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Patient Care Specialist - Part Time - Evenings at Trinity Health
Mason City, Iowa, United States - Full Time
Skills Needed
Customer Service, Communication, Patient Care, Phlebotomy, Nursing Assistant Experience, Basic Computer Skills, Medical Terminology, Prioritization, Independence, Adaptability
Specialization
Candidates should have a high school diploma or equivalent and complete a Nurse Aid course or be enrolled in a nursing program. Nursing Assistant experience and basic computer skills are preferred.
Patient Access Representative - Primary Care at McLaren Health Care
, , - Full Time
Skills Needed
Patient Access, Medical Billing, Customer Service, Microsoft Office, Excel, Word, Insurance Verification, Cashier, Cpt, Hcpcs, Icd 10, Revenue Cycle, Clerical, Front Desk, Quality Improvement, Communication
Specialization
A high school diploma or GED is required, along with a minimum of 6 months of experience in patient access, medical billing, or customer service. Proficiency in Microsoft Office and knowledge of medical coding is preferred.
Part-Time Associate Patient Care Coordinator at UnitedHealth Group Canada
, , - Full Time
Skills Needed
Scheduling, Communication, Insurance Verification, Data Entry, Customer Service, Medical Terminology, Multi Tasking, Relationship Building
Specialization
Candidates must have a High School Diploma or GED and be able to work onsite at various facilities. Preferred qualifications include 1+ years of related work experience and customer service experience.
Patient Care Associate- TCU- FullTime Nights at UF Health
Jacksonville, Florida, United States - Full Time
Skills Needed
Teamwork, Communication, Patient Care, Medical Terminology, Standard Precautions, Computer Technologies, English Proficiency
Specialization
Candidates must have a GED or High School Diploma and maintain an active CNA license from the State of Florida along with BLS certification. Less than one year of experience in providing patient care is required, with at least one year preferred.
CCU- Patient Care Associate- Part Time Nights at UF Health
Jacksonville, Florida, United States - Full Time
Skills Needed
Teamwork, Communication, Patient Care, Basic Medical Terminology, Standard Precautions, Computer Technologies, Crisis Prevention, English Proficiency
Specialization
Candidates must have a high school diploma or GED and one of several specified certifications or training. Less than one year of experience in providing patient care is required, with at least one year preferred.
Patient Care Aide - Pediatrics - FT -1st Shift at Huntsville Hospital Health System
Huntsville, Alabama, United States - Full Time
Skills Needed
Patient Care, Basic Nursing Care, Documentation, Emergency Response, Organizational Skills, Flexibility, Communication, Cultural Sensitivity, Stress Management, Prioritization, Teamwork, Accountability, Adaptability, Leadership Development, Professional Development
Specialization
A high school diploma or GED is required, along with BLS certification before the end of the orientation period. The role requires the ability to work with diverse populations and manage multiple priorities in a fast-paced environment.
Assistant Nurse Manager Patient Care Services at Vanderbilt University Medical Center
Nashville, Tennessee, United States - Full Time
Skills Needed
Operations Planning, People Management, Business Results, Quality Management, Compliance, Leadership, Clinical Standards, Coaching, Team Building, Problem Solving, Communication, Resource Management, Continuous Improvement, Safety Requirements, Data Driven Decisions, Innovation
Specialization
Candidates must have relevant work experience and a Bachelor's degree. A Registered Nurse licensure is also required.
Experience Required
Minimum 2 year(s)
Patient Care Coordinator - FT - Otolaryngology at Jackson Hospital and Clinic
Montgomery, Alabama, United States - Full Time
Skills Needed
Patient Care, Vital Signs, Blood Draw, Ekg, X Rays, Injections, Patient Education, Clinical Documentation, Communication, Customer Relations, Cpt Coding, Icd Coding, Electronic Medical Record, Laboratory Equipment, Manual Dexterity, Visual Acuity
Specialization
A high school diploma or equivalent is required, with certification from an accredited Medical Assistant program preferred. Previous experience in a physician's office and skills in various medical procedures and technologies are also necessary.
CCU- Patient Care Associate- Part Time Nights at UF Health
Jacksonville, Florida, United States - Full Time
Skills Needed
Teamwork, Communication, Patient Care, Basic Medical Terminology, Standard Precautions, Computer Technologies, Crisis Prevention, English Proficiency
Specialization
Candidates must have a high school diploma or GED and one of several specified certifications or training. Less than one year of experience in providing patient care is required, with at least one year preferred.
Inpatient Care Coordinator- 5 East- Lutheran at UnityPoint Health
Des Moines, Iowa, United States - Full Time
Skills Needed
Care Coordination, Patient Assessment, Interdisciplinary Collaboration, Discharge Planning, Documentation, Resource Utilization, Patient Education, Communication, Clinical Experience, Medication Reconciliation, Vulnerability Assessment, Follow Up Coordination, Community Referrals, Team Leadership, Problem Solving, Patient Advocacy
Specialization
Candidates must have an Associate’s degree in nursing and current RN licensure in Iowa. A minimum of two years of clinical experience working with multidisciplinary teams is required.
Experience Required
Minimum 2 year(s)
Optical Technician at Eye Care Associates
Metairie, Louisiana, United States - Full Time
Skills Needed
Customer Service, Optical Care, Sales Skills, Prescription Interpretation, Frame Selection, Lens Recommendations, Measurements, Eyeglass Adjustments, Repair Skills, Inventory Management, Interpersonal Skills, Organizational Skills, Attention To Detail, Team Collaboration, Computer Skills, Adaptability
Specialization
Candidates must have a high school diploma or GED and at least 2 years of eyecare experience. Strong interpersonal skills, attention to detail, and the ability to manage multiple tasks are essential.
Experience Required
Minimum 2 year(s)
Medical Patient Service Rep at HealthFirst Family Care Center, Inc.
Fall River, Massachusetts, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Time Management, Organizational Skills, Team Collaboration, Confidentiality, Multi Tasking, Detail Oriented, Problem Solving, Bilingual Skills, Electronic Medical Records, Healthcare Experience, Reception Skills, Registration Skills, Positive Attitude, Stress Management
Specialization
Candidates must have a high school diploma or equivalent, with a preference for health information or medical office certification. Experience in a healthcare environment and bilingual skills are also preferred.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Cmt Certification, Cna Certification, Multi Tasking, Effective Communication, Pleasant Telephone Manner, Oral And Written Instruction Understanding, Office Equipment Knowledge, Medical Equipment Knowledge, Medical Terminology Knowledge
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Certified Medication Technician, Cna, Effective Communication Skills, Pleasant Telephone Manner, Multi Tasking, Medical Terminology, Office Equipment Knowledge, Medical Equipment Knowledge
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to follow instructions are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Intake Screening, Record Keeping, Effective Communication, Multi Tasking, Medical Terminology, Office Equipment Proficiency
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Certified Medication Technician, Cna, Vital Signs, Medication Records, Effective Communication, Office Equipment, Medical Equipment, Medical Terminology, Multi Tasking, Pleasant Telephone Manner, Oral Instructions, Written Instructions
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Cmt Certification, Cna Certification, Effective Communication, Multi Tasking, Medical Terminology, Office Equipment Knowledge, Medical Equipment Knowledge, Pleasant Telephone Manner, Following Instructions, Vital Signs Monitoring, Medication Management, Intake Screening, Confidentiality, Universal Precautions, Report Typing, Filing System Maintenance
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Intake Screening, Record Keeping, Effective Communication, Multi Tasking, Medical Terminology, Office Equipment Knowledge
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to follow instructions are also required.
Certified Medication Technician at Primecare
Hagerstown, Maryland, United States - Full Time
Skills Needed
Medication Technician Certification, Multi Tasking, Effective Communication, Telephone Manner, Oral Instructions, Written Instructions, Office Equipment, Medical Equipment, Medical Terminology, Lock Facility Experience
Specialization
Candidates must have completed an approved Certified Medication Technician program and hold a valid certification. Effective communication skills and the ability to work in a fast-paced environment are essential.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Certified Medication Technician, Cna, Multi Tasking, Effective Communication, Pleasant Telephone Manner, Oral Instructions, Written Instructions, Medical Equipment, Medical Terminology, Vital Signs, Intake Screening, Medication Records, Universal Precautions, Filing System, Training, Shadowing
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are essential.
Patient Care Specialist - Part Time - Evenings at Trinity Health
Mason City, Iowa, United States -
Full Time


Start Date

Immediate

Expiry Date

25 Mar, 26

Salary

0.0

Posted On

25 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Customer Service, Communication, Patient Care, Phlebotomy, Nursing Assistant Experience, Basic Computer Skills, Medical Terminology, Prioritization, Independence, Adaptability

Industry

Hospitals and Health Care

Description
Employment Type: Part time Shift: Description: Position Purpose: The ED Patient Care Specialist provides care to patients in the ED under the supervision of the registered nurse. This care focuses primarily on personal hygiene, nutritional needs, and activities of daily living. The ED Specialist performs receptionist, secretarial, housekeeping, and restocking duties and serves as communication liaison in the department. With excellent customer service skills, the ED Patient Care Specialist performs sterile and non-sterile specimen collection (phlebotomy and straight catheterizations) upon the completion of skill competency validation in accordance to MercyOne North Iowa policy and procedure guidelines. What you will do: Assists with patient’s physical, psychosocial, environmental, spiritual, social and education needs and supports the patient's plan of care throughout patient’s stay. Effectively communicates pertinent patient changes/conditions to the Registered Nurse and multidisciplinary team to achieve desired patient outcomes, and documents in the electronic/paper medical record in an accurate/timely manner. Provides for patient comfort, safety, and protects dignity, privacy and confidentiality. Communicates with internal/external customers/colleagues in a courteous, positive, empathic and professional manner, and accepts assignments willingly. Attends and participates in departmental/organizational meetings, in-services and educational opportunities. Department meeting attendance requirement: 80% with 50% in person if department meetings are available by webinar Serves as a steward for the hospital’s human and material resources. Meets productivity expectations of unit/department as defined by unit manager. Utilizes and maintains appropriate supplies in department. Supports staffing needs for patient care in multiple units, as needed, while being flexible with schedule and hours. Adapts positively to the ever-changing health care environment by supporting technology and process changes. Willing to learn new things, is open to change and maintain a calm, positive manner under stressful conditions. Hours/Schedule: Part Time: 5:00 PM - 11:00 PM, 2 days a week, no weekends. Work every other holiday. Minimum Qualifications: Education High school diploma or equivalent is preferred. AND one of the following: Successful completion of formal Nurse Aid course/training verified through transcript or original program certificate of complete, required. OR Currently enrolled in an A.D.N., B.S.N., program with successful completion of first semester of A.D.N. program; OR first year completion of nursing courses in BSN; OR Graduate of an A.D.N., Diploma, BSN; MA, Surgical Tech or LPN program; OR EMS, or EMT. OR Registered on State of Iowa Nurse Aide registry listing as “Active” or eligible, preferred. OR Hired into MercyOne North Iowa TNAP program Experience: Nursing Assistant experience preferred Basic computer skill required. Previous blood drawing is preferred. Medical terminology training or proficiency preferred. Special Skills and Competencies: Ability to prioritize multiple orders or requests in a rapid and accurate manner in order to provide timely service to all patients. Must have excellent customer service skills. Must have the ability to communicate effectively with other hospital personnel and patients Must be able to work independently and follow through on assignments with minimal direction. Understands that errors may have serious consequences for patients. Must be able to read, write and/or speak English. Position Highlights and Benefits Education Assistance offered Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 20 hours per week or greater Competitive wages; including weekend and night differentials Generous paid time off program Retirement Savings program with employer match starting on Day 1 Ministry/Facility Information: MercyOne North Iowa Medical Center provides expert health care to 15 counties. MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000. With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region. MercyOne Medical Group – North Iowa is part of Iowa’s largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Responsibilities
The ED Patient Care Specialist provides care to patients in the ED, focusing on personal hygiene, nutritional needs, and daily living activities. They also perform receptionist and secretarial duties while communicating patient changes to the nursing team.
Patient Care Specialist - Part Time - Evenings at Trinity Health
Mason City, Iowa, United States - Full Time
Skills Needed
Customer Service, Communication, Patient Care, Phlebotomy, Nursing Assistant Experience, Basic Computer Skills, Medical Terminology, Prioritization, Independence, Adaptability
Specialization
Candidates should have a high school diploma or equivalent and complete a Nurse Aid course or be enrolled in a nursing program. Nursing Assistant experience and basic computer skills are preferred.
Patient Access Representative - Primary Care at McLaren Health Care
, , - Full Time
Skills Needed
Patient Access, Medical Billing, Customer Service, Microsoft Office, Excel, Word, Insurance Verification, Cashier, Cpt, Hcpcs, Icd 10, Revenue Cycle, Clerical, Front Desk, Quality Improvement, Communication
Specialization
A high school diploma or GED is required, along with a minimum of 6 months of experience in patient access, medical billing, or customer service. Proficiency in Microsoft Office and knowledge of medical coding is preferred.
Part-Time Associate Patient Care Coordinator at UnitedHealth Group Canada
, , - Full Time
Skills Needed
Scheduling, Communication, Insurance Verification, Data Entry, Customer Service, Medical Terminology, Multi Tasking, Relationship Building
Specialization
Candidates must have a High School Diploma or GED and be able to work onsite at various facilities. Preferred qualifications include 1+ years of related work experience and customer service experience.
Patient Care Associate- TCU- FullTime Nights at UF Health
Jacksonville, Florida, United States - Full Time
Skills Needed
Teamwork, Communication, Patient Care, Medical Terminology, Standard Precautions, Computer Technologies, English Proficiency
Specialization
Candidates must have a GED or High School Diploma and maintain an active CNA license from the State of Florida along with BLS certification. Less than one year of experience in providing patient care is required, with at least one year preferred.
CCU- Patient Care Associate- Part Time Nights at UF Health
Jacksonville, Florida, United States - Full Time
Skills Needed
Teamwork, Communication, Patient Care, Basic Medical Terminology, Standard Precautions, Computer Technologies, Crisis Prevention, English Proficiency
Specialization
Candidates must have a high school diploma or GED and one of several specified certifications or training. Less than one year of experience in providing patient care is required, with at least one year preferred.
Patient Care Aide - Pediatrics - FT -1st Shift at Huntsville Hospital Health System
Huntsville, Alabama, United States - Full Time
Skills Needed
Patient Care, Basic Nursing Care, Documentation, Emergency Response, Organizational Skills, Flexibility, Communication, Cultural Sensitivity, Stress Management, Prioritization, Teamwork, Accountability, Adaptability, Leadership Development, Professional Development
Specialization
A high school diploma or GED is required, along with BLS certification before the end of the orientation period. The role requires the ability to work with diverse populations and manage multiple priorities in a fast-paced environment.
Assistant Nurse Manager Patient Care Services at Vanderbilt University Medical Center
Nashville, Tennessee, United States - Full Time
Skills Needed
Operations Planning, People Management, Business Results, Quality Management, Compliance, Leadership, Clinical Standards, Coaching, Team Building, Problem Solving, Communication, Resource Management, Continuous Improvement, Safety Requirements, Data Driven Decisions, Innovation
Specialization
Candidates must have relevant work experience and a Bachelor's degree. A Registered Nurse licensure is also required.
Experience Required
Minimum 2 year(s)
Patient Care Coordinator - FT - Otolaryngology at Jackson Hospital and Clinic
Montgomery, Alabama, United States - Full Time
Skills Needed
Patient Care, Vital Signs, Blood Draw, Ekg, X Rays, Injections, Patient Education, Clinical Documentation, Communication, Customer Relations, Cpt Coding, Icd Coding, Electronic Medical Record, Laboratory Equipment, Manual Dexterity, Visual Acuity
Specialization
A high school diploma or equivalent is required, with certification from an accredited Medical Assistant program preferred. Previous experience in a physician's office and skills in various medical procedures and technologies are also necessary.
CCU- Patient Care Associate- Part Time Nights at UF Health
Jacksonville, Florida, United States - Full Time
Skills Needed
Teamwork, Communication, Patient Care, Basic Medical Terminology, Standard Precautions, Computer Technologies, Crisis Prevention, English Proficiency
Specialization
Candidates must have a high school diploma or GED and one of several specified certifications or training. Less than one year of experience in providing patient care is required, with at least one year preferred.
Inpatient Care Coordinator- 5 East- Lutheran at UnityPoint Health
Des Moines, Iowa, United States - Full Time
Skills Needed
Care Coordination, Patient Assessment, Interdisciplinary Collaboration, Discharge Planning, Documentation, Resource Utilization, Patient Education, Communication, Clinical Experience, Medication Reconciliation, Vulnerability Assessment, Follow Up Coordination, Community Referrals, Team Leadership, Problem Solving, Patient Advocacy
Specialization
Candidates must have an Associate’s degree in nursing and current RN licensure in Iowa. A minimum of two years of clinical experience working with multidisciplinary teams is required.
Experience Required
Minimum 2 year(s)
Optical Technician at Eye Care Associates
Metairie, Louisiana, United States - Full Time
Skills Needed
Customer Service, Optical Care, Sales Skills, Prescription Interpretation, Frame Selection, Lens Recommendations, Measurements, Eyeglass Adjustments, Repair Skills, Inventory Management, Interpersonal Skills, Organizational Skills, Attention To Detail, Team Collaboration, Computer Skills, Adaptability
Specialization
Candidates must have a high school diploma or GED and at least 2 years of eyecare experience. Strong interpersonal skills, attention to detail, and the ability to manage multiple tasks are essential.
Experience Required
Minimum 2 year(s)
Medical Patient Service Rep at HealthFirst Family Care Center, Inc.
Fall River, Massachusetts, United States - Full Time
Skills Needed
Customer Service, Communication Skills, Time Management, Organizational Skills, Team Collaboration, Confidentiality, Multi Tasking, Detail Oriented, Problem Solving, Bilingual Skills, Electronic Medical Records, Healthcare Experience, Reception Skills, Registration Skills, Positive Attitude, Stress Management
Specialization
Candidates must have a high school diploma or equivalent, with a preference for health information or medical office certification. Experience in a healthcare environment and bilingual skills are also preferred.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Cmt Certification, Cna Certification, Multi Tasking, Effective Communication, Pleasant Telephone Manner, Oral And Written Instruction Understanding, Office Equipment Knowledge, Medical Equipment Knowledge, Medical Terminology Knowledge
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Certified Medication Technician, Cna, Effective Communication Skills, Pleasant Telephone Manner, Multi Tasking, Medical Terminology, Office Equipment Knowledge, Medical Equipment Knowledge
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to follow instructions are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Intake Screening, Record Keeping, Effective Communication, Multi Tasking, Medical Terminology, Office Equipment Proficiency
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Certified Medication Technician, Cna, Vital Signs, Medication Records, Effective Communication, Office Equipment, Medical Equipment, Medical Terminology, Multi Tasking, Pleasant Telephone Manner, Oral Instructions, Written Instructions
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Cmt Certification, Cna Certification, Effective Communication, Multi Tasking, Medical Terminology, Office Equipment Knowledge, Medical Equipment Knowledge, Pleasant Telephone Manner, Following Instructions, Vital Signs Monitoring, Medication Management, Intake Screening, Confidentiality, Universal Precautions, Report Typing, Filing System Maintenance
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are also required.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Intake Screening, Record Keeping, Effective Communication, Multi Tasking, Medical Terminology, Office Equipment Knowledge
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to follow instructions are also required.
Certified Medication Technician at Primecare
Hagerstown, Maryland, United States - Full Time
Skills Needed
Medication Technician Certification, Multi Tasking, Effective Communication, Telephone Manner, Oral Instructions, Written Instructions, Office Equipment, Medical Equipment, Medical Terminology, Lock Facility Experience
Specialization
Candidates must have completed an approved Certified Medication Technician program and hold a valid certification. Effective communication skills and the ability to work in a fast-paced environment are essential.
Certified Medication Technician at Primecare
Westminster, Maryland, United States - Full Time
Skills Needed
Certified Medication Technician, Cna, Multi Tasking, Effective Communication, Pleasant Telephone Manner, Oral Instructions, Written Instructions, Medical Equipment, Medical Terminology, Vital Signs, Intake Screening, Medication Records, Universal Precautions, Filing System, Training, Shadowing
Specialization
Applicants must have completed an approved CMT program and be dually certified as a CMT/CNA. Effective communication skills and the ability to multi-task in a fast-paced environment are essential.
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