Food Service Manager Hy-VeeFood Service ManagerIowaCash register, Slicer, C.A.R.S. system, Fryers (breakfast grill), Ovens, Steamer, Computers (Microsoft, N.T.), Fax machine, Telephone, Copier, Calculator, Utensils, delivery van Hobart machine, stoves, grills, toasters, chicken roaster, can opener, griddle, chargrill, refrigerated food case, hot case, cold case, thermometers, knives, dishwasher, ice machine, coffee maker, scales, and pop machine. Positions that Report to you: Market Grille Department Manager; Mia Italian Department Manager; Hy-Chi Department Manager; Service Managers; Chefs; Market Grille Service Staff; Night food service employees.
Associate Restaurant Manager Perkins Restaurant & Bakery - CyHawk Hospitality Inc.Associate Restaurant ManagerAnkeny, IA$55,000–$60,000 / yearFull timeConducts employment activities to include staffing (hire/term responsibilities), training, and conducting performance reviews with all dining room personnel, as well as recommending salary increases and issuing employee work histories. Ensures that inventory levels for both food and non-food items are properly maintained in accordance with company guidelines through correct ordering procedures and efficient usage and yield application.
Health Provider Revenue Cycle Manager Accenture PlcHealth Provider Revenue Cycle ManagerDes Moines, IALead end-to-end Revenue Cycle engagements for complex, large-scale health care providers, with deep expertise across Patient Access (scheduling, registration, eligibility, prior authorization), Mid-Cycle/Revenue Integrity (CDM, charge capture, CDI, coding), and Back-End Operations (billing, collections, denials management, underpayment recovery). Embed AI, automation, and advanced analytics into revenue cycle operations to drive measurable improvement, applying tools such as Tableau, Power BI, and Python to surface revenue leakage, model financial scenarios, and target use cases including denials prediction, propensity-to-pay analytics, underpayment detection, prior authorization, and coding support.
Account Manager - State Farm Agent Team Member Nick Hageman - State Farm AgentAccount Manager - State Farm Agent Team MemberWaukee, IAFull timeOur office culture is truly unique and empowering, providing our team with the tools and resources to have meaningful, holistic conversations with customers and prospects in order to understand their needs and help protect what matters most. As Account Manager - State Farm Agent Team Member for Nick Hageman - State Farm Agent, you are vital to our daily business operations and customers’ success.
Kitchen Manager - Waukee IA Casey's General Stores IncKitchen Manager - Waukee IAWaukee, IA$17–$19.55 / hourWhat You'll Do as a Kitchen Manager: Actively train, guide, and engage kitchen Team Members, delegate tasks effectively, and coach for success. Working closely with the Store Manager, you'll train, guide, and engage kitchen Team Members to deliver an exceptional guest experience.
Assistant Deli Manager Jetro / Restaurant DepotAssistant Deli ManagerUrbandale, IAThe Assistant Deli Manager works closely with the Deli Manager in ensuring that all available product is out for sale, is maintained with the strictest freshness policies in accordance with Company direction and HACCP Guidelines and developing relationships with customers that drive sales goals, minimize losses & provide a mutual benefit for all. Adhere to all local, state & federal laws, and company guidelines; comply with and reinforce all food safety and safety regulations/guidelines/procedures and programs; report all issues and illegal activity, including robbery, theft, or fraud.
Meat Department Manager Trainee Hy-VeeMeat Department Manager TraineeIowaPower ban saw, Grinder, Tenderizer, Slicer, Bone duster (where applicable), Knives, Tumblers, Automatic patty machine (where applicable), Automatic stuffer, Wrapping system, Pallet jack, box cutter, Computer, and C.A.R.S. reordering system. Must be able to perform the following physical activities: Climbing, balancing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing, and repetitive motions.
Managed Services Revenue Cycle - Pre Access - Senior Manager PricewaterhouseCoopers LLPManaged Services Revenue Cycle - Pre Access - Senior ManagerDes Moines, IA$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to take action or escalate when necessary.
Health - Network Performance / Utilization Manager Accenture PlcHealth - Network Performance / Utilization ManagerDes Moines, IAStrategy & Consulting: We work with C-suite executives, leaders and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale.
Site Manager i9 SportsSite ManagerClive, Iowa$15–$21 / hourTo achieve our mission of helping kids succeed in life through sports, i9 Sports provides a youth sports experience unlike any other, teaching the importance of good sportsmanship on the field and in life. Compensation: $15.00 - $21.00 per hour With over 3.5 million registrations in communities across the country, i9 Sports is the nation's largest multi-sport provider focused solely on high-quality, community-based youth sports programs.
Hy-Chi Department Manager Hy Vee IncHy-Chi Department ManagerNewton, IAAccountable and Reports to: Store Director; Store Manager; Assistant Managers of Perishables, Store Operations, Health Wellness Home; Food Service Director. From managing operations and developing your team to analyzing sales trends and driving profitability, your leadership shapes both the customer experience and the department's success.
Restaurant Assistant Manager/General Manager in Training Cheba Hut - NugentRestaurant Assistant Manager/General Manager in TrainingJohnston, IAFull timeIf you’re ready to lead by example, support your team, and help create a shop others look to for inspiration — we’d love to meet you! We’re looking for an Assistant Manager with strong leadership potential and the drive to grow within the company.
Pharmacy Department Manager Hy-VeePharmacy Department ManagerIowaIn depth knowledge of pharmacy computer applications, with special emphasis on existing and planned products; PIS, order management, automated dispensing, CPOE, I.V. compounders, packagers, bar code applications, supply chain solutions. Supervises pharmacy staff to ensure pharmacy employees are developed through proper employee orientation, training, PTCB certification, establishment of objectives, communication of rules and constructive discipline, while building employee morale, motivation and loyalty.
Pilates Studio Manager - Business & Team Leader BODYBAR PilatesPilates Studio Manager - Business & Team LeaderAnkeny, IowaAbout BODYBAR Pilates BODYBAR Pilates is a rapidly growing boutique fitness franchise dedicated to helping people move better, feel stronger, and live healthier lives through our signature BODYBAR Method. At BODYBAR Pilates, we're not just building successful studios - we're developing leaders, strengthening communities, and helping people become stronger from the inside out.
Communications Manager Deere & CoCommunications ManagerAnkeny, IAPrimary Location: United States (US) - Iowa - Ankeny Function: Communications (CA) Title: Communications Manager - 119993 Onsite/Remote:Onsite Position Your Responsibilities As a Communications Manager for Des Moines Works located in Ankeny, IA, you will: Develop and manage local employee communications, strategic meetings, and events Implement new communication tools, processes, and ways of communicating that effectively reach all employees Manage the operations of the John Deere Store and tour services for the factory Lead and facilitate strategic planning, execution and tracking of projects progress Local point of contact for various community advertisements and sponsorships Write and/or provide framework for speeches, be skilled in story telling VISA Sponsorship is NOT available for this position What Skills You Need 3 or more years of experience in Communications Strong ability to communicate with all levels within the organization. What Makes You Standout Prior leadership experience/direct supervisor experience Experience managing a budget Prior small business administrative and/or entrepreneurial experience Prior experience working in a manufacturing facility.
NewMLOps Engineer Iowa State UniversityMLOps EngineerAmes, IATwo years of related experience in backend software development, AI/ML model deployment, MLOps, DevOps, cloud/platform engineering, or a closely related technical area. Experience deploying and supporting shared technical platforms, including user access management, upgrades, backups, capacity planning, and user support.
Payer Back Office Strategy / Technology / Operations Consultant, Manager PwCPayer Back Office Strategy / Technology / Operations Consultant, ManagerDes Moines, IA$99,000–$232,000 / yearYou are to use autonomous decision-making and professional skepticism when reviewing, analyzing, and producing deliverables across multiple client needs, and play a visible role in cultivating meaningful client relationships, inspiring your teams, and navigating ambiguity. As a Manager you are to supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by solving and analyzing complex problems to develop quality deliverables.
Payer Office Strategy / Technology / Operations Consultant, Manager PricewaterhouseCoopers LLPPayer Office Strategy / Technology / Operations Consultant, ManagerDes Moines, IA$99,000–$232,000 / yearYou are to use autonomous decision-making and professional skepticism when reviewing, analyzing, and producing deliverables across multiple client needs, and play a visible role in cultivating meaningful client relationships, inspiring your teams, and navigating ambiguity. As a Manager you are to supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by solving and analyzing complex problems to develop quality deliverables.
NewKitchen Manager Buffalo Wild WingsKitchen ManagerAnkeny, IASee Buffalo Wild Wings Terms & Conditions at https://www.buffalowildwings.com/terms-of-use/ and Privacy Policy at https://www.buffalowildwings.com/privacy-policy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. You have a general knowledge of labor laws, health codes, safe food handling and sanitation, responsible alcohol service, safety and security systems and procedures, and computer operations.
Senior Project Manager Intercompany Danfoss A/SSenior Project Manager IntercompanyAmes, IADanfoss Power Solutions is seeking a Senior Project Manager, Intercompany to support global ERP transformation initiatives, including the One ERP implementation and LEAP 2030 growth strategy. Our solutions are used in such areas as refrigeration, air conditioning, heating, power conversion, motor control, industrial machinery, automotive, marine, and off- and on-highway equipment.
Assistant Apartment Property Manager InterSolutionsAssistant Apartment Property ManagerAmes, IA$19–$21 / hourInterSolutions, a premier staffing company in the multifamily industry, is seeking a driven and experienced Assistant Property Manager to support one of our valued clients. As an Assistant Property Manager, you ll play a vital role in supporting the Property Manager and ensuring the smooth day-to-day operations of the community.
Safety Manager RobinsonSafety ManagerAltoona, IowaOversee OSHA reporting, case management for recordable and lost-time incidents, and return-to-work programs ensuring that company policies are being followed at all times. This includes providing strategic direction and expert guidance to leadership and staff on the implementation of safety initiatives, regulatory compliance, reporting, and industry best practices.
NewCrowdstrike Pre-Sales Senior Manager/Director Accenture PlcCrowdstrike Pre-Sales Senior Manager/DirectorDes Moines, IAYou will work alongside Accenture's CrowdStrike Business Group as a trusted technical expert, supporting pre-sales engagements with deep platform knowledge and experience in hands-on delivery of CrowdStrike Falcon platform implementations for enterprise clients. Accenture provides the opportunity to support world-class cybersecurity programs for some of the largest organizations in the world, through a focus on rapid threat identification, incident response, cyber threat intelligence infusion, and mitigations to ensure defensive resiliency.
NewSupport Lead Part Time Five BelowSupport Lead Part TimeAltoona, IowaAt Five Below our growth is a result of the people who embrace our purpose: We know life is way better when you are free to Let Go & Have Fun in an amazing experience, filled with unlimited possibilities, priced so low, you can always say yes to the newest, coolest stuff! Drives store sales and controls expenses: Actively seeks ways to boost sales by optimizing merchandising, staff performance, and customer service.
NewKnowledge Engineer Manager - Back-end Engineer Accenture PlcKnowledge Engineer Manager - Back-end EngineerDes Moines, IAWe Are: Accenture is a global professional services and solutions company that helps leading organizations reinvent with digital, cloud, data, and AI capabilities, drawing on its large global workforce, industry expertise, and ecosystem partnerships to create 360° value. By combining hands-on engineering with deep industry context, we help organizations build their digital core, modernize operations, unlock value from data and AI, and deliver tangible business outcomes at speed and scale.
Senior IT Project Manager TMG Insurance ServicesSenior IT Project ManagerIowaWe are hiring a Senior IT Project Manager to lead multiple concurrent, technically complex initiatives across SaaS platforms, cloud environments, integrations, and custom software development. They are comfortable engaging with architects and engineers on system design, integration patterns, environments, release strategy, and DevOps practices while maintaining disciplined project governance and business alignment.
SAP Product Costing Manager - Chemicals & Natural Resources Accenture PlcSAP Product Costing Manager - Chemicals & Natural ResourcesDes Moines, IAThe Work: Team with clients on their SAP functional transformation programs through your combined SAP application and functional process expertise which includes your ability to: Engage with senior client Finance executives on the business challenges/trends and the potential value of SAP solutions (current & future). Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Finance solutions and technologies on some of the most innovative projects in the world.
Enterprise Productivity & Performance Senior Manager Accenture PlcEnterprise Productivity & Performance Senior ManagerDes Moines, IAWorking at the intersection of strategy, operations, technology, data, and AI, we help clients identify and realize enterprise-wide performance opportunities that improve investor metrics, strengthen competitiveness, and enable sustained value creation. Enterprise Productivity & Performance (EPP), part of Accenture's CEO Advisory practice, helps organizations address the questions that matter most to executive leadership teams: What will truly move the needle on enterprise value?
Store Manager in Training O'Reilly Automotive StoresStore Manager in TrainingIowaSupport store manager by working with the assistant management team ensuring safety compliance and that all team members receive appropriate training in all areas. Working jointly with district manager and store manager in recruiting, testing, hiring, evaluating, promoting, disciplining and discharging team members under his/her supervision.
Project Manager Opportunities - Data Centers (Midwest, US) The Boldt CoProject Manager Opportunities - Data Centers (Midwest, US)Des Moines, IA$100,000–$200,000 / yearAt The Boldt Company, our teams have a range of Project Management opportunities, from experienced Project Managers running day-to-day execution, to Senior Project Managers leading larger scopes and mentoring teams, to Project Executives providing multi‑project oversight and serving as the primary point of contact with owners and key partners. Senior leadership roles expand into developing talent, strengthening critical relationships, supporting pursuits, and guiding the transition from award into execution across multiple locations and project sizes.
Manager Lab Ops Outreach Trinity HealthManager Lab Ops OutreachDES MOINES, IADescription: Manages all aspects of Laboratory Outreach Operations, including areas of courier pick up/delivery, client supply needs, pre-analytical functions (draw stations, phlebotomy, and processing), resolution, send outs, and customer service. Manages all aspects for work processes for the following departments; couriers, client services, processing, phlebotomy, storeroom, patient service centers (draw stations), resolution, and send outs.
Facility Manager Amentum Services IncFacility ManagerAnkeny, IAWe run our own crews of Production Maintenance Techs, CNC Service Techs, Automation Techs, Industrial Electricians, Maintenance Mechanics, Industrial HVAC Techs, Logistics / Crib Management, Planner/ Schedulers, Supervisors and safety professionals inside our customers' facilities to keep their infrastructure operating smoothly. Must have a working knowledge in a number of areas to include, but not limited to: rigging and millwright, hydraulics, compressed air systems, plumbing, machining, welding and fabrication, carpentry, HVAC, electrical and electrical distribution, electronics, PLC's, building and fire alarm systems, etc., in order to direct the work of others.
(USA) Emerging Store Manager - SC Walmart Inc(USA) Emerging Store Manager - SCGrimes, IA$85,000–$120,000 / yearBachelor''s degree in management, business administration, retail management, financial management and 3 years'' experience in a management role with financial accountability in a retail or multi-unit environment., Bachelor of Science in Business Management and Leadership through Live Better U and Bellevue University, Demonstrated willingness and ability to relocate within assigned region for Store Manager placement.,
NewGlobal Capability Center Product Engineering Senior Manager Accenture PlcGlobal Capability Center Product Engineering Senior ManagerDes Moines, IAAccenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships. Work closely with solution teams and client stakeholders, define engineering strategies, design scalable product and platform delivery models, and recommend engineering approaches that align with the target operating model and business objectives.
RN - Nurse Manager, Inpatient Trinity HealthRN - Nurse Manager, InpatientNEWTON, IAMercyOne Medical Center is seeking a dynamic and experienced Inpatient Nurse Manager to lead and support our inpatient units, Care Coordination department, and hospitalist team. This is a high-impact leadership role where you'll shape clinical excellence, drive performance improvement, and mentor a dedicated team of healthcare professionals.
NewLife Sciences R&D Strategy Senior Manager Accenture PlcLife Sciences R&D Strategy Senior ManagerDes Moines, IAWe are seeking a Senior Manager or Principal Director to play a critical leadership role within our growing R&D strategy team to focus on R&D reinvention across the value chain: helping clients move beyond incremental improvement to AI-enabled transformation of how they discover, develop, and deliver medicines. We work with R&D leaders - Chief Scientific and Medical Officers, Heads of R&D Functions, SVP and VP-level capability owners - to shape R&D strategy, accelerate pipeline decisions, and build the capabilities needed to compete in the age of AI-driven drug discovery and development.
Divisional Manager, Home Medical Equipment Trinity Health CorporationDivisional Manager, Home Medical EquipmentDes Moines, IAPosition Purpose: The HME Divisional Manager provides leadership and operational oversight for Home Medical Equipment (HME) services at assigned MercyOne site(s). This role ensures efficient, cost-effective, and patient-centered operations through strategic planning, budgeting, staffing, compliance, and performance management.
Manager Of Spiritual Care Trinity Health CorporationManager Of Spiritual CareDes Moines, IAMust be a Board Certified Chaplain (BCC) via one of the following licensing groups: APC, CASC, NACC, or NAJC, including completion of a Master of Divinity or an equivalent degree from an Association of Theological School accredited seminary or divinity school along with completion of 4 units (1600 hours) of ACPE Spiritual Care. Collaborates with the Director of Spiritual Care in talent development for chaplains, CPE students (in cooperation with ACPE educator), Spiritual Care volunteers and inter-professional colleagues who themselves provide Spiritual Care and/or screen for Spiritual Care distress and referrals.
Kitchen Manager – Newton Area (Monroe, Colfax, Prairie City + More in the Jasper County Region) Pizza Ranch - NewtonKitchen Manager – Newton Area (Monroe, Colfax, Prairie City + More in the Jasper County Region)Newton, IA$16–$19 / hourThis is a hands-on leadership role, ideal for someone who can jump in during high-volume dinner and weekend rushes, motivate a team, and keep everything running like a well-oiled machine. We’re proudly hiring for our Newton, Iowa location and welcome applicants from Monroe, Prairie City, Colfax, Baxter, Kellogg, and the surrounding areas in Jasper County.
Banking Payments Senior Manager Accenture PlcBanking Payments Senior ManagerDes Moines, IAAccenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships. Accenture's North American Payments practice is responsible for driving Accenture's go-to-market strategies and offerings for our US and Canadian clients, bringing our best offerings and leveraging our global payment practices and experience.
Service Manager Bridgestone Americas IncService ManagerAltoona, IA$19.57–$29.36 / hourWhatever role you fill, when you represent Bridgestone, you are a valued teammate, and part of our larger mission to "Serve Society with Superior Quality", for that, we offer you more than just a competitive compensation; we will provide you: A supportive and engaging onboarding experience to ensure a smooth transition into our team. Combining your in-depth automotive repair knowledge with your exceptional people skills, you'll manage customer relationships and frequently serve as a liaison between technicians and customers.
Industry X- Siemens MES Senior Manager Accenture PlcIndustry X- Siemens MES Senior ManagerDes Moines, IABy connecting engineering and manufacturing operations every step of the way - from how products are designed and engineered, sourced and supplied, manufactured, to how they are serviced and renewed, we help them achieve greater productivity, drive growth and meet their sustainability commitments. Help teams design and estimate Siemens MES implementation projects, inclusive of key integrations (examples: shopfloor, ERP, PLM and other systems).
Guest Service Manager – Newton Area (Monroe, Colfax, Prairie City + More in the Jasper County Region) Pizza Ranch - NewtonGuest Service Manager – Newton Area (Monroe, Colfax, Prairie City + More in the Jasper County Region)Newton, IA$16–$19 / hourPizza Ranch is committed to making a positive impact no matter how big or small so that each person leaves a little better off, because of the genuine care and concern we give to our guests, team members and communities. We’re proudly hiring for our Newton, Iowa location and welcome applicants from Monroe, Prairie City, Colfax, Baxter, Kellogg, and the surrounding areas in Jasper County.
Assistant Manager - Optical National Vision Holdings IncAssistant Manager - OpticalAnkeny, IABy overseeing the daily operations of our stores, including personnel management and inventory control, our Assistant Eyeglass Managers keep customers coming back by providing a positive experience from start to finish - and keeping associates happy, too. Supervise and motivate Opticians and CL Sales associates (in some stores the Receptionist) and ensures the timely completion of day-to-day functions.
Assistant Kitchen Manager Texas Roadhouse Holdings LLCAssistant Kitchen ManagerAmes, IAAt Texas Roadhouse we have a fun culture with flexible work schedules, discounts in our restaurants, friendly competitions, recognition, formal training, and career growth opportunities. We offer a comprehensive total rewards package after 30 days of employment to Restaurant Managers that meet our benefit eligibility requirements.
Associate Restaurant Manager CyHawk HospitalityAssociate Restaurant ManagerAnkeny, Iowa$55,000–$60,000 / yearWith its diverse, moderately priced menu featuring breakfast, lunch, dinner, and bakery offerings, and its attractive and recently remodeled restaurants designed to facilitate efficiency and guest satisfaction, Perkins Restaurant & Bakery is a dining favorite with a solid and respected reputation in the marketplace. Conducts employment activities to include staffing (hire/term responsibilities), training, and conducting performance reviews with all dining room personnel, as well as recommending salary increases and issuing employee work histories.
Assistant Restaurant Manager CyHawk HospitalityAssistant Restaurant ManagerAltoona, Iowa$55,000–$60,000 / yearWith its diverse, moderately priced menu featuring breakfast, lunch, dinner, and bakery offerings, and its attractive and recently remodeled restaurants designed to facilitate efficiency and guest satisfaction, Perkins Restaurant & Bakery is a dining favorite with a solid and respected reputation in the marketplace. Conducts employment activities to include staffing (hire/term responsibilities), training, and conducting performance reviews with all dining room personnel, as well as recommending salary increases and issuing employee work histories.
Restaurant Manager Darden Restaurants IncRestaurant ManagerAnkeny, IAFor this position, pay will be variable by location - See additional job details and benefits below \n \nChuy's is HIRING experienced Restaurant Managers!\n \nCompetitive Salary || Excellent Benefits || Diverse & Fun Culture\n \nChuy's restaurant managers are hands-on, hardworking, fun-loving folks who ensure effective and smooth operations. With our signature touches, from the hand-carved wooden fish "swimming" from the ceiling to the hubcaps hanging bright and shiny above your booth, our culture is far from boring and waiting on you to join the FUN!\n \nCome have some fun on our time!\n\n.
Store Manager Trainee Dollar Tree StoresStore Manager TraineeIowaYour natural leadership skills and ability to inspire teams to deliver exceptional customer service make you the right person for our Store Manager in Training position. from floor to above shoulder height and meet demands of frequent walking, standing, stooping, kneeling, climbing, pushing, pulling, and repetitive lifting, with or without reasonable accommodation is required.
Meat Department Manager Hy-VeeMeat Department ManagerIowaPower ban saw, Grinder, Tenderizer, Slicer, Bone duster (where applicable), Knives, Tumblers, Automatic patty machine (where applicable), Automatic stuffer, Wrapping system, Rotisserie, Pallet jack, box cutter, Computer, and C.A.R.S. reordering system. Must be able to perform the following physical activities: Climbing, balancing, stooping, kneeling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing, and repetitive motions.