Upstream is the leading national provider of outpatient physical and occupational therapy services, as well as practice management services. Upstream offers a unique suite of services, including free-standing physical therapy clinics, outpatient rehabilitation management services, and a member network of rehabilitation service providers. Upstream is one of the largest and fastest growing providers in the outpatient rehabilitation market. Upstream offers a full range of customized services that are unrivaled in the industry, with a distinct focus on clinical excellence, extraordinary service, and superior patient outcomes.

Industry: Wellness and Fitness Services
Company Size: 5,001-10,000 employees

Upstream Rehabilitation

Savvy Admin PROD

**Job Description**

**Physical Therapists! Join our Telehealth team!**

**Flexible Income Opportunity – come ViBE with us!**

Are you an innovative, motivated Physical Therapist looking for a new way to maximize your earning potential while helping your community achieve a more active life? Under our new **Visit-Based-Earnings (ViBE!) ** offering, **you ** are in control of your caseload, while **we ** provide you the skills and tools to be successful.

**Why join us?**

The simple answer –**control **. In your time, your income, and your balance. For some it’s about doing a little work to keep your skills sharp while bringing in income. For others it could be about ditching the 2nd weekend job to earn more with the patients you love and your company there to back you.

This unique role will split time between in-person clinic care and virtual sessions weekly - talk about the best of both worlds! Potential clinic locations include: Apex (NC), Durham NW (NC), Pittsboro (NC), and Sanford (NC).

**What you get:**

- Flexible schedules – Work when it fits your lifestyle (evenings/weekends available)

- Autonomy & control – Over your caseload (10-40 visits/week) & 1:1 or 2:1 care (up to you!)

- Pay – Up to $40 per completed visit

- Efficient documentation& scheduling – systems designed to minimize time spent documenting

- Industry leading outcomes – data informs our care model to get patients back to what’s important to them

- Structured onboarding and support – to set you up for success, so you can earn more faster

- Employee discounts, perks and benefits available!

**Options:**

- Full-Time

- Part-Time

- Weekdays, weekends and evenings available

**Qualifications:**

- Active Physical Therapist license

Follow @Lifeatupstream onInstagram, and check out our LinkedIn company page to learn more about what it’s like to be part of the #upstreamfamily.

**Click Here To Learn Even More About Upstream**

~~Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law. ~~

Hybrid Clinic and Telehealth Physical Therapist - Visit Based Earning

Gilero offers end-to-end device design, development and contract manufacturing in the medical and pharmaceutical industries.  Specializing in the areas of consumable and reusable medical devices, drug delivery, combination products and complex electromechanical systems, Gilero offers a wide range of services to meet your medical or drug delivery device needs.

Industry: Medical Equipment Manufacturing
Company Size: 51-200 employees

Gilero

Gilero is growing and looking for a Manufacturing Engineer that will be responsible for planning, developing, implementing and maintaining manufacturing methods, processes and operations for new and existing medical devices under medical device regulations and standards (ISO 13485 and FDA 21 CFR Part 820). In this position you will utilize previous experience and understanding to work both independently and in cooperation with project teams to support and improve the manufacturing process through the effective use of materials, equipment and personnel. The position will work out of our Pittsboro, NC manufacturing plant.

If you thrive in a fast-paced, collaborative environment and like ensuing high-quality outcomes working with customers, vendors, and internal teams, this is the opportunity for you. Join us and be part of a company that values innovation, integrity, collaboration and excellence!

**Responsibilities: **

- Implement and improve manufacturing processes to produce cost-effective quality medical device products and systems.

- Provide support for production operations including material disposition, process updates and daily manufacturing activities.

- Create, document, and implement required procedures and documents while ensuring full compliance with GMP’s.

- Conduct product testing, prototype development, tooling review and recommendations, product and tooling quotes, development of manufacturing processes and testing standards

- Assess and implement process changes as required by customer request, in response to manufacturing quality issues, or design changes.

- Identifies and implements process improvement activities to increase yield, efficiency or throughput

- Support site management regarding Environmental, Safety, Manufacturing and Facilities issues. Lead continuous improvement in these areas as assigned.

- Characterize and optimize processes using statistical techniques, engineering knowledge and experience

- Troubleshoot processes or equipment and implement improvements to drive production line availability

- Develop new and innovative ways to manufacture the existing product

- Write and execute protocols to assess changes to manufacturing process capability (IQ/OQ/PQ)

- Establish and optimize maintenance requirements for equipment based on historical mean time to failure.

- Perform Job Safety Analysis of new line installations

- Train operators, quality control, and technicians on processes, equipment, and documentation

- Provide engineering expertise in resolving specific technology issues

- Participate in manufacturing investigations/CAPA resolutions to identify improvements to the manufacturing processes.

- Participate in process risk analysis activities (PFMEA) to support new or existing processes.

- Maintain Device Master Record (DMR) and ensure documents are complete, accurate, and current including process routers, inspection plans, temporary deviations, and nonconformances.

- Monitor prices and equipment performance

- Must be willing to work shifts, additional hours and weekend/ holidays as required by business needs or project deadlines

**Skills/Qualifications: **

- BS in Engineering or equivalent technical degree

- 3+ years relevant work experience in manufacturing

- Experience with medical device manufacturing preferred

- Knowledge of medical device regulations (FDA/ISO)

- Proven ability to lead a manufacturing program

- Experience with SolidWorks, and/or other 3D CAD modeling software

- Process validation experience

- PLC controls including changes and implementation

- Excellent communication skills (oral and written)

-  Proficient computer skills, including Excel and Word

**Personal Attributes: **

- Meets Gilero Core Values:

- Collaboration

- Innovation

- Excellence

- Integrity

- Productive in a fast-paced, entrepreneurial environment.

- Commits to excellence and quality service to external and internal customers.

- Adheres to established policies and procedures, while contributing to continuous improvements.

**Eligibility To Work: **

- Applicants must be permanently authorized to work in the United States without the need for employer sponsorship now or in the future.

- Gilero does not offer sponsorship for employment authorizations (work visas).

- We are an E-Verify employer and confirm work authorization for all new hires.

**Why Gilero? **

Founded in 2002, Gilero, a Sanner Group company, is an international contract engineering firm that specializes in the design, development, and manufacturing of novel medical devices and drug delivery products. At Gilero we are proud of the culture we have built that directly reflects our values of excellence, integrity, innovation, and collaboration. Motivated by our purpose to benefit people and improve patient outcomes, our team continue to grow at a rapid pace. US locations include Carlsbad, CA; Chicago, IL; as well as NC locations in Raleigh, Durham, Greensboro, and Pittsboro.

You will enjoy an annual bonus plan, Medical (3 BCBS plans to choose from), dental and vision, company provided life insurance, short-term and long-term disability, 401(k) with a match the first month you start with a zero-vesting period, and access to LinkedIn learning for personal and professional development.

Manufacturing Engineer - Medical Devices

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