The Operating Room Tech is responsible for the preparation of sterile supplies and instruments for each assigned procedure, maintaining sterile field during case and providing surgeon with sterile supplies and instruments during assigned procedures.

CDS Trainee is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. CDS Trainee will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient�s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.

The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individual�s education, training or experience and technical abilities. Each individual performing the above procedures must: 1) adhere to the laboratory�s procedures for the collection, processing, analysis, and reporting of patient test results. 2) follow the laboratory�s established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory�s established performance specifications. 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory, 5) perform and document maintenance; daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 6) review the accuracy of patient results prior to releasing or reporting, 7) recognize age specific differences in expected results for newborns to geriatrics, 8) ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 9) may be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics, 10) assist in the development and maintenance of laboratory policies and procedures, 11) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 12) in the absence of a supervisor, may be assigned/identified as Lead Tech, having responsibility for the section or department during their shift, 13) may be assigned responsibilities related to LIS and/or POC. 14) other tasks or responsibilities may be assigned by the department manager/director.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient�s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Performs a variety of housekeeping, laundry, and linen task, requiring strong supervisory skills. Effectively supervise a staff of 25 or more employees. Provide leadership, direction and equity for and in dealing with all employees. Creates an effective and cohesive working relationship with department employees, Department Heads, all hospital staff, and the public. Ensures regulatory compliance for sanitation, for patients, guests, and employees. Ensures that public areas are appropriately sanitized, to project a strong, positive image. Generates pertinent policy & procedure to ensure compliance to infection control and sanitation standards. Coordinates rental linen and uniform efforts. Provides multi-disciplinary support services. Participates in employee awareness and education.

The Nurse Practitioner focuses on providing general care to patients of all ages, with utmost patience, care, compassion and understanding. Perform tasks within their scope of practice which may include conducting tests, recording medical histories, providing treatments, assisting physicians and enhancing public awareness on the importance of health, and prescribing medications.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Licensed Practical Nurse provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients� and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients� medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

The Certified Case Counselor II - MCM will be responsible for providing direct case management services to the patients of the Peter Ho Memorial Center; Client-centered services linking clients with health care, psychosocial, and other services provided by trained professional, including both medically credentialled and other health care staff. The Certified Case Counselor II will support the clinical team with resources, information, and performs the various steps of medical case management including completion of intakes, psychosocial assessments, development of initial individualized client service plans, conduct client advocacy & retention activities, referral follow ups, re-evaluation of the patients’ needs/discharge, treatment adherence counseling and proper disposition of cases. Maintains documentation in the EPIC, NJDOH system (CareWare), and Ryan White Grant reporting systems (CAHMPS), ensure accurate & prompt data entry of service deliverables, educates, and consults with service providers and consumers concerning HIV disease and the process of meeting consumers’ identified needs. Also included is treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. Medical case management also includes client-specific advocacy and review of use of services, including face-to-face, telephone, and other forms of communication.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients� and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients� medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

Under the direction and authorization of the medical director and cardiopulmonary director, the RCP II is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.

Under the general direction of the physician (Cardiologist/Radiologist), will assist by scrubbing procedures or monitoring physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Ensures procedure room is adequately prepared for the procedure. Monitors par level of all instruments and supplies. Participates in departmental staff meetings and performance improvement activities and the training of new staff. Assists in all aspects of invasive and noninvasive cardiac procedures.

The Program Coordinator will be responsible for providing day-to-day management of the coordination of program deliverables, processes, and procedures. Under the direction of the Manager, the Coordinator will review all program data ensuring completeness, as well as generating necessary reports for evaluating progress towards project goals. The Coordinator will provide support to the Manager to ensure effective implementation and monitoring of program operations. The Coordinator will need to possess analytical ability, exceptional diplomacy and tact, excellent communication skills, organizational and project management skills, operate effectively in an environment requiring independence and flexibility, and have strong attention to detail, ensure accurate & prompt data entry of service deliverables, educates, and consults with service providers and staff concerning service deliverables and the process of meeting identified needs.

The Physician Assistant is responsible for the overall management and supervision of the practice. The position requires excellent internal and external business office relations, supervision and leadership. Effectively interacts with patients, and other staff, while maintaining standards of professional services, medical care and attention to detail. The position also requires excellent internal and external communication and people skills and clinical skills (lab draws, vital, injections, etc.).   #LI-DW1

The GI LAB RN is directly accountable to the OR Charge Nurse and Director of Surgical Services, and indirectly to the Shift Nursing Supervisor. Responsible for the delivery of direct and indirect patient care for the Medical-Surgical Outpatient and/or Inpatients receiving surgical and/or invasive procedure through the nursing process of assessment, planning, implementation, and evaluation for adolescents, adults and older adults. Communicates with physicians, co-workers and/or nursing director, as appropriate about the patient�s clinical condition, including results of diagnostic studies and symptomatololgy. Is able to respond quickly and accurately to changes in condition or response to treatment. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

Ability to function in a demanding environment by navigating multiple projects simultaneously, and effectively supporting a busy Medical Staff Office. Responsible for assigned Medical Staff Departments as assigned by Director/Manager. Facilitates all aspects of credentialing, including applications, reappointments, proctoring and competencies. Interfaces with physicians and hospital management staff in a positive and professional manner

Performs Diagnostic Radiographic Procedures according to department protocols, JC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient�s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The House Supervisor is a Registered Nurse who assumes administrative responsibility for the management of all department service functions on his/her shift. Makes frequent rounds throughout facility to monitor the delivery of care, oversee the quality of services and direct patient care activities as needed. Directly supervises, provides support to and communicates with all staff house-wide. In the absence of the Hospital Administrative staff, the administrative scope and responsibility is extended to all services within the hospital. Ensures efficient operations and patient flow throughout the hospital. Performs direct patient care, only as needed, within the scope of practice and competence. Ensures all temporary agency personnel are deployed and oriented in compliance with hospital policy. Assist medical staff with scheduling after hour procedures and calling in stand-by call staff members. Enhances the patient/family experience through supportive interactions and explanations of hospital policies as needed.

The PACU RN is accountable directly to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation for all patients within the PACU scope of services. The Registered Nurse also coordinates the post-operative care of the patient with the surgeon and anesthesiologist, directs and guides other personnel while maintaining standards of care in the PACU. He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Works with other departments and co-workers to provide quality patient care across the continuum, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

The Registered Nurse provides direct patient care within the scope of practice in the Oncology/Infusion Center. Provides chemotherapy and related medical oncology treatments and education to adult patients with diagnosed malignancies.  Reports to Clinical Manager for Oncology/Hematology and Cancer Registry Services.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

To perform the duties assigned as they pertain to the operational functions of a transportation driver, courier, and parking lot attendant. The roles and duties of this position are established to provide quality customer service, carryout deliveries and transport services in a timely fashion, provide assistance as needed, and monitor activity within the facility exterior and parking lots. The goal of this job function is to create and support a welcoming and safe environment established for all our valued patients, visitors and staff who come to Saint Michael’s Medical Center.

Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individual�s education, training or experience and technical abilities. Each individual performing the above procedures must: 1) adhere to the laboratory�s procedures for the collection, processing, analysis, and reporting of patient test results. 2) follow the laboratory�s established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory�s established performance specifications. 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory, 5) perform and document maintenance; daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 6) review the accuracy of patient results prior to releasing or reporting, 7) recognize age specific differences in expected results for newborns to geriatrics, 8) ensure that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 9) may be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics, 10) assist in the development and maintenance of laboratory policies and procedures, 11) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 12) in the absence of a supervisor, may be assigned/identified as Lead Tech, having responsibility for the section or department during their shift, 13) may be assigned responsibilities related to LIS and/or POC. 14) other tasks or responsibilities may be assigned by the department manager/director.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the Med/Surg/Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient�s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.

The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.

The Nurse Practitioner focuses on providing general care to patients of all ages, with utmost patience, care, compassion and understanding. Perform tasks within their scope of practice which may include conducting tests, recording medical histories, providing treatments, assisting physicians and enhancing public awareness on the importance of health, and prescribing medications.

Performs a variety of patient and non patient food service duties such as preparing and delivering patient trays, servicing the cafeteria, working on tray line, stocking storage areas, preparing nourishments, dishwashing and pot washing, mopping and sweeping of floors and emptying of trash as well as other related tasks.

Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with physician continuously and as needed about patient condition. Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Monitors and records patients condition continuously while in the Cardiovascular lab. Participates in performance improvement and continuous quality improvement activities.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the Med/Surg/Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient�s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

Under the direction and authorization of the medical director and cardiopulmonary director, the RCP II is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Nurse Practitioner focuses on providing general care to patients of all ages, with utmost patience, care, compassion and understanding. Perform tasks within their scope of practice which may include conducting tests, recording medical histories, providing treatments, assisting physicians and enhancing public awareness on the importance of health, and prescribing medications.

Performs Diagnostic Radiographic, Cat Scan, Mammography, Bone Density, Ultra Sound or Special Procedures according to department protocols. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/ QC activities. Assists in Maintaining Performance Improvement Program. Supervises Radiology staff in the absence. Maintains department supplies. Promotes teamwork and good customer service. Assists in annual evaluations and staff discipline. Does scheduling for assigned sub departments and maintains supplies and equipment for assigned sub department. Responsible for processing and transmission of Images to PACS.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individual�s education, training or experience and technical abilities. This individual: 1) functions as the department Section Supervisor or Lead, responsible for supervising the daily operation of the section(s), 2) provides consultative services to the medical staff in the capacity of Technical Consultant, 3) oversees the section/department performance improvement program and participates in hospital interdisciplinary performance improvement initiatives, 4) is responsible for the technical and fiscal management of the section(s), 5) oversees the section(s) quality management/assurance program, 6) ensures compliance with all regulatory and accreditation requirements, 7) assesses staff competency and completes performance evaluations in a timely manner,8) ensures the accuracy of patient results prior to releasing or reporting, 9) develops, maintains and updates section policy and procedure manuals, 10) reviews quality control performance ensuring documentation of corrective actions taken when test systems deviate from the laboratory�s established performance specifications, 11) identifies problems that may adversely affect test performance and either correct the problem or immediately notify the, Director, or Medical Director, 12) performs a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory, 13) ensures the performance and documentation of equipment maintenance � daily, weekly, monthly, or as needed, 14) recognizes age specific differences in expected results for newborns to geriatrics, 15) ensures that the testing of proficiency testing samples are tested in the same manner as patient samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 16) ensures the currency of all laboratory policies and procedures, 17) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 18) may be assigned responsibilities related to LIS and/or POC. 19) other tasks or responsibilities may be assigned by the department manager/director.