Engineering Technical Director - Conveyance Systems (Chelmsford)

Engineering Technical Director - Conveyance Systems Full-time State/Province: Massachusetts Business Group: DCS Legal Entity: AECOM Technical Services Inc Business Line: Water Work Location Model: Hybrid Primary Location: US - Boston, MA - One Federal St Compensation: USD 150,000 - USD 200,000 - yearly Work with Us. Change the World. At AECOM, we are delivering a better world. We are looking for a talented and experienced Senior Project Manager/Technical Lead in Conveyance to lead our growing Pipeline Design Practice with a home base in New England. You will work on a variety of water distribution, wastewater collection, and stormwater treatment and conveyance projects as a Technical Lead. This role will provide support to projects throughout the Northeast US. The position is flexible between our Boston MA, Chelmsford MA, Rocky Hill CT or Providence RI office and is a hybrid position. The ideal candidate will have extensive experience in large diameter conveyance pipelines for water, wastewater, and/or stormwater design, analysis, installation, inspection, and leak detection in dense urban settings. The preferred candidate will be energetic and have a proven ability to lead a team of engineers and designers to deliver successful projects. Responsibilities include, but are not limited to: Lead a team of engineers and designers in the design and engineering of large diameter pipeline projects from conception to completion Collaborate with project managers and clients to ensure successful project delivery Develop and review design and construction plans, specifications, and cost estimates Evaluate and improve the selection and/or modification of standard techniques, procedures, criteria and systems for conveyance projects Prepare engineering reports and technical studies such as Basis of Design report and technical memorandums to support project delivery Conduct field inspections and assessments to ensure compliance with design standards and regulations Provide technical guidance and mentorship to junior engineers and design staff Assist senior engineers/designers with developing and managing the project scope, budget, staffing, and schedule Stay current on industry trends and advancements in pipeline design and engineering Assess trends in the marketplace, lead strategy, and assist proposal development with support from local and national staff to capture expanded suite of services AECOM can offer clients Travel to other offices as well as to project sites may be required Required Qualifications: BA/BS in civil, mechanical, or related engineering degree, and 8 years of related experience. Professional Engineer (PE) license. Experience with design, analysis, installation, inspection, leak detection and management of conveyance projects in urbanized, congested areas. Experience with the design of water, sewer, and drainage infrastructure 18-inches in diameter and larger. Preferred Qualifications: 10 years of extensive project experience in municipal water, wastewater and/or stormwater large diameter pipeline design, analysis, installation, inspection, leak detection, and management in design within dense urban settings. Master's degree in civil, Water Resources, or Environmental Engineering. Strong knowledge of pipeline design codes, standards, and regulations. Pipeline condition assessment and rehabilitation experience. Understanding of construction methods, such as open-cut and trenchless (micro tunneling, jack and bore, etc.) for sewer and water infrastructure. Licensed PE in the state of MA, CT, or RI, or ability to obtain. Strong communication skills in coordinating with clients, sub-consultants, regulatory agencies, and members of the public to accomplish assigned objectives. Self-motivated, requiring minimal oversight. Demonstrated understanding of various methods and technologies to perform assessment and design of large diameter pipeline systems. Proven excellent leadership skills and demonstrated ability to successfully work in diverse teams. Relocation assistance is not available for this position. Sponsorship for US employment authorization is not available. At AECOM, we are committed to maintaining a secure and trustworthy recruitment process and take any fraudulent hiring activity seriously. As an Equal Opportunity Employer, we believe in your potential and are here to help you achieve it. All your information will be kept confidential according to EEO guidelines. AECOM offers comprehensive benefits to meet the diverse needs of our employees. Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D, disability benefits, paid time off, leaves of absences, voluntary benefits, perks, flexible work options, well‑being resources, employee assistance program, business travel insurance, service recognition awards, retirement savings plan, and employee stock purchase plan. J-18808-Ljbffr

Chief Financial Officer (Sacramento)

Scion Executive Search has been retained to lead an immediate search for a hands‑on Chief Financial Officer (CFO) with an active Certified Public Accountant (CPA) on behalf of Hope Cooperative, a highly respected nonprofit organization dedicated to empowering individuals and families through behavioral health, housing, employment, and supportive services across Northern California. This is an exceptional opportunity for a mission‑driven financial executive to join a growing organization that is transforming lives through innovative, person‑centered care and community‑based solutions. As a key member of the executive leadership team, the CFO will provide strategic financial leadership, strengthen organizational sustainability, and help advance Hope Cooperative’s expanding regional impact. This position is based in Sacramento, California, and requires daily on‑site leadership presence. About Hope Cooperative Hope Cooperative supports individuals experiencing behavioral health challenges, homelessness, substance use disorders, and other barriers to stability and wellness. Through an integrated continuum of behavioral health treatment, supportive housing, employment services, crisis intervention, and community‑based programs, Hope Cooperative empowers individuals to achieve recovery, self‑defined wellbeing, and improved quality of life. Serving more than 10,000 individuals annually, the organization partners with government agencies, healthcare systems, community organizations, and funders to create pathways to long‑term stability and meaningful community engagement. Position Overview Reporting to the Chief Executive Officer, the CFO serves as a key member of the executive leadership team and is responsible for the strategic and operational oversight of all financial functions across Hope Cooperative, its programs, and its six affiliated entities. This leader will oversee accounting, budgeting, financial reporting, audit, compliance, treasury management, and long‑term financial planning while ensuring the organization’s financial health and sustainability. Executive Financial Leadership & Strategy Serve as a strategic advisor to the CEO, Executive Leadership Team, and Board of Directors on financial planning, organizational performance, risk management, and long‑term sustainability. Develop and implement financial strategies that support the organization’s mission, growth objectives, and multi‑entity structure. Lead annual budgeting, forecasting, financial modeling, and scenario planning to support informed decision‑making. Provide strategic analysis and recommendations regarding growth initiatives, affiliated entities, capital investments, and operational performance. Present financial results, forecasts, and key performance indicators to executive leadership, the Finance Committee, and the Board of Directors. Financial Operations & Stewardship Direct accounting, payroll, treasury, budgeting, and financial reporting functions across the organization and affiliated entities. Ensure accurate and timely preparation of monthly, quarterly, and annual financial statements in accordance with Generally Accepted Accounting Principles (GAAP). Oversee cash management, liquidity planning, banking relationships, and investment activities to support organizational stability and financial strength. Maintain strong internal controls, accounting policies, and financial procedures that support operational efficiency and regulatory compliance. Lead preparation, monitoring, and management of agency‑wide operating budgets, grant budgets, and budget revisions. Audit, Compliance & Governance Serve as the executive lead for financial compliance, regulatory reporting, and fiduciary oversight. Lead external audits and financial reviews, serving as the primary liaison with independent auditors, tax advisors, regulatory agencies, and funding sources. Ensure timely and accurate completion of required federal, state, local, and funding‑source reporting. Oversee preparation and review of Form 990 filings, payroll tax filings, retirement plan reporting, and other required regulatory submissions. Support the Board Finance Committee through financial materials, presentations, and strategic analyses. Monitor changes in accounting standards, nonprofit regulations, and tax requirements to ensure ongoing compliance. Multi‑Entity Financial Management Provide financial leadership and oversight for affiliated legal entities, including LLCs and property‑holding organizations. Ensure appropriate intercompany accounting, tax compliance, financial reporting, and governance practices across all entities. Partner with organizational leadership to evaluate the financial implications of new programs, partnerships, acquisitions, property transactions, and growth initiatives. Support long‑term asset stewardship and sustainability planning across affiliated entities. Leadership & Team Development Lead, mentor, and develop a high‑performing finance and accounting team. Establish clear performance expectations, accountability measures, and professional development opportunities for department staff. Foster a collaborative, service‑oriented culture that supports operational excellence and mission impact. Partner with program and operational leaders to strengthen financial literacy, accountability, and budget management across the organization. Qualifications An active Certified Public Accountant (CPA) license is required and must be maintained in good standing. 10 years of progressive financial leadership experience, including significant responsibility for accounting, budgeting, financial reporting, and organizational financial strategy. 5 years of senior‑level leadership experience managing finance and accounting teams. Demonstrated nonprofit financial management experience required, including fund accounting, grant compliance, restricted funding, and government‑funded programs. Deep expertise in Generally Accepted Accounting Principles (GAAP), nonprofit accounting standards, and financial governance best practices. Proven experience overseeing annual nonprofit audits, regulatory compliance, tax filings, and external financial reporting. Experience supporting Boards of Directors, Finance Committees, and executive leadership teams. Demonstrated success managing complex organizational structures, including multiple entities, affiliated organizations, or related legal structures. Strong understanding of treasury management, banking relationships, cash flow forecasting, and financial risk management. Exceptional analytical, strategic thinking, communication, and problem‑solving skills. Ability to translate complex financial information into actionable business insights for financial and non‑financial stakeholders. Compensation and Benefits This position offers a competitive salary range of $200,000–$220,000, commensurate with experience, along with a comprehensive benefits package including medical, dental, and vision coverage, 401(k) retirement plan, flexible spending accounts, and additional wellness benefits. Scion Executive Search is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation, or any other protected class. We are committed to Equal Opportunity Employment and to making employment decisions based on merit and value for ourselves, our client companies, and the candidates we represent. J-18808-Ljbffr

Senior Associate/ Vice President - Real Estate Fund Capital Markets (New York)

Our client is a global powerhouse in the real estate sector ($270B AUM), managing a portfolio of iconic properties across the world’s most dynamic markets. From trophy office towers and luxury hospitality to massive industrial platforms and student housing, their reach is unparalleled. We are seeking a Senior Associate or Vice President to join their lean, high-impact Capital Markets team. This team serves as the strategic architect for the firm’s global real estate financing. This is not just a transactional role; it is a leadership position responsible for shaping capital structures, leading complex multi-billion dollar negotiations, and managing the firm’s most critical global lender relationships. Key Responsibilities Transaction Lead: Source, negotiate, and execute sophisticated financing facilities across the entire capital stack (senior debt, mezz, preferred equity, and securitizations). Capital Optimization: Identify and implement refinancing or restructuring opportunities within the existing global portfolio to maximize business plan returns. Strategic Advisory: Serve as an internal consultant to the Investment and Portfolio Management teams, providing expert guidance on complex financing structures and cross-border capital considerations. Expansive Coverage: Manage and deepen the firm’s connectivity with a diverse network of global lenders, including investment banks, insurance companies, and sovereign credit funds. Market Synthesis: Monitor global real estate capital markets to identify shifts in pricing trends, lender appetite, and structural innovations, translating these into actionable investment strategies. Advanced Structuring: Oversee the development of complex debt and capital structure models to stress-test scenarios and optimize interest rate/currency hedging. Candidate Qualifications Experience: 5–7 years of relevant experience within Real Estate Capital Markets, Real Estate Investment Banking, or a specialized Debt Advisory firm. Technical Mastery: Advanced financial modeling skills (Excel) with a focus on complex debt waterfall analysis. Proficiency in creating executive-level investment committee materials in PowerPoint. Product Knowledge: Fluency in large, complex capital structures across multiple asset classes (Office, Retail, Multifamily, Industrial, and Hospitality). Leadership: Proven ability to manage multiple high-priority transactions simultaneously in a fast-paced, deal-flow driven environment. Interpersonal Strength: Exceptional stakeholder management skills; must be articulate and confident when presenting to senior leadership and global external partners. J-18808-Ljbffr

Chief Financial Officer (CFO) - Warsaw, IN (Warsaw)

Lutheran Kosciusko Hospital has been a proud part of Kosciusko County for nearly 50 years. We've grown with the community, expanding services so you can receive care closer to home, family and friends. Being your neighbor and serving our hometown is about so much more than the services we provide. It's about caring for our neighbors The physicians, providers and staff live here and raise their families here. We are neighbors providing a deeply rooted, personalized level of care to those who work, play and live close to us. It's about improving the health of our community Helping people get well and live healthier is the foundation of our work. In 2024 alone, patients received health care through 291,200 hospital or clinic encounters with providers. This includes more than 16,300 ER visits, 4,800 surgeries and 400 births. We also understand the importance of extending our reach into the community and are proud to support local organizations that share our goal of enhancing health and wellness in the place we all call home. It's about investing to meet our community's needs We continue to provide a level of care beyond what's expected in smaller cities. It's comforting to know you can remain close to loved ones when health issues arise. Since Lutheran Kosciusko Hospital opened the county's first catheterization lab, or cath lab, more than 1,400 patients have received a cardiac cath, a type of image‑guided therapy used to diagnose and treat certain heart conditions. The cancer care center has delivered extensive services for more than 20 years. Patients requiring frequent testing and treatment – imaging, radiation therapy and surgical services – are able to receive care without unnecessary travel. In fall 2024, community members and hospital staff celebrated completion of a multi-year $30 million investment that includes 25,700 square feet of new construction and renovation. Improvements include surgical services expansion and updates; renovations to patient rooms and nurses' stations; a redesigned, customer‑friendly lobby and updates to the hospital's façade. Our investment also extends to service excellence. We seek accreditations and certifications reflecting a higher standard of care, inviting external organizations to take a closer look at our services. For example: Lutheran Kosciusko Hospital has been accredited as a Chest Pain Center for more than 15 years and is also certified as a Primary Stroke Center. Imaging services – breast ultrasound, CT, mammography, MRI and ultrasound – are accredited by the American College of Radiology. The certified cardiopulmonary rehabilitation program helps patients with heart‑related concerns or chronic respiratory disease. The Sleep Disorders Center is fully accredited by the Accreditation Commission for Health Care. Job Summary The Chief Financial Officer (CFO) is responsible for providing financial leadership and decision‑making to support the hospital's mission and strategic objectives. This role oversees financial operations, including expense management, productivity, revenue cycle, budgeting, forecasting, financial analysis, and capital planning. The CFO collaborates with shared business partners in Accounting, Patient Access, Health Information Management, Revenue Management, Physician Practice Services, corporate Managed Care, and Human Resources to optimize daily and monthly financial operations. Additionally, the CFO manages financial risks and oversees the preparation of financial statements and reports. Departmental responsibilities typically include Accounting, Case Management, Information Systems, Health Information Management, and Patient Access. Essential Functions Provides financial leadership to hospital staff and management to support, create ownership, and encourage decisions that positively impact the hospital’s financial performance. Develops and implements strategies for revenue growth and margin improvement to meet financial goals. Participates in state and federal funding initiatives to improve overall reimbursement for the facility and providers. Analyzes costs, operations, and forecast data on service lines in collaboration with senior leadership colleagues to monitor progress in meeting financial targets. Develops and enforces financial policies and procedures, short‑and long‑range goals, objectives, and plans. Manages costs by identifying opportunities for cost reduction and taking actions to eliminate non‑value costs in partnership with other senior leadership colleagues. Ensures the hospital meets financial regulatory and compliance guidelines, maintaining adherence to all applicable standards. Works closely with providers and local team members to monitor quality metrics and align them with financial objectives. Oversees the accuracy of General Ledger entries and ensures the timely reconciliation of all bank accounts to the General Ledger. Monitors hospital cash receipts and disbursements for accuracy and adherence to internal control procedures. Prepares and presents timely and accurate monthly departmental operating reports to hospital staff and senior leadership. Prepares monthly exhibits for the accurate presentation of all third‑party reimbursement contractual allowances. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Bachelor's Degree in Accounting or Business related field required Master's Degree in Accounting, Business Administrations, or Healthcare Administration preferred 8‑10 years of progressive experience in healthcare financial management required 5‑7 years of experience in a senior financial leadership role within a hospital or healthcare system required 1‑3 years of recent acute care hospital CFO experience in a proprietary health system preferred Knowledge, Skills and Abilities Comprehensive knowledge of healthcare financial operations, revenue cycle management, and reimbursement methodologies. Strong analytical and problem‑solving skills to interpret complex financial data and drive strategic decisions. Excellent communication and interpersonal skills for effective collaboration with multidisciplinary teams and external stakeholders. Leadership and team‑building skills to inspire and guide staff toward achieving organizational goals. Proficiency in financial systems, budgeting software, and enterprise resource planning (ERP) tools. Commitment to regulatory compliance and maintaining high ethical standards. Ability to manage multiple priorities in a fast‑paced healthcare environment. Licenses and Certifications Certified Public Accountant (CPA) preferred or Certified Healthcare Financial Professional (CHFP) preferred J-18808-Ljbffr

University of Massachusetts Amherst – – Vice Chancellor for Equity and Inclusion (Amherst)

Vice Chancellor for Equity and Inclusion The University of Massachusetts Amherst, the land‑grant flagship university of the University of Massachusetts System, invites nominations and applications for the position of vice chancellor for equity and inclusion. The university seeks an experienced, principled, and deeply relational leader who will provide institutional leadership and serve as an integrator of equity, inclusion, and belonging. This is a defining moment for UMass Amherst, as it is for higher education more broadly. As a public, residential, research‑intensive flagship university with a long‑standing commitment to social progress and justice, UMass Amherst is positioned to lead with clarity, integrity, and care amid political complexity, demographic change, and evolving expectations of public universities. Reporting to the chancellor and working in close partnership with senior leadership and the entire UMass Amherst community, the next vice chancellor will play a critical role in advancing a cohesive and sustainable vision for equity and inclusion that honors the university’s values, builds upon existing strengths, and supports the flourishing of students, faculty, and staff. UMass Amherst enrolls approximately 32,000 students, including nearly 24,000 undergraduates and more than 7,800 graduate and professional students, across 12 schools and colleges. The campus is home to approximately 1,900 faculty members and nearly 4,500 staff, with more than 313,000 alumni living across the Commonwealth, nation, and globe. A Carnegie‑classified Research 1 institution, UMass Amherst generates more than $300 million annually in sponsored research and operates with an annual budget of approximately $1.8 billion. Central to UMass Amherst’s mission and values is a deep and enduring commitment to inclusive excellence, respect for difference, and the belief that equitable communities are essential to academic distinction and societal impact. As a public land‑grant university, UMass Amherst understands equity and access not as ancillary commitments, but as core obligations. The vice chancellor will help ensure that these commitments are reflected not only in aspiration, but in day‑to‑day practices, campus culture, and lived experience. The university is located in the Pioneer Valley of western Massachusetts, a region known for its intellectual vibrancy, natural beauty, and strong sense of community. Amherst is consistently recognized as one of the nation’s great college towns and benefits from the presence of the Five Colleges Consortium and its proximity to major urban centers in New England and the Northeast. The target salary range for this position is between $320,000 and $370,000 annually, commensurate with experience. The University of Massachusetts Amherst welcomes all qualified applicants and complies with all state and federal antidiscrimination laws. J-18808-Ljbffr

Child & Adolescent Psychiatrist (Denton)

The psychiatrist works under the leadership of the Assistant Medical Director, Chief Medical Officer, and Chief Executive Officer, and within federal, state, and local guidelines performs quality psychiatric clinical work. This position reports to the center Assistant Medical Director except for scheduling time off, training, and general program related matters which is coordinated by the Clinic operations Director manager of the program in collaboration with the center Assistant Medical Director. Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Provides Psychiatric services in the Denton County MHMR Center outpatient clinics, Crisis services and various center sponsored programs. Provide evaluations, medication management, diagnostics, and plan of care recommendations to clients with acute and persistent mental illness. Provides both crisis and regular services. Services may be provided face-to-face, by telephone, or by telemedicine. The psychiatrist will serve as a member of the treatment team and works collaboratively with nursing, case management, and Crisis Staff. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment. Education, Training, and Experience Graduation from an accredited college of medicine with a degree as a medical doctor with psychiatric specialty required Board Certification in Psychiatry preferred Prior experience with the MHMR priority population preferred Prior experience with dual diagnosis (developmental disabilities, substance abuse, and mental illness) preferred Board eligible in C & A psychiatry and/or prior experience working with children and adolescents preferred Registration, Certification, Licensure, and Other Qualifications Medical licensure must be current and without restriction Must have prescriptive authority Must maintain current licensure including DEA All job specific training must be completed within 30 days of hire Must maintain a valid Texas driver's license, auto liability insurance, and a driving record acceptable to the Centers insurance requirements Maintain current CPR certification Willingness to provide clinical supervision and delegation of prescriptive authority to Psychiatric Nurse Practitioners Excellent written and verbal communication skills Strong organizational skills Ability to work with and treat individuals with sever and persistent mental illness Must have and maintain a background and criminal history free from any disqualifying offenses as outlined by the Texas Administrative Code (TAC) and the Health and Human Services Commission (HHSC). Must possess and maintain a valid driver’s license and automobile insurance. Individuals with an out-of-state driver’s license must be able to obtain a driver’s license in the state of Texas within thirty (30) days. Successful completion of all position-specific training within thirty (30) days of employment is required. Knowledge, Skills, and Abilities Knowledge of psychiatric principles and methods; of methods and procedures in general medicine; and of the principles and practices in the development, implementation, and documentation of individualized care and treatment plans Skill in the care and treatment of patients, in the use of medical and psychiatric diagnostic and treatment tools and equipment, in conducting psychiatric research, and in the operation of computers and applicable computer software Ability to examine, diagnose, and treat mental disorders; to interpret psychological diagnoses and analyses; to communicate effectively; and to assign and/or supervise the work of others. Working knowledge of computers, proficiency in typing to be able to document in a timely and efficient manner, ability to use and document in center’s Electronic Health Record System. Ability and skills needed to provide services using Telepsych modality. Ability and skills to use instant messaging system. Ability to display regular and reliable (in-person, if required) attendance. Understanding and practice of Trauma Informed Care principles. The following list outlines key responsibilities for the position; however, it is not exhaustive and does not encompass all responsibilities. Additional duties may be assigned as needed. Key Responsibilities Provides evaluation, diagnostic, and medication management services to child and adolescent and adult clients according to applicable Texas Administrative Code, as outlined in the DCMHMR policies and procedures. Conducts psychiatric evaluation and medication management services. Explores and takes into account all relevant data sources in conduction and formulating diagnosis. Service notes include appropriate clinical and other details to substantiate diagnosis and treatment decision making. Record the results of a primary evaluation and diagnosis in the clinical record and on the approved diagnostic tool using guidelines from current contract approved Diagnostic and Statistical Manual of Mental Disorders. Completes documentation as per center documentation guidelines and preferably on the same day for continuity of care and communication of care provided. All required elements in the service note are filled out. Service note reflects appropriate details for CPT billing code selected. Diagnosis updates are done at least annually and additionally as necessary. Monitors vitals as appropriate. Orders lab studies as recommended by prescribing guidelines and according to the DCMHMR Standing Lab Orders. Appropriate labs are ordered, available labs are reviewed appropriately when prescribing psychotropic medications. Reviews and signs off lab results in timely manner. Addresses abnormal lab values appropriately and in a timely manner. Prescribes medications and maintenance treatment to clients assigned to the individual doctor’s and APRN’s caseload and in emergency situations to those on other Denton County MHMR prescriber’s caseloads. Medications will be prescribed appropriate to the diagnosis and according to the appropriate HHSC approved medication treatment guidelines and documented on the DCMHMR Clinical Record Form. Informed psychotropic medication consent is obtained from Clients or LAR (Legally Authorized Representative) and documented. AIMS done appropriately and as per TAC guidelines. Will monitor and make recommendations regarding lab studies, according to the Denton County MHMR Standing Lab Orders and Abnormal Lab Value procedure. Avoid the use of polypharmacy and document clinical justification if required, following the DCMHMR Policies and Procedures regarding polypharmacy. Documents appropriately rational for prescribing and changes in the medication. Work cooperatively with the client using recovery-based language and incorporate the client’s preferences for treatment when clinically appropriate. Patient and family education will be completed at each visit according to the Patient and Family Education (PFEP) program requirements and documented in the service note. This education will include information regarding diagnosis, treatment options, prescribed treatment, and recovery through self-monitoring and self-management. Will monitor and make recommendations regarding lab studies, according to the Denton County MHMR Standing Lab Orders and additionally as clinically indicated and, as per abnormal Lab Value procedure. Serves as a member of the treatment team and makes recommendations for plans of care. Seek consultation from the Assistant Medical Director and Psychiatric Peer Team on difficult cases and document this consultation. Refers clients to appropriate medical and community resources documenting this in the plan of care, eliciting assistance from case management, care coordination team, and nursing staff. Provides consultation and orders regarding treatment, to the RNs and LVNs, regarding clients on other center prescriber's individual caseload or when a client’s treating physician or APRN is not available for consult. Sign verbal orders/ GMO in a timely manner at the next available opportunity. Reviews each RN assessment at the client’s next appointment when the RN is working under Standing Orders and provides suggestions or corrections as needed. Participates in Peer Review when applicable. Completes client care related paperwork appropriately and in timely manner. Provides crisis care to new adult or C & A clients referred by crisis teams as well as crisis services to existing adult or C & A clients. Provides Certificate of Medical Examinations when applicable and as soon as possible considering existing clinic schedules. Participates in telephonic on call rotation. Provides consultation to RNs, Crisis Residential Unit nursing as well as QMHP staff for medication treatment and other recommendations for existing as well as new clients being served by the crisis teams and Crisis Residential Unit clients. LPHA’s serving the crisis teams may also access the doctor on call for non-medication recommendations. Provides crisis services during regularly scheduled hours. Provides and documents each service according to rules and regulations outlined by the Medical Board, DCMHMR, the State Pharmacy Board, HHSC, DADS, and TAC. Each note must contain the required elements for Medicaid or other third-par