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Full Time
1/1/2025
Covington, LA 70435
(28.0 miles)
Join Talkspace, a leading online platform for therapists and counselors to provide mental health care on your schedule, all from the comfort of home. This is a fully remote, part-time position. The Benefits: Choose Your Time Commitment - As a Talkspace therapist, there is no caseload requirement or non-compete clause so you can keep your current clientele. Use Talkspace to fill in openings in your schedule or build a full caseload on our platform - up to you!No Overhead - Wave goodbye to insurance barriers, marketing budgets, and other expenses associated with private practice. Talkspace provides the client referrals to you & handles insurance claim submission and billing so you can focus on practicing the craft you love.Flexible Scheduling - Provide mental health care on your time, whether that’s during the day, on weekends, early mornings, or late nights. Set a schedule that works best for you & your clients.Monthly Bonus Incentive - Earn a MONTHLY client engagement bonus up to $4,000!And More! - Manage cases, write client notes, and schedule appointments all on the Talkspace app. Earn free CE credits by attending our Learning Community sessions. You’ll also have access to resources like our Provider Help Center, our dedicated Provider Support Team and our partnership with Stride Health to support your health and financial well-being. Requirements: All therapists & counselors who wish to join Talkspace must possess and provide proof of the following: Independent, state-board-approved clinical license (e.g., LPC, LMHC, LCSW, LMFT)Individual professional malpractice liability insurance policySubmission of a fully completed, signed CAQH applicationIndividual NPI numberCurrent residence in the USA Compensation: At Talkspace, we believe in pay transparency. You will be reimbursed $67.90 per hour for live sessions. Rates for shorter live sessions (30- and 45-minute sessions) are prorated. Additionally, asynchronous messaging rates fluctuate depending on client plans, but reimbursement rates range between $12-$36. Finally, we offer a monthly bonus ($100-$4,000) based on the average number of clinical hours spent with clients on the platform per week, with eligibility starting at 3 weekly hours of client engagement. More About Talkspace: What is Talkspace Talkspace is an online platform that connects mental health therapists and counselors with clients in their licensed state(s) through an easy-to-use and HIPAA-compliant app. How does Talkspace work Talkspace matches you with clients and checks client insurance eligibility. Exchange text, video, and audio messages with your clients from almost anywhere, at any time. Our platform also supports Live Sessions via video, audio, and messaging. Note: Talkspace therapists/counselors work remotely and only with clients in the state(s) where they are licensed and allowed to practice. Job Type: Full-Time, Part-Time, Contract, Remote
Full Time
1/11/2025
Independence, WA 70443
(7.6 miles)
SonderMind is a leading mental health care platform that is revolutionizing therapy services. We seek compassionate and highly skilled licensed mental health therapists to join our expanding network.As a SonderMind counselor, you will have the opportunity to make a meaningful impact on the lives of individuals seeking therapy while enjoying the flexibility and support of our innovative platform. Our therapists are committed to delivering best-in-class care to all individuals by focusing on high-quality clinical outcomes – and finding new ways to use data to help people get better.At SonderMind, we enable clinicians to thrive.Benefits of Joining SonderMind:Flexibility: Enjoy the freedom to set your own working hours and maintain a healthy work-life balanceFree and stress-free credentialing with major insurers:We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not monthsClinical Autonomy: SonderMind values your clinical expertise and empowers you to make informed decisions about treatment approachesSupportive Community:Access a network of like-minded therapists, dedicated support from our platform, and ongoing opportunities for collaboration and growthGuaranteed Pay:We handle all the billing for you and guarantee pay bi-weekly for completed sessions-including no-showsThoughtful client matching and dedicated coaches to grow your practice:We help you get paired with individuals who are ideal clinical matches so that you can control and personalize your caseload, and a dedicated coach to help you help your clients, no matter what your specialty, from pediatric to geriatric mental health, trauma, anxiety or addiction, we help you help othersProfessional Development:SonderMind is committed to helping therapists grow professionally, offering ongoing training and resources to enhance skillsAbsolutely no fees or membership charges: We don’t charge you to deliver care, and all of the features, access, tools, and resources you get come free of chargeMental Health Therapist Requirements:LicensedLICSW, LMFT, LMHC, or LPin Washington(required)Masters or doctorate-level degree in area of practice(required)Pay: $80-$111 per hour. Pay rates are based on the provider license type, session location, and session types.Job Types: Full-time, Part-time, ContractPay: $80.00 - $111.00 per hour
Full Time
1/1/2025
Covington, LA 70435
(28.0 miles)
Join Talkspace, a leading online platform for therapists and counselors to provide mental health care on your schedule, all from the comfort of home. This is a fully remote, part-time position. The Benefits: Choose Your Time Commitment - As a Talkspace therapist, there is no caseload requirement or non-compete clause so you can keep your current clientele. Use Talkspace to fill in openings in your schedule or build a full caseload on our platform - up to you!No Overhead - Wave goodbye to insurance barriers, marketing budgets, and other expenses associated with private practice. Talkspace provides the client referrals to you & handles insurance claim submission and billing so you can focus on practicing the craft you love.Flexible Scheduling - Provide mental health care on your time, whether that’s during the day, on weekends, early mornings, or late nights. Set a schedule that works best for you & your clients.Monthly Bonus Incentive - Earn a MONTHLY client engagement bonus up to $4,000!And More! - Manage cases, write client notes, and schedule appointments all on the Talkspace app. Earn free CE credits by attending our Learning Community sessions. You’ll also have access to resources like our Provider Help Center, our dedicated Provider Support Team and our partnership with Stride Health to support your health and financial well-being. Requirements: All therapists & counselors who wish to join Talkspace must possess and provide proof of the following: Independent, state-board-approved clinical license (e.g., LPC, LMHC, LCSW, LMFT)Individual professional malpractice liability insurance policySubmission of a fully completed, signed CAQH applicationIndividual NPI numberCurrent residence in the USA Compensation: At Talkspace, we believe in pay transparency. You will be reimbursed $67.90 per hour for live sessions. Rates for shorter live sessions (30- and 45-minute sessions) are prorated. Additionally, asynchronous messaging rates fluctuate depending on client plans, but reimbursement rates range between $12-$36. Finally, we offer a monthly bonus ($100-$4,000) based on the average number of clinical hours spent with clients on the platform per week, with eligibility starting at 3 weekly hours of client engagement. More About Talkspace: What is Talkspace Talkspace is an online platform that connects mental health therapists and counselors with clients in their licensed state(s) through an easy-to-use and HIPAA-compliant app. How does Talkspace work Talkspace matches you with clients and checks client insurance eligibility. Exchange text, video, and audio messages with your clients from almost anywhere, at any time. Our platform also supports Live Sessions via video, audio, and messaging. Note: Talkspace therapists/counselors work remotely and only with clients in the state(s) where they are licensed and allowed to practice. Job Type: Full-Time, Part-Time, Contract, Remote
Full Time
1/1/2025
Covington, LA 70435
(28.0 miles)
Join Talkspace, a leading online platform for therapists and counselors to provide mental health care on your schedule, all from the comfort of home. This is a fully remote, part-time position. The Benefits: Choose Your Time Commitment - As a Talkspace therapist, there is no caseload requirement or non-compete clause so you can keep your current clientele. Use Talkspace to fill in openings in your schedule or build a full caseload on our platform - up to you!No Overhead - Wave goodbye to insurance barriers, marketing budgets, and other expenses associated with private practice. Talkspace provides the client referrals to you & handles insurance claim submission and billing so you can focus on practicing the craft you love.Flexible Scheduling - Provide mental health care on your time, whether that’s during the day, on weekends, early mornings, or late nights. Set a schedule that works best for you & your clients.Monthly Bonus Incentive - Earn a MONTHLY client engagement bonus up to $4,000!And More! - Manage cases, write client notes, and schedule appointments all on the Talkspace app. Earn free CE credits by attending our Learning Community sessions. You’ll also have access to resources like our Provider Help Center, our dedicated Provider Support Team and our partnership with Stride Health to support your health and financial well-being. Requirements: All therapists & counselors who wish to join Talkspace must possess and provide proof of the following: Independent, state-board-approved clinical license (e.g., LPC, LMHC, LCSW, LMFT)Individual professional malpractice liability insurance policySubmission of a fully completed, signed CAQH applicationIndividual NPI numberCurrent residence in the USA Compensation: At Talkspace, we believe in pay transparency. You will be reimbursed $67.90 per hour for live sessions. Rates for shorter live sessions (30- and 45-minute sessions) are prorated. Additionally, asynchronous messaging rates fluctuate depending on client plans, but reimbursement rates range between $12-$36. Finally, we offer a monthly bonus ($100-$4,000) based on the average number of clinical hours spent with clients on the platform per week, with eligibility starting at 3 weekly hours of client engagement. More About Talkspace: What is Talkspace Talkspace is an online platform that connects mental health therapists and counselors with clients in their licensed state(s) through an easy-to-use and HIPAA-compliant app. How does Talkspace work Talkspace matches you with clients and checks client insurance eligibility. Exchange text, video, and audio messages with your clients from almost anywhere, at any time. Our platform also supports Live Sessions via video, audio, and messaging. Note: Talkspace therapists/counselors work remotely and only with clients in the state(s) where they are licensed and allowed to practice. Job Type: Full-Time, Part-Time, Contract, Remote
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Full Time
1/2/2025
Hammond, LA 70403
(17.4 miles)
Called to serve patients in their home. The Registered Nurse approaches each day with a passionate pursuit of caring for patients by working one-on-one with them; helping them regain their independence and achieving their health goals. In this role, you will set the standard for what our patients should experience from VitalCaring. Your dedication to your calling is rewarded by the meaningful relationships you develop with patients and the flexible schedule that allows for work/life balance.Join VitalCaring as a Registered Nurse – Home Health, Hammond, LA Come Home to VitalCaring where we have a heart for home health care! If you are searching for a new home for your career, come home to VitalCaring! Who Is VitalCaring VitalCaring was established in 2021 and is already one of the nation’s leading home health and hospice providers with over 65 locations across the southeastern and southwestern U.S. VitalCaring’s senior executive team, led by industry veteran, April Anthony, has decades of experience building outstanding home health care companies that have distinctive cultures and deliver exceptional quality. In this time of industry transition, come home to VitalCaring, an organization that knows the true value and impact that home care makes in the lives of our team members and the patients and families we serve. What Makes Us Special At VitalCaring our mission is to transform lives and foster hope through genuine caring. We accomplish this goal by assembling a team of like-minded individuals who are truly called to home health care and wake up each day committed to making a difference. As an organization, our promise is to fully support and empower our team members by providing them with all the tools and resources they need to be their very best at work and at home. For us, home-based care is so much more than business, it is our passion and that is why we are looking for a Registered Nurse who will bring their passion to work with them each and every day. How You Will Make a Difference As we expand our services in new and existing markets, we're looking for a Registered Nurse who shares our values of being Trustworthy, Capable, Compassionate, Proactive, and most importantly, Called to serve patients in their home. The Registered Nurse approaches each day with a passionate pursuit of caring for patients by working one-on-one with them; helping them regain their independence and achieving their health goals. In this role, you will set the standard for what our patients should experience from VitalCaring. Your dedication to your calling is rewarded by the meaningful relationships you develop with patients and the flexible schedule that allows for work/life balance. As the Registered Nurse, you will: Make a difference in the lives of othersFulfill your callingCreate lasting relationships with patientsPartner with care team members to fulfill plan of careContribute to a culture of accountability and teamwork Skills for Success: Compassionate in care delivery, focused on resultsSolution-driven, execution-oriented, and responds with urgencyLove learning, motivating and inspiring peopleEnthusiastic about working to the highest level of RN license Compensation/Earning Potential: We offer team members the opportunity to build a positive future and to find the best and last job they will ever have. Our package includes: Competitive salary and bonus programComprehensive health, dental and disability benefits401(k) program with company matchGenerous paid time off Experience to Deliver on our Mission: Current RN License, valid state driver's license, and reliable transportationOne year of experience as a Registered Nurse in an acute or clinical care setting preferred. Home health experience preferred Come home to VitalCaring where you will find your passion, find your people and find yourself again. Together we can transform lives and foster hope through genuine caring. Explore your future with VitalCaring today.
Full Time
1/18/2025
Hammond, LA 70403
(17.4 miles)
Called to serve patients in their home. The Registered Nurse approaches each day with a passionate pursuit of caring for patients by working one-on-one with them; helping them regain their independence and achieving their health goals. In this role, you will set the standard for what our patients should experience from VitalCaring. Your dedication to your calling is rewarded by the meaningful relationships you develop with patients and the flexible schedule that allows for work/life balance.Join VitalCaring as a Baylor Registered Nurse – Home Health, Hammond, LA Come Home to VitalCaring where we have a heart for home health care! If you are searching for a new home for your career, come home to VitalCaring! Who Is VitalCaring VitalCaring was established in 2021 and is already one of the nation’s leading home health and hospice providers with over 65 locations across the southeastern and southwestern U.S. VitalCaring’s senior executive team, led by industry veteran, April Anthony, has decades of experience building outstanding home health care companies that have distinctive cultures and deliver exceptional quality. In this time of industry transition, come home to VitalCaring, an organization that knows the true value and impact that home care makes in the lives of our team members and the patients and families we serve. What Makes Us Special At VitalCaring our mission is to transform lives and foster hope through genuine caring. We accomplish this goal by assembling a team of like-minded individuals who are truly called to home health care and wake up each day committed to making a difference. As an organization, our promise is to fully support and empower our team members by providing them with all the tools and resources they need to be their very best at work and at home. For us, home-based care is so much more than business, it is our passion and that is why we are looking for a Registered Nurse who will bring their passion to work with them each and every day. How You Will Make a Difference As we expand our services in new and existing markets, we're looking for a Registered Nurse who shares our values of being Trustworthy, Capable, Compassionate, Proactive, and most importantly, Called to serve patients in their home. The Registered Nurse approaches each day with a passionate pursuit of caring for patients by working one-on-one with them; helping them regain their independence and achieving their health goals. In this role, you will set the standard for what our patients should experience from VitalCaring. Your dedication to your calling is rewarded by the meaningful relationships you develop with patients and the flexible schedule that allows for work/life balance. As the Registered Nurse, you will: Make a difference in the lives of othersFulfill your callingCreate lasting relationships with patientsPartner with care team members to fulfill plan of careContribute to a culture of accountability and teamwork Skills for Success: Compassionate in care delivery, focused on resultsSolution-driven, execution-oriented, and responds with urgencyLove learning, motivating and inspiring peopleEnthusiastic about working to the highest level of RN license Compensation/Earning Potential: We offer team members the opportunity to build a positive future and to find the best and last job they will ever have. Our package includes: Competitive salary and bonus programComprehensive health, dental and disability benefits401(k) program with company matchGenerous paid time off Experience to Deliver on our Mission: Current RN License, valid state driver's license, and reliable transportationOne year of experience as a Registered Nurse in an acute or clinical care setting preferred. Home health experience preferred Come home to VitalCaring where you will find your passion, find your people and find yourself again. Together we can transform lives and foster hope through genuine caring. Explore your future with VitalCaring today.
Full Time
1/16/2025
Ponchatoula, LA 70494
(21.2 miles)
Overview: Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do! With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care to underserved families in a fun, compassionate environment. Are you ready to join us in creating our next million smiles We have JUST the opportunity for you.We are actively seeking a Traveling Associate Dentist to join our growing team. Support our mission to provide excellent dental care in the community and help us create more smiles and memorable experiences for children and adults. Join a team that believes in teamwork and truly cares about their patients. Find your opportunity to make an impact: Take care of your community while participating in activities to promote a positive image of the company! Join in morning huddles (hey, you can even run one!), plan your day and let your team know how much you appreciate them, highlight great examples of customer focus, collaboration, meeting goals, etc. Love working with kids (they make up 70% or more of our patient base) Responsibilities: Traveling Associate Dentists are responsible for providing dental services to patients with the support of their team. Hold staff to the highest integrity by adhering to all government regulations, company standards, and company compliance programs. Other duties as assigned Our practice has: DentaPro software Digital x-ray and Panorex units Fiber-optic handpieces Yearly OSHA and HIPPA and Emergency Management training Ratio of 1 hygienist, 1 hygiene assistant, 2 dental assistants per provider Patient Base: primarily ages 3-21 and up to 30% adult population (depending upon location) Office flow: average 10-12 operative patients and 20-25 hygiene patients State insurance plans, PPO and out-of-network payor mix Qualifications:We expect you to have: DDS/DMD from a dental education program accredited by the Commission on Dental Accreditation Current, valid license to practice dentistry in states where providing care or eligible for licensure Other certifications as required - CPR, DEA, etc. Nitrous Oxide certification (only LA, MS, DC, TX, MA) Compassion and a strong desire to provide dental care to both children and adults This opportunity provides: Earn an additional $400 each week for traveling to other offices within your geographic area - all expenses paid (hotel, mileage, meals) Growth and development through mentoring and collaboration Attractive sign-on bonuses and student loan repayment assistance up to $1000/month may be offered for specific locations What we offer: Guaranteed biweekly salary during ramp period OR a percentage of collections No lab fees FT providers are eligible to participate in Medical/Dental/Vision insurance plans, HSA/FSA Short Term Disability/Long Term Disability and Basic Life Insurance plans are paid for by company 401(k) Retirement Plan with Company match Company paid malpractice insurance coverage Paid holidays and time off Continuing Education reimbursements CE offered through ADA Accredited Continued Education Recognition Program (C.E.R.P) Reimbursements for associated licenses, certifications and professional dues such as ADA and/or AAPD memberships Multiple schedule options to help maintain a healthy work/life balance VISA and Green Card sponsorship available We value teamwork, mutual respect and cooperation. We do not practice unlawful discrimination, including harassment or tolerate it in our workplace. What do we mean by discrimination We mean that we do not discriminate on the basis of race, color, creed, religion, sex, national origin, age, citizenship, disability, sexual orientation or any other characteristic protected by federal, state, or local law.
Full Time
1/14/2025
Ponchatoula, LA 70494
(21.2 miles)
Overview: Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do! With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care to underserved families in a fun, compassionate environment. Are you ready to join us in creating our next million smiles We have JUST the opportunity for you. Responsibilities: We are actively seeking a Dental Anesthesiologist to join our growing team. Support our mission to provide excellent dental care in the community and help us create more smiles and memorable experiences for children and adults. Join a team that believes in teamwork and truly cares about their patients. Find your opportunity to make an impact: As an Anesthesiologist, you will be changing the lives of adults and children who often do not have access to affordable, quality dental care by providing care in a hospital, surgery center or in office with a pedodontist. Take care of your community while participating in activities to promote a positive image of the company! Join in morning huddles (hey, you can even run one!), plan your day and let your team know how much you appreciate them, highlight great examples of customer focus, collaboration, meeting goals, etc. Love working with kids (they make up 70% or more of our patient base) Perform to the highest integrity by adhering to all government regulations, company standards, and company compliance programs Other duties as assigned Qualifications: We expect you to have: Completed an accredited Anesthesiology Residency Current, valid license to practice dentistry or medicine in state where providing care (License must be in good standing) or eligible for licensure, if applicable Other certifications as required -- PALS, BLS, DEA, etc. Compassion and a strong desire to provide dental care to both children and adults What we offer: 401(k) Retirement Plan with Company match Company paid malpractice insurance coverage CE offered through ADA Accredited Continued Education Recognition Program (C.E.R.P) Reimbursements for associated licenses, certifications and professional dues such as ADA and/or AAPD memberships Flexible employment options including full time, part time and independent contractor Multiple schedule options to help maintain a healthy work/life balance VISA and Green Card sponsorship available We value teamwork, mutual respect and cooperation. We do not practice unlawful discrimination, including harassment or tolerate it in our workplace. What do we mean by discrimination We mean that we do not discriminate on the basis of race, color, creed, religion, sex, national origin, age, citizenship, disability, sexual orientation or any other characteristic protected by federal, state, or local law.
Full Time
1/10/2025
Albany, LA 70711
(16.8 miles)
Overview: Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do! With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care to underserved families in a fun, compassionate environment. Are you ready to join us in creating our next million smiles We have JUST the opportunity for you.We are actively seeking a Regular Full-Time Associate Dentist to join our growing team. Support our mission to provide excellent dental care in the community and help us create more smiles and memorable experiences for children and adults. Join a team that believes in teamwork and truly cares about their patients. Find your opportunity to make an impact: Take care of your community while participating in activities to promote a positive image of the company! Join in morning huddles (hey, you can even run one!), plan your day and let your team know how much you appreciate them, highlight great examples of customer focus, collaboration, meeting goals, etc. Love working with kids (they make up 70% or more of our patient base) Responsibilities: Regular Full-Time Associate Dentists are responsible for providing dental services to patients with the support of their team. Our practice has: DentaPro software Digital x-ray and Panorex units Fiber-optic handpieces Yearly OSHA and HIPPA and Emergency Management training Ratio of 1 hygienist, 1 hygiene assistant, 2 dental assistants per provider Patient Base: primarily ages 3-21 and up to 30% adult population (depending upon location) Office flow: average 10-12 operative patients and 20-25 hygiene patients State insurance plans, PPO and out-of-network payor mix ***This opportunity provides growth and development through mentoring and collaboration*** Qualifications: What we offer: Guaranteed base pay in excess of $210,000 with uncapped earning potential Student loan repayment assistance up to $1000/month may be offered for specific locations Sign-on bonus may be offered for specific locations No lab fees RPT providers are eligible to participate in Short Term Disability/Long Term Disability and Basic Life Insurance plans are paid for by company 401(k) Retirement Plan Company paid malpractice insurance coverage Continuing Education reimbursements CE offered through ADA Accredited Continued Education Recognition Program (C.E.R.P) Reimbursements for associated licenses, certifications and professional dues such as ADA and/or AAPD We expect you to have: DDS/DMD from a dental education program accredited by the Commission on Dental Accreditation Current, valid license to practice dentistry in states where providing care or eligible for licensure Other certifications as required - CPR, DEA, etc. Nitrous Oxide certification (only LA, MS, DC, TX, MA) Compassion and a strong desire to provide dental care to both children and adults Able to work Friday/Saturday (8AM - 5PM) #LI-Onsite
Full Time
1/10/2025
Ponchatoula, LA 70494
(21.2 miles)
Overview: **2025 Graduates encouraged to apply and future applicants with a start date of Summer/Fall 2025** Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do! With over 3000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care to underserved families in a fun, compassionate environment. Are you ready to join us in creating our next million smiles We have JUST the opportunity for you. We are actively seeking an Associate Dentist to join our growing team. Support our mission to provide excellent dental care in the community and help us create more smiles and memorable experiences for children and adults. Join a team that believes in teamwork and truly cares about their patients. Find your opportunity to make an impact: Take care of your community while participating in activities to promote a positive image of the company! Join in morning huddles (hey, you can even run one!), plan your day and let your team know how much you appreciate them, highlight great examples of customer focus, collaboration, meeting goals, etc. Love working with kids (they make up 70% or more of our patient base) Associate Dentists are responsible for providing dental services to patients with the support of their team. Our practice has: DentaPro software Digital x-ray and Panorex units Fiber-optic handpieces Yearly OSHA and HIPPA and Emergency Management training Ratio of 1 hygienist, 1 hygiene assistant, 2 dental assistants per provider Patient Base: primarily ages 3-21 and up to 30% adult population (depending upon location) Office flow: average 10-12 operative patients and 20-25 hygiene patients State insurance plans, PPO and out-of-network payor mix What we offer: Growth and Clinical Development through mentoring and collaboration . Guaranteed base pay in excess of 200k with uncapped earning potential Sign on bonus Student loan repayment assistance
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