Medical Jobs

company About Mainspring Recovery Mainspring Recovery is a mission-driven behavioral health organization built on the belief that healing happens when the right people are in the room. We provide care across multiple levels, including Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP), supporting individuals and families throughout the recovery process. Every role at Mainspring, clinical and non-clinical alike, contributes to creating safe, structured, and effective environments where people can rebuild their lives. We invest in strong teams, clear systems, and thoughtful leadership, believing meaningful impact comes from doing the work well, supporting one another, and holding ourselves to high standards across the organization. role Job Title: Nurse Practitioner - Dually Licensed (PMHNP and FNP/AGNP) Reports To: Medical Director / Executive Director Department: Medical Location: On-site, Dumfries, VA Employment Type: Full-time | Salaried | Exempt Compensation : The pay for this position is $170,000-180,000 salary, set in good faith based on the responsibilities of the role, qualifications, and market conditions Job Summary Mainspring Recovery is seeking a Nurse Practitioner to join our interdisciplinary clinical team supporting individuals in recovery from substance use disorders (SUD) and co-occurring mental health conditions. This position may be filled by a Psychiatric Nurse Practitioner (PMHNP) or a Medical Nurse Practitioner (FNP/AGNP) depending on the candidate's licensure and area of expertise. The NP will provide specialty-focused care — psychiatric or medical — while maintaining a whole-person approach aligned with Mainspring's mission. Key Responsibilities Upon admission, conduct a comprehensive specialty-specific intake evaluation: For Psychiatric NPs (PMHNP): Complete psychiatric intake evaluation including mental status exam (MSE), trauma history, and psychiatric review of systems Diagnose and document DSM-5 psychiatric conditions (e.g., mood disorders, anxiety, PTSD, psychosis) co-occurring with SUD Assess suicide/homicide risk and   establish   a safety plan Review current psychotropic medication history and   identify   medication-assisted treatment (MAT) need Establish an individualized psychiatric treatment plan with short- and long-term goals Routinely approve continuation of medications upon intake until full assessment can be completed. For Medical NPs (FNP/AGNP): Perform a full history and physical examination (H&P) upon admission  Identify   and document acute and chronic medical conditions   impacting   SUD/MH treatment  Complete a medical review of systems, addressing concerns common in SUD populations  Order and interpret admission labs, toxicology screens, and diagnostic imaging/tests   as indicated  Establish an individualized medical treatment plan addressing the patient's needs during Mainspring care  Routinely approve continuation of medications upon intake until full assessment can be completed  SUD & Mental Health Focus During Mainspring Care Identify   and address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation (buprenorphine, naltrexone, etc.)  Collaborate with counselors, case managers, and behavioral health staff to ensure psychiatric and medical needs are integrated into the patient's individualized treatment plan  Participate in interdisciplinary treatment team meetings and case conferences  Provide clinical consultation to staff   regarding   the intersection of medical/psychiatric conditions and SUD recovery  Screen for co-occurring disorders and refer internally or externally as appropriate  Routine Follow-Up & Ongoing Care Conduct scheduled follow-up appointments throughout the patient's stay to   monitor   treatment response, medication efficacy, and overall health status  Reassess and update the care plan based on patient progress, emerging concerns, or changes in clinical status  Document all clinical encounters, assessments, and care plan updates accurately and   in a timely manner   in the EHR  Monitor vital signs, labs, and diagnostic results; communicate critical values and   initiate   appropriate follow-up  Provide patient education   regarding   diagnosis, medications, side effects, and self-management strategies relevant to SUD recovery  Medication Ordering & Prescribing Prescribe and manage medications within scope of practice, including MAT medications, psychiatric medications, and medications for co-occurring medical conditions  Conduct medication reconciliation upon admission, during treatment, and at discharge  Monitor for medication interactions, contraindications, and adverse effects with attention to substances common in SUD populations  Utilize the Virginia Prescription Monitoring Program (PMP) as   required   prior to prescribing controlled substances  Collaborate with the Medical Director on complex or high-risk medication regimens  Peer-to-Peer Reviews & Utilization Management Complete peer-to-peer (P2P) reviews with insurance medical directors as   required   to advocate for medically necessary levels of care, continued stays, or treatment services  Document clinical justification for level-of-care determinations in alignment with ASAM criteria  Communicate with payers and   utilization   management teams to support authorization of clinical services  Partner with the clinical and administrative team to ensure   timely   completion of P2P requests to avoid disruptions in patient care  Additional Responsibilities Refer patients to outside healthcare resources and specialists when clinical needs exceed on-site scope of care  Maintain up-to-date knowledge of SUD treatment guidelines, MAT protocols, and psychiatric best practices  Perform all other duties as assigned by the Executive Director or Medical Director  Minimum Qualifications Education / Credentials Active Nurse Practitioner licensure in the Commonwealth of Virginia (required)  Board certification as a PMHNP-BC, FNP-C/FNP-BC, or AGNP-C/AGPCNP-BC  Active DEA registration in Virginia (required)  Current BLS/CPR certification (required)  Experience Minimum of one (1) year of clinical experience in a psychiatric, SUD, behavioral health, or related healthcare setting preferred  Experience with medication-assisted treatment (MAT) preferred  Experience completing peer-to-peer reviews with insurance companies preferred  Knowledge / Skills Strong clinical assessment skills with ability to   identify   and manage acute and chronic conditions in SUD/MH populations  Familiarity with ASAM criteria and levels of care for SUD treatment  Proficiency   with electronic health records (EHR)  Excellent written and verbal communication skills  Commitment to trauma-informed, culturally responsive, and patient-centered care  Working Conditions Direct Care Position  Full-time,   40 hours   per week, Monday-Friday 10:00am-6:30pm, on-call  On-site  Why This Role Matters At Mainspring Recovery, we believe that healing from substance use disorder requires addressing the full picture of a person's health — mind and body. Our Nurse Practitioners are essential to that mission. Whether your   expertise   is psychiatric or medical, your work directly supports patients in one of the most vulnerable and transformative periods of their lives. You will be part of a compassionate, collaborative team dedicated to meeting patients where they are and guiding them toward lasting recovery. Pre-Employment Requirements Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment. Equal Employment Opportunity Statement Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. EEO is the Law: http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

Support veterans by keeping healthcare operations running smoothly within a structured clinical environment where your organization, customer service, and attention to detail help support timely access to healthcare services. At International SOS Government Medical Services, you'll support healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, International SOS operates in more than 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide. You'll help veterans access care by coordinating appointments, managing medical records, and supporting front-line administrative operations within a structured, veteran-focused healthcare environment. Working alongside interdisciplinary clinical and administrative teams, you'll serve as an important resource for veterans and clinical staff while helping keep scheduling, documentation, patient communication, and administrative workflows accurate and timely. Employment Type: Full-Time Schedule: Monday-Friday with an assigned eight-hour shift: 7:00 a.m.-3:30 p.m., 7:30 a.m.-4:00 p.m., or 8:00 a.m.-4:30 p.m. The schedule includes a 30-minute lunch period and two 15-minute breaks. No on-call service is required. Key Responsibilities Interpret and verify provider orders and coordinate appointments, consults, recalls, cancellations, rescheduling, no-show documentation, and related scheduling activities. Maintain electronic patient records by entering, updating, retrieving, scanning, and managing healthcare information within required medical-record and scheduling systems; upload outside records when assigned to Health Information Management. Provide front-line assistance to veterans by answering incoming and outgoing calls, greeting patients, responding to administrative questions, and connecting them with the appropriate staff or resources. Support Release of Information, insurance-document capture, encounter documentation, scheduling alerts, and other assigned patient-administration workflows. Assist veterans with My HealtheVet enrollment, authentication, secure messaging, and communication between patients and providers. Protect patient confidentiality and sensitive information in accordance with HIPAA, the Privacy Act, and applicable healthcare information-security requirements. Adapt to assigned administrative functions that may include Community Care, Health Information Management, Eligibility and Enrollment, transportation services, travel reimbursement, call-center support, or other patient-facing operations. If you take pride in being the person patients and clinical teams can depend on, you'll find your place here. Requirements High school diploma or GED required. At least six months of clerical, office, customer service, or administrative experience, or one year of education above high school. Ability to type at least 40 words per minute. Ability to use electronic medical records, patient scheduling systems, databases, office equipment, and required reporting applications; basic knowledge of computerized patient-record functionality. Strong customer service and communication skills, with sound judgment, adaptability, and the ability to manage multiple priorities. U.S. Citizen or Permanent Resident required; ability to obtain and maintain the required VA Public Trust clearance. Privacy Disclaimer: Policy Link By clicking “I’m Interested” and submitting your application, you acknowledge that you have read and understood the applicable Privacy Policy  (available via the link above) and agree that International SOS Government Medical Services, may collect, use, store, transfer, and otherwise process your personal information in accordance with that Privacy Policy for recruitment and hiring purposes. Compensation Disclaimer: Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits Language (FTE roles): Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan, paid time off, and an annual bonus. International SOS Government Medical Services complies with all federal, state, and local minimum wage laws. Equal Opportunity Employer (EEO) Statement: International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws.

The Nurse Supervisor will manage and coordinate medical and other activities of an assigned shift to provide quality care. Assure compliance with all facility policies and procedures regarding quality assurance, safety, environmental and infection control and all regulatory and accreditation requirements.

Direct and indirect observation, bi-monthly meetings, monitoring shift reports, and medical record documentation.

To oversee and implement nursing care to patients on the medical unit and in the residential treatment programs.

THE POSITION: The Medical Receptionist-Translator provides office support services that will create an environment where every person feels welcomed and is shown respect and empathy. The current vacancy is for a Spanish-speaking translator. The incumbent is expected to work in accordance with the mission, purpose, and values of the Colusa Indian Community Council. ESSENTIAL DUTIES and RESPONSIBILITIES: To perform this job successfully, the incumbent must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable incumbents with disabilities to perform the essential functions of the job. Maintain personal appearance, workstation and waiting area in compliance with clinical confidentiality and patient service protocols; Answer telephones courteously, make appointments and take messages according to protocols; Greet patients and visitors warmly at the front desk and provide both registration and exit support services; Performs medical interpretation/translation for patients and their families, including in-group setting, such as family conferences; Make notations in the patient's chart indicating the origin of the request for interpretation or translation, the nature of the service provided (such as interpreting treatment orders or pharmacy instructions), and an assessment of the patient's understanding and level of acceptance of the information; Translates correspondence, medical histories, medical consent forms, medical procedures and instructions, legal documents, manuals, brochures and other pertinent documents as necessary; Assess patient/family comprehension of "informed consent" as needed. Advise physician/patient care staff of any need for clarification; Document insurance eligibility and inform patients of the estimated services cost and their treatment plan payment requirements; Prepare clinical records for patients’ visit with the provider; Process route slips and return to Billing Coordinator; Balance daily cash receipts and cash bag; Assist clinical staff in maintenance and filing of completed patient records; Collaborate with all coworkers in performing duties required to provide patient-focused services that meet all regulatory and licensing standards; Maintain high confidentiality standards at all times.  Is required to sign a confidentiality statement upon acceptance of employment; May perform other duties commensurate with the functions and level of the position. MINIMUM QUALIFICATIONS: Education : A High School graduate or equivalent Experience: One (1) year plus years of experience working in a similar setting Licensing and Other Qualifications: Maintains current CPR certification Language: Bi-lingual in Spanish SUPERVISORIAL DUTIES: None ADDITIONAL KNOWLEDGE, SKILLS, and ABILITIES: Exceptional customer service skills; Is tactful, poised, pleasant and diplomatic, exhibiting a positive, professional demeanor to peers, patients, physicians and visitors. Promotes team image and possesses a high degree of flexibility; Familiar with Microsoft Office; Medical terminology knowledge desirable; Familiar with and flexible in performing all office support functions. Demonstrates cooperation and consideration of other health team members and peers. Must be organized, flexible and versatile with the ability to function effectively in stressful situations; Must be eager and enthusiastic in promoting the general philosophy of the facility; Dedicated hard worker with ability to report to work on a daily basis. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee: Must be able to sit for extended periods of time at a computer and/or telephone; May occasionally lift and/or move up to 10-15 pounds. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Work is performed in an office setting which is well-lit, ventilated, and temperature controlled. The noise level is usually low to moderate. The incumbent routinely uses standard office equipment such as computers, telephones, photocopiers, and fax machines .

Cotton Holdings, Inc., is a diversified holding company with subsidiaries that provide property restoration and recovery, construction, roofing, logistical support, temporary workforce housing, and culinary services to public and private entities worldwide. Cotton combines this diverse suite of services with top talent, innovative technology, and a large inventory of company-owned assets, to offer clients a total solutions package in support of disaster events and large development projects, including complex work environments. We are looking for a skilled Painter to paint the interior and exterior of structures, buildings and other surfaces. Your job will be important since good painting has both practical and aesthetic benefits. An excellent painter is knowledgeable in selecting the right material for their job. They have experience in painting with various tools and in various heights and spaces while observing all safety measures. They must be reliable and deft as well as possess great attention to detail in completing their duties. The goal is to deliver high-quality painting work. Reading blueprints/instructions and examining surfaces to determine the kind and amount of work necessary Making on-site preparations such as covering floors, furniture, covering fixtures etc. Preparing walls and other surfaces for painting by scraping, using sandpaper, removing old paint etc.. Fill cracks and holes with appropriate material (e.g. plaster) Mix paint and other materials to prepare the right color or texture Paint surfaces according to instructions with various tools Apply varnish and other finishes. Take and adhere to all health and safety precautions Proven experience as a painter Excellent knowledge of painting material and how to select, mix and apply them Solid knowledge of commercial and/or construction painting techniques Aptitude in using appropriate tools (brushes, caulking guns etc.) Good basic math skills Manual dexterity with excellent balance to work on scaffolding, ladders etc. Conscientious with great attention to detail Education: High school diploma; successful completion of an apprenticeship This Job Description indicates the general nature and level of work expected of the incumbent(s). It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent(s) may be asked to perform other duties as requested Equal Opportunity Employer/Veterans/Disabled. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact HR (877) 511-2962 #commercial

Cotton Holdings, Inc., is a diversified holding company with subsidiaries that provide property restoration and recovery, construction, roofing, logistical support, temporary workforce housing, and culinary services to public and private entities worldwide. Cotton combines this diverse suite of services with top talent, innovative technology, and a large inventory of company-owned assets, to offer clients a total solutions package in support of disaster events and large development projects, including complex work environments. I. Summary Cotton is currently looking for Sheet Rock Finishers with some carpentry skills. This job description is intended to describe the general nature and level of work performed by people assigned to this job description. The job description is not intended to be an exhaustive list of responsibilities, duties and skills required for this position. Advanced sheet rock finishing experience Advanced experience working with metal and wood forms Have your own hand tools Knowledge of how to use power tools Knowledge of how to properly read and understand construction plans, sketches, and blueprints Maintain Equipment Logs Operate, man-lifts and forklifts as needed Candidates must be willing to work at elevated heights Framing carpenters must be able to lift and carry heavy objects, such as framing lumber, sheets of plywood and other building materials You must also understand math functions and calculations involving fractions Framing carpenters work from sets of blueprints, and must know how to read and interpret them Building codes, on-the-job safety and basic first aid are types of skills taught through school or apprenticeship programs Qualified candidates must have 2+ years of carpentry and framework experience Ability to lift 50 lbs Ability to stand for long periods of time (4+ hours at a time) Ability to bend, squat, reach over shoulder and head consistently Ability to consistently make repetitive motion (such as cleaning rotation motion) Ability to work in hot environment Ability to work in a smoky smelling environment Ability to wear appropriate personal protective equipment specific for job site such as full-face respirators, eye goggles etc Education: High School Diploma This Job Description indicates the general nature and level of work expected of the incumbent(s). It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent(s) may be asked to perform other duties as requested. Equal Opportunity Employer/Veterans/Disabled. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact HR (877) 511-2962 #commercial