NewOffice Administrative Director Page GroupOffice Administrative DirectorLos Angeles, CA$215,000–$250,000 / yearFull timeThis person will oversee 10-12 administrative staff and be responsible for office wide forecasting/budgeting, people strategy, performance management, office event coordination, and billing oversight. If you're a skilled Office Administrator looking to join a collaborative team in a Big Law environment, apply today for this exciting role in Los Angeles!
NewDirector of Nursing - Vocational Nursing Program NORTH-WEST COLLEGEDirector of Nursing - Vocational Nursing ProgramRiverside, CA$115,000–$125,000 / yearFull timeThe Assistant Director of Nursing will assist in carrying out all functions necessary and required for compliance with the Rules and regulations issued by the Board of Vocational Nursing and Psychiatric Technicians, Title 16, Chapter 25, California Administrative Code. SEC is a leader in allied health education, and has been offering quality and affordable health care training programs for over 60 years.
NewDirector of Accounting & Finance JobotDirector of Accounting & FinanceClovis, CA$180,000–$225,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The Director will also collaborate with leaders in each department to support the company's overall success and will work directly with the CFO on special projects.
Administrative Coordinator(Japan, China & USA Trade) Dsa Intl. ConsultingAdministrative Coordinator(Japan, China & USA Trade)Monterey Park, CA$38,000–$45,000 / yearFull timeInternational Company seeks a Administrative Assistant to handle administrative functions assisting the Administrative Director/Human Resource Manager. Send your resume as a Word Document attachment to: jobs@dsajobs.net.
NewAssociate Director, Portfolio Administration & Oversight Community Holdings Management LLCAssociate Director, Portfolio Administration & OversightFresno, CA$72,800–$79,040 / yearThe Associate Director, Portfolio Administration & Oversight is responsible for centralized administrative oversight of portfolio health, risk indicators, compliance tracking, insurance administration, and asset-level controls across Community Holdings Management (CHM). The Associate Director plays a critical role in identifying early risk indicators, stabilizing underperforming or high-risk assets, and reducing exposure for CHM and ownership through disciplined systems and reporting.
NewResidency Associate Program Director - Partner - Kaweah Health Medical Center VituityResidency Associate Program Director - Partner - Kaweah Health Medical CenterVisalia, CAAs applicable, may be requested to act as an interim or acting program director during periods of vacation, leaves of absence, which may include meetings and coordination with key stakeholders such as DIO, CMO, medical directors, other program directors. As the largest hospital in Tulare County and the only trauma center for a catchment area of nearly 500,000, our residents receive exceptional experience in caring for patients from all walks of life with a wide array of presenting complaints.
NewACC Campus Associate Director Nursing, Academics West Coast UniversityACC Campus Associate Director Nursing, AcademicsAnaheim, CAMust have a minimum of three (3) years of experience as a registered nurse; one (1) year shall be in teaching or clinical supervision, or a combination thereof, in a state approved registered nursing, vocational or practical nursing, or psychiatric technician school within the last five (5) years; or a minimum of three (3) years of experience in nursing administration or nursing education within the last five (5) years. Hold a minimum of a baccalaureate degree in nursing or a related field from an academic institution accredited by a regional or national accrediting agency that is recognized by the US Secretary of Education or Council for Higher Education Accreditation (CHEA).
NewLEGISLATIVE AND REGULATORY AFFAIRS DIRECTOR AT HOUSING CALIFORNIA Axis Talent PartnersLEGISLATIVE AND REGULATORY AFFAIRS DIRECTOR AT HOUSING CALIFORNIASacramento, CAWe bring together a diverse, cross-sector network to prevent and end homelessness, increase the supply of safe, stable, affordable homes, and reverse the legacy of systemic racial and economic inequities by building power among the people most impacted by housing injustice in partnership with cross-sector partners, shaping the narrative, and advocating for the passage of transformative statewide policy solutions. The position is expected to participate in regular travel (mostly in California) including the following engagements: twice yearly Board of Directors meetings (sometimes held in Sacramento); annual 2-3 day staff retreat; annual 3-day Housing California conference (often in Sacramento); annual 2-3-day statewide RUN summit (sometimes in Sacramento); plus various conferences or in-person partner meetings, based on need and interest.
NewMedical Director - Anesthesiology - Sierra Nevada Memorial Hospital VituityMedical Director - Anesthesiology - Sierra Nevada Memorial HospitalGrass Valley, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Located just 45 minutes from Sacramento, it provides easy access to city amenities while maintaining a peaceful, rural atmosphere — making it an ideal place to work and call home.
NewMedical Director - Inpatient Psychiatry - Natividad Medical Center VituityMedical Director - Inpatient Psychiatry - Natividad Medical CenterSalinas, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Strategize and execute a comprehensive annual practice management plan that sets clear goals and objectives, continuously surpassing expectations and delivering value to patients, clients, providers, and the local community.
NewMedical Director - Psychiatry - Mills-Peninsula Medical Center VituityMedical Director - Psychiatry - Mills-Peninsula Medical CenterBurlingame, CASutter Mills-Peninsula Medical Center earned five stars, the highest ranking possible, in the CMS Overall Hospital Quality Star Ratings and an Outstanding Patient Experience Award, placing it among the top 15 percent of hospitals in patient experience. Ensure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community.
NewMedical Director - Critical Care - Tri-City Medical Center VituityMedical Director - Critical Care - Tri-City Medical CenterOceanside, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Exemplify Vituity's Partnership Principles by fostering open communication and transparent decision-making, such as conducting annual reviews of administrative stipends and scheduling preferences.
NewAssistant Medical Director - Emergency Medicine - Memorial Hospital Los Banos VituityAssistant Medical Director - Emergency Medicine - Memorial Hospital Los BanosLos Banos, CAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
NewMedical Director - Emergency Medicine - Up to $100K Sign On Bonus! - Delano Regional Medical Center VituityMedical Director - Emergency Medicine - Up to $100K Sign On Bonus! - Delano Regional Medical CenterDelano, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Strategize and execute a comprehensive annual practice management plan that sets clear goals and objectives, continuously surpassing expectations and delivering value to patients, clients, providers, and the local community.
NewResidency Program Director - Psychiatry - Arrowhead Regional Medical Center VituityResidency Program Director - Psychiatry - Arrowhead Regional Medical CenterColton, CAArrowhead Regional Medical Center is a 456-bed university-affiliated teaching hospital licensed by the State of California Department of Public Health, operated by San Bernardino County, and governed by the Board of Supervisors. Surrounded by beautiful mountain views, Colton offers parks like Colton City Park and access to the San Bernardino National Forest, perfect for hiking, picnicking, and outdoor recreation.
NewFellowship Assistant Program Director - Ultrasound - Kaweah Health Medical Center VituityFellowship Assistant Program Director - Ultrasound - Kaweah Health Medical CenterVisalia, CAAs the largest hospital in Tulare County and the only trauma center for a catchment area of nearly 500,000, our residents receive exceptional experience in caring for patients from all walks of life with a wide array of presenting complaints. Under the direction of the Program Director, the Assistant Program Director (APD) will serve as a core faculty member within the Emergency Medicine Residency Program and play a key leadership role in medical education.
NewMedical Director - Emergency Medicine - Northridge Hospital Medical Center VituityMedical Director - Emergency Medicine - Northridge Hospital Medical CenterNorthridge, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. With diverse dining, excellent amenities, strong community pride, and access to everything Southern California offers, Northridge provides a unique lifestyle that combines opportunity, recreation, and year-round sunshine.
NewMedical Director - Anesthesiology - Level 5 Partnership Advancement Upon Start! - Adventist Health Lodi Memorial VituityMedical Director - Anesthesiology - Level 5 Partnership Advancement Upon Start! - Adventist Health Lodi MemorialLodi, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Strategize and execute a comprehensive annual practice management plan that sets clear goals and objectives, continuously surpassing expectations and delivering value to patients, clients, providers, and the local community.
NewMedical Director Ambassador - Hospital Medicine - Traveling - Nationwide VituityMedical Director Ambassador - Hospital Medicine - Traveling - NationwideEmeryville, CAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Strategize and execute a comprehensive annual practice management plan that sets clear goals and objectives, continuously surpassing expectations and delivering value to patients, clients, providers, and the local community.
NewAssistant Medical Director - Emergency Medicine - Adventist Health Selma VituityAssistant Medical Director - Emergency Medicine - Adventist Health SelmaSelma, CAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
Emergency Medicine Program Director in Thousand Oaks, CA TeamHealthEmergency Medicine Program Director in Thousand Oaks, CAThousand Oaks, CA$210–$315 / hourFull timeIn addition to the emergency medicine residency program, the hospital supports residencies in internal medicine, neurology, anesthesia, surgery, and a cardiology fellowship, offering opportunities for interdisciplinary education and collaboration. The program director will have responsibility for the overall direction, quality, and continued development of the residency program, working closely with hospital leadership, the Designated Institutional Official (DIO), and TeamHealth.
NewFire Director 4LEAF, IncFire DirectorPleasanton, CA$151,143–$179,378 / yearAs one of the industry’s notable providers of planning, building and safety, engineering, construction management, and fire consulting services, 4LEAF has an enviable track record of completing complex projects and staffing assignments with both public and private clients. Under general administrative direction, plans, organizes, manages, and directs the activities of the Fire Prevention Division, including fire inspection services, fire code enforcement, building and fire protection system plan review, permit processing, and public fire safety programs.
NewClinical Value Analysis Director HCA HealthcareClinical Value Analysis DirectorSan Jose, CA$87,547.20–$148,824Develops relationships and collaborates with facility leadership and staff, physicians, and supply chain to identify, develop and implement continuous quality improvement and cost containment processes for supplies, technology and labor practice. The Clinical Resource Director has a broad enterprise and segment influence and will need to build strategic alliances with Hospital Leadership, Physicians and Supply Chain to execute successfully the clinical supply expense plan.
NewClinical Resource Director - Healthcare HCA HealthcareClinical Resource Director - HealthcareSan Jose, CA$87,547.20–$148,824Develops relationships and collaborates with facility leadership and staff, physicians, and supply chain to identify, develop and implement continuous quality improvement and cost containment processes for supplies, technology and labor practice. The Clinical Resource Director has a broad enterprise and segment influence and will need to build strategic alliances with Hospital Leadership, Physicians and Supply Chain to execute successfully the clinical supply expense plan.
NewClinical Resource Director HCA HealthcareClinical Resource DirectorSan Jose, CA$87,547.20–$148,824Develops relationships and collaborates with facility leadership and staff, physicians, and supply chain to identify, develop and implement continuous quality improvement and cost containment processes for supplies, technology and labor practice. The Clinical Resource Director has a broad enterprise and segment influence and will need to build strategic alliances with Hospital Leadership, Physicians and Supply Chain to execute successfully the clinical supply expense plan.
NewSenior Executive Assistant to the Executive Director Rafiki CoalitionSenior Executive Assistant to the Executive DirectorSan Francisco, CA$120,000–$130,000 / yearThis position goes beyond traditional executive support by coordinating complex organizational initiatives, managing executive communications, preparing briefing materials for meetings with public officials, funders, and community stakeholders, and serving as a key liaison between executive leadership and internal and external partners. The position plays a critical role in ensuring executive effectiveness, advancing strategic initiatives, and supporting Rafiki's relationships with government agencies, elected officials, community partners, healthcare organizations, funders, and other external stakeholders.
NewDirector of Development, David Nazarian College of Business and Economics California State University, NorthridgeDirector of Development, David Nazarian College of Business and EconomicsLos Angeles, CA$110,000–$115,000 / yearAs a leader you will have the opportunity to thrive in a community in which our leaders share common traits as identified in our Leadership Principles https://www.csun.edu/leadership-principles. Equivalent to five years of progressively responsible professional/administrative experience; with three of the five years in progressively responsible development experience, preferably in higher education fundraising and/or prior professional experience in a related field such as sales, marketing or business development.
NewTraveling Medical Director - Traveling - Nationwide VituityTraveling Medical Director - Traveling - NationwideEmeryville, CAIn addition, Vituity physicians participate in our partnership model from day one, which includes profit distributions, equity ownership, and K-1 tax advantages. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities.
NewAP Fellowship Assistant Program Director - Emergency Medicine - Kaweah Health Medical Center VituityAP Fellowship Assistant Program Director - Emergency Medicine - Kaweah Health Medical CenterVisalia, CA$75–$91Competent at advocating for the interests and needs of the AP fellows within the institution and the broader healthcare community; promoting professionalism, ethical conduct, and patient-centered care; upholding the values of the profession; and serving as a role model. As the largest hospital in Tulare County and the only trauma center for a catchment area of nearly 500,000, our residents receive exceptional experience in caring for patients from all walks of life with a wide array of presenting complaints.
OB Hospitalist - Director Opportunity - Placerville OptigyOB Hospitalist - Director Opportunity - PlacervillePlacerville, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Rancho Mirage OptigyOB Hospitalist - Director Opportunity - Rancho MirageRancho Mirage, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Clovis OptigyOB Hospitalist - Director Opportunity - ClovisClovis, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Eureka OptigyOB Hospitalist - Director Opportunity - EurekaEureka, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Merced OptigyOB Hospitalist - Director Opportunity - MercedMerced, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Sacramento OptigyOB Hospitalist - Director Opportunity - SacramentoSacramento, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Los Angeles OptigyOB Hospitalist - Director Opportunity - Los AngelesLos Angeles, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Murrieta OptigyOB Hospitalist - Director Opportunity - MurrietaMurrieta, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - Corona OptigyOB Hospitalist - Director Opportunity - CoronaCorona, CAHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
NewAssociate Athletics Director for Donor Engagement and Operations (Administrator I) San Diego State UniversityAssociate Athletics Director for Donor Engagement and Operations (Administrator I)San Diego, CA$100,000–$110,000 / yearThe offices include the following: The Aztec Club, Administration, Athletic Medicine, Business Office, Compliance, Corporate Sales, Development, Equipment, Event Management/Facilities and Operations, Human Resources, Information Technology, Marketing, Media Relations, Strength and Conditioning, Student-Athlete Academic Support Services, Ticket Office, and Video. The departments of Development, SDSU Alumni, Planned and Annual Giving, Special Events and Donor Relations, Marketing and Communications, Financial Management, Data Management, Prospect Research and Management and Operations are making a tangible difference in the lives of more than 40,000 students.
Hospitalist Medical Director in Vallejo, CA TeamHealthHospitalist Medical Director in Vallejo, CAVallejo, CAFull timeTeamHealth is seeking an experienced and dynamic hospitalist leader for our Sutter Solano Medical Center team in Vallejo, California. Bring your "A" game to this small but mighty hospitalist program just outside of San Francisco on your way to Napa Valley.
Multi-Site Medical Director - Hospital Medicine - Adventist Health St. Helena VituityMulti-Site Medical Director - Hospital Medicine - Adventist Health St. HelenaSaint Helena, CAAdventist Health St. Helena has been named one of America’s Best Hospitals for Emergency Care, Heart Care, Minimally Invasive Surgery, Joint Replacement, and Stroke Center, and has won awards for Outstanding Patient Experience. Ensure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community.
NewDirector of Payroll San Francisco (Growth) - Highgate HotelsDirector of PayrollSan Francisco, CACompensation Type: Yearly Highgate Hotels: Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. Location: Overview: The Director of Payroll is responsible for the strategic leadership and day-to-day execution of payroll operations, ensuring accurate, timely, and compliant payroll processing and reporting across multiple California locations in accordance with Highgate's policies and applicable federal, state, and local regulations.
OB/GYN Residency Program Director CommonSpirit HealthOB/GYN Residency Program DirectorStockton, CA$350,000–$425,000 / yearAs the inaugural Program Director, you will have the unique privilege of defining our educational mission and fostering the next generation of compassionate and skilled OB/GYN specialists. Dedicated Marketing Representative: Expertise to help build not only your patient panel but also promote the new residency program and recruit future residents.
NewDirector Care Management RN Providence Health and ServicesDirector Care Management RNMission Hills, CA$101.61–$160.42 / hourThe Director, Care Management provides strategic and operational leadership for all care-management functions across the acute-care ministry, including case management, utilization management, discharge planning, social work services, and psychosocial interventions that support safe, effective, and sustainable transitions of care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Administrative Director, Genomics Services UCSF Medical CenterAdministrative Director, Genomics ServicesSan Francisco, CAOur goal is to incorporate genomics and precision medicine into everyday practice, develop processes for high-value genomic evaluation, build the knowledge base for predictive genomics in diverse populations, assure that genomic information is available and accessible for all our diverse patient populations, and build genomic information management systems, superb bioinformatics, and CLIA-CAP certified genomic services to benefit all UCSF patients, patients throughout California and the western United States, and to accelerate innovation in clinical care worldwide. Leads the development of written proposals and business cases for test menu expansions and service innovations, including clinical utility justification, workflow feasibility, staffing impact, and financial projections; coordinates validation planning with laboratory directors prior to submission to the Chief Genomics Officer.
Administrative Director, Bing Nursery School Stanford UniversityAdministrative Director, Bing Nursery SchoolStanford, CA$120,038–$153,486 / yearResponsibilities include oversight of over $9 million per year budget with a variety of fund sources, management of Bing Nursery School and Tower House facilities, ensuring compliance with State of California licensing requirements, oversight of annual fundraising events, HR responsibilities for 50 employees, and management of a team of five staff. It provides high quality educational programs to over 550 young children (2-5 years) each year, their parents, students in training, research and teaching faculty, and educators worldwide.
ADMINISTRATIVE DIRECTOR, EDUCATIONAL SERVICES Corona-Norco Unified School DistrictADMINISTRATIVE DIRECTOR, EDUCATIONAL SERVICESNorco, CA$156,690–$199,983 / yearFor any allegations under Section 504 of the Rehabilitation Act of 1973, please contact: Crystal Carroll, Coordinator, Student Services, 2820 Clark Avenue, Norco CA 92860, Office Telephone Number (951-736-5093 or 951-736-5111) and Email: Crystal. D., Director, Human Resources, Title IX Coordinator, 2820 Clark Avenue, Norco CA 92860, Office Telephone Number (951-736-5069 or 951-736-5060) and Email: RoseMarie.
Administrative Director Nursing Extra On-Call Trinity HealthAdministrative Director Nursing Extra On-CallFresno, CaliforniaReporting to the Director, Patient Logistics & Ancillary Services, Nursing Service Admin, this position is responsible for the flow of patients through the organization and assuming administrative responsibility for the medical center. The incumbent is responsible for planning, coordinating, and evaluating the delivery of quality patient care and optimum utilization of nursing staff.