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Utilization Review Licensed Practical Nurse at Hines Associates Inc
Rockford, Illinois, United States - Full Time
Skills Needed
Clinical Knowledge, Communication Skills, Patient Assessment, Medical Certification, Disability Management, Workers Compensation, Case Management, Urac Guidelines, Nursing Practice, Discharge Planning, Customer Service, Assertiveness, Documentation, Policy Knowledge, Self Evaluation, Team Collaboration
Specialization
Candidates must be a Licensed Practical Nurse with a valid nursing license and have a minimum of 3 years of recent acute clinical practice. Experience in managed care, disability, or workers compensation is preferred but not mandatory.
Experience Required
Minimum 5 year(s)
Restaurant Shift Supervisor at Gold Star
Hamilton, Ohio, United States - Full Time
Skills Needed
People Leadership, Customer Service, Store Operations, Financial Management, Problem Solving, Motivation, Teamwork, Dependability, Respectfulness, Friendliness, Fun, Supportiveness
Specialization
Successful Shift Leaders should possess the ability to lead and inspire others, along with outstanding customer service skills. Strong problem-solving capabilities are also essential for this role.
Restaurant Crew Member at Gold Star
Hamilton, Ohio, United States - Full Time
Skills Needed
Service Oriented, Friendly, Fun, Dependable, Supportive, Respectful
Specialization
Candidates should be passionate, service-oriented, and friendly. Prior experience is not required, making it suitable for newcomers to the restaurant industry.
Corporate & Employement Counsel at Freshworks
Bengaluru, karnataka, India - Full Time
Skills Needed
Corporate Governance, Employment Law, Labor Regulations, Data Privacy, Risk Assessment, Problem Solving, Communication, Stakeholder Management, Confidentiality, Integrity, Proactivity, Ownership, Adaptability, Attention To Detail, Training, Enablement
Specialization
Candidates should have an LL.B. and Company Secretary qualification with 6-9 years of experience in corporate and employment counsel roles. Expertise in Indian company law and labor law is essential.
Experience Required
Minimum 5 year(s)
IT Internship at Richmond National
Glen Allen, Virginia, United States - Full Time
Skills Needed
Workstation Setups, Device Configuration, Troubleshooting, User Account Management, Cloud Tools, Devops Tools
Specialization
The ideal candidate should be currently studying a degree in cybersecurity, data engineering, data science, or a related field. No specific experience is required, making this suitable for students or recent graduates.
Technical Recruiter - Mexico (Contract) at Bitovi
, , - Full Time
Skills Needed
Technical Recruiting, Sourcing, Screening, Candidate Engagement, Communication, Networking, Market Trends, Compensation Analysis, Collaboration, Data Driven Decisions, Problem Solving, Fast Paced Environment, Ownership, Creativity, Relationship Building, Interview Coordination
Specialization
You should have 3+ years of technical recruiting experience and familiarity with the Mexican tech market. Fluency in English and the ability to represent the brand at events are also important.
Experience Required
Minimum 2 year(s)
Manager, Owner & Guest Support at Evolve Co Family
, , United States - Full Time
Skills Needed
Customer Service, Coaching, Team Management, Communication, Data Driven, Problem Solving, Collaboration, Change Management, Google Suite, Salesforce.Com, Mentoring, Recognition, Team Building, Performance Monitoring, Career Development, Customer Engagement
Specialization
Candidates should have 5+ years of customer service experience and at least 1 year of coaching experience. They must demonstrate a customer-obsessed mindset and the ability to drive results through effective communication and collaboration.
Experience Required
Minimum 5 year(s)
Cath Lab Tech-Cardiac Cath Lab-Methodist at UnityPoint Health
Des Moines, Iowa, United States - Full Time
Skills Needed
Cardiovascular Technology, Paramedic Experience, Cath Lab Experience, Basic Life Support, Advanced Cardiovascular Life Support, Critical Thinking, Customer Focused, Multicultural Sensitivity, Microsoft Office, Independent Judgment
Specialization
Candidates must be graduates of an accredited Cardiovascular Technology or Paramedic program with relevant experience. They must also hold current licensure and certifications in Basic Life Support and Advanced Cardiovascular Life Support.
Experience Required
Minimum 2 year(s)
Rehabilitation Technician I at UnityPoint Health
Rock Island, Illinois, United States - Full Time
Skills Needed
Patient Transportation, Therapy Scheduling, Communication, Supply Management, Equipment Auditing, Customer Service, Basic Computer Skills, Medical Terminology
Specialization
Candidates should have a high school diploma or equivalent and possess basic computer skills. Experience with medical terminology and completion of a Nursing Assistant course is preferred.
Hospice RN Administrator at Illumia
Suffolk, Virginia, United States - Full Time
Skills Needed
Leadership, Hospice Care, Clinical Operations, Patient Centered Care, Team Development, Compliance, Documentation, Performance Evaluation, Quality Improvement, Financial Management, Communication, Organizational Skills, Compassionate Care, Interdisciplinary Operations, Care Planning, Relationship Management
Specialization
Candidates must have a current RN license and preferably a bachelor's degree in Nursing or a related field. A minimum of 3 years of leadership experience in hospice or healthcare operations is required, along with strong communication and organizational skills.
Experience Required
Minimum 5 year(s)
Hospice Chaplain at Illumia
Pueblo, Colorado, United States - Full Time
Skills Needed
Spiritual Support, Emotional Support, Interdisciplinary Collaboration, Spiritual Care Plans, Grief Counseling, Community Engagement, Documentation, Non Denominational Care
Specialization
Candidates must have a bachelor's degree in a relevant field or complete a unit of ACPE-accredited Clinical Pastoral Education. Degrees from accredited institutions are preferred, and AVPO approval is required for non-accredited degrees.
Med Tech - Jenison - 2nd shift at American House
Georgetown Charter Township, Michigan, United States - Full Time
Skills Needed
Communication Skills, Compassion, Medication Administration, Documentation, Team Collaboration, Activities Of Daily Living, Emergency Response, Environmental Safety, Personal Care, Housekeeping, Mobility Assistance, Resident Monitoring, Public Relations, Tactful Communication, Laundry Assistance, Dining Assistance
Specialization
Candidates must have excellent communication skills and a compassion for older adults, along with a valid driver's license and completion of a 6-hour Medication Technician training course. Fluency in English and the ability to work a flexible schedule are also required.
Sales Associate Keyholder at Express
Cedar Park, Texas, United States - Full Time
Skills Needed
Customer Service Skills, Verbal Communication, Written Communication, Collaborative Skills, Technology Proficiency, Retail Experience
Specialization
Candidates should have a high school education or equivalent and 0-2 years of relevant experience, with a minimum of 6 months preferred. Strong customer service and communication skills are essential.
Mitarbeiter McCafé (m/w/d) at McDonald's Österreich
Völs, Tyrol, Austria - Full Time
Skills Needed
Coffee Preparation, Customer Service, Teamwork, Communication, Cleanliness, Time Management, Flexibility, German Language Skills
Specialization
The ideal candidate should have experience as a barista or in a café setting. They should enjoy interacting with regular customers and be willing to work shifts and weekends.
Maintenance Mechanic at Dexterra Group Inc
Washington, District of Columbia, United States - Full Time
Skills Needed
Hvac, Plumbing, Electrical Systems, Troubleshooting, Preventative Maintenance, Carpentry, Communication Skills, Heavy Lifting, Forklift Operation, Power Tools, Emergency Response, Inspection, Repair Services, Diagnostics, Teamwork, Operational Excellence
Specialization
Candidates must have at least 5 years of recent experience in maintenance and repair of complex systems. They must also possess required certifications and demonstrate knowledge of HVAC, plumbing, fire alarm, and electrical skills.
Experience Required
Minimum 5 year(s)
Facilities Logistics Coordinator at Dexterra Group Inc
Washington, District of Columbia, United States - Full Time
Skills Needed
Forklift Operation, Data Entry, Inventory Management, Facilities Management, Customer Service, Communication Skills, Organizational Skills, Problem Solving, Teamwork, Proactive Attitude, Physical Stamina, Computer Literacy, Maintenance Management Systems, Event Setup, Inspection Skills, Hand And Power Tools Proficiency
Specialization
Candidates should have a high school diploma, with a bachelor's degree preferred, and must possess experience relevant to the position. They must be able to operate a forklift, lift heavy objects, and have good communication and organizational skills.
Proctor at West Coast University, Inc.
Los Angeles, California, United States - Full Time
Skills Needed
Testing Administration, Compliance, Scheduling, Test Preparation, Environment Evaluation, Ms Office, Confidentiality, Security, Integrity, Communication, Teamwork, Student Support, Problem Solving, Attention To Detail, Organizational Skills, Time Management
Specialization
The position requires limited job knowledge and experience with MS Office. A high school diploma or equivalent is required, along with an associate degree in business administration or a related field.
Insurance Agent - Springfield, OH at Horace Mann Agent
Springfield, Ohio, United States - Full Time
Skills Needed
Interpersonal Skills, Business Management, Networking, Client Service, Insurance Solutions, Financial Security, Product Presentation, Community Engagement
Specialization
Candidates should have strong interpersonal and business management skills, with 2-5 years of experience in the insurance and financial services industry preferred. They must also obtain necessary insurance licenses and potentially FINRA licenses.
Experience Required
Minimum 2 year(s)
Chargé d’affaire Fluides Industriels H/F at Spie batignolles
Caudan, Brittany, France - Full Time
Skills Needed
Fluides Industriels, Tuyauterie, Gestion De Projet, Conception, Planification, Achats, Coordination, Supervision, Expertise Technique, Communication, Travail D'équipe, Délais, Préfabrication, Montage, Sous Traitance, Devis
Specialization
Candidates should have a technical background and preferably some experience in industrial piping and fluids. Strong communication skills and a hands-on approach are essential.
Shuttle Driver - On-Call at Avis Budget Group
Madison, Wisconsin, United States - Full Time
Skills Needed
Valid Driver's License, Good Driving Record, Ability To Work In Various Weather Conditions, Ability To Use An Electronic Tablet
Specialization
Candidates must possess a valid driver's license with a good driving record and be willing to work in various weather conditions. Additionally, they should be able to use an electronic tablet frequently.
Utilization Review Licensed Practical Nurse at Hines Associates Inc
Rockford, Illinois, United States -
Full Time

Start Date

Immediate

Expiry Date

30 Mar, 26

Salary

0.0

Posted On

30 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Clinical Knowledge, Communication Skills, Patient Assessment, Medical Certification, Disability Management, Workers Compensation, Case Management, URAC Guidelines, Nursing Practice, Discharge Planning, Customer Service, Assertiveness, Documentation, Policy Knowledge, Self-Evaluation, Team Collaboration

Industry

Hospitals and Health Care

Description
Description LPNs – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader in personalized managed health care, focused on what’s important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.’s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service. WHAT WE OFFER: Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, company paid and voluntary life insurance. Critical Illness, accident insurance and flexible spending also available! 401k plan with company match, fully vested after 1 year. No weekends and nights! Paid Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills to obtain patient specific information regarding patient condition and proposed treatments and procedures to determine if illness and/or proposed services meet acceptable criteria sets and acceptable nursing practice guidelines for outpatient treatment or inpatient confinement. This individual will certify treatment for confinement when criteria and/or practice guidelines are met, in accordance with the health benefit plan, disability, workers compensation regulations and state and federal regulations. If these conditions do not appear to be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease management nurses on active cases involved in other Hines’ programs. *****This is a Monday through Friday position, 9:30 AM to 6:00 PM.****** RESPONSIBILITIES AND PERFORMANCE: Completes first level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review. General Medical-Surgical nursing is sufficient to be relevant to the clinical areas addressed in most initial clinical reviews. . Demonstrates ability to assess a patient’s current medical status, including complications and untoward events, which may require additional intervention. Provides certification of medical, disability and workers compensation cases. Demonstrates a thorough understanding of criteria sets and their limitations including when a second level review is required. Evaluates appropriateness of current plan of care. Assesses aftercare needs, implements discharge planning and/or case management referral in a timely manner. Maintains knowledge of current advances and trends in medical care. Demonstrates knowledge of URAC guidelines, Hines policies and procedures, and standards of practice and their revisions. Able to attain and maintain the minimal quality assurance performance standards. Demonstrates assertiveness in completion of precertification and concurrent review within the guidelines of URAC, disability, workers compensation regulations, and state and federal requirements and according to the Hines policies and procedures. Performs onsite evaluations as needed or requested. Additional responsibilities as assigned. COMMUNICATION: Communicates with hospital staff, physicians, other providers and Hines customer contacts in a competent, calm, effective and professional manner. Effectively communicates the need to refer to a higher-level review for questionable plans of treatment. Provides written documentation concerning the clinical information obtained regarding the patient’s status, benefit and claim concerns, and validation of criteria. Communicates knowledge of policies and procedures, URAC guidelines, disability and workers compensation regulations, state and federal requirements, and standards of practice. PERSONAL AND PROFESSIONAL: Participates in self-evaluation by identifying areas of strength and limitations and offers and accepts constructive criticism. Creative and assertive. All First Level Reviewers are required to sign and honor a confidentiality statement at the time of hire and annually at the time of performance reviews. PM21 Requirements QUALIFICATIONS: Licensed Practical Nurse with valid, unrestricted, current nursing license in the state or territory of the United States where employed. LPN Successful completion of UR nurse orientation program. Minimum of 3 years recent acute clinical practice required; 5 years preferred. Managed care, disability or workers compensation experience helpful but not mandatory. Customer service oriented. *Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.*

How To Apply:

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Responsibilities
The role involves utilizing clinical knowledge to assess patient conditions and determine the appropriateness of proposed treatments. The individual will communicate with healthcare providers and maintain compliance with relevant guidelines and regulations.
Utilization Review Licensed Practical Nurse at Hines Associates Inc
Rockford, Illinois, United States - Full Time
Skills Needed
Clinical Knowledge, Communication Skills, Patient Assessment, Medical Certification, Disability Management, Workers Compensation, Case Management, Urac Guidelines, Nursing Practice, Discharge Planning, Customer Service, Assertiveness, Documentation, Policy Knowledge, Self Evaluation, Team Collaboration
Specialization
Candidates must be a Licensed Practical Nurse with a valid nursing license and have a minimum of 3 years of recent acute clinical practice. Experience in managed care, disability, or workers compensation is preferred but not mandatory.
Experience Required
Minimum 5 year(s)
Restaurant Shift Supervisor at Gold Star
Hamilton, Ohio, United States - Full Time
Skills Needed
People Leadership, Customer Service, Store Operations, Financial Management, Problem Solving, Motivation, Teamwork, Dependability, Respectfulness, Friendliness, Fun, Supportiveness
Specialization
Successful Shift Leaders should possess the ability to lead and inspire others, along with outstanding customer service skills. Strong problem-solving capabilities are also essential for this role.
Restaurant Crew Member at Gold Star
Hamilton, Ohio, United States - Full Time
Skills Needed
Service Oriented, Friendly, Fun, Dependable, Supportive, Respectful
Specialization
Candidates should be passionate, service-oriented, and friendly. Prior experience is not required, making it suitable for newcomers to the restaurant industry.
Corporate & Employement Counsel at Freshworks
Bengaluru, karnataka, India - Full Time
Skills Needed
Corporate Governance, Employment Law, Labor Regulations, Data Privacy, Risk Assessment, Problem Solving, Communication, Stakeholder Management, Confidentiality, Integrity, Proactivity, Ownership, Adaptability, Attention To Detail, Training, Enablement
Specialization
Candidates should have an LL.B. and Company Secretary qualification with 6-9 years of experience in corporate and employment counsel roles. Expertise in Indian company law and labor law is essential.
Experience Required
Minimum 5 year(s)
IT Internship at Richmond National
Glen Allen, Virginia, United States - Full Time
Skills Needed
Workstation Setups, Device Configuration, Troubleshooting, User Account Management, Cloud Tools, Devops Tools
Specialization
The ideal candidate should be currently studying a degree in cybersecurity, data engineering, data science, or a related field. No specific experience is required, making this suitable for students or recent graduates.
Technical Recruiter - Mexico (Contract) at Bitovi
, , - Full Time
Skills Needed
Technical Recruiting, Sourcing, Screening, Candidate Engagement, Communication, Networking, Market Trends, Compensation Analysis, Collaboration, Data Driven Decisions, Problem Solving, Fast Paced Environment, Ownership, Creativity, Relationship Building, Interview Coordination
Specialization
You should have 3+ years of technical recruiting experience and familiarity with the Mexican tech market. Fluency in English and the ability to represent the brand at events are also important.
Experience Required
Minimum 2 year(s)
Manager, Owner & Guest Support at Evolve Co Family
, , United States - Full Time
Skills Needed
Customer Service, Coaching, Team Management, Communication, Data Driven, Problem Solving, Collaboration, Change Management, Google Suite, Salesforce.Com, Mentoring, Recognition, Team Building, Performance Monitoring, Career Development, Customer Engagement
Specialization
Candidates should have 5+ years of customer service experience and at least 1 year of coaching experience. They must demonstrate a customer-obsessed mindset and the ability to drive results through effective communication and collaboration.
Experience Required
Minimum 5 year(s)
Cath Lab Tech-Cardiac Cath Lab-Methodist at UnityPoint Health
Des Moines, Iowa, United States - Full Time
Skills Needed
Cardiovascular Technology, Paramedic Experience, Cath Lab Experience, Basic Life Support, Advanced Cardiovascular Life Support, Critical Thinking, Customer Focused, Multicultural Sensitivity, Microsoft Office, Independent Judgment
Specialization
Candidates must be graduates of an accredited Cardiovascular Technology or Paramedic program with relevant experience. They must also hold current licensure and certifications in Basic Life Support and Advanced Cardiovascular Life Support.
Experience Required
Minimum 2 year(s)
Rehabilitation Technician I at UnityPoint Health
Rock Island, Illinois, United States - Full Time
Skills Needed
Patient Transportation, Therapy Scheduling, Communication, Supply Management, Equipment Auditing, Customer Service, Basic Computer Skills, Medical Terminology
Specialization
Candidates should have a high school diploma or equivalent and possess basic computer skills. Experience with medical terminology and completion of a Nursing Assistant course is preferred.
Hospice RN Administrator at Illumia
Suffolk, Virginia, United States - Full Time
Skills Needed
Leadership, Hospice Care, Clinical Operations, Patient Centered Care, Team Development, Compliance, Documentation, Performance Evaluation, Quality Improvement, Financial Management, Communication, Organizational Skills, Compassionate Care, Interdisciplinary Operations, Care Planning, Relationship Management
Specialization
Candidates must have a current RN license and preferably a bachelor's degree in Nursing or a related field. A minimum of 3 years of leadership experience in hospice or healthcare operations is required, along with strong communication and organizational skills.
Experience Required
Minimum 5 year(s)
Hospice Chaplain at Illumia
Pueblo, Colorado, United States - Full Time
Skills Needed
Spiritual Support, Emotional Support, Interdisciplinary Collaboration, Spiritual Care Plans, Grief Counseling, Community Engagement, Documentation, Non Denominational Care
Specialization
Candidates must have a bachelor's degree in a relevant field or complete a unit of ACPE-accredited Clinical Pastoral Education. Degrees from accredited institutions are preferred, and AVPO approval is required for non-accredited degrees.
Med Tech - Jenison - 2nd shift at American House
Georgetown Charter Township, Michigan, United States - Full Time
Skills Needed
Communication Skills, Compassion, Medication Administration, Documentation, Team Collaboration, Activities Of Daily Living, Emergency Response, Environmental Safety, Personal Care, Housekeeping, Mobility Assistance, Resident Monitoring, Public Relations, Tactful Communication, Laundry Assistance, Dining Assistance
Specialization
Candidates must have excellent communication skills and a compassion for older adults, along with a valid driver's license and completion of a 6-hour Medication Technician training course. Fluency in English and the ability to work a flexible schedule are also required.
Sales Associate Keyholder at Express
Cedar Park, Texas, United States - Full Time
Skills Needed
Customer Service Skills, Verbal Communication, Written Communication, Collaborative Skills, Technology Proficiency, Retail Experience
Specialization
Candidates should have a high school education or equivalent and 0-2 years of relevant experience, with a minimum of 6 months preferred. Strong customer service and communication skills are essential.
Mitarbeiter McCafé (m/w/d) at McDonald's Österreich
Völs, Tyrol, Austria - Full Time
Skills Needed
Coffee Preparation, Customer Service, Teamwork, Communication, Cleanliness, Time Management, Flexibility, German Language Skills
Specialization
The ideal candidate should have experience as a barista or in a café setting. They should enjoy interacting with regular customers and be willing to work shifts and weekends.
Maintenance Mechanic at Dexterra Group Inc
Washington, District of Columbia, United States - Full Time
Skills Needed
Hvac, Plumbing, Electrical Systems, Troubleshooting, Preventative Maintenance, Carpentry, Communication Skills, Heavy Lifting, Forklift Operation, Power Tools, Emergency Response, Inspection, Repair Services, Diagnostics, Teamwork, Operational Excellence
Specialization
Candidates must have at least 5 years of recent experience in maintenance and repair of complex systems. They must also possess required certifications and demonstrate knowledge of HVAC, plumbing, fire alarm, and electrical skills.
Experience Required
Minimum 5 year(s)
Facilities Logistics Coordinator at Dexterra Group Inc
Washington, District of Columbia, United States - Full Time
Skills Needed
Forklift Operation, Data Entry, Inventory Management, Facilities Management, Customer Service, Communication Skills, Organizational Skills, Problem Solving, Teamwork, Proactive Attitude, Physical Stamina, Computer Literacy, Maintenance Management Systems, Event Setup, Inspection Skills, Hand And Power Tools Proficiency
Specialization
Candidates should have a high school diploma, with a bachelor's degree preferred, and must possess experience relevant to the position. They must be able to operate a forklift, lift heavy objects, and have good communication and organizational skills.
Proctor at West Coast University, Inc.
Los Angeles, California, United States - Full Time
Skills Needed
Testing Administration, Compliance, Scheduling, Test Preparation, Environment Evaluation, Ms Office, Confidentiality, Security, Integrity, Communication, Teamwork, Student Support, Problem Solving, Attention To Detail, Organizational Skills, Time Management
Specialization
The position requires limited job knowledge and experience with MS Office. A high school diploma or equivalent is required, along with an associate degree in business administration or a related field.
Insurance Agent - Springfield, OH at Horace Mann Agent
Springfield, Ohio, United States - Full Time
Skills Needed
Interpersonal Skills, Business Management, Networking, Client Service, Insurance Solutions, Financial Security, Product Presentation, Community Engagement
Specialization
Candidates should have strong interpersonal and business management skills, with 2-5 years of experience in the insurance and financial services industry preferred. They must also obtain necessary insurance licenses and potentially FINRA licenses.
Experience Required
Minimum 2 year(s)
Chargé d’affaire Fluides Industriels H/F at Spie batignolles
Caudan, Brittany, France - Full Time
Skills Needed
Fluides Industriels, Tuyauterie, Gestion De Projet, Conception, Planification, Achats, Coordination, Supervision, Expertise Technique, Communication, Travail D'équipe, Délais, Préfabrication, Montage, Sous Traitance, Devis
Specialization
Candidates should have a technical background and preferably some experience in industrial piping and fluids. Strong communication skills and a hands-on approach are essential.
Shuttle Driver - On-Call at Avis Budget Group
Madison, Wisconsin, United States - Full Time
Skills Needed
Valid Driver's License, Good Driving Record, Ability To Work In Various Weather Conditions, Ability To Use An Electronic Tablet
Specialization
Candidates must possess a valid driver's license with a good driving record and be willing to work in various weather conditions. Additionally, they should be able to use an electronic tablet frequently.