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CNC Programmer / Machine Setup

CNC Programmer / Machine Setup

Dyersville Die Cast – Dyersville, IA

Job Summary

Dyersville Die Cast is seeking skilled CNC Programmers / Machine Setup Technicians to join our CNC Department. This role is responsible for advanced CNC programming, machine setup, tooling and fixture management, and providing technical and leadership support to production teams. Day and night shifts are available.

Schedule & Pay

  • Sign-On Bonus: $1,000
  • Full-time, hourly position
  • Standard schedule: Four (4) ten-hour shifts
  • Day and night shift opportunities available
  • Overtime may be required or voluntary based on production needs
  • Competitive wages based on experience
  • $2.00 per hour night shift differential

Key Responsibilities

  • Set up, operate, and troubleshoot CNC and manual machines
  • Create, edit, optimize, and maintain CNC programs for milling machines
  • Program and support CNC equipment including Brothers and Okuma machines
  • Utilize G-code and Mastercam to develop and modify CNC programs
  • Manage CNC program documentation, revisions, and version control
  • Manage cutting tools, fixtures, and work holding
  • Collaborate with engineers and machinists to ensure efficient production
  • Troubleshoot and debug CNC programs to optimize machine performance
  • Train and support machinists and operators
  • Ensure adherence to quality and safety standards
  • Maintain a clean and safe work environment

Qualifications

  • Minimum 1 year of CNC programming experience required
  • Minimum 1 year of G-code programming experience required
  • Experience programming CNC milling machines using G-code and Mastercam required
  • Experience with Brothers and Okuma machines required
  • Manufacturing experience required
  • Strong attention to detail and safety
  • English required; Spanish a plus
  • Authorized to work in the United States
  • Ability to commute to Dyersville, IA 52040

Physical Requirements

  • Ability to stand for up to 10 hours per shift
  • Ability to lift up to 50 pounds occasionally

Benefits

  • Health insurance
  • Dental insurance
  • 401(k)
  • Life insurance
  • Paid time off (PTO)
  • Tuition reimbursement

Dyersville Die Cast is an Equal Opportunity Employer and a Drug-Free Workplace.

Material Handler/Fork Lift Driver

Job post summary

Date posted: January 12, 2026

Job description:

Material Handler/Fork Lift Operator

Location: Dyersville, IA
Department: Shipping / Logistics
Shift: Monday – Thursday, 6:00 AM – 4:30 PM – 10 hour, 4 day work week!

Sign-On Bonus: $1,000

Job Overview

Dyersville Die Cast is seeking a dependable and safety-minded Material Handler/Fork Lift Operator to support our shipping and production operations. This role is responsible for loading and unloading materials, operating forklifts, and moving product efficiently throughout the facility to keep production running smoothly.

Key Responsibilities

  • Load and unload trucks safely and efficiently
  • Operate forklifts and other material handling equipment
  • Move raw materials, work-in-process, and finished goods between departments, buildings, and machines
  • Accurately complete shipping, receiving, and internal transfer paperwork
  • Operate weight scales to verify product and material weights
  • Follow all safety rules, quality standards, and work instructions
  • Maintain clean and organized work areas (5S/housekeeping standards)
  • Work closely with supervisors, leads, and team members to meet production and shipping schedules
  • Perform other duties as assigned

Qualifications

  • Manufacturing, warehouse, or material handling experience preferred (not required)
  • Ability to read instructions and complete paperwork accurately
  • Strong attention to detail and safety awareness
  • Reliable attendance and strong work ethic
  • Ability to work well in a team environment

Physical Requirements

  • Ability to stand and walk for up to 10 hours per shift
  • Ability to lift up to 10 lbs continuously and up to 50 lbs occasionally
  • Ability to bend, reach, and move around equipment safely

Work Environment

  • Manufacturing/warehouse setting
  • Exposure to moving equipment, forklifts, and production noise
  • PPE required

Benefits

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Holiday & paid time off
  • Tuition reimbursement

Why Join Us?

  • Stable, full-time opportunity in a growing manufacturing company
  • Team-oriented environment
  • Opportunities to learn and grow within the organization

Job Type: Full-time

Material Handler/Fork Lift Driver

Job post summary

Date posted: January 12, 2026

Job description:

Material Handler/Fork Lift Operator

Location: Dyersville, IA
Department: Shipping / Logistics
Shift: Monday – Thursday, 6:00 AM – 4:30 PM – 10 hour, 4 day work week!

Sign-On Bonus: $1,000

Job Overview

Dyersville Die Cast is seeking a dependable and safety-minded Material Handler/Fork Lift Operator to support our shipping and production operations. This role is responsible for loading and unloading materials, operating forklifts, and moving product efficiently throughout the facility to keep production running smoothly.

Key Responsibilities

  • Load and unload trucks safely and efficiently
  • Operate forklifts and other material handling equipment
  • Move raw materials, work-in-process, and finished goods between departments, buildings, and machines
  • Accurately complete shipping, receiving, and internal transfer paperwork
  • Operate weight scales to verify product and material weights
  • Follow all safety rules, quality standards, and work instructions
  • Maintain clean and organized work areas (5S/housekeeping standards)
  • Work closely with supervisors, leads, and team members to meet production and shipping schedules
  • Perform other duties as assigned

Qualifications

  • Manufacturing, warehouse, or material handling experience preferred (not required)
  • Ability to read instructions and complete paperwork accurately
  • Strong attention to detail and safety awareness
  • Reliable attendance and strong work ethic
  • Ability to work well in a team environment

Physical Requirements

  • Ability to stand and walk for up to 10 hours per shift
  • Ability to lift up to 10 lbs continuously and up to 50 lbs occasionally
  • Ability to bend, reach, and move around equipment safely

Work Environment

  • Manufacturing/warehouse setting
  • Exposure to moving equipment, forklifts, and production noise
  • PPE required

Benefits

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Holiday & paid time off
  • Tuition reimbursement

Why Join Us?

  • Stable, full-time opportunity in a growing manufacturing company
  • Team-oriented environment
  • Opportunities to learn and grow within the organization

Job Type: Full-time

RN – Cardiothoracic Surgery

Description

Are you a dedicated and compassionate RN looking to make a difference in the field of Cardiothoracic Surgery? We are looking to add a talented individual to our team! 

Schedule: Monday-Friday, primarily 8:00am – 5:00pm, working 4 days a week. Flexibility is a must!

Location: East Campus 

Benefits Include:

  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing)
  • Flexible Paid Time Off Program (24 days off/year)
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

What you’ll be doing:

  • Conduct thorough pre-operative assessments, including the collection of patient history, diagnostic testing, and identification of potential risk factors. 
  • Collaborate with the CT Surgery team to develop and implement individualized care plans based on patient needs. 
  • Assist in post-operative care, including wound care, monitoring for complications, and patient education on recovery processes.
  • Provide education to patients and their families while ensuring their comfort and safety throughout their visit.
Essential Functions:
  • Collaborate with health care team according to plan of care.
  • Communicate effectively with patients, coworkers, and others. Promote patient wellness and provide patient education.
  • Charting care provided, including but not limited to: interventions, medication, patient education, and assist with integrity of medical record.
  • Facilitate reimbursement of services provided, including but not limited to: charge tickets, referrals, and insurance requirements.
  • Maintain an office environment that is safe, neat, organized, and supplied with necessary equipment, instruments, supplies, and educational materials. Ensure equipment is functioning safely and properly. Perform cleaning and maintenance of equipment according to guidelines.
  • Demonstrate flexibility in performing other additional duties of patient care. Provide input for devising systems to improve quality and efficiency of patient care and workflow. Participate in required meetings.
  • Complete all other assigned projects and duties.
Knowledge, Skills, and Abilities:
Experience – From three months to one year of similar or related experience. Experience preferred but not required.
 
Education – Active Registered Nursing (RN) licensure.
 
Interpersonal Skills – A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others and/or is usually of a personal or sensitive nature. Work may involve motivating or influencing others. Outside contacts become important and fostering sound relationships with other entities (companies and/or individuals) becomes necessary.
 
Other Skills – Keyboarding skills and use of electronic equipment. Use and operate a wide variety of diagnostic and medical equipment. Use personal protection safety equipment including gloves, lab coats, gowns, goggles, and face masks/shields. BLS required biannually.

Physical Aspects:

Stooping – Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

Kneeling – Bending legs at knee to come to a rest on knee or knees.

Crouching – Bending the body downward and forward by bending leg and spine.

Reaching – Extending hand(s) and arm(s) in any direction.

Standing – Particularly for sustained periods of time.

Walking – Moving about on foot to accomplish tasks, particularly for long distances.

Pushing – Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.

Pulling – Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion.

Lifting – Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering – Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping – Applying pressure to an object with the fingers and palm.

Feeling – Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.

Talking – Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing – Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision – 20 / 40 or better in the best eye with or without correction

Medium Work – Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or 10 pounds force constantly to move objects.

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.

Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster

Environmental Services Technician (Manufacturing Company)

Job description:

Environmental Services Technician – Level II (CNC & Die Cast)

Location: Dyersville, IA

Job Type: Full-Time

Pay: (based on experience)

Sign-On Bonus: $1,000

Job Description

We are hiring an Environmental Services Technician – Level II to support environmental compliance, waste management, and housekeeping operations in a CNC machining and die cast manufacturing environment. This role works independently on the production floor and plays a critical role in maintaining environmental, safety, and housekeeping standards across both CNC and die cast operations.

Responsibilities

· Manage waste streams from CNC machining and die cast operations, including aluminum and brass scrap, chips, dross, oils, coolants, lubricants, filters, and absorbents.

· Ensure proper segregation, labeling, storage, and disposal of hazardous and non-hazardous waste.

· Handle coolant waste, oily rags, absorbents, filters, and machining by-products in compliance with procedures.

· Maintain waste manifests, inspection logs, and environmental documentation.

· Conduct routine inspections of waste storage areas, coolant collection areas, secondary containment, and outdoor storage.

· Coordinate waste pickups with approved vendors.

· Lead initial spill response activities involving oils, coolants, or chemicals per training and procedures.

· Maintain housekeeping and 5S standards in CNC cells, die cast cells, furnace areas, and support areas.

· Support recycling, waste reduction, and sustainability initiatives.

· Identify opportunities to improve environmental compliance and reduce waste disposal costs.

Qualifications

Required:

· High school diploma or GED.

· 1-2 years of manufacturing or industrial experience.

· Experience handling industrial waste, oils, coolants, or machining by-products.

· Ability to work independently with minimal supervision.

· Strong safety mindset and attention to detail.

· Ability to lift up to 50 lbs and work in a manufacturing environment.

Preferred:

· CNC machining and/or die cast manufacturing experience.

· Hazardous waste handling experience.

· Forklift certification or ability to obtain.

· Basic computer skills for recordkeeping and documentation.

Work Environment

CNC machining and die cast manufacturing environment with exposure to heat, noise, dust, oils, coolants, and fumes. Required use of PPE including safety glasses, gloves, hearing protection, and steel-toe footwear. Overtime as needed.

Benefits

· $1,000 sign-on bonus (paid per company policy).

· Competitive pay and benefits package.

· Stable manufacturing environment.

· Opportunities for growth and advancement.

Equal Opportunity Employer

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or any other protected status.

Job Type: Full-time

Benefits:

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • On-the-job training
  • Paid time off
  • Tuition reimbursement

 

People with a criminal record are encouraged to apply

Experience:

  • manufacturing environment : 1 year (Required)

 

Language:

  • English (Preferred)

 

Ability to Commute:

  • Dyersville, IA 52040 (Required)

Work Location: In person

Client Accounts Representative

Description

Medical Associates is looking for a Client Accounts Representative. This role will be responsible for handling all billing aspects of Occupational Health clients’ accounts.
 
Schedule: This is a 40 hours per week position working Monday – Friday 8:00am – 5:00pm
 
Benefits Package Includes:
  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing)
  • Flexible Paid Time Off Program (24 days off/year)
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

What you’ll be doing:

  • Evaluate and handle all Tri-State Occupational Health (TSOH) clients’ billing account needs, address client billing questions, adding/removing charges, while working closely with TSOH Business Office Coordinator and appropriate managers to resolve clients’ billing discrepancies by adding and/or removing charges.
  • Handles the Collections process of clients’ billing accounts; including but not limited to contacting clients to collect delinquent payments, proactively auditing and working client invoice balances in effort to keep accounts current, maintaining and updating demographic information, and perform all other client related account maintenance activities.
  • Occasionally post client payments. Review client payments making necessary contract adjustments, including but not limited to processing refunds.  Maintain current notes and comments on clients’ accounts.  
  • Handles all client invoices, ensuring accuracy and timely mailing.  Works with clients on identifying related issues and preparing corrected invoices.  
  • Complete all other assigned projects and duties. 
Knowledge, Skills & Abilities:
Experience: One to three years of similar or related experience
 
Education: Equivalent to a high school diploma or GED.
 
Interpersonal Skills: A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others and/or is usually of a personal or sensitive nature. Work may involve motivating or influencing others. Outside contacts become important in fostering sound relationships with other entities (companies and/or individuals).

Physical Aspects:

Stooping – Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

Kneeling – Bending legs at knee to come to a rest on knee or knees.

Crouching – Bending the body downward and forward by bending leg and spine.

Reaching – Extending hand(s) and arm(s) in any direction.

Standing – Particularly for sustained periods of time.

Walking – Moving about on foot to accomplish tasks, particularly for long distances.

Pushing – Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.

Pulling – Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion.

Lifting – Raising objects from a lower to a higher position or moving objects horizontally from position-to position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.

Fingering – Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.

Grasping – Applying pressure to an object with the fingers and palm.

Feeling – Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.

Talking – Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.

Hearing – Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.

Vision – 20 / 40 or better in the best eye with or without correction.

Medium Work – Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or 10 pounds force constantly to move objects.

Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.

Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster

Crane Operator/Loader

Summary of Essential Job Functions/Responsibilities
• Operate overhead cranes and forklifts in a safe manner.
• Knowledge of products handled, including color coding and customer specification; ability to read all
measuring devices.
• Unloading and receiving of inbound stock shipments and loading of outbound shipments, including
all paperwork necessary to perform these duties
• Properly loads trucks in a safe manner, including chaining and tarp trailer.
• All other duties as assigned.

New Job

Specialty Clinic Medical Assistant – ENT

TITLE: Specialty Clinic Certified Medical Assistant

DEPARTMENT: Grant Regional Community Specialty Clinic

POSITION STATUS/HOURS: Full-time .9 FTE (72 hours/pay period) Monday-Friday Various shifts, 7:00 am to 5:00 pm, 4 days per week.

Benefit eligible position!

 

JOB SUMMARY:

The Specialty Clinic CMA will work with multiple providers in the specialty clinic, with primary focus in ENT. Work schedule subject to change to meet the needs of the clinic/patients. The employee must have flexibility to work Monday-Friday. The day off per week will not be a set day.

 

ESSENTIAL TASKS/DUTIES:

The Medical Assistant (MA) will work in the Grant Regional Specialty Clinic and will:

• Work with multiple physicians, mid-level providers, RN, LPN, CMA and registration staff in a pod nursing environment

• Room patients, prepare for visit, and assist provider with patient care, visit, and flow

• Perform tasks such as specimen collection/testing/recording of results/labeling, vision/color testing, cultures, hematology testing, glucose testing, pregnancy testing, etc

• Assist, prepare, and administer immunizations and other injections; administer medications by all routes excluding intravenous infusion, as directed

• Assist with suturing and casting; ear and eye irrigations; staple/suture removal and dressing changes; set up surgical tray and assist with minor office surgeries

• Office skills: answer phone, take/return accurate messages; phone prescriptions to pharmacy, telephone lab/test results to patient

• Obtain insurance authorizations

• Work with other health care providers to assist in the provision of delegated aspects of patient care

• Use basic communication skills to enhance a patient’s expression of needs

• Organize, within the specified work period, those delegated aspects of care for which he/she is accountable

• Ensure patient satisfaction by providing kind, attentive and conscientious care

• Assist with other duties as time permits

 

QUALIFICATIONS:

• The candidate will be a graduate from a Medical Assistant Program with 2+ years previous clinic experience preferred.

• Certification by American Association of Medical Assistants as a CMA is preferred.

• CPR certification is required (or completed within 60 days of hire).

• In addition, the candidate must exhibit a professional manner; display strong decision-making skills within his/her scope of practice, demonstrate good organizational skills, be flexible and display strong interpersonal skills.

 

HOW TO APPLY:

Internal Candidates: Apply online in the ADP Career Center by 12:00 p.m. Monday February 9, 2026.

 

External Candidates: Complete our on-line application at www.grantregional.com and attach a current resume. Apply as soon as possible as interviews will begin as qualified candidates are received.

 

Posted 2/2/2026

 

Family Practice Advanced Practitioner – with OB

TITLE: Clinic Family Practice Advanced Practice Nurse Practitioner (APNP) or Physician Assistant (PA) with Obstetrics

DEPARTMENT: Grant Regional Community Clinic

POSITION STATUS/HOURS: Full-time, salaried/exempt, benefit eligible position; Schedule includes 4 clinic days including one evening shift and administrative time. Clinic is open Monday-Wednesday 7 am – 7 pm and Thursday & Friday, 7 am – 5 pm.

 

JOB SUMMARY:

The Clinic Family Practice APNP or PA with OB is responsible for assessment, diagnosis, treatment and/or referral of patients in accordance with appropriate Wisconsin statutes and federal regulations.

The APNP or PA will:

• Elicit a personal medical history; performs an appropriate physical examination and records pertinent data in the patient’s medical record

• Provide care for expecting mothers and post-partum.

• Assess, evaluate and manage problems for patients of all ages with acute or chronic illness

• Administer or prescribe medications as needed including: injections, immunizations and oral medications

• Provide patient care; assesses and treats problems as indicated and seeks physician intervention when necessary

• Perform / assist in routine diagnostic studies as needed

• Promote positive health behaviors and self-care skills through education and / or counseling

• Provide health maintenance care

• Assist in the delivery of services to patients by reviewing and monitoring treatment and therapy plans

• Perform evaluation and treatment procedures necessary to ensure appropriate response to life-threatening emergency situations

• Facilitate referral of patients to other appropriate community healthcare facilities, agencies and resources

• Write prescriptions for medications, according to state regulation and practice protocol

• Participate in continuing personal education

• Conform to appropriate infection control policies when in contact with patients, blood and body fluids (i.e. practice good Universal Precautions)

• Responsible for documenting patient info in electronic medical record (EPIC)

• Perform other duties as assigned

 

 

QUALIFICATIONS:

Current Advanced Practice Nurse Practitioner or Physician Assistant license in the state of Wisconsin. Applicants must also have a current DEA license or be eligible to apply. One year of experience in an Family Practice with a focus in Obstetrics or Women’s Health is required. EPIC experience a plus. Excellent communication skills both written and verbal. Exceptional customer service skills. Ability to work both independently and as a member of a team. Ability to multi-task and problem solve. Strong analytical and interpersonal skills required.

 

HOW TO APPLY:

Internal Candidates: Apply online and attach a current resume at www.grantregional.com by 5:00 p.m. Wednesday February 4, 2026.

External Candidates: Apply online and attach a current resume at www.grantregional.com. Interviews will begin as qualified candidates are received

 

ABOUT US:

Grant Regional Health Center is a critical access hospital and clinic located in Lancaster Wisconsin, with clinics in Cassville, Fennimore, and Potosi, WI. We are a progressive and growing facility!

 

We are located in BEAUTIFUL, scenic, and peaceful Southwest Wisconsin. The rolling hills offer lots of opportunity for the sports enthusiast (biking, hiking, ATV/UTV trails, running/walking). The Mississippi is literally 15 minutes from our hospital and offers fantastic boating, kayaking, water skiing, jet skiing and amazing fishing too! Ski resorts within 30 minutes of our facility. Madison WI is 1.5 hours, Dubuque IA is 30 minutes, Chicago IL is 3.5 hours…..we’re in the heart of the Tri-States!

 

 

Posted: 1/28/2026