Jobs at The Xtreme Group

This full-time Registered Nurse role is based at the Avera Pediatric Specialists clinic in Sioux Falls, focusing on pediatric gastrointestinal care within a multidisciplinary team. The position involves administering medications, assisting providers during procedures, and conducting patient assessments including vital signs and health history. Key responsibilities also include coordinating appointment schedules, educating families on treatment plans, and maintaining exam room supplies and lab protocols. The role appeals to candidates seeking a compassionate work environment aligned with the organization's mission to move health forward. It offers immediate paid time off, retirement matching, and structured career development through mentorship and hands-on training.

This full-time CDL-A team driving position with Danny Herman Trucking involves operating late-model, satellite-equipped power units on dedicated routes from the Carolinas and Ohio to the West Coast. The role requires two drivers working together to transport goods for domestic and international markets, with teams typically out for 10 to 14 days at a time. Key responsibilities include maintaining DOT compliance, ensuring timely and accurate deliveries, and adhering to safety standards. The position appeals to experienced drivers seeking a supportive family culture, comprehensive benefits including health and retirement plans, and a generous home time schedule. Candidates must hold a valid Class A license and possess at least six months of over-the-road experience.

This full-time Registered Nurse role serves as a Quality Specialist within the ambulatory care department at Avera McKennan Hospital. The position focuses on guiding clinical effectiveness and ensuring compliance with state and national evidence-based indicators. Key responsibilities include leading quality improvement initiatives, coordinating data submission with IT and medical records, conducting clinical reviews to identify trends, and providing education to staff on best practices. The role appeals to nurses seeking to impact patient care through data-driven process improvements within a compassionate, multidisciplinary team. The position is based on-site during day shifts and offers opportunities for career development through mentorship and hands-on training.

This full-time Registered Nurse role at Avera McKennan Hospital serves as a Quality Specialist within the ambulatory care department. The position focuses on guiding clinical effectiveness and ensuring compliance with state and national evidence-based indicators. Key responsibilities include leading quality improvement initiatives, coordinating data submission with IT and medical records, conducting clinical reviews to identify trends, and providing education to staff on performance improvement strategies. The role appeals to nurses seeking a mission-driven environment that values compassion and professional growth, offering immediate paid time off, retirement matching, and mentorship opportunities. The position is based on-site at the hospital with day shift hours.

This independent contractor role involves transporting passengers to non-emergency medical appointments using a personal vehicle in Houston and surrounding Texas areas. The driver partners with Veyo to provide essential community support by ensuring safe travel between 6:00 AM and 6:00 PM. Key responsibilities include accepting trip requests via the mobile app, picking up passengers at designated locations, and delivering them to their destinations while maintaining a clean driving record. The position appeals to those seeking a flexible schedule where they can set their own hours and keep 100% of their earnings without hidden fees. The opportunity allows individuals to make a positive impact in their community while utilizing their own 2006 or newer four-door vehicle.

This part-time social worker role at Avera McKennan Hospital supports patients and families navigating complex medical and psychosocial challenges. The position requires a Master's degree in Social Work and an active state license. Key responsibilities include assessing patient needs, facilitating discharge planning, providing counseling for emotional distress, and coordinating care with a multidisciplinary team. The role appeals to those seeking a compassionate environment focused on moving health forward, offering opportunities for career development through mentorship and hands-on training. The schedule involves 24 hours per week with rotating weekends and holidays, combining day shifts with occasional evening hours.

This full-time Property Manager role at Breathe Easy Rentals involves overseeing a portfolio of vacation rental homes in Destin, Florida. The position focuses on daily operations, including conducting property inspections, coordinating housekeeping and maintenance, and resolving guest or owner concerns. Key responsibilities also include performing light repairs, documenting property damage, and ensuring all units meet high cleanliness and safety standards before guest arrivals. The role appeals to candidates seeking a supportive, team-oriented environment within a rapidly growing local company. It offers opportunities for career advancement, skill development, and the chance to make a tangible impact on guest experiences. The position is based on-site in Destin with a standard full-time schedule.

This full-time Registered Nurse role is based at Avera Oahe Manor, a long-term care facility, where the nurse joins a multidisciplinary team dedicated to compassionate patient care. The position involves developing comprehensive nursing care plans, administering treatments, and providing physical and emotional support to residents and their families. Key responsibilities include coordinating with physicians, educating patients on self-care, managing nursing assistants, and maintaining a safe environment through strict adherence to safety protocols. The role offers a rotating shift schedule including days, evenings, nights, and weekends. It is appealing for its supportive culture focused on moving health forward, immediate paid time off, retirement matching, and opportunities for career development through mentorship and hands-on training.

This full-time Occupational Therapist role at Avera Creighton Hospital involves delivering comprehensive therapy services to patients ranging from infants to geriatrics. Key responsibilities include evaluating patient needs, developing individualized treatment plans, and coordinating care with interdisciplinary teams to promote functional recovery. The position requires maintaining detailed documentation and participating in professional development and student mentorship. The role is appealing due to Avera's compassionate culture focused on moving health forward, offering immediate paid time off, retirement matching, and structured career growth through mentorship. The position operates primarily during day shifts with occasional weekends, evenings, or holidays.

This full-time Registered Nurse role is based at Avera Oahe Manor, a long-term care facility, and involves delivering comprehensive nursing care to residents. Key responsibilities include developing individualized care plans, administering medications, coordinating with physicians and multidisciplinary teams, and providing physical and emotional support to patients and their families. The position requires rotating shifts including days, evenings, nights, and weekends. The role is appealing due to the organization's compassionate culture focused on moving health forward, along with benefits such as immediate paid time off, free health insurance options, and opportunities for career development through mentorship and hands-on training.

This full-time nursing position at Avera Oahe Manor serves long-term care residents as either a Registered Nurse or Licensed Practical Nurse. The role involves developing comprehensive care plans, administering medications, and providing physical and emotional support to patients and their families. Key responsibilities include coordinating with physicians, supervising nursing assistants, and ensuring a safe environment through strict adherence to infection control and regulatory standards. The position offers a rotating shift schedule covering days, evenings, nights, and weekends. The role is appealing due to the organization's compassionate, multidisciplinary culture focused on moving health forward, along with immediate access to paid time off, retirement matching, and mentorship opportunities for career growth.

This full-time Registered Nurse role is based at Avera Mary House, a long-term care facility, and operates on a night shift schedule. The position involves developing comprehensive nursing care plans, administering physical and emotional support to residents and their families, and coordinating with physicians and multidisciplinary teams to ensure high-quality care. Key responsibilities include evaluating resident health outcomes, teaching self-care skills, managing nursing assistants, and maintaining a safe environment through strict adherence to safety protocols. The role appeals to candidates seeking a compassionate work culture focused on moving health forward, offering immediate paid time off, retirement matching, and opportunities for career development through mentorship and hands-on training.

This full-time Registered Nurse role operates within a pediatric specialty clinic at Avera in Sioux Falls, focusing on delivering compassionate care to children and their families. Key responsibilities include administering medications and treatments, assisting providers during procedures, conducting patient assessments, and educating families on health maintenance and wellness. The position also involves coordinating clinic workflows, managing appointment scheduling, and maintaining exam room supplies. The role is appealing due to the organization's commitment to a multidisciplinary team culture centered on compassion and the mission to move health forward. It offers immediate paid time off, retirement matching, and structured career development through mentorship and hands-on training.

This entry-level retail banking position is based in The Villages, Florida, serving as a precursor to a full Personal Banker role following a structured training program. The role involves utilizing a consultative sales approach to assess customer financial needs, cross-sell banking products, and deepen relationships with existing households. Key responsibilities include processing transactions, conducting community outreach, collaborating with specialized business partners, and adhering to strict risk and compliance protocols. The position appeals to individuals seeking a career in finance within a supportive, inclusive culture that emphasizes professional growth and community impact. The work arrangement is primarily on-site at the financial center with required travel for training sessions and flexibility for scheduling.

This full-time Social Media Specialist role supports the marketing team at The Daily Grace Co. in Spring, Texas, with a hybrid work arrangement. The position focuses on creating Christ-centered content across multiple platforms including Instagram, TikTok, and YouTube. Key responsibilities include planning and scheduling posts, filming video content, managing brand reputation through community engagement, and implementing influencer programs. The role appeals to candidates passionate about faith-based missions who seek a collaborative environment. Benefits include a comprehensive insurance package, paid volunteer time, and opportunities for international mission travel.

The Contract Manager role at Kids Central supports the organization's mission to protect children and support families by overseeing partner agency and service provider contracts. Key responsibilities include evaluating provider performance against targets, analyzing contracts for cost effectiveness, managing payment approvals, and negotiating contract modifications. The position requires maintaining contract databases, providing technical assistance to partners, and utilizing data to identify trends and project progress. This opportunity appeals to those seeking a meaningful career in child welfare within a collaborative environment dedicated to community safety. The role is based in a professional office setting with occasional local travel required.

The Corporate Controller role leads accounting and financial operations for a growing multi-entity manufacturing and energy services organization. The position focuses on overseeing consolidated financial reporting, managing month-end close processes, and ensuring compliance with US GAAP and debt covenants. Key responsibilities include driving the Oracle Fusion ERP implementation, coordinating with external auditors, and standardizing accounting policies across business units. This leadership opportunity appeals to professionals seeking to shape financial governance during a period of significant organizational growth and system stabilization. The role is based in The Woodlands, Texas, with minimal travel required.

The Account Payable and Purchasing Supervisor leads the procure-to-pay function within the Accounting department, managing a team to oversee invoice processing, vendor management, and purchasing compliance. Key responsibilities include supervising end-to-end accounts payable operations, enforcing internal controls and SOX requirements, and supporting month-end close activities through accurate reporting and reconciliations. The role involves coordinating with Operations and Finance to resolve exceptions, optimize workflows, and maintain strong vendor relationships. This position is appealing for its opportunity to drive process improvements, mentor staff, and work with a collaborative team in a structured environment. The role is based on-site with occasional overtime required during financial close periods.

The Patient Care Coordinator role serves as the primary point of contact for patients at a Starkey Retail clinic in The Woodlands, Texas, guiding them through their hearing healthcare journey. Key responsibilities include managing front office operations, scheduling appointments, handling patient accounts and insurance billing, and leading retention efforts through follow-up calls and special events. The position emphasizes delivering a concierge-level experience while maintaining accurate records and adhering to HIPAA guidelines. This opportunity appeals to candidates seeking a supportive environment focused on improving patient well-being, offering a collaborative team culture and comprehensive benefits including health insurance and retirement plans. The role is based on-site within the clinic.

The RN Supervisor role within Medical City Healthcare's Nursing department involves leading clinical teams to ensure high-quality patient care delivery. Key responsibilities include overseeing daily operations, managing staffing schedules to maintain safe nurse-to-patient ratios, and mentoring staff through performance feedback and onboarding. The position requires coordinating with physicians and interdisciplinary teams to implement quality initiatives and ensure regulatory compliance. This opportunity appeals to experienced nurses seeking a leadership path in a fast-paced hospital environment, offering a supportive culture focused on professional growth and patient safety. The role is based on-site and provides comprehensive benefits including health insurance and retirement planning.

This full-time Clinic Manager role combines clinical practice with leadership responsibilities at an outpatient physical therapy facility in The Villages, Florida. The position involves managing daily clinic operations, including financial, administrative, and personnel oversight, while simultaneously delivering personalized physical therapy treatments to a diverse patient population. Key duties include developing care plans, measuring patient outcomes using advanced software, and documenting clinical progress. The role is appealing due to the company's supportive culture that prioritizes professional growth through leadership training, tuition reimbursement, and unlimited continuing education. The position offers flexible scheduling options and access to modern technology designed to streamline workflows, allowing the manager to focus on both patient care and team development.

This full-time dedicated CDL-A driver position involves operating dry van trucks on consistent routes across Florida, Georgia, Alabama, Mississippi, and Louisiana. The role requires handling 100% touch freight, which includes performing unloads using rollers, and interacting directly with customers at each stop. Key responsibilities include maintaining reliable schedules, ensuring safe driving practices, and utilizing newer equipment averaging 36 months old. The position is appealing for drivers seeking home weekly time, steady miles, and comprehensive support from a tenured operations team available 24/7. Benefits include health insurance, paid vacation, and a 401(k) match, making it an ideal opportunity for those who value work-life balance and a collaborative company culture.