NewHospice RN Case Manager Interim HealthCare Home Health and HospiceHospice RN Case ManagerKalamazoo, MI$75,000–$100,000 / weekInterim HealthCare of West Michigan is a locally owned and operated leader in post-acute care services in West Michigan. Provides education and interventions to support the effective management of the patient’s pain and other physical symptoms as well as assesses the patient/family’s response to intervention and treatment.
Registered Nurse (RN) Case Manager UP Health System - MarquetteRegistered Nurse (RN) Case ManagerMarquette, MIOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Using expert clinical assessment, real‑time collaboration with physicians and care teams, and strong utilization management skills, they ensure patients receive the right level of care while supporting timely discharges, reducing avoidable delays, and improving the overall hospital experience.
Nurse Manager Encompass Health Rehabilitation Hospital of ToledoNurse ManagerTemperance, MIPrevious leadership role, such as charge nurse or lead capacity, where you were responsible for interim reporting, issue resolution, setting direction, and having accountability for patient and staff results. As a Nurse Manager, envision making a profound impact within your community by providing essential care and guidance throughout patients' rehabilitation journeys.
Unassigned Store Manager Tractor Supply CompanyUnassigned Store ManagerBenton Harbor, MIAs a Manager Trainee, you will be observing and learning the following duties and skills required for a Store Manager role: Recruiting, hiring, developing, evaluating, disciplining, and retaining efficient team members. PAPERWORK: Train on daily, weekly, and monthly processing of required paperwork including but not limited to invoices, schedules, product orders and returns, and POs reports.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNSaginaw, MIAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
NewTravel Nurse RN - Case Manager - $1,910 per week in Ypsilanti, MI Core Medical GroupTravel Nurse RN - Case Manager - $1,910 per week in Ypsilanti, MIYpsilanti, MI$1,910In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, including day 1 health, dental, and vision insurance, employer paid life insurance, a health reimbursement account, and more! *Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses, and housing expenses incurred on behalf of the Company.
Newstaff - Director Registered Nurse (RN) - Case Management - $67K-97K per year Detroit Medical Centerstaff - Director Registered Nurse (RN) - Case Management - $67K-97K per yearHamtramck, MI$67,000–$97,000 / yearLeadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support. Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
Newstore manager-Kalamazoo/Battle Creek, MI. Starbucksstore manager-Kalamazoo/Battle Creek, MI.Kalamazoo, MI$58,800–$82,300Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacation from date of hire*, sick time (accrued at 1 hour for every 25 hours worked), eight paid holidays, and two personal days per year. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities.
Field Reimbursement Manager - US Central Inspire Medical Systems Inc.Field Reimbursement Manager - US CentralDetroit, MIRemote$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.
Health Payment Reimbursement Manager Accenture PlcHealth Payment Reimbursement ManagerDetroit, MIStrategy & 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.
Virtual Reimbursement Manager Syneos Health IncVirtual Reimbursement ManagerDetroit, MITogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
Field Reimbursement Manager - Kidney (Michigan-North Ohio) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Michigan-North Ohio)MI$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Virtual Reimbursement Manager Syneos - Commercial - ProdVirtual Reimbursement ManagerDetroit, MIJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world. Demonstrated ability to educate offices on access processes – including but not limited to: Experience educating HCPs on client specific Patient Service programs (i.e. copay, bridge, patient assistance, etc.).
NewField Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerAnn Arbor, MIJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world. The Field Reimbursement Manager will be responsible for ensuring that target accounts within their geography understand the necessary steps to receive reimbursement through the appropriate payer when ordering products, consistent with company compliance policies, company procedures, and approved materials.
NewField Reimbursement Manager Syneos Health IncField Reimbursement ManagerDetroit, MITogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
Field Reimbursement Manager Immunology Rheumatology - Detroit MI AbbVie IncField Reimbursement Manager Immunology Rheumatology - Detroit MIDetroit, MIApplicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.
Field Reimbursement Manager FRM, Endocrinology - Michigan/Central Corcept Therapeutics IncField Reimbursement Manager FRM, Endocrinology - Michigan/CentralMIRemote$154,000–$200,000 / yearThis role serves as the subject matter expert on access and reimbursement for Korlym, Mifepristone AG, and Relacorilant, supporting healthcare providers (HCPs), field sales teams, specialty pharmacies (SPs), and our patient support HUB to resolve barriers to patient access. With advanced clinical trials in patients with hypercortisolism, solid tumors, ALS and liver disease, Corcept is unlocking the power of cortisol modulation to help address some of the most devastating diseases patients face today.
NewPrincipal Product Manager - Contract Intelligence & AI-Powered Reimbursement Solutions OraclePrincipal Product Manager - Contract Intelligence & AI-Powered Reimbursement SolutionsLansing, MI$102,300–$209,500 / yearExperience working directly with healthcare providers, health systems, payer organizations, managed care teams, consulting firms, or healthcare technology vendors supporting contract management and reimbursement workflows. This is a senior individual contributor role requiring strategic product leadership, strong healthcare domain expertise, and the ability to influence executive stakeholders across a highly matrixed organization without direct people management responsibility.
Associate Director Field Reimbursement Eye Care AbbVie IncAssociate Director Field Reimbursement Eye CareDetroit, MIThis role ensures the team effectively educates customers on coverage, coding, billing, payment, product acquisition, and affordability topics for the Eyecare buy-and-bill brands to help facilitate appropriate patient access to AbbVie therapies. The Eyecare Field Reimbursement Associate Director leads a regional team of FRMs responsible for delivering compliant, field-based access and reimbursement support to eye care providers and their office staff.
Key Account Manager - Detroit, MI Ocular Therapeutix IncKey Account Manager - Detroit, MIDetroit, MI$165,000–$172,000 / yearPrincipal Duties and Responsibilities include the following: Achieve territory sales by executing quarterly and annual marketing strategies, which includes delivering branded sales messages, executing planned programs such as in-surgery training, communication of quarterly rebates (if applicable), scheduling and following-up with medical educational programs, and supporting accounts with their reimbursement and market access needs including the communication of the quarterly CMS drug reimbursable schedule. Also, Medicaid (Fee for Service, Managed Care Organizations), Veteran's Administration (VISNs), TRICARE Regional Offices, Specialty Pharmacy & Pharmacy Benefit Managers, ACOs and other Integrated Delivery Networks (IDNs), advocacy, consumer, provider and treatment systems.
Key Account Manager - Detroit, MI Ocular TherapeutixKey Account Manager - Detroit, MIDetroit, MichiganAchieve territory sales by executing quarterly and annual marketing strategies, which includes delivering branded sales messages, executing planned programs such as in-surgery training, communication of quarterly rebates (if applicable), scheduling and following-up with medical educational programs, and supporting accounts with their reimbursement and market access needs including the communication of the quarterly CMS drug reimbursable schedule. Also, Medicaid (Fee for Service, Managed Care Organizations), Veteran’s Administration (VISNs), TRICARE Regional Offices, Specialty Pharmacy & Pharmacy Benefit Managers, ACOs and other Integrated Delivery Networks (IDNs), advocacy, consumer, provider and treatment systems.
Regional Business Manager - Detroit - Grand Rapids, MI Intellia Therapeutics IncRegional Business Manager - Detroit - Grand Rapids, MIDetroit, MIRemote$166,500–$203,500 / yearThe successful candidate will be responsible for introducing healthcare providers to the first-ever in vivo CRISPR therapy, requiring sophisticated scientific communication, complex stakeholder management, and exceptional execution within a highly competitive rare disease market. The salary offered is determined based on a range of factors including, but not limited to, relevant education and training, overall related experience, specialized, rare or in-demand skill sets, internal comparators and other business needs.
NewHospice RN Case Manager - Sign on Bonus Eligible BJC HealthCareHospice RN Case Manager - Sign on Bonus EligibleSaint Louis, VAoffers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Preferred Qualifications Role Purpose Evaluates the client and furnishes services requiring substantial and specialized skill, appropriate preventive and rehabilitative nursing procedures, and instructions to assist the client in learning appropriate self-care techniques.
Territory Manager - Southfield, MI Mineralys Therapeutics IncTerritory Manager - Southfield, MISouthfield, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Muskegon, MI Mineralys Therapeutics IncTerritory Manager - Muskegon, MIMuskegon, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Farmington, MI Mineralys Therapeutics IncTerritory Manager - Farmington, MIFarmington, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Lansing, MI Mineralys Therapeutics IncTerritory Manager - Lansing, MILansing, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Troy, MI Mineralys Therapeutics IncTerritory Manager - Troy, MITroy, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Flint, MI Mineralys Therapeutics IncTerritory Manager - Flint, MIFlint, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Dearborn, MI Mineralys Therapeutics IncTerritory Manager - Dearborn, MIDearborn, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Saint Clair Shores, MI Mineralys Therapeutics IncTerritory Manager - Saint Clair Shores, MISaint Clair Shores, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Saginaw, MI Mineralys Therapeutics IncTerritory Manager - Saginaw, MISaginaw, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
Territory Manager - Grand Rapids, MI Mineralys Therapeutics IncTerritory Manager - Grand Rapids, MIGrand Rapids, MIRemote$130,000–$165,000 / yearMineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease (CKD), obstructive sleep apnea (OSA) and other diseases driven by dysregulated aldosterone. Collaborate closely with adjacent field partners including Field Reimbursement Managers, Territory Managers, and Regional Business Directors to support customer needs and territory objectives.
General Manager Turning Point SearchGeneral ManagerBirmingham, MIYou’ll work closely with the upper-level management team to ensure daily operations run smoothly while developing future leaders within the organization. Strong leadership, excellent verbal and written communication, and organizational/ prioritization skills.
Manager of Billing and Accounts Receivable Lee Hecht HarrisonManager of Billing and Accounts ReceivableDetroit, MI$85,000–$98,000 / yearLHH Recruitment Solutions is seeking an experienced Healthcare Billing Manager to oversee billing operations, lead staff, improve revenue cycle performance, and ensure accurate, compliant reimbursement. Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.
CASE MANAGER RN (per diem) University of Michigan Health-SparrowCASE MANAGER RN (per diem)MIExperience in acute care case management, discharge planning, utilization management, performance improvement and managed care reimbursement preferred Education • Graduate of an accredited Nursing program Specialized Knowledge and Skills • Maintains an environment that supports and encourages high performance and reliability through caregiver engagement, teamwork, and customer service ensuring safe quality patient-centered care. Collaborates with the interdisciplinary care team facilitating care for the designated case load; monitors the patient's progress with the appropriate interventions ensuring a focused plan of care and services are provided while providing high quality cost effective care.
General Manager 4 - Food Sodexo SAGeneral Manager 4 - FoodPetoskey, MIThe General Manager will come with a background in food service management with a proven ability to lead teams and foster culture. Sodexo partners with clients to provide a truly memorable experience for both customers and employees alike.
Store Manager PVH CorpStore ManagerMIIn addition to complying with all applicable laws, PVH is also committed to ensuring that all current and future PVH associates are compensated solely on job-related factors such as skill, ability, educational background, work quality, experience and potential. About PVH: We are brand builders who focus our passion and creativity to build Calvin Klein and TOMMY HILFIGER into the most desirable lifestyle brands in the world and at the same time position PVH as one of the best-performing brand groups in our sector.
Test Center Manager (Grand Rapids, MI) Pearson plcTest Center Manager (Grand Rapids, MI)Grand Rapids, MIPearson VUE provides a full suite of services from test development to data management and delivers exams through the world's most comprehensive and secure network of test centers in more than 180 countries, where we validate the skills and knowledge of millions of individuals every year. You will utilize your communication and customer skills with external customers while also working to select new Test Administrators, provide job coaching, and fair performance appraisals to current employees.
Facilities Manager TrilliumFacilities ManagerCanton, MichiganThis role leads the facilities team (including the Facilities Supervisor), manages departmental operating and capital budgets, negotiates major vendor contracts, and directs capital projects. Vendor & Contract Management: Negotiate and manage enterprise-level service contracts, leases, and relationships with outside contractors, ensuring cost-effectiveness and high-quality service delivery.
HR Manager Busch's IncHR ManagerMIUKG Systems - Document Manager, HRSD & People Assist: Serve as subject matter expert and key administrator for UKG Document Manager, HR Service Delivery (HRSD), and People Assist modules. Workers' Compensation Management: Administer the workers' compensation program from initial injury report through case closure, coordinating with carriers, medical providers, and associates.
Key Account Manager, Interventional Spine - Northeast Ferring Pharmaceuticals IncKey Account Manager, Interventional Spine - NortheastDetroit, MI$95,000–$150,000 / yearEstablished relationships within key accounts and across sites of care, specifically pain or interventional spine focused outpatient procedural practices, hospital outpatient and other related outpatient settings. Built on a 70-year plus commitment to science and research, Ferring is relentless in its pursuit of science that drives powerful discoveries and therapies to help people build families, stay healthy, and stand up to the world's oldest enemy: disease.
Case Manager ( RN ) - Bronson Lakeview Hospital - PRN Variable Bronson Battle Creek HospitalCase Manager ( RN ) - Bronson Lakeview Hospital - PRN VariableMIManages and coordinates appropriate discharge plans to ensure LOS appropriate for care needs this includes ensuring and facilitating the achievement of quality, clinical and financial outcomes, negotiating, procuring, and coordinating services and resources needed by the patient/family, and intervening at key points for individual patients. Evaluates patient need for hospital and extended care resources (Medical Social Work, Pastoral Care, rehabilitation care, long term care, home health care, and community resources) and when appropriate, makes referrals.
Senior Manager, Information Technology Denso CorpSenior Manager, Information TechnologySouthfield, MI$141,400–$176,800 / yearPromote cross-functional collaboration and knowledge sharing across IT and business units including root cause analyses, corporate communication, outage management and overall IT leadership. Direct reports include technical product owners, project managers, scrum masters, data engineers, system architects and developers.
Sr. Manager - Supply Chain Risk KLASr. Manager - Supply Chain RiskAnn Arbor, MichiganThis role leads supplier risk programs spanning operational, geopolitical, financial, sustainability, and continuity risks, and partners closely with Category Managers, Supplier Managers, Engineering, Legal, Compliance, and Business Continuity teams. The role balances program leadership with hands on risk execution, translating complex and ambiguous risk signals into clear, decision ready visibility metrics and actionable mitigation strategies that protect supply continuity and support business objectives.
Hospice Registered Nurse Case Manager Elara CaringHospice Registered Nurse Case ManagerEast Lansing, MIAssesses hospice care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. As a Hospice Registered Nurse Case Manager, you'll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring's board of directors, executive team, and the leadership of the Hospice team.
Hospice RN Case Manager Elara CaringHospice RN Case ManagerEast Lansing, MIAssesses hospice care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. As a Hospice Registered Nurse Case Manager, you'll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring's board of directors, executive team, and the leadership of the Hospice team.
NewRegistered Nurse Case Manager TEEMARegistered Nurse Case ManagerGrand Blanc, MISupport and coaching of clinical documentation efforts and serving as a clinical resource for coders ensuring that documentation accurately reflects severity of illness and intensity of service. We are currently seeking a highly Experienced Acute Care Inpatient Case Manager with strong discharge planning expertise to join our team.
District Sales Manager Imperial BeverageDistrict Sales ManagerLansing, MI$68,000–$86,000 / yearFull timeCome lead a team of Account Managers as they out-hustle the competition by helping local bars, grocery stores and restaurants with their beverage choices. Create a plan for each stop, which can include product samples, reviewing sales numbers, and ensuring we are helping the account succeed.
Restaurant Manager Raising Cane'sRestaurant ManagerAnn Arbor, MIFull timeIt also includes both inside and outside work in varied temperatures, working with and around food products, common allergens, industrial equipment, commercial cleaning products that require the use of personal protective equipment and physical activities necessary to complete the responsibilities of the job. The physical work environment includes working in a fast-paced kitchen environment (which requires extended periods of physical exertion, such as walking, standing, lifting and bending) and interacting with customers.