Beruflich Dokumente
Kultur Dokumente
6F June 2012
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Scientists Identify New Target to Battle Rheumatoid Arthritis APhA Urges Vote Against Proposed PDUFA Drug Importation Amendment Landmark Textbook on Healthcare and the US Legal System Released
in Trappe, Pennsylvania
Conferences & Educational Opportunities Job Opportunities
Wheaton, Illinois
As a member of the hospitals Senior Management Team reporting to the hospital CEO, the Director of Therapy Operations is responsible for the development of a patient focused, team oriented culture, working in conjunction with all other medical, clinical and therapeutic disciplines to ensure optimal service and superior outcomes. The DTO holds full responsibility for all aspects of the Therapy Operations, including inpatient and outpatient therapy. The DTO provides clinical direction for evaluation, care planning and treatment of a wide variety of clinical diagnosis. To be qualified, the candidate must have a minimum of a Bachelors Degree in a therapeutic discipline (PT, OT SLP) with five years of experience in an inpatient hospital setting and two years of therapy management experience. Preference will be given to those individuals who have demonstrated through previous experience the ability to: Meaningfully contribute to a hospitals culture of success; Participate as a member of a high functioning leadership team, and; Successfully lead a hospitals therapy department through the utilization of excellent supervisory and management skills. We continually achieve a high level of success in patient satisfaction and patient outcomes because the cornerstone of our culture is a commitment from each individual to provide only the highest quality healthcare to each and every patient.
Contents
Editorial Department John BuckEditor-in- Chief Kathleen GarvinEditorial Assistant Design Services Jeffrey ZajacPublications Director Joe MonteArt Director Administration Gabriele B. PolliFinancial Manager Lucy ThatcherOffice Manager Advertising 800.634.5463 Operations Amy AndersonOperations Director Eric SmogerIT Manager Kristin Frederick
Heidi Fries is a physical therapist with a focus on pediatrics, and PT coordinator at Theraplay, Inc. She has a bachelors in biology and a doctorate of physical therapy from Arcadia University in Glenside, Pennsylvania. Originally hailing from South Africa, Heidi had an interest in pediatrics and medicine her whole life. She has worked at Theraplay for three years and says families are the key to a childs development: They are the ones who make or break the childs progressthey are everything.
Scientists Identify New Target to Battle Rheumatoid Arthritis APhA Urges Vote Against Proposed PDUFA Drug Importation Amendment Landmark Textbook on Healthcare and the US Legal System Released
12 Job Opportunities
12. National, New Hampshire, Massachusetts, Connecticut, New York, Illinois and Missouri 13. Pennsylvania, Maryland, Washington D.C., Florida, Alabama and Mississippi 14. Iowa, South Dakota, Colorado, California and Washington 15. Virginia, North Carolina and Illinois 16. Wyoming, Nevada and California 2. Pennsylvania and Illinois
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Q&A
Q: Who motivated you to become a physical therapist? A: Originally, I was interested in medical school. I grew up in South Africa, the daughter of a missionary. In my life I was able to see poverty, need, hurt and hunger. I knew from a young age that I wanted to help people, make them smile and make a difference. At 18 years old I came to America with the hopes of becoming a doctor; however, I didnt know at the time what kind of doctor I would end up being. During my first two years of undergraduate studies, my anatomy and physiology professor guided me toward physical therapy. He told me he saw my passion for human anatomy and that I seemed to really understand how the body was put together. He had a lot of contact with the professors at Arcadia Universitys PT program and thought physical therapy was a field I should explore. My mom had always encouraged me to look into this field as well. She knew I would eventually want to be a mother and be able to work but also have the time to spend with my family. As a physician, this would be difficult. Schedules of physical therapists were much more forgiving. Another positive aspect to physical therapy was how much time physical therapists were able to spend with their patients, not only treating them physically but also affecting their lives as a whole. Q: How did you decide you wanted to specialize in pediatrics? A: I knew I wanted to work with children from the very beginning. Children and I definitely seem to mesh, and we are on the same level in so many ways. I love nothing more than to play, use my imagination and be goofy. When I observed at an outpatient pediatric physical therapy clinic in California one summer, it
in Trappe, Pennsylvania
Heidi Fries is a physical therapist with a focus on pediatrics, and PT coordinator at Theraplay, Inc. She has a bachelors in biology and a doctorate of physical therapy from Arcadia University in Glenside, Pennsylvania. Originally hailing from South Africa, Heidi had an interest in pediatrics and medicine her whole life. She has worked at Theraplay for three years and says families are the key to a childs development: They are the ones who make or break the childs progressthey are everything.
Q&A
confirmed what I already knew. I was so excited by the electrifying atmosphere, and fun and playful sessions. My heart was touched by the care and concern of the therapists, and how the childrens faces glowed with pride every time a new skill was acquired. Q: Can you describe the facility you work for? A: Theraplay in Trappe is a small outpatient clinic specializing in children from birth to 21 years of age. We offer physical therapy, occupational therapy, speech therapy and feeding services. Using a medical-based model of treatment with all our patients, we provide a one hour one-on-one session with each child. There are a variety of rooms at our disposal including a sensory gym, infant gym, orthopedic treatment room, and main gym. One of my favorite therapeutic tools is the variety of fun swings we have available for our treatment sessions. We are dedicated to teaching and empowering the families of the children in the treatment of our patients. We realize that the ultimate goal is independence of the families in the treatment of their children. I love sharing ideas with families and teaching them all I can to help therapy become part of their daily routine. Q: When and how did you start at Theraplay? ber of a team and we all work together for the best of our patients. There is a family feel although we are growing larger. It is great to be able to bounce ideas off my fellow physical therapists throughout the day as well as the occupational and speech therapists. Q: Typically, what are your day-today responsibilities as a physical therapist and PT coordinator? A: As a physical therapist I typically treat eight patients a day. Sessions are an hour long, including education time and paperwork time. We always give parents a detailed written SOAP note in family friendly language to describe the session. We also provided them with detailed home exercise programs. As the PT coordinator I am responsible for communication between team members at my office. Other responsibilities include communication between office physical therapy teams (Theraplay currently has five different locations), effectively organizing down time with delegation of appropriate tasks, helping to keep communication open with physicians, and occasional marketing and educational in-services for local physicians. Q: What types of patients/diagnoses do you encounter most frequently? A: I am always interested in broadening my scope of practice and my knowledge. Because pediatrics is such a broad specialization it is important to keep up to date with all the new treatment techniques, research and other advances in the medical field. I am very interested in neurology and hope to eventually learn and research more in this field. Q: What are the greatest challenges you face working in pediatrics? A: Often I feel a big challenge in pediatrics is dealing with insurance companies and getting the appropriate coverage needed for the best outcome for the patient. Another challenge is often getting families involved and really claiming their role in the treatment of their child. Q: What do you like most about your job? What do you dislike most? A: One of my favorite parts of my job are completing evaluations and meeting new and interesting children and families, as well as puzzling through their presentation to come up with the most effective treatment plan. I also enjoy working with children and their families, seeing families take charge of their childrens progress, playing all day, and constantly meeting new challenges. Some things I dislike are completing paperwork, dealing with insurance companies and sometimes having to disappoint families with news they dont necessarily want to hear. Q: Are there any research projects you would like to be involved with? A: I am very interested in neurology and have been working on a project for some time. We are almost
A: We work with a wide variety of patients including patients diagnosed A: I began working as a physical with developmental delay, Down therapist at this Theraplay center in syndrome, cerebral palsy, autism, torJune 2009. Prior to this location I com- ticollis, orthopedic/sports injuries, toe pleted my final 12-week student affilia- walking, genetic disorders, unspecition at Theraplays Horsham office. fied neurological impairments and many more. Q: Whats it like working at Theraplay? Q: Are there other areas of interest for you as a physical therapist, A: Our office is a wonderful working either clinically or educationally, environment. Everyone is truly a mem- that you plan to pursue?
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Q&A
A: There are so many rewarding parts of my job: seeing the joy in a parents face the first time his/her child crawls; seeing the tears in a fathers eyes when his son is finally I would love to be involved in more able to throw a ball to him and play projects in the years to come. I love catch; seeing the pride in a childs research and think it is an integral part eyes when she finally gets the patof our profession. tern of skipping and then doesnt stop skipping for days; seeing a Q: Do you feel that the role of PTs teenager navigate her environment has changed over recent years? with her new gait trainer and crying because now she doesnt need her A: Physical therapy as a career has mom around for the first time in her changed dramatically over the years. lifeI could go on and on. I truly have We have broadened our knowledge one of the most instantly rewarding base, opened up our field of practice, jobs in America. and become more and more specialized. In the field of pediatrics there are Q: What is the most important therapists who devote their time to thing youve learned over the special fields including orthopedics, course of your career? neurology, seating clinics, schoolbased services, early childhood devel- A: The family is always the biggest opment and many more specialized tool. The most important thing I can treatment techniques as well. We have ever do is help a family to realize they become an evidence-based field, are the primary part in the treatment seeking to use objective measures of their child. They are the ones who and effective outcome measures in make or break a childs progress, not our documentation. me. They are everything. finished writing our paper regarding neuroplasticity in rats using a tactile discrimination task following an ischemic event. Q: What do you feel is of the greatest concern to PTs today? A: Advocacy for our profession is one of the greatest concerns for the physical therapy field. We need to continue to protect and uphold our professions responsibilities, ethics and effectiveness. Secondly, no one knows everything. Its OK to not know everything, but when you dont know something search under every rock and in every crevice until you finally find it. Be a lifelong learner. Q: How has working in pediatrics allowed you to grow professionally? become the PT coordinator at our office and hope for further growth in my profession. Also, I am interested in obtaining my pediatric specialization in the near future. Q: What advice do you have for others thinking of entering a pediatric specialty? A: Its an amazing field! You have to love, love, love children. I would advise someone to play with as many typically developing children as you can as it will help you realize when something isnt the norm. Be willing to be a lifelong learner because there is no way that you will know everything about pediatrics when first graduating or coming into the profession. Q: If you could sum up your job in one word, what would it be and why? A: PlayI play all day, I dont work. I just happen to be able to incorporate important factors of balance, motor planning, coordination, attention, strengthening, endurance, stretching and functional mobility into my playtime. Q: Why are pediatric PTs such an important part of the healthcare industry?
A: Pediatric PTs are the only ones who do and can do what we do for I think another concern is keeping our patients. How can you work physical therapy a respected field by A: I have grown so much in the past on balance without knowing all the continuing to strive toward the most years, learning more than I could components needed to balance? reliable diagnostic tools, the most possibly learn with my fellow coHow can you work on walking funceffective treatments and the best out- workers. I have learned so much tionally and safely without breaking come measures to show the efficacy about speech and occupational it down, finding out what is wrong of these treatments. This is something therapy. I have had the opportunity to and specifically working on that? that is growing so much in other participate in many continuing eduHaving someone there to help them realms of physical therapy but needs cation courses as well as co-teach navigate their environment effeccontinued growth in the pediatric field. two courses on pediatric constraint- tively, and play at the levels of their induced movement therapy and peers is imperative in the cognitive, Q: What is the most rewarding part manual therapy on the pediatric social and general development of of your job? population. I have been blessed to children. F
News
inflammatory macrophage. In another experiment, the investigators used an inhibitor of the Notch pathway called GSI-34 that is under development and showed that this drug could inhibit the function of macrophages. The researchers say the study provides the first explanation of how Notch contributes to rheumatoid arthritis pathogenesis. It also shows, for the first time, that investigational Notch inhibitors under development for cancer and Alzheimers could potentially be used to treat RA. Several Notch inhibitors are under development by various companies and a few are currently in Phase III trials. Before this study, the Notch pathway has been implicated mainly in cancer, but in this study we define how it is connected to RA, said Dr. Hu. The study was supported by funding from the National Institutes of Health and the American College of Rheumatology. Other authors involved in the study include Hospital for Special Surgery researchers Baohong Zao, PhD, Lionel Ivashkiv, MD, Carl Blobel, MD, PhD, Jimmy Zhu, Sinead Smith, and Allen Chung; Julia Foldi, PhD, and Chao Shi, PhD, from Weill Cornell Graduate School of Medical Sciences; Hasina Outtz and Jan Kitajewski, PhD, from Columbia University; Silvio Weber and Paul Saftig, PhD, from the Christian Albrechts Universitat Kiel, Kiel, Germany; Yueming Li, PhD, from Memorial Sloan-Kettering Cancer Center; and Keiko Ozato, PhD, from the National Institute of Child Health and Human Development. Source: Hospital for Special Surgery
The researchers designed experiments to test whether the Notch pathway had an influence on macrophages, a type of white blood cell that is most commonly known for gobbling up pathogens but which can also cause inflammation. Macrophages that have gone awry possess widespread pro-inflammatory and destructive capabilities that can critically contribute to acute and chronic rheuWe uncovered a novel mechanism matoid arthritis. In the case of RA, by which the Notch pathway could inflammatory macrophages attack contribute to RA, said Xiaoyu Hu, MD, joints and they produce inflammaPhD, a research scientist at Hospital tory mediators that basically sustain for Special Surgery in New York City inflammation in joints, said Dr. Hu. and principal investigator of the study. The study appears online in advance In experiments, researchers found of print in Nature Immunology. that knockout mice that lack the Notch pathway in macrophages were Prior to this study, researchers knew unable to produce certain type of that an intracellular molecular pathway macrophages and exhibited a lesser called Notch is involved in diseases inflammatory phenotype. such as cancer. In the last year, other scientists conducted a genome wide Notch is essential for the developassociation study to identify genes ment and function of a cell type called that were linked to the development the inflammatory macrophages and if of rheumatoid arthritis. They discovthis pathway is missing in mice, then ered that a certain mutation in a gene you dont get good differentiation of involved in the Notch pathway puts the inflammatory macrophages, said patients at risk for RA, but nobody Dr. Hu. In a nutshell, the Notch pathknew just how it was involved. way is essential for the differentiation and function of inflammatory macWe were intrigued. Nothing has rophages, and these macrophages been known about how the Notch are critical for human RA pathogenpathway is important to RA, said Dr. esis. Hu. Working with researchers at other institutions in the United States and In a series of test tube studies, the abroad, HSS investigators started put- researchers flushed out the specifics ting two and two together and noted of how Notch influences the molecuthat Notch might be involved in a lar cascade that leads to generation of
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a drug-to-drug interaction between their imported and US approved medications. Because the US does not regulate foreign distributors, there are no quality assurances even when a US-made drug is imported. Once the product leaves the US regulatory system, the distributors are no longer held to requirements for storage conditions or product labeling. The actual appearance or name of some foreign medications is different from the US manufactured counterpart. This may delay treatment of adverse drug reactions or side effects if a healthcare provider cannot determine what the patient is taking. APhA believes prescription drug importation would offer only short-term cost savings that may yield long-term costs. There are concerns not only with the quality and oversight for these medications, but of the fact that appropriate medication use requires an understanding of how to use the medication and monitoring for unwanted side effects or potential interactions. Source: American Pharmacists Association
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public policy. If students, policy makers, and anyone else really wants to understand the history and impact of law and public policy on the healthcare debate, this book is a must read. Rayman L. Solomon, JD, PhD, Dean and Professor of Law of Rutgers School of LawCamden, stated, All case books serve to teach students an area of law. Only a few by their organization and explanation serve to systematize an important emerging field and should be consulted by students, scholars, and practitioners. Law and the American Health Care System joins this select group. Law and the American Health Care System, Second Edition, can be ordered at the following sites:
For professors: http:// www.westacademic.com/ Professors/ProductDetails. aspx?productid=182359&tab=1 Lynn R. Goldman, MD, MPH, For students, practitioners, and Dean of the George Washington other interested persons: http:// University School of Public store.westlaw.com/rosenbaumHealth and Health Services frankford-law-rosenblattssaid, At this critical point in our nations history, Sara Rosenbaum american-health-care-system2d/182359/17252153/productdeand her co-authors deliver a tail meticulously researched, comprehensive and dynamic analysis illuminating the ever more compli- Source: George Washington cated field of law, healthcare and University
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NOVEMBER
2012
ASRT 3rd Biennial Meeting. Sponsored by the American Society for Reconstructive Transplantation. November 15-17, 2012 The Drake Hotel, Chicago, IL Phone: 312-263-7150 Fax: 312-782-0553 Email: contact@a-s-r-t.com Web: www.a-s-r-t.com
OCTOBER
2012
AOHP 2012 National Conference. Sponsored by the Association of Occupational Health Professionals. October 3-6, 2012 Caesars Palace, Las Vegas, NV Phone: 800-362-4347 Email: info@aohp.org Web: https://www.aohp.org
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National, New Hampshire, Massachusetts, Connecticut, New York, Illinois and Missouri
Job Opportunities
Outpatient Orthopedics
Physical Therapist needed full or part-time in New Fairfield office, outpatient orthopedic privately owned, generous benefits. Salary commensurate with experience. Office also offers yoga, pilates, massage, acupuncture, tai chi, shiatsu, reflexology. Call 203-312-0211,
Physical Therapist
or send resume to
Seeking
PHYSICAL THERAPIST
IncreMedical Management is seeking full-time, part-time & PRN Physical Therapists and Assistants for outpatient and inpatient settings in the following locations: Atlanta, GA, Northwest IN (Chesterton, Crown Point, Michigan City, Portage, Valparaiso), Jackson, WY, Brown Deer, WI, Kalamazoo, MI. Work with a dedicated team of therapists at state of the art outpatient and inpatient facilities across the country. Our full-time staff enjoys enjoys unmatched professional resources, benefits, and compensation packages: Accrue 3-4 weeks of PTO annually, participate in a matching 401K retirement fund, free LTD, STD, and life insurance. $1200 for PT, $600 for PTA towards continuing education and 5 CE days, 6 paid holidays and much more. We are also seeking any part-time or per diem PTs or PTAs.
Physical Therapists
Home Care
Physical Therapists needed to provide Home Care therapy to patients in Missouri and Southern Illinois. Immediate openings in: Centralia, IL Mt. Carmel, IL Marion, IL Murphysboro, IL Pickneyville, IL Springfield, IL Competitive compensation, generous 401 (k) plan, comprehensive medical, dental, vision, Tuition reimbursement, Professional Development Program, and a Wellness Plan. Contact Sharon Billingsley:
Phone: 314-595-6841 Fax: 314-595-6844
E-mail: sharon.billingsley@vnatip.com
Physical Therapist
Call Linda 212-608-9661 E-mail resume to sbdincny@aol.com
Full-time, Part-time
EOE
12
Washington, D.C.
Mitchellville, Maryland
awellington@arapc.com
EOE.
HR@arcpbc.org
Sarasota, Florida
Paragon Rehab is looking for FuLL-TIMe PhySIcAL TheRAPISTS for facilities in Biloxi, MS and Geneva, AL. We offer weekly pay, monthly gas bonus, excellent continuing education money and much more!
Olney, Maryland
Physical Therapist
PARAGON RehAB
Megan Hedgepath, Recruiter Phone: 866-215-2651 Fax: 502-213-1851 Megan.hedgepath@paragonrehab.com
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Waterloo, Iowa
Physical Therapist
Cedar Valley Medical Specialists, PC Department of Physical Therapy has a position for recently opened Physician Owned Division 1, PT/ATC Clinic. Experience preferred however, new graduates are encouraged to apply as well. Orthopedic and sports-based patients. Waterloo offers the New Gallagher Blue Dorn Performing Arts Center, a high quality educational system, recreational activities (bike trails, fishing, hunting), family activities, and the University of Northern Iowa campus.
http://sfphysicaltherapy.com/html/careers.html
Longview, Washington
PHYSICAL THERAPIST
Longview Physical And Sports Therapy Services is looking for a quality clinician and person who would like to experience small town USA and be a part of a growing, locally (PT) owned outpatient private practice. Our current caseload is primarily orthopedic. We are active in our community with sports care outreach to the local high schools and college. We are looking for an experienced clinician or a recent graduate who shares our commitment to individualized care and my be looking for additional growth and responsibility. Please call 360-578-1188 and ask for Dave Knoeppel or Bruce Peterson, email us at dave.knoeppel@longviewpt.com or fax to 360-578-6251.
PHYSICAL THERAPIST
Yuma, Colorado
PHYSICAL THERAPIST
Come to work in our new, state-of-the-art hospital. We offer a competitive salary and benefit package, including student loan repayment and relocation. For more information please contact: Gini Adams (970) 848-4602
$15,000
Position is open until filled.
EOE
SIGN-ON BONUS
14
Wheaton, Illinois
Culpeper, Virginia
We are CarePartners
CarePartners, a post-acute healthcare system, is seeking PTs for Home Health. Full-time, part-time and PRN schedules available.
Apply on-line at www.carepartners.org or call 828-274-9567 x4225
We s t e r n N o r t h C a r o l i n a
Amy Utley, Employment Coordinator Culpeper Regional Hospital 501 Sunset Lane, PO Box 592 Culpeper, VA 22701 540-829-4304 Fax: 540-829-5748 AUtley@culpeperhospital.com
Hours: M-W-F, 9:00am - 7:00pm with 1 hour lunch and T-TH, 8:00am - 2:00pm.
Benefits available include health insurance; 401k; and paid vacation & sick time. For immediate consideration please call or send resume to:
Dana Balzano, HR Coordinator, (630) 221-0200, dana.balzano@illinoisback.com or Stella Zaimi, Director of Clinics, (630) 677-3742, stellazaimi@yahoo.com
www.ashememorial.org
200 Hospital Ave. Jefferson, NC 28640 Call: 336-846-0740 Fax: 336-846-0760
Please apply at
Human Resources
Nestled in the beautiful high desert region of Western Wyoming lies snowmobile and hiking trails, camping, fishing, moto-cross, and Western Wyoming Community College, the #15 Community College in the Nation, and many other activities for you and your family to enjoy. All this within a short drive to additional shopping and activities in Jackson Hole, Yellowstone, and Salt Lake City. Memorial Hospital of Sweetwater County in Rock Springs is building their Physical Therapy Department and in need of a full-time Physical Therapist.
Great Employment Opportunity!! Physical Therapist Assistant Needed at Nevada Community Enrichment Program (NCEP)
Accessible Space, Inc. is currently seeking a qualified PTA to join our multidisciplinary team at our Nevada Community Enrichment Program (NCEP). NCEP serves individuals who have survived a traumatic or acquired brain injury. NCEP offers an intensive and comprehensive day treatment program. We utilize a multidisciplinary approach to provide a full range of therapy services, including PT, OT, Speech-Language Pathology, Vocational Rehabilitation, cognitivebehavioral therapy, neuropsychological counseling, life skills training, aquatic exercise therapy and individually designed support services. NCEPs goal is to provide comprehensive post-acute neuro-rehabilitation for individuals, as they progress toward increased independence and maximum functional potential. The Physical Therapist Assistant provides physical therapy treatment, under the supervision of the Physical Therapist, as part of an interdisciplinary team, for clients in a day and residential treatment rehabilitation program for traumatic brain injury, acquired brain injury and neurological impairment. (Job Code 62311) Requirements: Degree from an accredited Physical Therapist Assistant program. Possession of a current, valid license as Physical Therapist Assistant. Possession of a current State of Nevada Board of Physical Therapist Assistant License or eligibility for such licensure through the State Licensure procedure. ASI offers a terrific work environment in a new facility, a knowledgeable and skilled multidisciplinary team of clinicians, competitive wage and a great benefit package including health insurance, dental insurance, paid time off, paid holidays, tuition reimbursement and a wellness reimbursement.
PHYSICAL THERAPIST
The successful candidate will be coming in to a new and very busy PT department and will evaluate and treat patients by physical measures and the use of therapeutic exercises and rehabilitative procedures, with or without assistive devices, for the purpose of preventing, correcting, or alleviating any disability. This includes the design, fabrication, revision, education, and instruction in the use of various assistive devices including braces, splints, ambulatory or locomotion devices, wheelchairs, prosthetics, orthotics, and establishing and modifying physical therapy programs, treatment planning, instruction, and consultative services. The prospective employee must have a Bachelors degree in Physical Therapy. Masters degree highly preferred. Must have a current Wyoming PT License and BLS certification. MHSC offers a competitive salary and excellent benefits package including Interview and Relocation Assistance, Health, Dental, Vision, Matching Retirement, & a generous paid time off program. Applications are available at
NO nights, NO weekends, NO on-call and NO travel! If you are interested please visit our website at www.accessiblespace.org/careers or fax letter of interest and resume to HR at 651-645-0541. Please reference job code.
ASI is an equal opportunity employer.