - $25 per hour based off experience This is NOT a remote position, applicants are required to come into the office. Benefits of becoming a Centralized Scheduler with us: We strive to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors. Health, Dental, and Vision insurance; Life insurance; Prescription coverage Paid Time Off (PTO) and Extended Illness Days (EID) A 401(k) retirement plan with company match Short and Long Term Disability Personal and Family Medical Leave *Eligibility and effective dates vary Responsibilities The centralized scheduling department is a high demand department responsible for scheduling referrals for all 100+ BSWIR outpatient clinics. Answering incoming rollover calls from clinics Calling referrals received from provider sources Overall high call volume and returning patient's voicemails Working out EPIC, Therapy source and other sites to obtain and call referrals Team of 15 Schedulers Qualifications Minimum Qualifications High School Diploma or equivalent required Preferred Qualifications Bilingual preferred Courses in bookkeeping and accounting OR work experience in a healthcare or related setting. One to two years medical billing and administrative experience preferred. Interpersonal skills necessary to communicate and relate ideas effectively with staff members, supportive personnel, management staff, third party payers, patients, and physicians. Must have strong skills in computer equipment and software, detailed documentation, problem-solving and excellent customer service. #BSWIR-Outpatient Additional Data Equal Opportunity Employer including Disabled/Veterans #BSWIR-Outpatient
    $18-25 hourly Auto-Apply 39d ago
  • Engineer III, Sys - Server & Virtualization

    Select Medical 4.8company rating

    Addison, TX job

    Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Engineer III, Systems - Server & Virtualization Specialist is responsible for designing, implementing, and managing robust VMware virtualization infrastructures that support Concentra's IT operations. This role involves optimizing server performance through advanced configuration and monitoring techniques, ensuring high availability of critical systems. Colleagues in this position utilize VMware virtualization technologies to create scalable environments that maximize resource utilization while minimizing costs. Responsible for troubleshooting complex issues related to server performance and virtualization platforms and providing solutions that enhance system reliability and efficiency. Responsibilities Provides Technology Support and Service, Develops and Maintains Systems, Applications, and Infrastructure Support. Leads\Develops strategies and processes to ensure that stakeholders' needs are identified and met, commitments are delivered upon and that stakeholders receive superior quality service. Manages\Develops creative solutions to effectively handle difficult incidents, and various techniques to diffuse situations and keep stakeholder's calm. Exhibits extensive knowledge of IT systems, applications, cloud computing and/or networks, and utilizes this knowledge to develop training for other technical supporters. Serves as a role model to others for translating complex and technical information, mentoring to junior engineers and operations teams. Develops and Maintains Systems, Applications, and Infrastructure. Follows IT security best practices, policies, and procedures in support of IT security programs. Analyzes user requirements, develops, and implements functional specifications and configurations for complex systems, and ensures requirements are met. Champions best practices within functional area to enhance IT solutions and improve processes and results. Champions recommendations and improvements to system and process performance and functionality. Monitors and manages overall system and recommends solutions to hardware or software problems and issues. Maintains IT systems and performs regular proactive maintenance and system updates. Participates in the planning and execution of platform upgrades, patches, and lifecycle management. Maintains system documentation, SOPs (Standard Operating Procedures), and architectural diagrams. Participates in on-call rotation and support incident/problem resolution. Collaborates with other IT infrastructure teams on cross-functional projects and service delivery improvements Qualifications Education Level: Bachelor's Degree ; Major: Computer Science, Information Technolog VMware VCP, VCAP or VCIX Certification preferred Experience in lieu of required education is acceptable Customarily has at least 10 years of experience that includes: Systems engineering with a focus on VMware technologies, knowledge of server OS (Windows/Linux), and data disaster recovery strategies. Advanced hands-on experience managing large enterprise VMware vSphere environments based on: vCenter Server, ESXi, vSAN, and associated components. Familiarity with NSX (policy-based networking, basic troubleshooting). High-Level experience with administering and handling hardware issues such as on Dell VxRail and Cisco UCS infrastructures. Exposure to VMware Aria Suite (vAria Operations, Automation, Automation Config (SaltStack) etc.) or similar automation platforms/tools. Performing virtual server administration in a large (500+) server environment. Performing virtual server OS/software installation, configuration, and troubleshooting (MS Windows Server 2019/2022/2025, and Linux-Based VMs/Appliances). Strong understanding of enterprise storage, networking, and data center operations. General understanding of Active Directory and Group Policy administration. Experience with scripting (PowerShell/PowerCLI, Python, or similar). Experience with VMC on AWS (VMware Cloud) is a bonus, not a requirement. Knowledge of other hypervisors (e.g., Hyper-V, KVM, Nutanix) is preferred but not required. Experience with VMware Tanzu Platform is nice to have. Job-Related Skills/Competencies Ability to effectively multi-task and adapt to changing business priorities. Excellent attention to detail. Willingness to learn new technologies. Superior analytical and problem-solving skills. Ability to identify patterns and logical relationships. Excellent time management and organizational skills are required. Proven drive towards continuous improvement. Strong interpersonal and communication skills a must; ability to read, write, and speak in a professional manner. Capable of clearly and accurately describe a design, implementation, configuration, or error when documenting or communicating. Superior customer service skills. Must possess a personal sense of urgency. Requires superior teamwork skills.
    $76k-89k yearly est. Auto-Apply 60d+ ago
  • Occupational Therapist Assistant

    Progressive Rehab Solutions 3.6company rating

    Carrollton, TX job

    Job Details Carrollton - Carrollton, TX Full Time Occupational Therapy AssistantDescription Certified Occupational Therapy Assistant (COTA) Reports To Occupational Therapist / Director of Rehabilitation Provides OT services under supervision of a licensed OT. Assists patients in regaining daily living and independence. Essential Duties & Responsibilities Carry out OT treatment plans. Instruct patients in adaptive equipment and self-care. Document services and report progress to OT. Collaborate with therapy and nursing staff. Qualifications Associate's Degree from accredited OTA program. Current state license. Experience preferred. Knowledge, Skills, and Abilities- KSAs Knowledge of OT activities. Ability to follow OT instructions. Strong communication skills. Physical & Environmental Requirements Lifting, standing, walking, bending. Healthcare and LTC facility environment. EEO & ADA Statement: Progressive Rehab Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Reasonable accommodations may be made under ADA. Qualifications An Associate's Degree in Occupational Therapy from an accredited program is required. A current state license to practice as a Certified Occupational Therapy Assistant is required and must be maintained. Previous experience in occupational therapy or rehabilitation is preferred.
    $38k-50k yearly est. 60d+ ago

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