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Practice Manager needed for a multi-site medical oncology practice in the Jacksonville, Florida area.

21st Century Oncology is a leading developer and operator of radiation therapy centers, medical oncology, and multi-specialty practices throughout the US. Our centers, which are freestanding and hospital based, provide a full spectrum of radiation therapy services and medical oncology treatment to cancer patients, and multi specialty care to patients in the areas of Urology, Gynecology and medical specialties. We are growing and need highly qualified candidates to join our team.We are searching for a Medical Oncology Clinical Practice Manager to oversee the operations of multiple medical oncology centers throughout Jacksonville, Florida. This individual will be responsible for all operational initiatives as well as overseeing the revenue cycle and charge capture processes for the group. Requirements: *College graduate with at least five years experience in medical practice management, including staff supervision. *5+ years experience working in a billing/collection capacity within an organization. *Experience working in a large group practice or hospital-based setting. *Medical Oncology experience preferred. *Excellent organizational and interpersonal skills *Ability to exercise initiative, use sound judgment, and employ effective problem solving techniques in the decision making process *Self-starter with ability to multi-task in a fast-paced environment *Extensive travel within assigned geographical area *Strong knowledge of medical terminology, ICD9, and CPT coding *Good Computer skills in MS Office; knowledge of Medical Manager would be helpful *Excellent oral and written communication skills

JOB DUTIESScope of the Job:Under the direction of the appropriate manager (Director or Administrator), supervises and coordinates the day-to-day clinic activities and personnel issues for the front and/or back office staff located in the ambulatory setting. Coordinates management of the Craniofacial Clinic. Coordinates care of Multi-Disciplinary Clinic patients to ensure that quality patient care is delivered through a coordinated and systematic process and to ensure accountability and continuity of patient care. Acts as a liaison with staff, departments/practices and patients. Within the established guidelines set forth by the University of Florida Jacksonville Healthcare, Inc. and under the direction of the appropriate Administrator or Manager, ensures adherence to all policies, procedures, and regulatory requirements. Provides exemplary customer service and ensures that a high level of customer service is provided by all office/department staff.Under the supervision of the appropriate manager, directs, coordinates, and controls the nursing activities of his/her assigned staff. Utilizes the Nursing Process to provide care for a group of patients. Assists the Medical Director of the Manager in evaluation of assigned staff. Assists physicians in the provision of quality health care. Assignments are performed appropriately to age and developmental level of patients being served.Essential FunctionsThe essential functions are the primary dimensions for performance review.1. Maintains patient privacy.2. Implements office procedures and coordinates appropriate office support in conjunction with the planned activities of the clinic setting including, but not limited to, schedule maintenance, registration of patients, medical record maintenance/review, referral system, managed care programs, fee collection and appointment/discharge process.3. With guidance from immediate manager, assists with personnel and payroll functions for assigned personnel including, but not limited to, participating in the hiring process, training process and continuous coaching and feedback for the staff in relation to their performance.4. Ensures appropriate budgetary standards are implemented and maintained for labor and supply monitoring for front, back and clinical offices.5. Ensures compliance of regulatory and organizational policies and procedures, and recommends changes in the department policies and procedures as identified.6. Participates in regulatory and proficiency checks for quality management and accreditation requirements.7. Institutes high level of customer service in the front, back and clinical office areas in regards to patient, physician and inter-departmental contact made in person or by telephone.8. Coordinates the management of care to patients in the Multi-Disciplinary Clinic Programs.9. Consults for patient selection and ongoing management of care. Coordinates management of care with the medical subspecialty team members. Evaluates, treats, and documents patient care.10. Assumes responsibility and accountability for the implementation of interventions based on medical plan of care and patients current condition.11. Facilitates the progression of care. Coordinates education and guidance for the patient and significant others to maximize the achievement of the expected outcomes.12. Participates and demonstrates ability to be an active member of a team based group practice by providing follow-up to physicians, nurses and insurance companies.13. Collects and assesses patient data to determine patient needs and to provide optimal patient care.14. Acts in an ethical and professional manner in accordance with the organizations code of ethics for nursing.15. All other duties as assigned.Secondary FunctionsAdheres to all regulatory requirements such as JCAHO, CLIA, HIPPA, etc.Temperament Must be able to perform under stress when confronted with emergency, critical, or unusual situations. Must be capable of dealing with periodic cyclical workload pressures and levels of responsibility. Required to make independent judgments without supervision. Must be able to make generalizations, evaluations, or decisions based on sensory or judgmental criteria. Must have the adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Requires the ability to work with people beyond giving and receiving instructions.SKILLS, QUALIFICATIONS, AND REQUIRED EXPERIENCESkills:Working knowledge of patient billing, including CPT4 and ICD-9 coding, medical terminology and various payer classes. Working knowledge of HMOs, Medicare, Medicaid, PPO and Third Party Payers. Above average written and verbal communication skills. Requires excellent decision making skills and initiative. Demonstrates ability to be fair-minded and objective. Ability to work well under pressure. Ability to prioritize and handle several functions/tasks at one time. Demonstrates client service knowledge. Basic arithmetic skills. Data entry experience required. Thorough knowledge of clinical support functions to including, but not limited to, registration, scheduling, and insurance coordination of benefits, managed care and collections. Thorough knowledge of clinical support functions to include special procedures, venipuncture, specimen collection and processing. Knowledge of regulatory agency standards (I.E. JCAHO, HRS, HIPPA). Nursing standards and Florida Nurse Practice Act. Demonstrated Clinical skill in area of ambulatory care and/or particular specialization (i.e. Pediatrics, ENT). Basic management skills. Ability to serve as a resource for the nursing process.Experience:One to three years of operational experience in an ambulatory practice setting in the same or similar specialty preferred. One year computer experience with HBOC and IDX, or other practice management system preferred. Experience with spreadsheet and word processing programs.Education and Certifications:Current Florida licensure as a Registered Nurse. Valid driver´s license and insurance. Completion of a standard medical terminology course preferred. Experience with spreadsheet and word processing programs.

Sr. Network Admin opportunity!

JOB DUTIESScope of the Job:Installs, configures, and troubleshoots local area computer networks (internal and external) and associated assemblies by performing the following duties. Develops and maintains all systems, applications, security, and network configurations. Assists in the design of new network and server systems.Essential FunctionsThe essential functions are the primary dimensions for performance review.1. Performs analysis of network needs and contributes to design of network architecture, integration, security, and installation.2. Evaluates local area network hardware and software requirements and capabilities and makes recommendations.3. Coordinates third-party maintenance for network hardware, software, and telecommunications services Coordinates installation of hardware and software by others.4. Installs and maintains local area network hardware and software, including servers, peripherals, workstations, network nodes, terminals, and wiring.5. Prepares and maintains documentation of network configurations and cabling layouts.6. Provides support to and trains users in local area network administration and usage.7. Monitors and maintains network stability. Corrects network problems and outages as they occur.8. Communicates and coordinates network schedule, backups, and downtime to users.9. Provides consulting services to other departments as a high level contributor.10. On call 24 X 7 for network and server related issues.Secondary Functions:Performs a variety of complicated tasks.May lead and direct the work of others.Other duties as assigned.Temperament Must be able to perform under stress when confronted with emergency, critical, or unusual situations. Capable of dealing with periodic cyclical workload pressures and levels of responsibility. Must have the adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Requires the ability to work with people beyond giving and receiving instructions.SKILLS, QUALIFICATIONS, AND REQUIRED EXPERIENCESkills:Superior customer service skills.High level knowledge of maintenance and troubleshooting procedures using advanced troubleshooting skills.Relies on advanced experience and judgment to plan and accomplish goals. A wide degree of creativity and latitude is expected. Quick learner / good at researching, reading, digging for answers.Excellent communication skills at technical and non-technical levels. Excellent time management and multitasking skills. Attention to detail and quality of work. Ability to manage stressful situations in a calm, courteous and efficient manner.The drive and ability to see problems through to completion.Experience:Minimum eight to ten years experience required.PC client and server hardware and software experience.Experience with all Microsoft operating systems.Experience with Microsoft workstation and server administration.Advanced knowledge of network routers, hubs, switches and their configuration, terms and concepts.Education and Certifications:High School Graduate or GED equivalent.Graduate of PC and/or networking technical program preferred.MCSE certified recommended.CCNA certification very helpful

JOB DUTIESScope of the Job: Under the direction of the appropriate manager (Director or Administrator), supervises and coordinates the day-to-day clinic activities and personnel issues for the front and/or back office staff located in the ambulatory setting. Coordinates management of the Craniofacial Clinic. Coordinates care of Multi-Disciplinary Clinic patients to ensure that quality patient care is delivered through a coordinated and systematic process and to ensure accountability and continuity of patient care. Acts as a liaison with staff, departments/practices and patients. Within the established guidelines set forth by the University of Florida Jacksonville Healthcare, Inc. and under the direction of the appropriate Administrator or Manager, ensures adherence to all policies, procedures, and regulatory requirements. Provides exemplary customer service and ensures that a high level of customer service is provided by all office/department staff.Under the supervision of the appropriate manager, directs, coordinates, and controls the nursing activities of his/her assigned staff. Utilizes the Nursing Process to provide care for a group of patients. Assists the Medical Director of the Manager in evaluation of assigned staff. Assists physicians in the provision of quality health care. Assignments are performed appropriately to age and developmental level of patients being served.Essential FunctionsThe essential functions are the primary dimensions for performance review.1. Maintains patient privacy.2. Implements office procedures and coordinates appropriate office support in conjunction with the planned activities of the clinic setting including, but not limited to, schedule maintenance, registration of patients, medical record maintenance/review, referral system, managed care programs, fee collection and appointment/discharge process.3. With guidance from immediate manager, assists with personnel and payroll functions for assigned personnel including, but not limited to, participating in the hiring process, training process and continuous coaching and feedback for the staff in relation to their performance.4. Ensures appropriate budgetary standards are implemented and maintained for labor and supply monitoring for front, back and clinical offices.5. Ensures compliance of regulatory and organizational policies and procedures, and recommends changes in the department policies and procedures as identified.6. Participates in regulatory and proficiency checks for quality management and accreditation requirements.7. Institutes high level of customer service in the front, back and clinical office areas in regards to patient, physician and inter-departmental contact made in person or by telephone.8. Coordinates the management of care to patients in the Multi-Disciplinary Clinic Programs.9. Consults for patient selection and ongoing management of care. Coordinates management of care with the medical subspecialty team members. Evaluates, treats, and documents patient care.10. Assumes responsibility and accountability for the implementation of interventions based on medical plan of care and patients current condition.11. Facilitates the progression of care. Coordinates education and guidance for the patient and significant others to maximize the achievement of the expected outcomes.12. Participates and demonstrates ability to be an active member of a team based group practice by providing follow-up to physicians, nurses and insurance companies.13. Collects and assesses patient data to determine patient needs and to provide optimal patient care.14. Acts in an ethical and professional manner in accordance with the organizations code of ethics for nursing.15. All other duties as assigned.Secondary Functions: Adheres to all regulatory requirements such as JCAHO, CLIA, HIPPA, etc.Temperament Must be able to perform under stress when confronted with emergency, critical, or unusual situations. Must be capable of dealing with periodic cyclical workload pressures and levels of responsibility. Required to make independent judgments without supervision. Must be able to make generalizations, evaluations, or decisions based on sensory or judgmental criteria. Must have the adaptability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure. Requires the ability to work with people beyond giving and receiving instructions.SKILLS, QUALIFICATIONS, AND REQUIRED EXPERIENCESkills:Working knowledge of patient billing, including CPT4 and ICD-9 coding, medical terminology and various payer classes. Working knowledge of HMOs, Medicare, Medicaid, PPO and Third Party Payers. Above average written and verbal communication skills. Requires excellent decision making skills and initiative. Demonstrates ability to be fair-minded and objective. Ability to work well under pressure. Ability to prioritize and handle several functions/tasks at one time. Demonstrates client service knowledge. Basic arithmetic skills. Data entry experience required. Thorough knowledge of clinical support functions to including, but not limited to, registration, scheduling, and insurance coordination of benefits, managed care and collections. Thorough knowledge of clinical support functions to include special procedures, venipuncture, specimen collection and processing. Knowledge of regulatory agency standards (I.E. JCAHO, HRS, HIPPA). Nursing standards and Florida Nurse Practice Act. Demonstrated Clinical skill in area of ambulatory care and/or particular specialization (i.e. Pediatrics, ENT). Basic management skills. Ability to serve as a resource for the nursing process.Experience:One to three years of operational experience in an ambulatory practice setting in the same or similar specialty preferred. One year computer experience with HBOC and IDX, or other practice management system preferred. Experience with spreadsheet and word processing programs.Education and Certifications:Current Florida licensure as a Registered Nurse. Valid driver´s license and insurance. Completion of a standard medical terminology course preferred. Experience with spreadsheet and word processing programs.

We´re looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.

HEALTHCARE EDUCATION WITH A PURPOSE.Were looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.Concorde Career Institute is a nationally recognized, for-profit education company that provides career training in the field of allied health. For more than 30 years, we have prepared thousands of people for rewarding careers. As the healthcare field is enjoying unparalleled growth, we are expanding to meet demands. If you are an experienced professional looking for a new challenge, we want to talk with you! Physical Therapy Assistant Program DirectorJacksonville, FL Managing the instructors, educational activities of the department, and all classes both day and evening. Adherence to applicable accreditation commission standards or agency regulations and the school policies and procedures. Monitor student progress, conduct student orientations and advise students throughout the program. Coordinate with the Graduate Services Director all information pertaining to the externship placement of students, job earnings, potential candidates and any placement updates. Assist with on-going review and development of curricula in the department and make suggestions per policy. Requirements Masters degree required. One of the following: Physical Therapy Licensure (if a Physical Therapist) or Physical Therapy Licensure, Certification or Registration (if a Physical Therapy Assistant) 5 years clinical experience required. Management experience required. Teaching experience required. Involvement in the academic community beyond physical therapy education required. Experience in educational theory and methodology required. Experience in instructional design and methodology required. Experience in student evaluation and outcomes assessment required.

HEALTHCARE EDUCATION WITH A PURPOSE.Were looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.Concorde Career Institute is a nationally recognized, for-profit education company that provides career training in the field of allied health. For more than 30 years, we have prepared thousands of people for rewarding careers. As the healthcare field is enjoying unparalleled growth, we are expanding to meet demands. If you are an experienced professional looking for a new challenge, we want to talk with you! Occupational Therapy Assist Program DirectorJacksonville, FLManaging the instructors, educational activities of the department, and all classes both day and evening. Adherence to applicable accreditation commission standards or agency regulations and the school policies and procedures. Monitor student progress, conduct student orientations, and advise students throughout the program. Coordinate with the Career Services Director on all information pertaining to the externship placement of students, job earnings, potential candidates, and any placement updates. Assist with on-going review and development of curricula in the department and make suggestions per policy. Minimum Qualifications:Registered Occupational Therapist (OTR) and current state license or certificate. Masters degree required plus a minimum 5 years clinical experience in Occupational Therapy. 1 year experience as an educator for an approved Accredited Council for Occupational Therapy Education (ACOTE) campus. Previous program director with start up experience preferred. Previous management experience required. Must be capable of teaching both the clinical and didactic aspects of the program.

Manager of Central Business Office for First Coast Primary Care, Physicians Network

Bachelor´s degree required; Master´s degree preferred. Six (6) + years of experience in 25+ providers Central Business Office. eClinicalWorks experience preferred. The CBO Manager is responsible for managing all aspects of the departments revenue cycle including charge capture/reconciliation, billing compliance, and revenue management. Position will also be responsible for managing staff, creating, tracking, and facilitating policies and procedures to maximize reimbursement while maintaining patient and physician satisfaction.

MinuteClinic is the country´s pioneer and largest retail healthcare provider. We currently have unique practice opportunities available for Family Nurse Practitioners in the Jacksonville metro area. Why join us? MinuteClinic has over 450 clinics, in 25 states with nearly 2000 NPs in our network. We were the first Joint Commission-accredited retail health care provider in the nation.We have the industry´s most tested care model.MinuteClinic is a subsidiary of CVS/Caremark, the leader in pharmacy and health care solutions.As the industry´s leader, we offer superior infrastructure and unmatched support to our Practitioners.Family Nurse PractitionersAt MinuteClinic, you will enjoy a strong support network and the chance to spend quality time with your patients as you diagnose and treat common family illnesses and administer vaccines for patients over 18 months old. Ideal candidates will have a masters degree in nursing, national certification as an FNP, and a current RN license in the applicable state. This is an amazing opportunity for you to thrive at the forefront of health care delivery. We offer competitive salary and benefits, scheduling options, a proprietary EMR system, and much more. Benefits: Were looking for innovative individuals who enjoy a fast-paced, ever-changing environment to be actively involved in our company´s strategic growth. Expect a competitive salary and benefits package including annual bonus opportunity and the opportunity to advance your skills with a company that is at the forefront of improving healthcare delivery. APPLY NOW: By email: jobs@minuteclinic.com By phone: 877.MIN.CLIN (646.2546) No relocation offered Equal Opportunity Employer

As one of the nation´s premier pediatric health care systems, Nemours provides world-class clinical care.

Nemours is seeking a clinical Pediatric Neurologist to join our team in Jacksonville, Florida. Services offered in our busy department include a Neurocognitive Assessment Program, MDA Clinic, Epilepsy Program, Headache Program, and an Epilepsy Surgery Program. Advanced technologies available include Video EEG, NCS, EMG, visual and somatosensory evoked potentials. This position is a mix of clinical and research time, and academic opportunities exist for interested applicants.Physician candidates must have completed a Pediatric Neurology fellowship and be Board Certified or Board Eligible in Pediatric Neurology.One of the fastest growing areas of Florida, Jacksonville is home to numerous festivals, national and international sporting events, exceptional golf courses and world-class art and culture, and is located on the Atlantic Coast. Serving children from southeast Georgia and northeast Florida, the facility sits on the banks of the St. Johns River.Specialties offered: * Anesthesia * Endocrinology * Gastroenterology/Nutrition * Genetics * Hematology/Oncology * Infectious Diseases * Neurology * Ophthalmology * Orthopaedics * Otolaryngology * Pediatric Hospitalist * Psychology *Psychiatry * Pulmonology/Allergy *Immunology * Radiology * Surgery * Urology Special programs offered: * Chest Wall Deformity Clinic * Audiology * Bone Marrow Transplantation * Cochlear Implant * Cleft Lip/Palate * Cystic Fibrosis * Facial Anomalies * Headache * Metabolism * Minimally Invasive Surgery * Newborn Hearing Screening * Nutrition * Prosthetics * Sickle Cell Disease * Speech & Language Therapy * Spina Bifida * Sports Medicine JOB REQUIREMENTS: Nemours cares for approximately a quarter of a million children annually. And we begin by caring for every child as if they were our own. For more than 70 years, this has been the Nemours Way.As one of the nation´s premier pediatric health care systems, Nemours provides world-class clinical care in four states -- Delaware, Florida, New Jersey and Pennsylvania. In Jacksonville, the Nemours Children´s Clinic offers primary care physicians and families a much needed resource for children with complicated health issues. Affiliated with Wolfson Children´s Hospital, we serve children from northeast Florida and southeast Georgia. Nemours, an equal opportunity employer, is committed to focusing on the best-qualified applicants for our openings.Don´t miss out on important health care news and updates from Nemours - connect with us on... Facebook (Fan Page): www.facebook.com/pages/Nemours/90523951091?ref=tsYouTube: www.youtube.com/user/NemoursUpdates Twitter: www.twitter.com/nemours Flickr: www.flickr.com/photos/nemours/

PURPOSE:The Physician Assistant is responsible for assisting the Physician(s) in treating patients in the surgical field.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.*Assist Physician in treating patients. *Evaluate patients: take history and perform pertinent physical examination. *Provide post surgical wound care and follow-up *Coordinate care of patients: testing and preparation for procedures *Record and ensure availability and completeness of documentation, reports and imaging examinations. *Provide patient education, counseling and instruction. *Facilitate supervising physician referral of patients to the appropriate health care facilities, agencies, or other resources of the community or other physicians *Dictate progress notes, history and physical, and discharge summaries. *Administer and/or order medication upon request of supervising physician *Initiate emergency measures on patient as required *Perform chart audits *Provide in-service and daily consultation to nursing staff *Initiate consultation and monitor patients for special tests *Counsel patients as to preventive care *Other general duties performed in a general practices outlined in F.S. Chapter 458.347 *Share on -call responsibilities with a supervising physician on back-up *Answering physician patient calls *All other specific tasks delegated by supervising physician in accordance to the physician assistants knowledge and experience developed under the supervising physician in the field of oncology Requirements:*Holds a current license and is in good standing *Surgical experience preferred *Maintains certification in accordance with Department of Regulations *Able to perform health care tasks in surgery by supervising physician efficiently and effectively consistent with patients health and welfare *Able to obtain and sustain clinical hospital privileges *Excellent interpersonal skills *Ability to work with minimum supervision *Ability to travel within the surrounding communities *Good diagnostic capabilities Education and/or Experience:*Graduate of an approved program or its equivalent *Meets the standards set by the Board of Medicine LANGUAGE SKILLS:*Ability to read and interpret documents, write routine reports and correspondence, and communicate effectively in one-on-one and group situations with patients, physicians, employees and other customers of the organization.

THE HEART TEAM has an outstanding opportunity for a BC/BE Interventional Cardiologist with strong peripheral skills to join a progressive Cardiovascular Institute in Jacksonville, Florida due to growth in the practice.

* This prestigious Cardiovascular Institute focuses exclusively on the cardiovascular health and well-being of their patients and are committed to providing an unwavering standard of excellence in the diagnosis, treatment, and prevention of cardiovascular disease.* They offer unparalleled medical expertise by highly trained, board certified cardiovascular specialists.* They are looking for a BC/BE Interventional Cardiologist with strong peripheral skills.* The client would prefer an experienced Interventionalist with at least two years post Interventional fellowship, however they will consider the 2010 fellows, as well.* Physician must be board certified &/or board eligible with the intention of attaining board certification in their specialty within a reasonable amount of time. * They have several convenient locations throughout the greater Jacksonville, Florida area.* They are leaders in the application of technological advances in cardiac and vascular care, while setting a standard of excellence in the field.* They have three echo labs, three vascular labs, two nuclear cameras, and one sleep lab.* In 2007, they opened the first free standing cardiac and peripheral vascular cath lab in Jacksonville.* The new laboratory is equipped with a state-of-the-art Phillips cardiac/vascular imaging system. * The cath lab has seven private post procedure recovery rooms in the suite designed with patient comfort in mind from computers in the recovery rooms to private sitting areas for family. * They had been participating in clinical trials for many years through an independent research center; however in 2007 they began their own Research Program.* They see patients at three hospitals and have a very strong referral base.* Attractive salary and bonus commensurate with training, experience, and board certification.* Full benefit package is offered to include malpractice, health, dental, and vision insurances; vacation; CME and expense allowance; relocation expense; and professional dues. * Partnership track available.* Call is shared. Situated in Duval County, in northeastern Florida, Jacksonville stands in the great double loops of St. Johns River, next to the Atlantic Ocean. Jacksonville is often known to its locals as JAX, after the city´s international airport. This enormous metropolis has become America´s second largest city, in terms of size, and is a particularly amiable location. Jacksonville has something to offer everyone: miles of pristine beaches; ecological and nature based excursions; world-class golf courses; top-of-the-line tennis facilities and other recreation; historical sites and architecture; sporting, gaming and cultural activities; unique shopping and dining; nightlife and entertainment; festivals and events; a riverfront festival marketplace and river cruises and Caribbean cruises. They have excellent public and private schools with numerous colleges and universities for higher educational needs. This metropolitan city has it all including their warm Southern hospitality to make you and your family feel welcome.

Solantic providers treat patients in a wide array of areas including: acute care, urgent injuries - splinting and suturing, occupational medicine and workers compensation (we have clinics dedicated to this area of medicine), and wellness visits. Solantic offers on-site management to handle all administrative issues. Each center has state-of-the-art facilities and is staffed with experience support staff to ensure that our providers have peace of mind to focus on patient care. We understand the need for work-life balance, therefore, we offer three- and four-day work weeks for full-time providers. Your flexible schedule will allow for optimal quality of life! Solantic operates 29 centers throughout Florida, are open every day to treat common illnesses and injuries and we never require an appointment. Additional services include occupational medicine, wellness services, digital x-rays, on-site lab tests, and on-site prescription services. Solantic offers a competitive hourly rate and benefits, including: - 100% paid malpractice insurance - Bonuses based on Patient Satisfaction and RVUs (full-and part-time) - Employer paid dental insurance (full-time) - Employer sponsored health insurance (part-time) - 401K (full-time) - PTO (full-time) - Holiday pay (full-and part-time) - CME Allowance (full-and part-time) - License Reimbursement (full- and part-time)

Concorde Career Colleges, Inc. is a nationally recognized for-profit, post-secondary education company providing career training in the field of allied health, and we have an opening for a full-time Respiratory Therapy Program Director at our campus.

Description:Concorde Career Colleges, Inc. is a nationally recognized for-profit, post-secondary education company providing career training in the field of allied health, and we have an opening for a full-time Respiratory Therapy Instructor at our campus. Responsibilities include:- Provide instruction to Respiratory Therapy classes.- Adherence to applicable accreditation commission standards or agencies regulations, the school policies and procedures, and the departments curricula.- Monitor school progress, conduct student orientations and advise students throughout the program.- Assist with on-going review and development of curricula in the department and make suggestions per policy. - Attend orientations, staff meetings, and faculty meetings as scheduled. Requirements:-RRT Credential -Associates Degree -Minimum 4 years clinical experience in Respiratory Therapy -Current state license or certificate We offer:Medical/dental/vision, 401K retirement plan, paid holidays, vacation, and education reimbursement for full-time and part-time employees.

This is an interdisciplinary team consisting of Clinical Psychiatrist Director, Psychologist, Advanced Practice Nurses, Social Workers, and an Addiction Therapist and a Program Support Assistant. This treatment program is designed to provide substance use treatment to veterans, who in addition, may have a concomitant medical and/or a mental health diagnosis. Treatment consists of evaluation which includes bio-psychosocial assessment, assessment of addiction behaviors, group and individual counseling and addiction education. Case management and referrals are part of the treatment planning. There is an ambulatory detoxification component with medication support. There is also a treatment component for opiate dependence with medication management.The responsibilities of the Adult NP position includes: H & Ps, medical evaluation of current health status, prescribing, leading the ambulatory detox component, monitoring and ordering lab tests, providing groups on medical aspects of addiction and education and support to the team on medical issues in addictions. As part of the team, this individual will participate in planning, treatment team meetings, and development of future programs. Other duties may develop in the establishment and expansion of the program. Transport of patients in a government vehicle on occasion is part of this position description.

St. Vincent´s Healthcare is currently seeking a Vice President, Physician & Business Development

Vice President, Physician & Business Development Provides senior leadership at the system level, responsible for leadership and growth of the physician integration strategies, including but not limited to: physician recruitment and retention, ambulatory care development, physician referral development, physician joint ventures, and the facilitation of network services to support the organizational goals. Has overall responsibility for the strategic planning and operations of the practices and ancillary services in the First Coast Primary Care Network, Spine & Brain institute and other current and future hospital-based practices.Position Requirements-Masters degree in Healthcare Administration or related field, FACHE certification preferred. 7-10 years of healthcare management experience required. Minimum of 5 years experience over a major group of 25 physicians, multi site. Experience in physician recruitment and retention, practice acquisitions, complex negotiations, contracts, program development, interpret and use complex data. Understands and is committed to the philosophy, mission and core values of Ascension Health.

This position will provide opportunities for clinical care, individual and group work with Substance Use Disorder and dually diagnosed veterans from the urban Jacksonville area. Medication management including prescription of buprenorphine and ambulatory detox will be an integral part of the services provided.

Join busy single specialty practice; great compensation package; inpatient only; paid malpractice. Jacksonville. Where Florida Begins!

H1-B OK.Busy, established general Infectious Disease practice seeks one or two ID specialists. Salary guarantee of $230K plus benefits, and paid malpractice. http://www.coj.net Jacksonville, the largest city in area in the continental United States, is a rapidly growing metropolitan city in Northeast Florida, with approximately 850,000 residents. www.visitjacksonville.com Unpretentious metropolitan style meets stunning natural beautyJacksonville captures the essence of a lifestyle and landscape reflecting the real Florida. Discover the heart of the city and endless stretches of pristine beaches, while exploring the regions unique shopping, numerous dining options and warm Southern hospitality. With a moderate temperature year round, Jacksonville is home to numerous festivals, national and international sporting events, exceptional golf courses and world-class art and culture. Get to know Jacksonville. Where Florida Begins.

General Job Summary: The Registered Nurse (RN) is responsible and accountable for the delivery and documentation of high quality, cost effective and safe patient care. The Nursing Process will be used in the care delivery to a designated group consisting of one or more age populations. The RN coordinates and supervises the patient care delivered by ancillary staff. The RN enthusiastically participates in the Performance Improvement Enhancement (PIE) activities/programs. The RN serves as the patients advocate.State of Florida, Department of Health, and Division of Medical Quality Assurance, Registered Nurse license (Required).ACLS required. New Hires to critical care e will present BCLS card and is required to complete ACLS within the first 6 months of employment.You may apply on.line at www.jaxhealth.jobs or send resumesto Tina.Greene@jaxhealth.com

Growing Surgical First Assist Practice has openings for PA�s to join our team in Jacksonville, Florida.

Full time, part time and per diem positions available. United Surgical Assistants partners with renowned surgical practices to optimize surgical performance and deliver exceptional patient care. Become part of a visionary and highly successful medical organization that attracts the most skilled and experienced PAs from a full spectrum of surgical specialties. We offer excellent opportunities for PAs to perform surgical first assist functions. Qualified candidates have a Physician Assistant license and a minimum of 3 years of recent surgical first assist experience, or equivalent, multi-specialty surgical experience with at least 3 of the following fields: orthopedics, neurosurgery, general/vascular, cardiovascular, urological, OB/GYN and general surgery.Our employees are strictly first assistants in the OR, they do not partake in clinical duties, hospital rounding or any kind of pre-op or post-op work.We offer excellent salaries, outstanding benefits and an environment that inspires great achievement. For specific locations and additional information about the company and these opportunities, please visit our web site at: www.myusapa.com

Were looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.Concorde Career Institute is a nationally recognized, for-profit education company that provides career training in the field of allied health. For more than 30 years, we have prepared thousands of people for rewarding careers. As the healthcare field is enjoying unparalleled growth, we are expanding to meet demands. If you are an experienced professional looking for a new challenge, we want to talk with you! Associates Degree Nursing Instructor Med SurgJacksonville, FLResponsibilities include:Provide instruction to Associate Nursing classes.Adherence to applicable accreditation commission standards or agencies regulations, the school policies and procedures, and the departments curricula.Monitor student progress, conduct student orientations and advise students throughout the program.Assist with on-going review and development of curricula in the department and make suggestions per policy.Attend orientations, staff meetings, and faculty meetings as scheduled. Requirements:Florida RN license Minimum BSN with a clinical component, MSN preferred. Equivalent of three (3) years of full time experience within five (5) years. Experience shall be in nursing education, clinical practice, or administration. Must meet all regulatory and corporate qualifications.

HEALTHCARE EDUCATION WITH A PURPOSE.We´re looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.

Were looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.Concorde Career Institute is a nationally recognized, for-profit education company that provides career training in the field of allied health. For more than 30 years, we have prepared thousands of people for rewarding careers. As the healthcare field is enjoying unparalleled growth, we are expanding to meet demands. If you are an experienced professional looking for a new challenge, we want to talk with you! Surgical Technologist Instructor Jacksonville, FLResponsibilities include:Provide instruction to Surgical Technology classes.Adherence to applicable accreditation commission standards or agencies regulations, the school policies and procedures, and the departments curricula.Monitor school progress, conduct student orientations and advise students throughout the program.Assist with on-going review and development of curricula in the department and make suggestions per policy. Attend orientations, staff meetings, and faculty meetings as scheduled. Minimum Qualifications:CST or CST/CFA awarded by Liaison Counsel on Certification for Surgical Technology (LCC-ST) Minimum of 3 years clinical experience as Surgical Technologist

Were looking for people who want to make an impact. Experience the thrill of quality education and training at one of the best post-secondary career training institutions in the country.Concorde Career Institute is a nationally recognized, for-profit education company that provides career training in the field of allied health. For more than 30 years, we have prepared thousands of people for rewarding careers. As the healthcare field is enjoying unparalleled growth, we are expanding to meet demands. If you are an experienced professional looking for a new challenge, we want to talk with you! Medical Assisting Instructor Full Time and Part TimeJacksonville, FLResponsibilities include:Provide instruction to Medical Assisting classes.Adherence to applicable accreditation commission standards or agencies regulations, the school policies and procedures, and the departments curricula.Monitor student progress, conduct student orientations and advise students throughout the program.Assist with on-going review and development of curricula in the department and make suggestions per policy.Attend orientations, staff meetings, and faculty meetings as scheduled. Requirements:Must have a minimum of 3 years front and back office Medical Assisting experience.Qualified individuals will possess experience in Billing and Insurance, Medical Terminology, Coding ICD-9, CPT, and CTP-H, Anatomy & Physiology, Pharmacology, EKG, wound care, GYN procedures, documentation, vital signs, and computer skills

If you´d like to take your pharmacy career to the next level, take on new challenges and further your experience, consider joining the U.S. Air Force as a pharmacist.

As an Air Force pharmacist, you will work in state-of-the-art medical facilities around the world, complete with the most high-tech equipment. You will work in a team environment with some of the most highly trained professionals in medicine.BenefitsExcellent healthcare coverage for you and your family, a retirement pension after 20 years of qualifying service, a thrift savings program [similar to a 401(k)] and earn 30 days of vacation with pay beginning your first year.Continued EducationThe Air Force understands the importance of staying up-to-date with the most recent treatments and procedures. The Air Force sponsors continuing education units and training to keep you current in your pharmacy profession.QualificationsThis is an active-duty position as an Air Force officer. To be considered, you must meet the following requirements:Must be a U.S. citizen between the ages of 18 and 42.Must be willing to relocate.Must have obtained a B.S. in Pharmacy or be in the process of obtaining a Pharm.D. from an accredited institution. Must have a valid U.S. license to practice pharmacy or obtain licensure within one year of graduation.

EXPERIENCE REQUIRED: UM Nurse is responsible for relaying pt information to managed care payors and reviewing charts using interqual criteria. Knowledge of Medicare/Medicaid regulations/CMS regulations. Must have 3-5 years Med/Surg or ICU experience. Ability to type well and knowledgeable of MS Office product and other computer systems a plus. Ability to work independently or as part of a team. Excellent communication skills. BSN preferred.

Currently seeking Director of Patient Access Services.

Bachelors Degree required. Must have at least 5 years supervision experience in a health care registration, HMO, or insurance customer service environment. Director will be responsible for directing admitting, registration, outpatient test scheduling, pre-registration, and financial specialist processes including cashier functions. Ensures staff practice excellent customer service while supporting mission and core values of the organization. Additional responsibilities include but not limited to successful completion of all registration collections, data gathering and account maintenance for hospital Patient Access Services. Team building, goal setting, assisting managers and supervisors with staff coaching and training are also required. Must have the ability to develop, train, monitor and report of registration quality and productivity. Also responsible for budgets, overseeing hiring and firing practices of Patient Access management staff.

High School Diploma req. 3-5 yrs. supervision, health care registration/HMO/insurance & customer service exp. req. This position will supervise, schedule, review performance for scheduling & pre-registration staff. The position will conduct quarterly meetings w/ physician office staff including working w/ ancillary departments as needed for scheduling needs & issues.

St. Vincent´s HealthCare located in Jacksonville, FL is seeking RN´s for St. Vincent´s Medical Center a 528 bed acute care hospital and St. Luke�s Hospital a 135 bed acute care hospital.

Minimum Requirements: RN licensed. Telemetry experience required for telemetry RN positions; Intensive care experience preferred for ICU positions. FL RN license, BCLS certification for Telemetry and ACLS certification for Critical Care/ICU.

General Job Summary: The Spine/Joint Coordinator is responsible for the development, coordination, and maintenance of the quality of care continuum and outcomes for total joint patients that is evidence-based practice, and to facilitate overall Orthopedic Center of Excellence (OCE) programmatic growth. The Spine/Joint Coordinator provides leadership for the Pre-Admission Testing, Surgery Center, Operating Room, PACU, inpatient units, and all other applicable entities within the orthopedic service line related to best practice for orthopedic patients. Assists in the planning, development and implementation of program goals and operations. Coordinates and oversees the ongoing disease specific certification process to improve care of the orthopedic patient population.St. Vincents Center for Orthopedic Excellence, the largest joint replacement program in Northeast Florida, leads the way in research, innovative joint replacement techniques and quality patient care. When you choose St. Vincents HealthCare, you can expect standarized protocols, case management, streamlined registration, enhanced education program, physical therapy, board-certified surgeons, inpatient and outpatient rehabilitatiion and a focus on research. Candidates must have FL RN license, BSN Degree, five plus years experience in clinical specialty, management and program development.You may apply on-line at www.jaxhealth.com or send resumes to Tina.Greene@jaxhealth.com

The Department of Surgery, Division of Otolaryngology at the University of Florida College of Medicine-Jacksonville, seeks a full-time academic otolaryngologist

The Division of Otolaryngology at the University of Florida College of Medicine-Jacksonville, seeks a full-time faculty member at the tenure/non-tenure accruing level of Assistant/Associate/Full Professor. MD, and BC/BE in Otolaryngology. Competitive salary with excellent benefits. Application deadline is open until position is filled. The University of Florida is an equal opportunity institution dedicated to building a broadly diverse and inclusive faculty and staff.

This is a top Level position responsible for organization human resource management. Responsible for design, implementation, and evaluation of all programs relating to the human side of the organization. Plans, directs, and supervises such functions as employment, training and development, policies and procedures, compensation, benefits, employee relations, human resources information management, health and safety, and security. Prepares various reports on HR metrics to meet organizational needs. The successful candidate will have 10 years of HR generalist experience with at least 3 years in the top HR role. Prefer experience in healthcare. Outstanding interpersonal skills, the ability to adapt to changing situations, and a willingness to work with employees at every level as a consultant and advisor are also required.The HR Director will oversee all facets of HR including compensation and benefits, recruiting, employee relations, and training. Current projects include the implementation of a new HR information system, the rollout of competency selection, changes in the medical plan provider, and the development of career development programs for employees.UFHJI offers a competitive compensation and benefits program, challenging and satisfying work, and a great Jacksonville lifestyle to the successful applicant. An Equal Opportunity Institution

Neurosurgeon needed in Jacksonville!

Immediate need for a neurosurgeon to join a 3 man employed group in Jacksonville, FL! Call will be alternated between the physicians in the group. Only 1 facility covered!Great compensation and benefits package! The Memorial Neuroscience Center provides special expertise and state-of-the-art care for patients with the following problems:- Brain, spine and peripheral nerve tumors - Cerebrovascular disease (aneurysms, vascular malformations, stroke) - Back pain, neck pain and degenerative spine disorders - Peripheral neuropathy (carpal tunnel syndrome and ulnar neuropathy) - Hydrocephalus - Adult congenital anomalies such as - Chiari malformation and arachnoid cyst.

A Gastroenterologist is needed to join another in Orange Park, FL. This practice currently has 3 locations. *Consultative Services at only one hospital - Orange Park Medical Center. * Current physician does full range of GI Procedures. * Practice is actively involved in different clinical research studies and academic activities - opportunity to teach at residency program if you wish. * Partnership after 1 YEAR!* High income potential!Currenlty physician and 1 PA see approximately 35-40 patients a day; however, the ideal would be for the physician to see up to 20; PA up to 5 so the incoming physician will be busy from start! Call will be alternated with current physician every other night and weekend.

Specialists needed in Jacksonville, FL!

A single specialty group of 4 orthopaedic surgeons each with sub-specialty interests seeking to add specialists to their practice. Currently the group has two orthopaedic offices with EMR (with plans to add PACS in 2009) and associated state of the art ambulatory surgery center just a few steps from our main office. A third office will be located at the beach and another office will be located in Orange Park. Call will be 1:5, however, as more physicians are added to the group, this will decrease. Memorial Hospital is not a level 1 trauma center. The growth of Jacksonville makes this practice an ideal practice to join NOW!! This practice is in major growth mode! Competitive salary with partnership track. Incoming physician can expect 20-30 patients immediately with opportunity to add more patients. Hours of the practice are from 8:30 to 5:00pm. Incoming physician will be expected to focus on general orthopedics as he/she builds up specialty specific volume will be expected to take general call. From the community aspect, the practice has an excellent reputation and has provided comprehensive orthopedic care for over 25 years to the citizens of the city and neighboring suburbs. Most importantly, we have a collegial setup which fosters each surgeon to build his or her own sub specialty practice with in-house and primary care referrals. The Jacksonville metropolitan area and surrounding areas has a burgeoning population with increasing needs of quality orthopaedic care. We have the additional benefit of great weather and outdoor options involving the St. Johns River, Atlantic Ocean, and an NFL team.

A Neurologist is needed to join another in Jacksonville, Florida! The current physician sees both outpatient and inpatient with 75% of the volume being outpatient. He is flexible however with how the incoming physician´s preference. There are 2 PAs in the practice. Call is every 5th weekend and every 5th night. This is a very friendly and well-established office that has been in the community for 14 years! This is a big office with FULL LAB, own billing, own office space, 10 exam rooms. Offering a competitive salary (open to employment or partnership structure) with benefits, 3 weeks vacation, 1 week CME. Salary plus production bonus!

Mayo Clinic in Jacksonville, a growing physician practice with a national and international patient base, seeks a highly qualified individual to support a growing cardiothoracic practice.

Mayo Clinic in Jacksonville, a growing physician practice with a national and international patient base, seeks a highly qualified individual to support a growing cardiothoracic practice. The candidate will be expected to participate in the procurement of thoracic organs for transplantation as well as assisting during thoracic cardiothoracic procedures. The successful candidate will be joining an experienced staff of faculty, physician assistants and ARNPs. A Florida license is required. The generous salary and benefits package is commensurate with the candidates training and experience. Mayo clinic is located in one of the most pleasant regions of the country, featuring a coastal climate, ample family entertainment, beaches and recreational options and quality schools all within easy reach.Mayo Foundation is an affirmative action and equal opportunity employer and educator. Post-offer/pre-employment drug screening is required.

Candidates must possess an M.D. degree, board certification in neurosurgery and qualifications meriting appointment to the rank of Professor on either the tenure or non-tenure track. The ideal candidate must possess an exceptional track record of building and sustaining high quality and financially strong clinical programs, distinguished scholarly activity, and superior leadership and managerial skills. Our faculty neurosurgeons work in close conjunction with UF neurologists, neuroradiologists and neuropsychologists to provide comprehensive patient care at the Shands Jacksonville Neuroscience Institute. We also provide pediatric neurosurgery services to Wolfson Children´s Hospital. Our department is nationally recognized as a premier referral center for the treatment of spasmodic torticollis, and provides a complete range of subspecialty care. Salary is negotiable and will be commensurate with experience. The Search Committee will begin reviewing applications on November 30, 2009 and will continue to receive applications until the position is filled.

Cutting Edge Brain Injury Practice in The Sunshine State

Join a team of creative, passionate, visionaries who are dedicated to providing cutting edge rehabilitation services. Brooks Rehabilitation Hospital in Jacksonville, Florida seeks a Brain Injury Medical Director who will lead the further development of their BI services that encompass inpatient, outpatient, day treatment and community programs including vocational rehabilitation. Your physiatry practice will be a mixture of adult traumatic and nontraumatic cases. You will also have the opportunity to teach and to be involved in research working with Brooks? Partners such as University of Florida and Mayo Clinic in research trials. Because Brooks? culture places high value on life-long learning and they look for ways to say ? yes? Instead of ? no,? you will find a stimulating, supportive environment that fosters innovation and excellence. At Brooks, you can make a difference. Brooks Rehabilitation Hospital (www.brookshealth.org) is the only one of its kind in the region of Florida and Southeast Georgia. Its 143-bed not-for-profit hospital offers the most advanced therapies and techniques through their Centers of Excellence in Brain Injury, Stroke, Orthopedics, Spinal Cord Injury Pediatric and Hip Fracture. Together with their comprehensive outpatient programs, Brooks offers more types of therapy than any area rehabilitation system. They have 26 outpatient sites, the largest home health service in the area and management partnerships with skilled nursing units and facilities. Their expertise and dedication to results have made Brooks the regional leader in rehabilitation for more than three decades.Life in Jacksonville is great! You will have the very best Florida has to offer at your fingertips. With 68 miles of ocean coastline and 300 miles of river, you will be able to swim, fish, sail, row, and lounge to your hearts content. Jacksonvilles four seasons, no snow, and 226 sunny days each year enable you to take full advantage of the 60 golf courses in the area, the many tennis venues, and the more than 6,000 acres of public parks. Youll find plenty of pro and college sporting events including the Jacksonville Jaguars, the Toyota Gator Bowl to attend. The PGA Tour and the Association of Tennis Professionals are headquartered in Jacksonville. A number of colleges and universities enrich the educational and cultural opportunities available to you. Two of them are the University of North Florida, which was named by the Princeton Review as one of the Top 10 Best Value Public Colleges, and Jacksonville University, which has been frequently ranked by U.S. News and World Report as one of ?Americas Best Colleges.? And there are more advantages to living and practicing in Jacksonville. When you need a break from your normal routine, Amelia Island sits only 30 minutes off Jacksonvilles shore and is the perfect place for a quick romantic or family getaway. And one other important point: No Personal State Income Tax in Florida! In Jacksonville you will find everything you need for a great personal and professional lifestyle.

Jacksonville Pathology Consultants, P.A. is a hospital based pathology group in Jacksonville, Florida. We are a diversified practice with seven pathologists who serve patients for five busy Baptist Health facilities. Our group is looking for a well-trained board certified Anatomic and Clinical Pathologist with excellent communication skills. Fellowship training is preferred but not mandatory

We are seeking a Registered Psychiatric Nurse Practitioner to provide primary healthcare to patients and families.

Located in Jacksonville, FL, Lakeview Health Systems is a JACHO accredited facility specializing in the treatment of chemical dependency, dual diagnoses, alcoholism and associated mental disorders. The Lakeview Health Systems alcohol and drug addiction treatment center was created to provide those persons suffering from drug addiction, alcoholism and dual disorders with a suitable drug rehab environment in order to produce quality long term recovery. The touchstone of Lakeview´s addiction treatment center is found in our ability to separate symptoms from core issues, while effectively treating the whole person.We are seeking a Registered Psychiatric Nurse Practitioner to provide primary healthcare to patients and families, focusing on health maintenance, disease prevention, patient education and counseling. Under the guidance and supervision of the Chief Operating Officer, the Advanced Registered Nurse Practitioner is responsible for professional medical and psychiatric care to patients and providing direction to other professional personnel such as RNs/ LPNs and Certified Nursing Assistants in the provision of direct patient care.Requirements:An Advanced Registered Nurse Practitioner Certificate with at least one (1) year of Psychiatric experience; preferably one (1) year of Chemical Dependency treatment. Will be credentialed under the Medical Director and or Psychiatrist to provide routine medical assessment, medical care, and psychiatric assessment/care.

The practice has received national and local recognition for providing high quality efficient patient care utilizing a robust EHR system. Family Care Partners is a leader in innovative use of the EHR, group visits, open access scheduling, medical decision support and in house lab and x-ray. Hospital practice is optional – limited call responsibilities. The ideal candidate should be board certified or eligible in Family Practice, with excellent clinical skills and flexibility to work well in a friendly group setting. Jacksonville´s diverse cultural scene includes museums, art collections, and a variety of performing arts as well as annual jazz and film festivals. Jacksonville residents have numerous recreational choices; the city operates the largest U.S. urban park system, has miles of beautiful beaches and waterways, and is home to many golf and tennis facilities. An attractive compensation & benefits package offered.

Position responsibilities will include both routine and special techniques/procedures to include all phases of Immunohistology.

Histology Technician - Completion of an approved training program in Histology; Florida state license as a technician in the speciality of Histology; ASCP registered as Histology Technician or equivalent; 1-2 years Histology Laboratory experience required; must possess technical and ethical decision making skills; fine hand manipulation skills required. Histotechnologist - Associates Degree; completion of an approved training program in Histology; Immunoperoxidase knowledge preferred; ASCP or equivalent; Histology Florida state licensure; 1-2 years Histology, Immunohistology and Medical Lab experience; ability to make technical and ethical decisions; fine hand manipulation skills.