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Paul Fire Department have teamed up to help reduce emergency calls and unnecessary hospital readmissions in the East Metro through a pilot program where specially trained paramedics will visit patients in their homes within 48 hours after they are discharged from the hospital. Readmissions usually happen within the first 72 hours of being released. The program will focus on patients with congestive heart failure, which has one of the highest hospital readmission rates.

Patients will be referred to the St. Paul Fire Department for a free commun-. Paramedics will provide education on medications, perform a clinical assessment, help patients understand symptoms to watch for, make sure they are connected to resources within the community for food and transportation, and perform a home safety check. Our colleagues at Methodist Hospital have seen great results with this program, and we are excited to expand it to the East Metro.

Paramedics have visited almost patients and found 20 cases that. They also referred 10 patients to social and community services, seven patients to food shelves, and replaced smoke detectors or batteries in 52 homes. The Safe Patient Standard bill would establish a workgroup to determine minimum staffing for nurses for various hospital units and sizes in Minnesota.

Staffing should be flexible. Health care professionals closest to the patient should determine appropriate levels of staffing, not the government. Jain earned her medical degree at Kasturba Medical College, India, and completed a residency in internal medicine as well as a fellowship in advanced echocardiography and cardiovascular diseases at Mayo Clinic, Rochester.

Tiryaki also serves as an associate professor in the department of neurology at the University of Minnesota and is one of 11 faculty advisors for medical school students. She earned her medical degree from Hannover Medical School, Germany.

Most recently, he served as a family practitioner at Essentia Health—Lakeside Clinic, Duluth, and as an urgent care physician for Bloomington-based HealthPartners. Cloud, has received the St. Cloud Hospital Physician of Excellence award. The award recognizes a St. Cloud Hospital medical staff member for exemplary work ethic and dedication to patient care.

Winners are nominated by their peers; those who nominated Hauge characterized him as respectful, dedicated, and Mark Hauge, MD always willing to put his patients first. Hauge earned his medical degree from Mayo Medical School, Rochester; completed a fellowship in medical oncology at Mayo Clinic, Rochester; and completed a residency in internal medicine at the University of Minnesota. Background and Focus: With dramatic population growth, and as baby boomers become senior citizens, the demand for health care is exceeding the supply.

Addressing the shortage of medical doctors involves creating new relationships between medical professionals. Training and licensure for Physician Assistants, Advanced Nurse Practitioners, Chiropractors, Respiratory Therapists, Physical Therapists, Home Care Providers, Dentists, and many other health care professions have become increasingly rigorous and provide expanded support to our health-care delivery system.

Greater integration of these professions allows medical doctors to work to the top of their license but requires new pathways for communication and care coordination.

Objectives: We will examine many of the new partnerships that are emerging between medical doctors and other medical professionals. We will look at the ways leveraging these new relationships can improve access to care while reducing costs and improving outcomes. We will consider points of resistance to forming these kinds of health care teams and what should be avoided in creating them. We will discuss what the proper oversight for these relationships should entail and how to maximize the coordination of care that they require.

Tickets may be ordered by phone at , by fax at , on our website mppub. Make checks payable to Minnesota Physician Publishing.

Please note: tickets are non-refundable. Matt Brandt Multicare Associates Mr. Brandt is CEO of Multicare Associates in the Twin Cities, a primary care physician group that has been piloting a direct pay primary care model since In , he founded a health care cooperative, PrimaCare Direct, which includes over doctors and offers direct pay health care services to employers and patients in the Twin Cities.

We also compared cooperative made up of health care providers who data from different health plans to determine what work together to market medical services directly their per member, per month spend was on primary to patients and employers. I prefer to think of care. Then we looked at our primary care spendPrimaCare Direct as a group of physician practices ing and researched what other direct primary care that understands how to practices were charging.

The good The goal should really be side of the current system. The goal significantly exceeded the monthly fee. Cooperative pracoverall cost of care? Currently, the big trend for employers is to care. Instead of direct pay medical home. The defining elements of managing their care with their primary care proDPC is to create improved access to primary care vider they wind up in the emergency room, which and to ensure that patients have an enduring and drives up the cost of care.

One ER visit can pay for trusting relationship with their primary care providers. Fee-for-service incentives are replaced with a eight primary care visits. PrimaCare Direct eliminates the barrier for patients to see their primary simple flat monthly fee. It encourages good utilization teaching a patient to use their inhaler properly versus health outcomes, a better patient experience, and bad utilization a patient ending up in the ER with lower costs.

PrimaCare Direct has also started to an asthma attack. Independent physician groups include specialty services.

Specialty practices can join the cooperative and provide procedures or care have typically been very good at developing outpatient capabilities, imaging centers, surgery centers, packages for one bundled fee instead of having diagnostic labs, etc. Often, specialty physician groups can deliver the same high-quality services in an outpatient setting for 20 percent to 50 percent less than at a hospital.

The monthly fee is capped at four family members, so additional family members are free. Early results have been promising. Multicare Associates has been using this model with its employees for some time and has kept its health plan costs under control for the past seven years.

Over that time, the average cost has declined slightly, which is incredible considering that the industry average has increased in cost somewhere between 8 percent to 10 percent a year depending on which source you quote. The current PrimaCare membership is showing a dramatic decrease in ER visits with the. So trying to find brokers to work with The two biggest and unexpected challenges have been, 1 the number of patients on gov- who understand the PrimaCare Direct model ernment programs or receiving benefits from and are not afraid to make changes has been difficult.

We are looking for a government agency. This just means that the PrimaCare coverage? PrimaCare Direct is currently worksurance brokers who are generally paid in ing to develop and sell its own high deductcommission from the insurance company rate being visits per 1, patients versus the norm of visits per 1, Groups running the DPC model of care around the country are seeing similar results. If an employer is searching for a way to lower their health care costs without sacrificing access, coverage, or quality then PrimaCare Direct is a potential solution.

Ideally, I would love to see PrimaCare Direct grow to cover over 10, people here in the Twin Cities within the next year.

At that scale it would be hard to refute our results and it would be easier to more aggressively market the concept. This is a stretch goal, but I think it is very doable at our current pace as we have more than doctors currently on board who care for over , patients. If we can convert over 3 percent of those to the new model we can achieve this goal. University of Minnesota – Continuing Professional Development Education is essential to achieving and sustaining quality healthcare.

Through partnership with healthcare leaders, our educational activities help advance quality improvement and patient care initiatives. Rinaldi shared his concerns and told the patient that he needed to get a medical clearance letter from his physician before he would perform the procedure.

The patient visited his family physician and eventually received clearance after his doctor prescribed medications to treat his condition. Rinaldi later learned that the patient underwent further diagnostic testing, and his physician discovered an adrenal gland tumor that he surgically removed. When Dr. Rinaldi saw this patient a few months later, he discovered the patient had undergone an amazing trans-.

To his surprise, the patient had lost a dramatic amount of weight. He told Dr. While that is still largely true, a growing number. There is ample opportunity for dentistry and medicine to integrate the oral health dimension into a model of total patient-centered, overall health. As a result, many physicians have little more than a basic understanding of many oral health issues.

Physicians would benefit from training opportunities—most likely in the form of continuing education or specialized training sessions— provided by practicing dentists. As a physician with hearing loss since childhood, I have used a number of audiology services over the years. None has been more competent, friendly and home-like atmosphere than the offices of Dr. Paula Schwartz.

Her office treats me the way I would hope my own office treats our patients. The recommendations and hearing devices have always been of excellent quality. James Rohde, Allina Health. Physicians could even perform some simple oral procedures. For example, it would be beneficial to their patients if pediatricians offered fluoride treatments, especially if their practice works with children who have limited access to a dentist.

There is a better solution. Patients presenting with dental issues in an emergency room is another area where dentists and physicians could coordinate efforts. One opportunity would be to divert or transfer the patient—barring the absence of other significant injuries—to a dental office to receive the appropriate care. If a patient needs to remain within the emergency room, the opportunity still exists for a dentist to provide clinical care.

Chronic disease management As a physician, you see the prevalence of chronic medical conditions such as diabetes, heart disease, cerebrovascular disease, and rheumatoid arthritis, to name just a few. Many of these patients with chronic conditions suffer from.

A more aggressive collaboration between physicians and dentists to address this issue would create a number of benefits. A collab-. It is difficult for physicians to set up dental consultations and any recommended treatment in a. A recent study by United Concordia Dental supports this theory.

United Concordia Dental found that people who were pregnant or had chronic conditions and received and maintained treatment for periodontal disease saw dramatic drops in hospitalization and physician visits, saving thousands of dollars a year in medical costs.

A program designed to address oral health and chronic disease management should be part of most large health care systems. The objective of this program would be to identify patients with chronic health issues and assess their oral health status. This program could then work with their health insurance or medical assistance plans to ensure that their oral health needs are appropriately addressed.

There are, however, occa-. This is clearly an opportunity for health care organizations that do not have dentists on their staff to establish relationships with dentists in their communities. Once again, with the right working relationship, it could truly enhance the care provided to the patient.

Dental office health screenings Many dental teams already regularly perform basic medical screenings, including those for hypertension, oral cancer, and TMJ facial pain issues.

For some patients, their semiannual dental visit might be the only time they see a health care professional during any given year and health-related issues can certainly surface in that timeframe, especially as Forging new alliances to page V Center for Urinary and Pelvic Health, including urodynamics.

V Certified nurse midwifery. V Gynecologic care, including well-woman screenings and in-office procedures. V Gynecologic surgeries, including minimally invasive surgeries and robotics for conditions such as endometriosis and pelvic organ prolapse.

V Infertility evaluation and treatment. Patient-friendly early morning, evening, and Saturday hours. E-health is also essential in supporting the exchange of information necessary for care coordination. This plan includes establishing uniform health data standards for securely sharing data across systems. The e-Health Initiative continues to monitor state and national activities and guides Minnesota providers on how they can leverage EHRs to achieve the promised benefits of the Triple Aim: improved patient experience of care, reduced health care costs, and improved public health.

Effective use of EHRs means that the EHR includes tools and processes such as e-prescribing, clinical decision support tools see Table 2 on page 19 , and that staff are adequately trained to use the technology. EHRs are most effective when using nationally recognized standards that enable interoperability with other EHR systems. Interoperability and health information exchange The goal of health information exchange HIE is to make health information available, when and where it is needed, and to improve the quality and safety of health and health care.

Nine in 10 clinics 93 hospitals or clinics, although percent and all Minnesota their need to exchange inforhospitals have adopted an EHR. The most common important? HIE is also happening comes from using it effectively between organizations that to support efficient workflows. Table 1. T rends in the adoption of electronic health record systems among Minnesota clinics, — Instead, MDH provides support to providers to help them achieve the goal of statewide interoperability.

Table 3. Restoring function to patients with chronic neck and back pain. Interoperability is the ability of two or more systems or components to exchange information and to use the information.

In the context of HIE, interoperability is achieved by using standardized terminology and data structure in the various types of clinical data transactions e. While most of these standards have been developed, adoption and use of these standards is still limited. It was officially incorporated in December as a nonprofit corporation in Minnesota, however, the idea of independent facilities working together was born years earlier. The cost of health care Multiple changes in the health care industry are driving changes in reimbursement as well as patient utilization.

Since , the inpatient rate has dropped throughout the U. The trend is expected to continue throughout the next decade, even in states with loosely managed utilization trends. Minnesota, considered to be a state with conservative admitting patterns and an overall healthier population,.

Another key issue impacting revenue is the shift by payers, starting with Medicare, from quality incentives to penalties. Hospital-acquired infections and readmissions are reducing payment rates for providers.

Patients can and should expect high-quality care from providers. The burden for providers is ensuring that there is staff available to interpret the measures, review and report on results, and identify and implement opportunities for improvement. The challenge is in the delay between the. Out-of-pocket costs for patients have risen dramatically over the past decade as employers have shifted costs to employees in an effort to slow employee benefit costs.

Deductible costs for individuals not covered by employer-sponsored health insurance are even higher. Copays and co-insurance add additional patient costs. Many patients are choosing to delay medical care as a result of their out-of-pocket costs. Regional demographics In addition to reimbursement changes, health systems in northeastern Minnesota are challenged by the demographics in the region.

Medicare is the largest payer for all Wilderness Health members and many have a significant number of Medicaid patients also, meaning that contracted rates are much lower than other payer types.

Forming the collaborative Given these financial challenges, several hospitals in northeastern Minnesota began discussions several years ago to identify how they could work together in a more cost-effective, efficient manner that would maintain their independence yet still provide their patients with quality health care. The governance structure among the participants varied. All are nonprofits, but some are hospital districts with public boards, some owned nursing homes, and most are critical access hospitals.

Many do not employ physicians in their facilities and instead have Federally Qualified Health Centers FQHCs or independent physicians in their communities. The groups that initially joined the collaborative would be considered charter members, with approval rights reserved on any new groups that wanted to join at a later date. Discussions continue with additional hospitals, clinics, provider groups, and stakeholders such as local counties about how we can work together.

All members have agreed to resource commitments, including financial and time, in order to be part of the collaborative. Each charter member has a seat on the board of directors, regardless of size. Members delegate a senior executive from their organization typically their CEO to serve on the board. Membership agreements and budget allocations were approved for and to launch the organization. Because of the large geographical area and traveling distance.

Charter members The charter members of Wilderness Health are located in some of the most rural areas of Minnesota and patients often must travel many miles for access to services. Seven of the nine charter members are critical access hospitals of 25 beds or less. Six facilities also have long-term care facilities on their campus, many of which are owned by the hospitals themselves.

Cook Hospital Cook, Minn. There are some initiatives that will be addressed during the first years of the collaborative. Emerging evidence in the field of minimally invasive gynecology is helping those who treat endometriosis to better understand the treatment modalities that are effective in managing this enigmatic disease. Endometriosis affects 6 percent to 10 percent of reproductive aged women and is one of the most common sources of chronic pelvic pain.

Endometriosis refers to the presence of viable, estrogen-sensitive endometrial glands and stroma with an associated inflammatory response outside of the uterus. Several conditions show greater concordance with endometriosis: 21 percent to 47 percent of women presenting with subfertility; 71 percent to 87 percent of those with chronic pelvic pain; and 69 percent of adoles-. Endometriosis also has a strong familial component and first-degree relatives of individuals diagnosed with endometriosis are seven to 10 times more likely to have the disease themselves.

Economic burden Endometriosis is a public health issue that bears an important economic burden. It not only causes pain and infertility, but also has consequences related to medication, health care consumption, work absenteeism, impaired quality of life, and psychosocial factors. Most experts agree that the disease is multifactorial in etiology but distinct pathophysiology is not well understood.

Factors such as retrograde menstruation, metaplastic changes of pleuripotent mesothelial cells, and implantation of cells through hematogenous or lymphatic embolization may play a role in the development of endometriosis.

While most women appear to have some degree of retrograde menstruation, not all women develop endometriosis. Those who have endometriosis may have an inherent immune dysfunction that impairs normal clearance yet promotes disease progression. Treatment Laparoscopy is considered the gold standard for the diagnosis of endometriosis with visual identification of classic endometriosis lesions.

Histologic confirmation is helpful because visual identification is associated with a high false positive rate. Many patients may be erroneously diagnosed with or without endometriosis due to the lack of a biopsy of the peritoneum at the time of surgery to provide histologic proof of the existence of endometrial glands and stroma in the sample. Medical management of endometriosis involves hormonal suppression of endometriosis with oral contraceptives and GnRH agonist medications.

The aim of medical management. These therapies can be effective but symptoms usually reoccur shortly after the medication is discontinued. Surgical management of endometriosis has largely focused on the destruction or removal of all visible endometriosis lesions.

These lesions can take many forms, with the classic presentation being a powder-burn appearance on the surface of the abdominal peritoneum. Endometriosis lesions can also be red, blue, white, or have a more flattened, scarred appearance. Many providers believe that simple ablation of the superficial endometriosis implants is an adequate surgical treatment for the disease. This is usually accomplished with the use of bipolar or monopolar electrocautery.

The lesions are usually burned superficially without exploration and removal of the underlying retroperitoneal tissue. Evidence suggests that this type of therapy is inadequate and that true excisional surgery is much more effective in alleviating pain due to endometriosis and preventing recurrence of the disease. Most patients have their pain return in less than a year after having ablative, non-excisional surgery. More important, these methods do not allow confirmation of visual diagnosis by a pathologist.

Safety of their application to endometriosis treatment has been questioned. Emerging evidence A recent randomized, controlled trial by Healy, et al. Published in the December issue of the Journal of Minimally Invasive Gynecology JMIG , this study compares the efficacy of these two surgical modalities for a variety of outcomes.

Their previously published, one year follow-up. However, when the same patients were interviewed five years after their surgery some differences emerged. Of those that returned the pain assessment survey after five years, 45 patients had undergone excisional surgery and 42 patients had ablative surgery for endometriosis.

Both modalities in surgical management proved effective in reduction of overall pain including menstrual-related pain and pain with voiding or defecation.

The statistically significant difference was revealed in that patients who had undergone excisional surgery had less pain related to dyspareunia and less need for medical therapy after surgery. It is possible that if the response rate of the survey had been higher, more differences may have been found. This study does help us to understand that deep infiltrating disease, which is often the cause of dyspareunia, is better treated with excisional surgery.

Advanced surgery When considering where to refer a patient for management of endometriosis or chronic pelvic pain it is important to understand what patients can expect from their surgeons. Surgeons performing endometriosis resection surgery must be comfortable with complicated pelvic adhesions and dissection of retroperitoneal anatomy.

They must be able to navigate bladder and bowel involvement of endometriosis and resect the diseased tissue from these structures. Endometriosis surgeons should be able to repair any bladder and bowel defects caused during resection surgery and must be able to navigate the challenges of a frozen pelvis. Gynecologists performing endometriosis surgery must have a close working relationship with like-minded colleagues in the fields of urology, colorectal,.

Surgical resection can be planned and completed for even the most challenging of patients. Endometriosis was detected in Additional research reveals that endometriosis is being detected and treated more effectively than ever with advanced laparoscopic surgical technology and the da Vinci surgical robot. Robotic surgery allows the surgeon to work comfortably, reducing fatigue from standing and bending in a long surgical case.

Advanced optics allow visualization in high definition with 10x magnification and 3D and many surgeons believe they can see more disease than they were able to with a traditional laparoscope.

Delumba and colleagues reported a Additionally, advanced robotic technology such as Firefly uses integrated fluorescence imaging capability, which provides real-time, image-guided identification of key anatomical landmarks using near-infrared technology. This technology, which has been used since the s for angiography and hemodynamic monitoring, is now finding an application in minimally invasive gynecology.

Firefly takes advantage of the highly vascular nature of endometriosis and helps surgeons identify areas of neovascularization, which is common in this disease. Leaders in endometriosis resection feel that this technology may ultimately help surgeons see more endometriosis and obtain better surgical margins for resection.

While this technology remains. Conclusion Endometriosis is a common disease in women of childbearing age. This disease can be difficult and challenging to manage for health care pro-. With recent advances in minimally invasive surgery and surgical technology, the management of endometriosis is becoming better understood. As minimally invasive surgeons continue to move the management of endometriosis forward, we are hopeful to see a reduction in the long-term consequences of this disease.

Referring physicians should seek out those providers who are comfortable with management of all presentations of endometriosis. A collaborative effort is needed to continue to move this effort forward.

He specializes in minimally invasive surgery with a focus on managing uterine fibroids, endometriosis, and pelvic organ prolapse. Quality Transcription located in Minnesota maintains a professional office environment, thus the confidentiality of your work is strictly maintained. We provide medical transcription services on a contract or overload basis. Our equipment is state of the art with 24 hour dictation lines and nationwide accessibility.

We are experts in our field. We deliver on time. We have experienced staff. We monitor the quality of our work. We provide services tailored to your needs and will do whatever it takes to get the job done. Quality Transcription, Inc. The National Institutes of Health NIH and the Food and Drug Administration FDA are just two organizations that will work to develop the resources necessary to attain these objectives: 1 more and better treatments for cancer, 2 creation of a voluntary national research cohort, 3 commitment to protecting privacy, 4 regulatory modernization, and 5 public-private partnerships.

At the center of precision medicine is pharmacogenetics. What is pharmacogenetics? Different patients can show dramatically different responses to the same medication. Physicians and patients are often left waiting to see if a new medication works and if it is safe. For example, patients lacking glucosephosphate dehydrogenase G6PD activity are more prone to increased side effects from a number of medications.

What other genetic. Watch your patients smile! Customize your interior design with familiar but unique art that will comfort and delight all ages. Seuss dealers. We have many pieces in stock and are pleased to offer them to the health care industry. Louis Park, MN The ultimate goal is to use genetic information to tailor drug therapy that is safe and effective. It is also being used to discover new targets for drug therapy. Pharmacogenetics generally refers to a relatively small number of genetic markers, while pharmacogenomics usually refers to a set of markers spanning the entire genome.

Individual enzyme testing The FDA maintains a list of approved drugs with pharmacogenomic information on their labeling. To apply complete the attached Boone County Application and submit that to the Engineer’s office. This enables us to have access to a variety of survey projects from boundary survey to 3D scanning to heavy highway staking and beyond. We serve public and private clients throughout Iowa.

We run state-of-the-art equipment. We take career development seriously. We support any survey staff member in their pursuit of becoming a licensed surveyor. We don’t hire survey staff member with the intention of laying them off over winter, they are a crucial part of our team at CGA. Project Surveyor L. Army Corp of Engineers has direct hiring authority for recent graduates. You can apply anytime, even if there is not an open position on the USAJobs website.

The local Omaha contact person is Jon Kragt. He will forward your information for other nationwide opportunities. You can also sign-up on this site to receive notifications for job announcements. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Turn on more accessible mode. Turn off more accessible mode.

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Site Contents. Current Listing? Position Type. Posting Date. Position Name. Company Name. Contact Information. Pin to Top. Public Works Director. A completed Employment Application form, cover letter, and resume including salary history must be submitted to the City Clerk’s Office, South Market Street, Oskaloosa, IA for first review of applications.

Assistant Survey Party Chief. Please review HERE Download PDF reader Download PDF reader Opportunities for professional growth and development Paid time off effective immediately – Biweekly vacation, separate sick leave, accruals rollover on a yearly basis, and 10 paid holidays per year Iowa Public Employee Retirement System IPERS Retirement Package with employer match Optional A plan with employer contributions Employee Discount Programs from variety of vendors vision, cellular, fitness, recreation, season passes, travel, counseling; legal, financial Additional requirements: Must have experience using survey instruments including electronic total stations, global positioning equipment, survey levels, and understanding of feature and linking codes.

Those eligible will receive both hands-on Behind-the-Wheel Range and Road training, with web-based Theory training, to fulfill required state and federal regulations. Minimum Qualification Requirements Applicants must meet at least one of the following minimum requirements to qualify for positions in this job classification: 1 Three years of full-time work experience in engineering survey, which included the operation of survey instruments.

Entry Level Technician. Send resume to: Ryan Clement Operations Manager ryan cmtdsm. Performs testing, observation, and inspection as directed in accordance with training and the specified procedures. Communicates information to Operations Manager and other required personnel as directed by the Operations Manager. Must be 18 years of age with a clean driving record, drug free, and available to work flexible hours. Send resume to: Branden Stubbs, PE branden stubbs3.

Design Technician II – Transportation. While the primary focus will be on local and statewide highway and transportation projects, the candidate will have the opportunity to support other disciplines and projects through our firmwide transportation practice. This position is a proficient level position in a team environment in which primary responsibilities include supporting engineering teams in the preparation of drawings with CADD and assisting in other aspects of plan preparation such as information gathering, processing survey data, and creating exhibits for use in meetings.

Transfers information in numerical, written and sketched, or electronic format from sources such as legal descriptions, survey data, aerial photographs and computer files to final plans and maps. Develops and implements custom automated drafting and design procedures under supervision. Identifies errors, problems, or non-standard situations and suggests alternatives.

Visualizes and illustrates concept or designs in 2 or 3 dimensions. Utilize mathematics including algebra, geometry, and trigonometry. Minimum Qualifications: Associate of Science or Technical School 2 years related experience In lieu of education, 4 years related experience Proficient in the terminology and symbols used in survey notes, plans, shop drawings, aerial photographs, and maps related to a specific Engineering sub-type.

Design Technician I – Transportation. While the primary focus will be on local and statewide highway and transportation projects, the candidate will have the opportunity to support other disciplines and projects through our Central States Office and firmwide transportation practice. This position is an entry level position in a team environment in which primary responsibilities include preparing drawings with CADD and assisting in other aspects of engineering plan preparation such as information gathering and data transfer.

Utilizes mathematics including algebra, geometry, and trigonometry. Performs tasks under close supervision or from detail procedures. Design Technician Associate. Typical Responsibilities: Participates on a team that makes decisions that effectively balance mobility, environmental impacts, property impacts, cost and long term maintenance. Produces highway project plans that are consistent with Iowa DOT design guidance. Assists in calculation of roadway geometric features including vertical and horizontal highway alignments.

Assists in the design of intersections, drainage systems and traffic control plans. Assists in the develop 3-dimensional computer models of the proposed roadway. Calculates material quantities that will be needed to build the proposed roadway project. Prepares final details needed to clearly communicate the intention of plans to a road contractor.

Uses various engineering software programs to generate project information. Preferred Characteristics: Ability to successfully utilize advanced software applications. Analyzes challenges, defines successful solution alternatives and proactively solves problems. Passion and commitment to excellence in our highway design products.

Effectively communicates with all levels of management and a wide variety of individuals involved in our development process. Motivated, friendly, inclusive and get-it-done attitude. Embraces and encourages a culture that thrives on innovative ideas and leading changes that result in effective process and project improvements. Brings a professional positive attitude to our team every day. Interesting and complex projects are regularly developed by our staff providing varied experiences.

Flexible work schedules. Annual pay and cost of living increases are typical. An environment where teamwork, customer service, and a positive attitude are valued.

Assistant to County Engineer. Salary will depend on qualifications and experience. Candidates must possess valid State of Iowa driver’s license. Senior Civil Designer. Note: the job position lists Minneapolis, but the Des Moines office has the same need. When applying, note on the application which office you are applying for Minneapolis or Des Moines. Essential Duties: Revise and create designs and drawings from redlined drawings, verbal and written instructions, marked prints, sketches, computations, and other sources prepared by task leads, designers or engineers.

GPS Technician. Building as-builts and original ground topos using gps and drone equipment, Work alongside grading and utility crews in the field, Quantity takeoffs for stockpiles and as-built sites, Hands on working on gps guided equipment, including maintenance, and new installs.

Survey Field Technician. Engineering Technician. The job description is also included below. Applications will be accepted until the position is filled. Adair County is an Equal Opportunity Employer. Physical ability to work outdoors under adverse conditions is necessary. Successful candidates will pass a physical, background check and drug screen prior to employment. Adair County offers an excellent benefit package including health, vision, dental, life insurance, IPERS and paid time off.

Entry Level Survey Technician. The Survey Technician will: Perform field work on civil engineering, construction and general surveying projects, including topographic, ALTA, boundary, Right of Way and As-builts, Flood Elevation Certificates, Lot Surveys with supervision provided by a senior survey technician. Keep accurate notes, records and sketches to describe work performed. Place stakes at designated points and drive them into the ground.

Operate and maintain equipment that would include a tablet computer, digital camera, survey grade GPS, robotic total stations along with other measuring tools and Personal Protective Equipment. Work professionally in the field as a representative of JEO and our clients. Communicate effectively, both written and oral, daily, with the project team.

Qualifications High school diploma or G. When working outside, ability to stand for long periods, walk over all types of terrain while caring equipment up to 50 pounds. Must be able to work in inclement weather conditions. Survey Crew Chief. The ideal candidate will have a minimum of three years Crew Chief experience and survey knowledge which includes: boundary surveying construction staking topographic surveying.

Senior Survey Technician. The Survey Technician will: Perform field work on civil engineering, construction and general surveying projects, including topographic, ALTA, boundary, Right of Way and As-builts, Flood Elevation Certifications, Lot Surveys Keep accurate notes, records and sketches to describe work performed Place stakes at designated points and drive them into the ground Operate and maintain equipment that would include a tablet computer, digital camera, survey grade GPS, robotic total stations along with other measuring tools Qualifications High school diploma or G.

Drafts complex boundary surveys and property base maps. Process large topographic surveys. Determine earthwork cuts and fills volumes based on existing and proposed topography. Prepares moderately difficult to difficult topographic and construction drawings. Supports field assignments as required. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.

Ability to speak effectively before employees of the organization. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.

Ability to apply concepts of basic algebra and geometry. Fully competent in the office as it pertains to creating construction staking data and processing preliminary topographic surveys.

Able to perform required duties independently with little to no assistance. Knowledge of boundary survey procedures, able to interpret surveys, plats and deeds. The ideal candidate will have a minimum of three years Crew Chief experience and survey knowledge which includes: The Professional Land Surveyor will: Perform field work on civil engineering, construction and general surveying projects, including topographic, ALTA boundary, Right of Way and As-builts, Flood Elevation Certificates, Lot Surveys Keep accurate notes, records, and sketches to describe work performed Place stakes at designated points and drive them into the ground Operate and maintain equipment that would include a tablet computer, digital camera, survey grade GPS, robotic total stations along with measuring tools.

Design Technician. Typical Responsibilities: Participates on a team that makes decisions that effectively balance mobility, environmental impacts, property impacts, cost and long-term maintenance.

Analyzes challenges, defines successful solution alternatives, and proactively solves problems. Motivated, friendly, inclusive, and get-it-done attitude. Four years of full-time work experience in design drafting, cartography, photogrammetry, engineering survey, soils survey, land survey, or construction inspection; and b.

Right of Way Coordinator. General Duty Statement Under direction, coordinates right-of-way activities, including plan review, permitting, overseeing construction projects and restoration within the city right-of-way of varying size and complexity.

Distinguishing Features of the Class Responsible for conducting field inspections and initiating administrative enforcement actions to ensure compliance with applicable Federal, State and Local Codes and Ordinances pertaining to construction within the public Right-of-Way.

Supervision Received Works under general supervision of the Chief Development Officer, City Engineer, or other designated supervisor with independence in decisions relating to assignments.

Assists citizen, contractors, utility companies and internal staff e. Researches and gathers data on deeds and legal descriptions. Reviews and issues right-of-way permits. Makes field determination and notification to the contractor of non-complying work or materials.

Verifies elevation and other measurements necessary to assure that excavations, backfilling, grading, compaction, alignments, slopes, grades, and elevations are proper. Inspects public sidewalks, identifies defects or hazardous conditions, issues notices to repair, and verifies repairs have been made. Maintains records and prepares detailed daily diaries and inspection reports on pertinent construction activities for all necessary documentation requirements.

Develops and maintains records of construction quantities installed by contractors on a daily basis and confirm construction quantities with contractors on a weekly basis.

Performs data entry in associated software systems. Investigates and responds to citizen complaints and responds to questions and comments in a courteous and timely manner. Testifies in court, on appeals and when civil infractions are prosecuted. Supports continuous improvement initiatives. Ability and willingness to communicate and coordinate project needs with supervisors, surveyors, engineers and other engineering department personnel.

Knowledge of construction materials testing methods and requirements. Knowledge of standard specifications governing public works construction and of problems involved with securing adherence by construction forces. Ability to make decisions regarding construction-related issues. Good interpersonal skills, ability and willingness establish and maintain effective working relationships with employees, contractors, developers, government officials, representatives of various agencies, the general public and others.

Ability to interpret engineering plans and specifications. Ability to create and maintain accurate records and estimates and to prepare reports. Ability to calculate quantities used on construction projects. Ability to learn and assist in the site location and recording of traffic counts, by electronic means.

Knowledge of all safety requirements related to the activities of the department i. Ability to determine long range needs and to plan, organize and oversee work for the accomplishment of objectives, with minimal direct supervision. Ability to supervise the work of others and assess performance. Good knowledge of the geography of the city. Ability to work effectively as a member of a team to achieve goals.

Demonstrates proficiency in operating a computer, iPad and modern day office equipment. Skill in the use of applicable software programs and willingness to learn new technology. Ability to communicate effectively with others, both orally and in writing. Ability to deal courteously and tactfully with the public to explain pertinent codes, ordinances and rules. Understanding of and respect for the diversity of others including those whose first language may be one other than English.

Integrity, ingenuity, and inventiveness in the performance of assigned tasks. Ability to be dependable and punctual for work. Sufficient sensory observation capabilities which permit the employee to adequately perform inspection duties.

Occasionally perform work indoors, sitting or standing at a desk in front of a computer. Sufficient mental capacity which permits sound decision-making, good judgment, calculating routine mathematical equations rapidly and accurately, interpreting and enforcing laws, codes and procedures.

Sufficient manual dexterity which permits the employee to write field notes, draw simple sketches, operate measurement devices, testing equipment, computer, and other technology. Routinely perform work outdoors, under a variety of weather conditions, with moderate to high noise level, exposure to dirt, noise, fumes and temperature extremes. Sufficient personal mobility and physical reflexes which permits the employee continuously move to visit various job sites throughout the city, frequently stand, walk on various levels of terrain, bend at the waist and knees, stoop, squat, kneel, climb and reach above and below shoulder level to do measuring and testing, lift and carry equipment and materials up to 50 pounds and visit construction projects on-site at various locations.

Sufficient alertness and considerable mental and visual concentration to ensure attention to detail and accuracy. Occasionally use a respirator. Subject to hazards including a variety of physical conditions such as proximity to moving mechanical parts, moving vehicles, electrical current, working in places of height or close quarters i.

Must not pose a direct threat to the health or safety of other individuals in the workplace or citizens encountered during work. Ability to pass employment physicals including drug testing. Supervisory experience preferred. Survey Instruction Person. Embraces and encourages a culture that thrives on innovative ideas and leading changes that result in effective process and project improvement. Project schedules are based on hour work weeks. Engineering Technician I. Applications are due by P.

July 1, Cedar County is an equal opportunity employer. The county is responsible for the maintenance of nearly bridges and miles of paved, gravel and earth roads.

The county averages five construction projects a year which typically involve highway paving, box culverts and bridge projects, most of which are designed and inspected with in-house staff.

Associate degree in Civil Engineering Technology or equivalent experience is required. Applicant must be proficient in AutoCAD.

Note that all applications received may be subject to public disclosure. Applicants will be subject to pre-employment drug screening. Class C driver license required and applicant must be insurable. Specific Qualifications Pre-employment physical and drug test required. Multiple Engineering Technician and Survey Opportunities. Full Time and Intern Technician Opportunities. Building Enclosure Design Professional. Essential Functions: Assist the Building Enclosure Commissioning Providers in reviewing and testing building enclosures in the field.

Record site conditions and observations using written documentation and mobile apps. Work with testing equipment for windows and walls against water intrusion and setting up and observing building pressure testing for tightness of construction.

Timely, professional, and accurate production of design documents associated with the delivery of building enclosure design services for new and existing building projects. Clear communication with other professionals within the building team to understand assigned tasks and work independently to provide roof design and documentation. Adapt to different project delivery methods required by clients and production team members.

Qualifications: Candidate should have a basic working knowledge of construction techniques related to architectural principles. Exhibit the desire and willingness to learn new information through one-on-one training and written resources to develop the knowledge to a be a skilled building enclosure technician.

Assist in problem solving and adapting to differing building project types. Ability to market building enclosure services and interact with clients in a professional manner as a representative of Shive-Hattery. Education: Accredited programs in Building Technology, Construction Management or Architectural Drafting are deemed essential backgrounds for this role. Minimum Physical Requirements: Regular site visits to conduct construction observation under varying climate conditions.

Land Surveyor in Training. As Abaci grows its services and technology, we retain the traditional values that the firm was founded on: We value the resources of our clients and endeavor to complete projects efficiently and under budget.

Application form and job description are available at the Hardin County Engineer’s Office, 16th Street, Eldora, IA , telephone or at www. Hardin County is an equal opportunity employer. Apply Online Questions, contact Bill Thompson, Land Surveyor.

Willingness to work outdoors and in adverse weather conditions. Program Instructor – Land Survey Science. Responsibilities include: develop and teach competency-based curriculum to provide classroom theory and application to prepare students for entry-level positions in their field of study.

Minimum of two years of full-time industry experience is required. Three years post-secondary teaching and applied curriculum development experience preferred. Prior online teaching experience and knowledge of Learning Management Systems preferred. Above average proficiency in project management and processes, and Auto CAD dimensional programs that are relative to current industry standards.

Fully functional with Microsoft Office Suite and online communication tools. Post-hire requirement to obtain South Dakota post-secondary teacher credential. Post-hire criminal background check required.

CAD Technician Microstation. Civil Engineering Technician I. Job Details Ingios Geotechnics, Inc. Senior Civil Engineering Technician. Ability to lift and carry 50 pounds. Random drug and alcohol screening.

Proposed Start Date Early depending upon applicants’ availability. Background Check Required. Applications accepted until filled. To apply, send resume to: Andy Eisinger andy teamservices. Two years in related technical school or college; or 2. Minimum Experience years. To apply, send resume to: Brian Foltz bfoltz snyder-associates. CADD Technician.

To apply, send resume to: Jason Martin, P. Duties and Responsibilities: Support an experienced team of project managers, engineers, and other technicians through the production of project exhibits, plans, and other drafting needs.

Collaborate with engineers and designers to develop design documents and execute redline markups for transportation related projects. Compensation will be based on experience and qualifications. We offer competitive benefits and a flexible work environment. HIghway Technician. Current, continuous experience in the state executive branch that includes eighteen months of full-time work as a Highway Technician Associate or Construction Technician Assistant.

Prior to starting employment, all persons are required to have a post offer, pre-employment physical verifying the physical ability to perform the duties described. Within a period of time after hire, as determined by the appointing authority, employees in this class may be required to obtain and maintain Herbicide Applicator certification from the Department of Agriculture and Land Stewardship.

Travel, including overnight travel, may be required for positions in this class. Employees must arrange transportation to and from assigned work areas. Within a timeframe determined by the appointing authority, employees in designated positions are required to reside within a defined driving time, during normal conditions, from the assigned work location.

Employees must respond to emergency situations as required. Employees must be able to work up to 16 consecutive hours. Survey Internship. Relocation and housing are not included. We have 24 offices in Minnesota, Iowa, North Dakota, North Carolina, and South Carolina, there are always new challenges and career development opportunities available. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

Multiple Engineering Technician and Survey opportunities. As part of a new team, you would: Lead a one or two-person field survey crew to perform a broad scope of survey projects with state-of-the-art Trimble equipment. Oversee the operation and maintenance of survey equipment used on the job site and assist with training others.

Prepare field drawings and high-quality notes of each project. Preferred experience basic experience in producing CADD drawings. Prior use of traditional survey equipment including GNSS devices. Additional Requirements Must be able to work outdoors year around in all weather conditions. Post offer, pre-employment physical. Prior to starting employment, all persons are required to have a post offer pre-employment physical verifying the physical ability to perform the duties described.

To apply, send resume to: Zach Abild zabild northwesterection. To apply, send resume to: Tony Hood TonyH cda-eng. Survey Technician predominately office. Knowledge and skills in CAD and survey software i. What you will be doing: You will have the opportunity to assist our Project Engineers serving our municipal clients in our Spencer area market. You will perform engineering project design and drafting from working sketches and field data, under direct supervision of an engineer or senior technician.

Duties include routine testing and construction observation on municipal projects. Assisting with design and construction phase activities on municipal projects Performing basic design computations, preliminary layout and design, researching and preparing rough drafts of preliminary reports and feasibility studies Assisting with project plans and specifications, preparing cost and quantity take-off estimates Construction observation activities may include performing construction staking, performing construction administration duties such as documenting activities, measuring and testing, providing general oversight, and interacting with contractors, sub-contractors, residents and City staff.

What we are looking for: Associate Degree in Civil Engineering Technology from an accredited institution or equivalent work experience. Must be capable of working in extended outdoor conditions and you must be physically capable of navigating rugged terrain for the purpose of performing the construction observation duties.

You will be reimbursed for business-related travel. Ability to actively listen to others for understanding of their needs and situations; ability to read, speak and write English clearly is required. This position interacts with City staff, City residents, contractors and sub-contractors.

Engineering Technician – Internship. Requirements: Degree Programs : Selected candidates will be enrolled in a Civil Engineering degree program or closely related program from an accredited post-secondary institution. Minimum Cumulative GPA : 2. Desired GPA 3. Job Specifics: Students must have the ability to work in extended outdoor conditions and be physically capable of navigating rugged terrain for the purpose of performing the duties outlined above.

Students must have the ability to read, speak and write English clearly as this position interacts with City staff, City residents, contractors and sub-contractors. Quality Control Technician intern or full time. Position Overview The Quality Control Technician position is responsible for providing inspection, testing services, and documentation of product for plant facilities.

Use accepted methods to inspect, sample, and test product for the purpose of quality control. Monitor and test process functions and materials daily to ensure our products meet or exceed requirements of the appropriate project.

Visit job sites, attend meetings and calls to customers promoting value-added products and to collect market and job information. Follow quality control plans and guidelines as assigned. Maintain laboratory equipment and perform general cleaning of work area. Advise upper management on product development issues arising from product problems identified through technical support calls with customers.

Complete, maintain, and process pertinent paperwork and records. Other duties as assigned per supervisor. Regular and predictable attendance at assigned times is required. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Must obtain and maintain DOT certifications required to test materials as required by state regulations. One year of experience in a related field preferred, or equivalent combination of education and experience. Knowledge of materials, methods, and tools involved concrete projects and can use such tools properly and safely. Ability to read, write, and accurately perform basic mathematical functions including adding, subtracting, multiplication and division.

Ability to effectively communicate verbally and in writing. Strong analytical and problem-solving skills. Must possess knowledge of Company policies and procedures, including safety. Must consistently produce and efficient, accurate work product. Work Requirements Must be at least 18 years in age or older. Display a professional and courteous attitude to co-workers, supervisors, and the general public at all times. Must pass post-offer employment drug testing, medical exams, and physical agilities testing.

Must be willing to travel and work away from home when required. Must be willing to work nights and weekends when necessary. 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. Able to stand, walk, use hands and fingers to manipulate objects or controls, climb or balance, stoop, kneel, crouch, crawl, talk and hear. May require sitting for extended periods of time.

Vision abilities with correction include close, distance, peripheral, depth, and the ability to adjust focus. Able to climb ladders and to work at heights.

Able to work extended hours. Able to work in all weather conditions. Able to work in tight quarters. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

The employee may be occasionally exposed to fumes or airborne particles and toxic or caustic chemicals. The employee may be exposed to risk of electrical shock or burn. Plus, professional associations often offer discounted memberships to students! Watch More.

Youth Programs Manager. Environmental Scientist. Project Manager. In partnership with individuals and organizations, DNR staff manage fish, wildlife, forests, parks, air and water resources while promoting a healthy, sustainable environment and a full range of outdoor opportunities.

This dual LTE appointment is comprised of two hour positions for an expected work schedule of 40 hours per week. The intention is to hire one candidate on both positions. See below for more information on the positions. Position SummaryPosition 1, Wildlife Technician – Advanced:This position performs technical activities related to the Department’s wildlife programs at the Glacial Lake Grantsburg Work Unit to encourage, enable and enhance sound management of the region’s wildlife populations and ecosystems to provide the environmental, economic and social benefits of healthy wildlife communities.

Track necropsy specimens. Position 2, Facilities Repair Worker – Advanced:This position performs a combination of general maintenance and repair work of a semi-skilled nature to various building types and equipment, including but not limited to wildlife buildings, electrical, plumbing, power tools and vehicles.

Work at this level is more complex in nature than the entry level position. In addition, this position may perform limited trades work below the journeyman level.

Perform minor repairs to water, electrical and heating systems. Perform carpentry, masonry, painting, electrical and plumbing tasks below the Journeyman level. Haul garbage. Paint buildings, grills and picnic tables. Maintain restrooms, campfire rings and picnic grills.

Remove trees and brush. Perform preventative maintenance and minor repair to mechanical systems i. LTE positions do not automatically lead to permanent state employment or enjoy the same benefits as permanent employees; however, these positions do offer valuable work experience and an opportunity to learn more about career opportunities with the Department of Natural Resources and the State of Wisconsin.

LTE employees are limited to working hours per position within a twelve-month period. In order to be considered for this position, you must be a resident of the State of Wisconsin. All state employees must report their COVID vaccination status, whether vaccinated or not and provide supporting documentation if vaccinated.

Newly hired employees will be required to submit this information within their first two weeks of employment. Guidance may be subject to change. The Department of Natural Resources conducts criminal background checks on final applicants before they can be offered a position. Please note that a criminal charge or conviction on your record will not necessarily disqualify you from state employment.

Applicants must be legally authorized to work in the United States at the time of hire. The DNR does not sponsor work visas, thus, in compliance with federal law, all persons hired will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire.

The DNR is an equal opportunity employer that promotes and values diversity. We do not discriminate on the basis of race, ethnicity, religion, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, or disability. QualificationsRequired: – Ability to work independently, be self-motivated and punctual – Ability to work a modified schedule; nights, weekends, holidays, etc.

You will be able to save your application as many times as needed and make edits up until the point you submit your application. Once you submit your application, you will not be able to make any updates to the application or any materials submitted.

Please note that the Wiscjobs system will time you out after 30 minutes of activity, so be sure to save your work often to avoid having to re-start the application process.

For any position-related questions, please feel free to contact Lauren Finch at Lauren. Finch wisconsin.