senior care specialist

Twin Cities Physicians

Physician &ndash; On-Site Senior Care &amp; Assisted Living Rounds Company: Twin Cities Physicians Compensation: $225,000 &ndash; $250,000 annually Location: Greater Twin Cities Metro AreaEmail tom.lecy@hhcare.net with your CV and a short note explaining your clinical interests.About Twin Cities Physicians: Twin Cities Physicians is a growing, physician-led medical group specializing in on-site care for seniors. By partnering directly with senior living communities, our team provides accessible, coordinated healthcare that reduces ER visits and improves resident well-being.Position Summary: As a Rounding Physician, you&rsquo;ll be part of a collaborative team redefining primary care delivery in senior living. You&rsquo;ll oversee a panel of residents, manage chronic and acute conditions, and guide care coordination across multiple disciplines. This role is ideal for a physician who finds fulfillment in developing long-term relationships and leading care that extends beyond traditional walls.Key Responsibilities:<ul><li>Perform routine rounding visits across assisted living and memory care sites</li><li>Oversee chronic disease management and preventive health initiatives</li><li>Coordinate care across providers, staff, and family members</li><li>Serve as clinical mentor and consultant for advanced practice providers</li><li>Lead with compassion, ensuring dignity and clarity for each patient interaction</li></ul>Qualifications:<ul><li>Active Minnesota MD or DO license</li><li>Board certification in Internal Medicine, Family Medicine, or Geriatrics preferred</li><li>Prior experience in senior living or post-acute care highly valued</li><li>Exceptional communication and leadership abilities</li><li>Valid driver&rsquo;s license and reliable transportation</li></ul>Join Our Team: Step into a community-based care model designed around people, not paperwork. At TCP, you&rsquo;ll experience medicine the way it was meant to be&mdash;personal, proactive, and patient-focused.Recruiter: Tom Lecy Email: tom.lecy@hhcare.netJob Type: Full-timePay: $225,000.00 - $250,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Malpractice insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Physician – On-Site Senior Care & Assisted Living Rounds

Allcare

<div>**Service Areas Covered for This Role:**
We are hiring in multiple regions and counties across Southern California. This role supports care delivery across:<ul><li>Kern County &ndash; Bakersfield, Ridgecrest, &amp; surrounding areas</li></ul>
**Travel is local within your region. We match you to facilities near your home. Mileage is reimbursed for travel over a set distance threshold.**<h3 class="jobSectionHeader">
About AllCare.ai</h3>
AllCare.ai is transforming senior healthcare by delivering fully coordinated, in-facility care built around one shared care plan. We bring together in-facility providers &mdash; including Primary Care, Psychiatry, Podiatry, Diagnostics, Wound Care, and Chronic Care Management &mdash; alongside pharmacy services, all supported by a 24/7 medical concierge team to ensure seamless, high-quality care for residents.
At AllCare.ai, technology strengthens the connection between provider and patient. Our AI-powered platform automates charting, compliance, and proactive health monitoring so clinicians can focus on what matters most &mdash; meaningful, person-centered care.
We currently serve Assisted Living Facilities across California and are expanding to new regions. Our mission is simple &mdash; to give healthcare providers the tools, support, and time they need to deliver exceptional care for seniors.<h3 class="jobSectionHeader">
Role Overview</h3>
We&rsquo;re seeking an experienced and compassionate Podiatrist (DPM) to join our growing clinical team. This role is ideal for providers who value flexibility, autonomy, and purpose-driven work while delivering high-quality podiatric care to seniors in Assisted Living Facilities.
As an AllCare Podiatrist, you&rsquo;ll perform essential foot and ankle care, coordinate closely with multidisciplinary teams, and leverage technology that simplifies your day-to-day documentation and patient management.<h3 class="jobSectionHeader">
What You&rsquo;ll Do</h3><ul>
<li>Conduct comprehensive foot and ankle assessments, including diabetic foot care, wound evaluation, and infection management. 
</li><li>Perform in-facility podiatric procedures such as nail avulsions, callus removal, and wound debridement. 
</li><li>Collaborate with primary care providers and specialists to prevent and manage diabetes-related complications. 
</li><li>Utilize AllCare&rsquo;s AI platform for efficient charting, gait analysis documentation, and orthotic referrals. 
</li><li>Educate patients and facility staff on mobility preservation, fall prevention, and long-term foot health. 
</li><li>Document visits, diagnoses, and treatment plans accurately within the EHR, ensuring regulatory and CMS compliance. 
</li><li>Contribute to AllCare&rsquo;s mission by delivering compassionate, outcomes-driven care that enhances patient satisfaction and facility relationships.</li>
</ul>
Requirements<h3 class="jobSectionHeader">
Qualifications</h3><ul>
<li>Doctor of Podiatric Medicine (DPM) with an active California license. 
</li><li>Board Certification or Eligibility (ABPOPPM or ABFAS). 
</li><li>Minimum 2 years of experience in geriatric or facility-based podiatry preferred. 
</li><li>Strong clinical assessment and procedural skills. 
</li><li>Excellent communication and collaboration across multidisciplinary care teams. 
</li><li>Reliable transportation for travel between facilities (mileage reimbursed). 
</li></ul><h3 class="jobSectionHeader">Preferred Qualifications</h3><ul>
<li>Experience providing care within Assisted Living or Skilled Nursing Facilities. 
</li><li>Familiarity with AI-enabled or EHR-based digital charting platforms. 
</li><li>Passion for senior care and a proactive approach to patient wellness.</li>
</ul>
Benefits<h3 class="jobSectionHeader">
What We Offer</h3>
Compensation: $800&ndash;$1,000 per day, based on experience and schedule 
Technology Advantage: AI-assisted charting reduces documentation time by up to 30% 
Flexible Practice: Facility-based care without office overhead 
Supportive Infrastructure: Concierge coordination and integrated provider network<h3 class="jobSectionHeader">
Schedule</h3>
Location: Mobile across ALFs in California 
Hours: 8-hour shifts, flexible schedule (Pathway to full-time role if desired)</div>

Podiatrist - Senior Care

AMAD Hospital

<div>
 
 
 Basic Purpose of the role:
 
 
 
 The Senior Specialist Nurse is responsible for providing professional leadership through the supervision of the patient care teams and ensuring clinical standards and quality of patient care are maintained in the ward or department during their span of duty. This includes prioritizing the care needs of patients and appropriately allocating staff, whilst maintaining an awareness of the progress of each patients care.
 
 
 Responsible for the implementation and delivery of age-appropriate patient care in the assigned area of practice congruent with the Mission, Vision and Values of Hospital. Ensuring Nursing staff adhere to the Professional Conde of Conduct and Scope of Practice of the Ministry of Health Kingdom of Saudia Arabia
 
 
 The Senior Specialist Nurse is responsible for proactively assisting the Senior Nursing Management in meeting the strategic objectives of Hospital. Ensuring the delivery of international standards of care in accordance with established International / National practices, policies and procedures.
 
 
 
 
 
 
 Key responsibilities of the role:
 
 
 <ul>
 <li>
 The Senior Specialist Nurse plays a crucial role in delivering day-to-day levels of excellence in service provision and development across the Wards and departments. Is responsible or all aspects of performance related to their wards and departments whilst maintaining and contributing to the broader hospital corporate strategic and operational agenda.
 </li>
 <li>
 Facilitates effective patient flow, utilizing bed capacity and staffing resources appropriately. Communicates with all unit(s) / departments as appropriate, to maximize efficiency and to expedite the admission, transfer and discharge process.
 </li>
 <li>
 Monitors and reviews staff skill mix on the ward and department and in accordance with patient dependency and acuity, uses available information to align staffing and workload, and communicates with Senior Nursing staff as required.
 </li>
 <li>
 Responsible to ensure that bed allocation and staff skill mix is appropriate for the patient condition.
 </li>
 <li>
 Contributes to developing ward / department service standards and ensure they are consistently met. Acting as a role model working directly with staff in the delivery of care (Dependent on Managerial responsibilities) they will deliver the highest clinical and operational performance standards by constantly developing and supporting ward / department-based staff.
 </li>
 <li>
 With the Nursing leadership, this position will be accountable for the formulation, development, implementation and monitoring of Hospital Nursing Strategy within the assigned clinical area.
 </li>
 <li>
 Working with the clinical practice team and nursing leadership ensure the implementation of education, and training to enable staff have the necessary skills and knowledge to undertake their role.
 </li>
 <li>
 Ensure that all staff have an annual appraisal and agree clear objectives against which they are managed appropriately.
 </li>
 <li>
 Enhance the performance, capability, and development of others through formal and informal interactions.
 </li>
 <li>
 Actively manage first line Human Resources activities to ensure that staff are appropriately managed.
 </li>
 <li>
 Promotes continuity of care that is patient centered, outcome orientated and focused.
 </li>
 <li>
 To lead as a role model for Nursing Professionals across Hospital promoting a culture of compassion and professional accountability.
 </li>
 <li>
 Engaging with clinicians to achieve an efficient and effective Nursing service that meets / exceeds the needs of the Hospital. This will involve developing key interfaces with all clinicians.
 </li>
 <li>
 The post holder will take the initiative in actively promoting the image and reputation of Hospital and individual departments by effective interpersonal and communication skill to create and maintain the image.
 </li>
 <li>
 Motivate, develop and empower staff, leading by example and ensuring that the highest standards of care are delivered, monitored and reported.
 </li>
 <li>
 Be instrumental in assisting Heads of Department, Physicians and Hospital to achieve its service development plans, performance targets and corporate strategy.
 </li>
 <li>
 In conjunction with the multi-disciplinary team, ensure that there is an embedded philosophy and practice of continuous improvement.
 </li>
 <li>
 Participates in the recruitment process when necessary.
 </li>
 <li>
 Provides leadership in critical thinking, conflict management and problem solving.
 </li>
 <li>
 Provides leadership in support of evidence-based practice, quality initiatives and promotion of a healthy workplace environment on the wards and departments.
 </li>
 <li>
 Maintains appropriate contact with Hospital senior nursing staff, providing timely and accurate information.
 </li>
 <li>
 Experience in the management of ventilated patients either in an acute care or long-term ventilated facility.
 </li>
 <li>
 Collaborates with personnel from non-nursing departments / disciplines regarding issues that may negatively impact patient care; facilitate solutions as needed.
 </li>
 <li>
 Demonstrates advanced clinical expertise in specialty as a clinical resource for junior staff.
 </li>
 <li>
 Manages a patient caseload effectively in clinical setting.
 </li>
 <li>
 Collaborates with nursing staff and multidisciplinary teams on effective patient management.
 </li>
 <li>
 Delegates responsibilities within department to the appropriate licensure, education and experience of staff.
 </li>
 <li>
 Identifies and acquires the supply of equipment and other materials in a timely and cost-effective manner.
 </li>
 <li>
 Sets stock levels and monitors material resource usage ensures supplies are available for clinical use.
 </li>
 <li>
 Uses ward resources such as dressings and clinical items in a cost effective and responsible manner.
 </li>
 <li>
 Liaises with supplies department regarding shortages and requirements, reports shortfalls to Chief Nursing Officer.
 </li>
 <li>
 Liaises with, medical staff, Head nurse and nursing staff with regard to suitability of equipment and supplies.
 </li>
 <li>
 Review equipment/resource needs and reports requirements to the Chief Nursing Officer
 </li>
 <li>
 Collaborates with the interdisciplinary team to provide patient and family centered care.
 </li>
 <li>
 Responsible for monitoring direct and indirect patient care to achieve optimum patient outcome.
 </li>
 <li>
 Liaise with other health care providers as necessary to ensure appropriate and timely interventions for patients and for discharge planning.
 </li>
 <li>
 Provides a comprehensive clinical handover / report as required to ensure patient safety using ISBAR principles.
 </li>
 <li>
 Attends Patient Care rounds, communicates, and updates the attending
 </li>
 <li>
 Healthcare provider on changes in the patient&rsquo;s condition.
 </li>
 </ul>
 
 
 
 
 
 Qualifications, Certifications and Experience:
 
 
 <ul>
 <li>
 Master&rsquo;s degree in nursing or higher educational level
 </li>
 <li>
 Current and valid license to practice Nursing from home country of qualification required
 </li>
 <li>
 Current Basic &amp; Advanced Cardiac Life Support training certification (BLS / ACLS) Specialist
 </li>
 <li>
 Registered as Senior Nurse Specialist from Saudi Commission for Health Specialties, Critical Care Nursing Certification is advantageous.
 </li>
 <li>
 Minimum five (5) years post qualification direct clinical experience, three
 </li>
 <li>
 (3) years&rsquo; experience as Senior Specialist Nurse.
 </li>
 </ul>
 
 
</div>

Senior Specialist Nurse - AMAD

Banyan Health Systems

Banyan Health Systems has been serving Miami-Dade and Broward Counties since 1970. We provide quality, individualized care to each of our patients. Our system of integrated health services brings together specialized psychiatric care, primary care, pediatrics, geriatrics, and an extensive program of residential and outpatient substance abuse &amp; behavioral health services under one umbrella. At Banyan Health Systems, we believe when individuals are healthy and strong, our communities are better for it.We are currently looking for individuals who share our mission of integrating primary and behavioral health care while providing access to all individuals. We focus on providing quality and compassionate care in order to assist our patients in living their best life. We are dedicated to the endless pursuit of excellence and treat everyone with dignity, humanity, and respect.If you share these beliefs and want to join us to make a difference, please take some time to read the post below.Summary of ResponsibilitiesReporting to the Technology Specialist Senior, the Technology Specialist I is responsible for all aspects of Banyan Health Systems production systems, including networks, physical security systems such as cameras, card readers, cybersecurity maintenance and compliance for firewalls and all other related software, corporate email, active directory, change control management, project management, onboarding and offboarding, as well as development of internal control policies and procedures sufficient to meet the minimum auditing standards as developed by NIST, ISACA, HIPPA. He/She is also responsible for and serves as a partner in Banyan&rsquo;s daily risk management efforts.The Technology Specialist I will be responsible for support of Banyan staff&rsquo;s technology needs, management and monitoring of Banyan&rsquo;s work orders, and in conjunction with the company&rsquo;s Technology outsourced partner, ensure our outsourced partner is prioritizing and meeting Banyan&rsquo;s internal service level objectives. The Technology Specialist I must have excellent communication, problem solving, and analytical skills to ensure the integrity, credibility and reliability of the company&rsquo;s systems and user rights.The role of the Technology Specialist I will work very closely with the Technology Specialist Senior and other company executives in the execution of the strategic plan with regards to Technology objectives. The Technology Specialist I will also work with the company&rsquo;s strategic partners to ensure the company&rsquo;s back office systems are maintained and governed in accordance with Banyan&rsquo;s internal controls and risk management policies.The Technology Specialist I will also be responsible for recommending workflow improvements, system enhancements and any other technology solutions that will create value for Banyan.Essential Duties and Responsibilities<ul><li>Change management</li><li>Working with Banyan&rsquo;s strategic business and technology partners</li><li>Level 1 Break Fix, escalation</li><li>Maintains the highest levels of enthusiasm to lead customers to a timely, successful resolution of their support requests</li><li>Develop and maintain an extensive working knowledge of BHS&rsquo; solutions</li><li>Establish, maintain or follow tech support processes in a timely manner</li><li>Proactively stays current with all the latest technologies concerning BHS&rsquo; products and the underlying technologies</li><li>Handle issues that have been escalated up from Operations, Customer Support, and Development organizations</li><li>Flexibility to work through common product issues</li><li>Prioritizes your time across multiple tasks and work independently when required</li><li>Listen, comprehend and maintain a professional demeanor during stressful situations</li><li>Understands the complexity and processes required to run a support queue</li><li>Ability to communicate at both the technical and non-technical level with customers, partners and internal staff</li><li>Leverage industry standard and tools as necessary.</li><li>Maintain a high level of motivation to support BHS&rsquo; customer success</li><li>Strong analytic and troubleshooting skills; mapping symptoms to known issues</li><li>Services customers while truly enjoying building the business</li><li>Innovative ideas and positive &ldquo;can-do&rdquo; behavior in the workplace</li><li>Maintains an inventory of the company&rsquo;s technology equipment leases to include expirations</li><li>Assist in any M&amp;A activity which would require integration, sunsetting or data migration of entities</li><li>Collaborate with clinical operations to ensure the successful delivery of services</li></ul>Education, Experience, and Skills Required<ul><li>Associates Degree or higher in Computer Science or Information Technology is required. Bachelors Administration from an AACSB degree from accredited University is preferred</li><li>Previous experience working in a fast-paced help desk environment</li><li>MCS certifications required</li><li>Network administration experience is required</li><li>Demonstrated understanding and expertise in SaaS, IaaS is a must</li><li>Conscientious and timeliness of assignments and quality of work product</li><li>Accountable for specific performance</li><li>Possess exceptional written and verbal communication skills, including ability to articulate recommendations in a concise and timely manner</li><li>MS Dynamics, Power BI, Credible, Intergy, MS Office 365, Sharepoint, Cisco, Telecommunications a plus</li><li>Exceptional computer skills in the operation and functioning of MS Excel, Word, PowerPoint, Access</li></ul>Job Type: Full-timePay: $55,000.00 - $70,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Technology Specialist I

Snowflake

<div><div>Snowflake is about empowering enterprises to achieve their full potential &mdash; and people too. With a culture that&rsquo;s all in on impact, innovation, and collaboration, Snowflake is the sweet spot for building big, moving fast, and taking technology &mdash; and careers &mdash; to the next level.
Tired of just talking about culture? Good. We need you to build it, market it, and make it iconic as a Senior People Experience Specialist on the Talent Brand and People Experience team.
You are a rare find: a creative, impeccably organized individual wired to see every employee touchpoint as a chance to amplify Snowflake&rsquo;s culture. You recognize that the best recruiting brand is simply the truth about a great employee experience. This role requires you to run point on major cultural programs and events and ensure our internal story fuels our external success.
Please include a link to your portfolio demonstrating relevant work samples. A portfolio submission is required to be considered for the role.<div>
AS A SR. PEOPLE EXPERIENCE SPECIALIST AT SNOWFLAKE, YOU WILL:</div><ul><li>
Bridge the Gap: Actively recognize and leverage the interconnectedness between Talent Brand and People Experience, ensuring internal programs align with and reinforce our external Employee Value Proposition (EVP).</li><li>
Amplify Employee Voices: Partner cross-functionally across Snowflake to uncover and source authentic employee stories that drive our narrative.</li><li>
Own the Culture Narrative: Execute the People Experience strategy by creating compelling, authentic content (copy, internal announcements, short-form video) that brings our day-to-day culture, programs, and employee stories to life across internal channels.</li><li>
Program Ownership (A-Z): Own the full lifecycle of high-impact employee engagement programs, including Snowflake for Good initiatives and local employee Neighborhoods groups, from content development to execution and reporting.</li><li>
Culture Ambassador Social Network: Lead the execution and coordination of an Culture Ambassador Social Network, empowering and equipping employees to authentically share their experiences and company news across their professional networks.</li><li>
Cross-Functional Partnering: Routinely partner with key teams, including Workplace, Social, Brand &amp; Creative, Talent Acquisition, and Talent Brand, to gather input, align strategy, and achieve shared goals in all program designs and executions.</li></ul><div>
WHAT YOU BRING TO THE TEAM:</div><ul><li>
Experience: A minimum of 3 years of hands-on experience in Employee Experience, Employer Brand, Internal Communications, or a related role, preferably within a fast-paced technology environment.</li><li>
The Campaign Mindset: Proven ability to own and drive campaigns A-to-Z, demonstrating strong skills in planning, content creation, project management, and measurement.</li><li>
Execution Power: Your organizational skills are unmatched. You consistently deliver complex, high-impact programs by flawlessly orchestrating multiple workstreams at the same time.</li><li>
Creative Muscle: Ability to think outside the box and design innovative, high-impact experiences and programs that genuinely excite employees, pairing that ingenuity with strategic messaging and compelling visuals to ensure maximum engagement.</li><li>
Collaboration: A natural collaborator who is comfortable partnering with multiple internal teams to gather input and achieve shared goals.</li><li>
Data Literacy: Familiarity with analytics and reporting tools to measure campaign and program success and articulate the ROI of efforts.</li><li>
Pizzazz: Resourceful, engaging presence with the emotional intelligence to connect authentically. You use good humor and sound judgment to build trust, navigate high-pressure situations, and maintain resilience in a fast-paced, high-growth environment.</li></ul>
Every Snowflake employee is expected to follow the company&rsquo;s confidentiality and security standards for handling sensitive data. Snowflake employees must abide by the company&rsquo;s data security plan as an essential part of their duties. It is every employee's duty to keep customer information secure and confidential.
Snowflake is growing fast, and we&rsquo;re scaling our team to help enable and accelerate our growth. We are looking for people who share our values, challenge ordinary thinking, and push the pace of innovation while building a future for themselves and Snowflake.
How do you want to make your impact?
For jobs located in the United States, please visit the job posting on the Snowflake Careers Site for salary and benefits information: careers.snowflake.com
The following represents the expected range of compensation for this role:<ul><li>
The estimated base salary range for this role is $98,000 - $129,100.</li><li>
Additionally, this role is eligible to participate in Snowflake&rsquo;s bonus and equity plan.</li></ul>
The successful candidate&rsquo;s starting salary will be determined based on permissible, non-discriminatory factors such as skills, experience, and geographic location. This role is also eligible for a competitive benefits package that includes: medical, dental, vision, life, and disability insurance; 401(k) retirement plan; flexible spending &amp; health savings account; at least 12 paid holidays; paid time off; parental leave; employee assistance program; and other company benefits.
To comply with pay transparency requirements and other statutes, you can notify us if you believe that a job posting is not compliant by completing this form.</div></div>

Senior People Experience Specialist

Townsville Hospital and Health Service

Company: Townsville Hospital and Health Service Location: Queensland , International Australia Closing Date: December 31, 2025 Employer: Townsville Hospital and Health Service (HHS) Location: Townsville University Hospital, Queensland, Australia Salary: Remuneration package up to AUD $536,916 per annum + Benefits (L18?L27) Contract Type: Permanent Full-Time (80 hours per fortnight) Job Summary: Townsville Hospital and Health Service is seeking a Senior Staff Specialist/Staff Specialist in Paediatric Intensive Care to join the dynamic and dedicated team at Townsville University Hospital (TUH). This permanent full-time role offers a rare opportunity to deliver world-class care in Australia?s only tropical, stand-alone PICU?serving a vast and diverse catchment across Northern Queensland. If you're passionate about paediatric critical care and looking for a career that combines clinical excellence with adventure, this could be your next move. Key Responsibilities: <ul><li>Provide high-acuity care to critically ill children across TUH?s Paediatric ICU and High Dependency Unit </li><li>Participate in the Yalurin Paediatric Retrieval Service, transporting patients from remote regions including Cape York, Torres Strait, and the Gulf of Carpentaria </li><li>Deliver evidence-based care for a complex caseload including major trauma, marine envenomation, post-operative support, and multi-organ monitoring </li><li>Collaborate with TUH?s expanding paediatric subspecialties and world-class paediatric radiology service </li><li>Contribute to education and mentoring of junior consultants, trainees, and allied health staff </li><li>Participate in clinical governance, service development, audit, and research initiatives </li><li>Engage in outreach support and advisory services to surrounding health services </li><li>Share in an equitable on-call roster covering PICU and retrieval operations </li> </ul>Candidate Requirements: <ul><li>Proof of qualification and specialist registration with AHPRA (or eligibility for registration) </li><li>Experience in paediatric intensive care and retrieval medicine </li><li>Engagement in teaching, mentoring, and multidisciplinary collaboration </li><li>Enjoy a true work-life balance in tropical North Queensland, where professional challenge meets lifestyle </li><li>Generous professional development allowance + 3.6 weeks p.a. leave </li><li>Supportive team culture with opportunities for leadership and innovation </li><li>Employer contributions to superannuation (12.75%) </li><li>Annual leave (5 weeks) + 17.5% loading </li><li>Attraction and retention incentive allowance (50% base salary) </li><li>Regional and rural attraction allowance (5% base salary) </li><li>Motor vehicle allowance </li><li>Attractive salary packaging options and generous leave entitlements </li><li>Additional benefits may be available, including relocation assistance </li> </ul>Suitably qualified international candidates are encouraged to apply.

Paediatric Intensivist - Staff Physician, PICU

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Technology Specialist I

Senior People Experience Specialist

Paediatric Intensivist - Staff Physician, PICU