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Direct Care Worker at 365 Health Services
Gilbertsville, Pennsylvania, United States - Full Time
Skills Needed
Personal Care, Hygiene, Mobility, Elimination, Infection Control, Home Maintenance, Housekeeping, Meal Preparation, Safe Transfer, Ambulation, Documentation, Compliance, Professionalism, Ethics, Communication, Confidentiality
Specialization
The role requires adherence to infection control precautions and respect for patient confidentiality. Employees must also maintain regular attendance and conduct business in a professional manner.
Drain / Sewer Technician at Zoom Drain Northeast Florida
Fort Myers, Florida, United States - Full Time
Skills Needed
Drain Cleaning, Plumbing, Sewer Repair, Hydro Jetting, Pipe Inspections, Emergency Service Calls, Customer Diagnosis, Clogged Drains, Preventative Maintenance, Electric Snakes, Sewer Camera, Teamwork, Motivation, Hardworking, Career Growth, Technical Training
Specialization
Candidates must have experience working on drains and sewers, including using electric snakes and sewer cameras. A valid driver's license and the ability to handle emergency service calls are also required.
Experience Required
Minimum 2 year(s)
Clinical Research Assistant (Must Live in Los Angeles and Speak Spanish) at Angel City VA
Los Angeles, California, United States - Full Time
Skills Needed
Clinical Research, Data Entry, Patient Communication, Organization, Attention To Detail, Healthcare Experience, Spanish Language, Record Maintenance, Clerical Tasks, Inventory Management, Gcp Knowledge, Fda Regulations, Irb Knowledge, Blood Pressure Assessment, Lab Collection, Scheduling
Specialization
Candidates should have a high school diploma and possess excellent computer skills along with strong organizational abilities. Prior experience in healthcare or clinical settings is preferred, and knowledge of clinical research processes is a plus.
Wordpress Developer at Angel City VA
, , - Full Time
Skills Needed
Wordpress, Elementor, Responsive Web Design, Figma, Html, Css, Javascript, Php, Seo, Problem Solving, Communication
Specialization
Candidates should have 2-4 years of experience as a WordPress Developer and be proficient in Elementor, HTML, CSS, and JavaScript. A strong understanding of responsive design and SEO best practices is also required.
Experience Required
Minimum 2 year(s)
Conseiller en boutique - Lyon Saint Genis at Iliad - Free
Lyon, Auvergne-Rhône-Alpes, France - Full Time
Skills Needed
Customer Service, Sales, Teamwork, Communication, Listening, Persuasion, Problem Solving, Adaptability
Specialization
Candidates should be open, attentive, and prioritize customer satisfaction. A positive attitude and teamwork skills are essential for this position.
RN- Float Pool, ICU (Full Time, Nights) at Nicklaus Children's Hospital
, , - Full Time
Skills Needed
Nursing Processes, Patient Care, Assessment, Documentation, Medication Administration, Collaboration, Electronic Health Record, Time Management, Communication, Family Centered Care, Problem Solving, Evidence Based Practices, Wound Care, Critical Thinking, Patient Education, Safety Protocols
Specialization
Candidates must have an active RN license in Florida and maintain required certifications such as BLS, PALS, ACLS, and NRP. A BSN degree or enrollment in a BSN program is preferred, along with at least one year of RN experience in an intensive care environment.
Experience Required
Minimum 2 year(s)
Communications Manager at City of Philadelphia
Philadelphia, Pennsylvania, United States - Full Time
Skills Needed
Communications, Public Relations, Media Relations, Writing, Editing, Digital Communication, Social Media, Project Management, Interpersonal Skills, Community Engagement, Storytelling, Outreach, Analytics, Inclusivity, Team Collaboration, Accountability
Specialization
Candidates should have a Bachelor’s Degree in a relevant field and a minimum of three to five years of experience in communications or public relations. Strong writing skills and proficiency in digital communication tools are essential.
Experience Required
Minimum 2 year(s)
Medical Biller (Open Dental) at Angel City VA
, , Argentina - Full Time
Skills Needed
Medical Billing, Open Dental Software, Attention To Detail, Organizational Skills, Communication Skills, Interpersonal Skills, Dental Billing Codes, Independent Work, Team Collaboration
Specialization
Candidates should have proven experience as a Medical Biller, preferably in a dental practice, and must be proficient in Open Dental software. Strong attention to detail, excellent communication skills, and knowledge of dental billing codes are also required.
Experience Required
Minimum 2 year(s)
Medical Assistant (Bilingual Spanish and English) at Angel City VA
Los Angeles, California, United States - Full Time
Skills Needed
Bilingual, Patient Care, Communication, Interpersonal Skills, Administrative Tasks, Vital Signs, Patient Records, Confidentiality
Specialization
Candidates must be Certified Medical Assistants or have equivalent qualifications. Strong communication skills and a commitment to high-quality patient care are essential.
FedEx Delivery Driver at Route Elite
Grove City, Ohio, United States - Full Time
Skills Needed
Delivery Driving, Customer Service, Vehicle Operation, Package Handling, Route Management, Safety Compliance, Communication, Teamwork, Time Management, Problem Solving, Physical Stamina, Attention To Detail, Organizational Skills, Reliability, Work Ethic
Specialization
Candidates must be at least 21 years old, possess a valid driver's license, and have a clean driving record. They must also pass a drug test, DOT physical, and a criminal background check, and be able to lift up to 150 lbs.
Part-Time Full Day Care at Jovie of CA, WA, and MN
Cleveland, Ohio, United States - Full Time
Skills Needed
Childcare, Meal Prep, Light Housekeeping, Educational Activities, Communication, Creativity, Reliability, Transportation, Engagement, Safety, Routine Maintenance, Development Support, Arts And Crafts, Outdoor Play, Reading, Imagination
Specialization
Candidates should have experience working with children, either paid or unpaid, and provide at least two references. Reliable transportation and a commitment to communication with the staffing supervisor are also required.
Assistant Professor of Accountancy at Alfred University
Alfred, New York, United States - Full Time
Skills Needed
Teaching, Scholarship, Research, Advising, Classroom Management, Grading, Professional Conduct, Fieldwork Supervision, Internship Supervision, Independent Study, Peer Reviewed Activity, University Service, Safety Training, Communication, Collaboration, Discipline Based Involvement
Specialization
Candidates must have a Ph.D. in Accounting or a related business field, or a Master's degree with CPA or equivalent. Additionally, 5 to 10 years of work experience in the accounting field is required if the candidate does not have a terminal degree.
Experience Required
Minimum 5 year(s)
Cafe Food/Beer/Wine Server at Youth Exploring Adventure Inc DBA Hilltop Ski Area
Anchorage, Alaska, United States - Full Time
Skills Needed
Guest Service, Food And Beverage Orders, Coffee Drinks, Cash Handling, Sanitation, Dishwashing, Teamwork, Communication, Problem Solving, Organizational Skills, Point Of Sale Systems, Alcohol Service, Safety Procedures, Multi Tasking, Retail Sales, Mathematical Skills
Specialization
Candidates should have knowledge of retail sales and experience in food and beverage service is preferred. A food handler’s card and TAP certification are required, along with the ability to work various shifts including weekends and holidays.
JM Wireless – CA E 20th St - FT - RSM – Metro - T-Mobile at TCC Wireless LLC
Chico, California, United States - Full Time
Skills Needed
Leadership, Team Building, Interpersonal Skills, Communication Skills, Analytical Skills, Problem Solving Skills, Sales Skills, Customer Engagement, Retail Management, Wireless Technology Knowledge, Coaching, Motivation, Performance Evaluation, Inventory Management, Visual Merchandising, Upselling
Specialization
Candidates should have a combination of education and experience, typically an associate or bachelor's degree and 1-2 years in retail sales management. Strong leadership and communication skills are essential, along with a flexible schedule.
Therapy Medical Physicist for Naval Medical Center Portsmouth at MDPerm
Portsmouth, Virginia, United States - Full Time
Skills Needed
Radiation Therapy, Quality Assurance, Treatment Planning, Equipment Calibration, Patient Safety, Technical Knowledge, Collaboration, Stereotactic Radiosurgery, Stereotactic Body Radiotherapy, Data Management, Training, Clinical Support, Radiation Safety, Communication, Attention To Detail, Multidisciplinary Teamwork
Specialization
Candidates must have a Master's or Doctorate in a relevant field and at least 3 years of experience as a Therapeutic Medical Physicist in a hospital setting. Certification from recognized boards and recent experience with SRS and SBRT is also required.
Experience Required
Minimum 5 year(s)
REMOTE SALES - HOT LEADS - NO EXPERIENCE NEEDED at The Semler Agency
, , - Full Time
Skills Needed
Sales, Insurance, Customer Service, Communication, Self Discipline, Coaching, Mentoring, Teamwork, Time Management, Financial Services, Problem Solving, Networking, Empathy, Flexibility, Entrepreneurship, Goal Setting
Specialization
No prior experience is necessary, but candidates should be humble, coachable, and self-disciplined. A willingness to obtain an insurance license is required, along with a genuine care for helping others.
REMOTE SALES - HOT LEADS - NO EXPERIENCE NEEDED at The Semler Agency
, , - Full Time
Skills Needed
Sales, Insurance, Customer Service, Communication, Self Discipline, Coachable, Teachable, Mentoring, Training, Teamwork, Time Management, Flexibility, Networking, Entrepreneurship, Financial Services, Agency Ownership
Specialization
No prior experience is necessary, but candidates should be willing to obtain an insurance license. Ideal candidates are self-disciplined, humble, and have a genuine desire to help others.
Field Marketer at Bath Concepts Independent Dealers
Narragansett, Rhode Island, United States - Full Time
Skills Needed
Positive Personality, Engaging, Outgoing, Resilient, Enthusiastic, High Energy, Disciplined, Organized, Adaptable, Desire For Ongoing Learning, Customer Facing Experience
Specialization
Candidates should possess a positive, engaging, and outgoing personality, along with resilience and enthusiasm. Previous experience in a customer-facing role is preferred.
Senior Transportation Design Engineer at Wallace Group
San Luis Obispo, California, United States - Full Time
Skills Needed
Transportation Design, Project Management, Team Coordination, Client Interaction, Construction Support, Budget Management, Proposal Preparation, Quality Control, Cad, Caltrans Standards, Environmental Coordination, Public Outreach, Supervision, Training, Communication, Teamwork
Specialization
Candidates must have a Bachelor's degree in Civil Engineering or a related field and California registration as a licensed Professional Engineer. A minimum of nine years of experience in transportation design engineering and project management is required.
Experience Required
Minimum 10 year(s)
Emergency Medicine Physician at WorkFit Medical
Bradford, Pennsylvania, United States - Full Time
Skills Needed
Emergency Medicine, Internal Medicine, Family Practice, Patient Centered Care, Community Service, Flexible Schedules, Mid Shift Support, Day Shifts, Night Shifts, Medical License, Outdoor Activities, Work Life Balance, Hiking, Fishing, Skiing, Family Friendly
Specialization
Candidates must be board eligible or board certified in Emergency Medicine, Internal Medicine, or Family Practice with ER experience. An active medical license in New York and Pennsylvania is also required.
Direct Care Worker at 365 Health Services
Gilbertsville, Pennsylvania, United States -
Full Time

Start Date

Immediate

Expiry Date

07 Apr, 26

Salary

0.0

Posted On

07 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Personal Care, Hygiene, Mobility, Elimination, Infection Control, Home Maintenance, Housekeeping, Meal Preparation, Safe Transfer, Ambulation, Documentation, Compliance, Professionalism, Ethics, Communication, Confidentiality

Industry

Hospitals and Health Care

Description
Direct Care Worker At 365 Health Services, we take pride in treating our employees the right way – like Family. Weekly pay, sick time, benefits, 401k, over-communication, accountability, positive energy, and even employee appreciation parties are just some of the benefits of working with 365. Our Client Service Managers are available 24/7/365 to answer any of your needs or concerns via our on-call service. We provide a high-level training to ensure our employees provide the best care possible. Feel free to check us out on Google and see what our clients and employees have to say about us! Performs or assists patient with personal care activities as prescribed in the plan of care, including but not limited to hygiene, mobility and elimination. If unable to perform a certain task, reports to the RN or Director of Clinical Services immediately. Practices Universal Infection Control Precautions in all contacts with patients. Performs or assists patient/family with home maintenance activities as prescribed in the care plan, including but not limited to light housekeeping and meal preparation. Practices safe transfer, ambulation, normal range of motion and positioning techniques. Respects the autonomy and right to confidentiality of all patients and families. Document scare provided and response of consumer/family. Submits documentation in a timely manner. Performs within the limits of preparation and experience. Ensures compliance with local, state and federal laws, Medicare regulations and established agency policies and procedures. Consistently meets or exceeds 365 Health Services’ established service standards. Conducts all business activities in a professional and ethical manner. Maintains regular attendance. Adheres to 365 Health Services’ Code of Conduct. Interacts with all staff in a positive fashion supporting 365 Health Services’ mission and vision. Conducts all business activities in a professional and ethical manner. Complies with 365 Health Services’ general orientation and with agency policies and procedures including confidentiality and HIPAA guidelines. Job Types: Full-time, Part-time, Temporary Salary: Based on experience Benefits: Dental insurance Flexible schedule Health insurance Referral program Vision insurance Schedule: 10 hour shift 12 hour shift 8 hour shift Choose your own hours Day shift Evening shift Night shift Overnight shift Work Location: In person About 365 Health Services LLC: 365 Health Services is a licensed home care agency serving the Eastern PA Counties committed to providing the highest quality in home care with the best possible communication. With a leadership team that has over 25 years of combined industry experience, 365 Health Services is dedicated to serving you and your loved ones. Our promise is to go above and beyond your expectations all day, every day.
Responsibilities
The Direct Care Worker performs or assists patients with personal care activities and home maintenance tasks as prescribed in the care plan. They must document care provided and ensure compliance with relevant laws and agency policies.
Direct Care Worker at 365 Health Services
Gilbertsville, Pennsylvania, United States - Full Time
Skills Needed
Personal Care, Hygiene, Mobility, Elimination, Infection Control, Home Maintenance, Housekeeping, Meal Preparation, Safe Transfer, Ambulation, Documentation, Compliance, Professionalism, Ethics, Communication, Confidentiality
Specialization
The role requires adherence to infection control precautions and respect for patient confidentiality. Employees must also maintain regular attendance and conduct business in a professional manner.
Drain / Sewer Technician at Zoom Drain Northeast Florida
Fort Myers, Florida, United States - Full Time
Skills Needed
Drain Cleaning, Plumbing, Sewer Repair, Hydro Jetting, Pipe Inspections, Emergency Service Calls, Customer Diagnosis, Clogged Drains, Preventative Maintenance, Electric Snakes, Sewer Camera, Teamwork, Motivation, Hardworking, Career Growth, Technical Training
Specialization
Candidates must have experience working on drains and sewers, including using electric snakes and sewer cameras. A valid driver's license and the ability to handle emergency service calls are also required.
Experience Required
Minimum 2 year(s)
Clinical Research Assistant (Must Live in Los Angeles and Speak Spanish) at Angel City VA
Los Angeles, California, United States - Full Time
Skills Needed
Clinical Research, Data Entry, Patient Communication, Organization, Attention To Detail, Healthcare Experience, Spanish Language, Record Maintenance, Clerical Tasks, Inventory Management, Gcp Knowledge, Fda Regulations, Irb Knowledge, Blood Pressure Assessment, Lab Collection, Scheduling
Specialization
Candidates should have a high school diploma and possess excellent computer skills along with strong organizational abilities. Prior experience in healthcare or clinical settings is preferred, and knowledge of clinical research processes is a plus.
Wordpress Developer at Angel City VA
, , - Full Time
Skills Needed
Wordpress, Elementor, Responsive Web Design, Figma, Html, Css, Javascript, Php, Seo, Problem Solving, Communication
Specialization
Candidates should have 2-4 years of experience as a WordPress Developer and be proficient in Elementor, HTML, CSS, and JavaScript. A strong understanding of responsive design and SEO best practices is also required.
Experience Required
Minimum 2 year(s)
Conseiller en boutique - Lyon Saint Genis at Iliad - Free
Lyon, Auvergne-Rhône-Alpes, France - Full Time
Skills Needed
Customer Service, Sales, Teamwork, Communication, Listening, Persuasion, Problem Solving, Adaptability
Specialization
Candidates should be open, attentive, and prioritize customer satisfaction. A positive attitude and teamwork skills are essential for this position.
RN- Float Pool, ICU (Full Time, Nights) at Nicklaus Children's Hospital
, , - Full Time
Skills Needed
Nursing Processes, Patient Care, Assessment, Documentation, Medication Administration, Collaboration, Electronic Health Record, Time Management, Communication, Family Centered Care, Problem Solving, Evidence Based Practices, Wound Care, Critical Thinking, Patient Education, Safety Protocols
Specialization
Candidates must have an active RN license in Florida and maintain required certifications such as BLS, PALS, ACLS, and NRP. A BSN degree or enrollment in a BSN program is preferred, along with at least one year of RN experience in an intensive care environment.
Experience Required
Minimum 2 year(s)
Communications Manager at City of Philadelphia
Philadelphia, Pennsylvania, United States - Full Time
Skills Needed
Communications, Public Relations, Media Relations, Writing, Editing, Digital Communication, Social Media, Project Management, Interpersonal Skills, Community Engagement, Storytelling, Outreach, Analytics, Inclusivity, Team Collaboration, Accountability
Specialization
Candidates should have a Bachelor’s Degree in a relevant field and a minimum of three to five years of experience in communications or public relations. Strong writing skills and proficiency in digital communication tools are essential.
Experience Required
Minimum 2 year(s)
Medical Biller (Open Dental) at Angel City VA
, , Argentina - Full Time
Skills Needed
Medical Billing, Open Dental Software, Attention To Detail, Organizational Skills, Communication Skills, Interpersonal Skills, Dental Billing Codes, Independent Work, Team Collaboration
Specialization
Candidates should have proven experience as a Medical Biller, preferably in a dental practice, and must be proficient in Open Dental software. Strong attention to detail, excellent communication skills, and knowledge of dental billing codes are also required.
Experience Required
Minimum 2 year(s)
Medical Assistant (Bilingual Spanish and English) at Angel City VA
Los Angeles, California, United States - Full Time
Skills Needed
Bilingual, Patient Care, Communication, Interpersonal Skills, Administrative Tasks, Vital Signs, Patient Records, Confidentiality
Specialization
Candidates must be Certified Medical Assistants or have equivalent qualifications. Strong communication skills and a commitment to high-quality patient care are essential.
FedEx Delivery Driver at Route Elite
Grove City, Ohio, United States - Full Time
Skills Needed
Delivery Driving, Customer Service, Vehicle Operation, Package Handling, Route Management, Safety Compliance, Communication, Teamwork, Time Management, Problem Solving, Physical Stamina, Attention To Detail, Organizational Skills, Reliability, Work Ethic
Specialization
Candidates must be at least 21 years old, possess a valid driver's license, and have a clean driving record. They must also pass a drug test, DOT physical, and a criminal background check, and be able to lift up to 150 lbs.
Part-Time Full Day Care at Jovie of CA, WA, and MN
Cleveland, Ohio, United States - Full Time
Skills Needed
Childcare, Meal Prep, Light Housekeeping, Educational Activities, Communication, Creativity, Reliability, Transportation, Engagement, Safety, Routine Maintenance, Development Support, Arts And Crafts, Outdoor Play, Reading, Imagination
Specialization
Candidates should have experience working with children, either paid or unpaid, and provide at least two references. Reliable transportation and a commitment to communication with the staffing supervisor are also required.
Assistant Professor of Accountancy at Alfred University
Alfred, New York, United States - Full Time
Skills Needed
Teaching, Scholarship, Research, Advising, Classroom Management, Grading, Professional Conduct, Fieldwork Supervision, Internship Supervision, Independent Study, Peer Reviewed Activity, University Service, Safety Training, Communication, Collaboration, Discipline Based Involvement
Specialization
Candidates must have a Ph.D. in Accounting or a related business field, or a Master's degree with CPA or equivalent. Additionally, 5 to 10 years of work experience in the accounting field is required if the candidate does not have a terminal degree.
Experience Required
Minimum 5 year(s)
Cafe Food/Beer/Wine Server at Youth Exploring Adventure Inc DBA Hilltop Ski Area
Anchorage, Alaska, United States - Full Time
Skills Needed
Guest Service, Food And Beverage Orders, Coffee Drinks, Cash Handling, Sanitation, Dishwashing, Teamwork, Communication, Problem Solving, Organizational Skills, Point Of Sale Systems, Alcohol Service, Safety Procedures, Multi Tasking, Retail Sales, Mathematical Skills
Specialization
Candidates should have knowledge of retail sales and experience in food and beverage service is preferred. A food handler’s card and TAP certification are required, along with the ability to work various shifts including weekends and holidays.
JM Wireless – CA E 20th St - FT - RSM – Metro - T-Mobile at TCC Wireless LLC
Chico, California, United States - Full Time
Skills Needed
Leadership, Team Building, Interpersonal Skills, Communication Skills, Analytical Skills, Problem Solving Skills, Sales Skills, Customer Engagement, Retail Management, Wireless Technology Knowledge, Coaching, Motivation, Performance Evaluation, Inventory Management, Visual Merchandising, Upselling
Specialization
Candidates should have a combination of education and experience, typically an associate or bachelor's degree and 1-2 years in retail sales management. Strong leadership and communication skills are essential, along with a flexible schedule.
Therapy Medical Physicist for Naval Medical Center Portsmouth at MDPerm
Portsmouth, Virginia, United States - Full Time
Skills Needed
Radiation Therapy, Quality Assurance, Treatment Planning, Equipment Calibration, Patient Safety, Technical Knowledge, Collaboration, Stereotactic Radiosurgery, Stereotactic Body Radiotherapy, Data Management, Training, Clinical Support, Radiation Safety, Communication, Attention To Detail, Multidisciplinary Teamwork
Specialization
Candidates must have a Master's or Doctorate in a relevant field and at least 3 years of experience as a Therapeutic Medical Physicist in a hospital setting. Certification from recognized boards and recent experience with SRS and SBRT is also required.
Experience Required
Minimum 5 year(s)
REMOTE SALES - HOT LEADS - NO EXPERIENCE NEEDED at The Semler Agency
, , - Full Time
Skills Needed
Sales, Insurance, Customer Service, Communication, Self Discipline, Coaching, Mentoring, Teamwork, Time Management, Financial Services, Problem Solving, Networking, Empathy, Flexibility, Entrepreneurship, Goal Setting
Specialization
No prior experience is necessary, but candidates should be humble, coachable, and self-disciplined. A willingness to obtain an insurance license is required, along with a genuine care for helping others.
REMOTE SALES - HOT LEADS - NO EXPERIENCE NEEDED at The Semler Agency
, , - Full Time
Skills Needed
Sales, Insurance, Customer Service, Communication, Self Discipline, Coachable, Teachable, Mentoring, Training, Teamwork, Time Management, Flexibility, Networking, Entrepreneurship, Financial Services, Agency Ownership
Specialization
No prior experience is necessary, but candidates should be willing to obtain an insurance license. Ideal candidates are self-disciplined, humble, and have a genuine desire to help others.
Field Marketer at Bath Concepts Independent Dealers
Narragansett, Rhode Island, United States - Full Time
Skills Needed
Positive Personality, Engaging, Outgoing, Resilient, Enthusiastic, High Energy, Disciplined, Organized, Adaptable, Desire For Ongoing Learning, Customer Facing Experience
Specialization
Candidates should possess a positive, engaging, and outgoing personality, along with resilience and enthusiasm. Previous experience in a customer-facing role is preferred.
Senior Transportation Design Engineer at Wallace Group
San Luis Obispo, California, United States - Full Time
Skills Needed
Transportation Design, Project Management, Team Coordination, Client Interaction, Construction Support, Budget Management, Proposal Preparation, Quality Control, Cad, Caltrans Standards, Environmental Coordination, Public Outreach, Supervision, Training, Communication, Teamwork
Specialization
Candidates must have a Bachelor's degree in Civil Engineering or a related field and California registration as a licensed Professional Engineer. A minimum of nine years of experience in transportation design engineering and project management is required.
Experience Required
Minimum 10 year(s)
Emergency Medicine Physician at WorkFit Medical
Bradford, Pennsylvania, United States - Full Time
Skills Needed
Emergency Medicine, Internal Medicine, Family Practice, Patient Centered Care, Community Service, Flexible Schedules, Mid Shift Support, Day Shifts, Night Shifts, Medical License, Outdoor Activities, Work Life Balance, Hiking, Fishing, Skiing, Family Friendly
Specialization
Candidates must be board eligible or board certified in Emergency Medicine, Internal Medicine, or Family Practice with ER experience. An active medical license in New York and Pennsylvania is also required.