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!
NewRN Administrative Director, Operations (Home Health) Adventist HealthRN Administrative Director, Operations (Home Health)Wasco, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Director 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.
NewExecutive Assistant- Board of Director Support Vaco LLCExecutive Assistant- Board of Director SupportLos Angeles, CA$80,000–$95,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. The ideal candidate brings strong experience supporting senior executives, coordinating board and committee activity, preparing executive materials, and serving as a trusted partner in a fast-paced, relationship-driven environment.
NewAdministrative Business Partner - Contract TalentBurst, Inc.Administrative Business Partner - ContractSouth San Francisco, CA$35–$35.22 / hourThe successful candidate will be a proactive problem solver who can anticipate business needs, manage complex schedules, support department operations, and drive administrative excellence across the organization. Our client is seeking an experienced Administrative Business Partner (ABP) to provide high-level administrative and operational support to leaders and teams within a fast-paced, collaborative environment.
Emergency Medicine Program Director in Thousand Oaks, CA TeamHealthEmergency Medicine Program Director in Thousand Oaks, CAThousand Oaks, CAFull 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.
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.
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 - 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 - 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 - 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 - 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 - 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 - 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 - 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.
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 - 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.
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.
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.
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.
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 - 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.
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 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.
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.
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.
NewMedical Director Physician Infectious Disease Gables Search GroupMedical Director Physician Infectious DiseaseWest Los Angeles, CA$290,000–$320,000Deliver primary care services for chronic conditions (hypertension, diabetes, asthma, hyperlipidemia, COPD) and acute issues (burns, infections, HIV, STIs, UTIs, respiratory illnesses, etc.). Keys to Job: Must be an Infectious Disease Physician; Outpatient with no nights or weekends required, Infectious Disease Physician work experience a must.
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.
Director, Solutions Engineering, Capital Markets - Remote CircleDirector, Solutions Engineering, Capital Markets - RemoteLos Angeles, CARemote$217,500–$277,500 / yearCircle’s platform includes the world’s largest regulated stablecoin network anchored by USDC, Circle Payments Network for global money movement, and Arc, an enterprise-grade blockchain designed to become the Economic OS for the internet. From discovery calls to post sales support and implementation, you will partner with prospects, partners, and customers and guide them along their technical evaluation of Circle’s suite of products and services.
NewDirector of Policy and Quality Management Adventist HealthDirector of Policy and Quality ManagementCobb, CAThis area is perfect for outdoor enthusiasts, with some of the best bass fishing, rural trails for hiking and biking, all the while being only two hours from the San Francisco Bay Area, Sacramento Valley or Pacific Coast. Job Summary: Oversees the diagnostic imaging department, providing vision, leadership and administrative direction for staffing, strategic planning, budgeting, patient care and technology.
NewDirector, Diagnostic Imaging Adventist HealthDirector, Diagnostic ImagingMiddletown, CAJob Requirements: Education and Work Experience: Bachelor's Degree or equivalent combination of education/related experience: Required Master's Degree: Preferred Seven years' diagnostic imaging experience: Preferred Five years' leadership experience: Preferred. Department Specific License/Certifications: ARRT-Radiography (ARRT-R): Required State Radiologic Tech (RT): Required Basic Life Support (BLS) certification from approved vendor per AH policy: Required.
NewMedical Director VituityMedical DirectorLos Angeles, CAVituity, a leader in healthcare management services, is seeking an experienced Medical Director to oversee the clinical, administrative, and strategic direction of our medical services across various disciplines including emergency medicine, hospital medicine, critical care, anesthesiology, and acute psychiatry. The successful candidate will play a key role in enhancing our mission of improving care delivery through impactful leadership and clinical excellence.
Director 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.
NewMedical Director - Addiction Medicine - Sutter Roseville Medical Center VituityMedical Director - Addiction Medicine - Sutter Roseville Medical CenterRoseville, CA$275,000–$900,000 / yearEnsure 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. The city is known for its excellent parks system, including Maidu Regional Park, which features trails, sports fields, and the Maidu Museum & Historic Site, celebrating Native American heritage.
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.
Administrative Director, Hematology, Blood & Marrow Transplant, Cellular Therapy UCSF Medical CenterAdministrative Director, Hematology, Blood & Marrow Transplant, Cellular TherapySan Francisco, CAThe Administrative Director will be responsible for supervising the operational, human resource, administrative and business functions of Hematology, Blood & Marrow Transplant, Cancer Immunotherapy, the Parnassus Infusion Center (including Apheresis and Photopheresis), Parnassus locations of Geri-Oncology, Psycho Oncology, Cancer Diagnostics, and Symptom Management and any satellite and affiliated clinics when those practices provide services at more than one location. Acts as clinical operations expert by guiding, mentoring, and training research staff on workflows, IT, and practice operations at the point of intersection between research and clinical operations.5YesActs as content expert and "go to" resource for complex initiatives including project management on behalf of the Cancer Center team (e.g.
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.
Human Resources Administrative Director Talent XpanseHuman Resources Administrative DirectorLong Beach, CaliforniaThis position is responsible for facilitating daily HR functions across the full employee lifecycle, including talent attraction, recruiting, onboarding, leave of absence administration, policy administration, compliance, employee support, employee engagement & development, and HR systems management. Demonstrates strategic HR acumen with a future-forward perspective, maintaining awareness of organizational needs and ensuring HR function is growth-ready, positioned to support scale, compliance, and operational continuity as the organization evolves.
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 Nursing Extra On-Call Trinity HealthAdministrative Director Nursing Extra On-CallFresno, CA$62.94–$94.43 / hourShift: Description: Reporting 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.
Administrative Director of Surgical Services- Full Time Barton HealthAdministrative Director of Surgical Services- Full TimeSouth Lake Tahoe, CASummary of Position: This position is responsible for planning, organizing and directing the operations and staff (clinical and non-clinical) of the Surgical Services Department (Inpatient Operating Room, Outpatient Surgical Services, Anesthesia, Post-Anesthesia Care Unit, Central Sterile and Lake Tahoe Surgery Center), as well the GI Department and the Trauma Program. Identifies patient and family needs of the populations served; recommends and/or develops new programs and services to meet those needs; assures that age specific equipment, supplies and educational resources are available for assigned units/services.
Office Administrative Director SkaddenOffice Administrative DirectorLos Angeles, CaliforniaProvides support and guidance to the local people team business services professionals in conjunction with the New York office People Team Directors, including employment policies, recruiting, performance management, Skadden experience, engagement, payroll and compensation, terminations, personnel record keeping, continued learning & professional development to ensure knowledge of current and effective industry trends. Provides oversight and support to practice support functions, including Legal Assistant Services, Records Management, Managing Law Clerks, Research & Knowledge Services, Secretarial and Operations Group Services.
Administrative Director, Operations (Home Health) Adventist Health SystemAdministrative Director, Operations (Home Health)Bakersfield, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Director, Administrative Services San Diego Community College DistrictDirector, Administrative ServicesSan Diego, CA$10,908.18–$17,768.27 / yearConditions of Employment: SELECTED CANDIDATE IS REQUIRED TO COMPLETE THE FOLLOWING PRIOR TO EMPLOYMENT: Submit "official" college transcripts as stated on application (even if a degree is not a requirement for this position); Provide a Certificate of Tuberculosis Exam for initial appointment (Note: The certificate must be renewed every 4 years as a condition of continuing employment); Have fingerprints taken by a Live Scan computer at the District's expense (Clearance must be received prior to first day of employment); Present original documents for proof of eligibility to work in the United States as required by the I9 Employment Eligibility Verification form; Attend a new hire processing appointment in People, Culture, and Technology Services located at the District Administrative Offices; AND, Employed on an initial contract of two (2) year that is eligible for renewal annually for up to a subsequent two-year period. I understand that a COMPLETE application packet is required for consideration, which includes the following: 1) All required documents as listed in the special instructions 2) Responses to supplemental questions (clear and detailed responses are required as they will be carefully evaluated to determine the most qualified candidate(s) to be invited for an interview; please do not paste your resume, or put "see resume", or "N/A" or leave blank).
Administrative Assistant to the Executive Director Sacramento Life CenterAdministrative Assistant to the Executive DirectorSacramento, CaliforniaAssist with the design of all signage including silent auction item descriptions, program, posters, directional signs, table names & numbers; Help with set up, day of operations, tear down and any other duties assigned to help with the smooth operation of the event. One of our Country's Oldest Medical Clinics One of the first of the 3,000 pregnancy medical clinics in the nation, Sacramento Life Center is committed to ensuring every woman has access to free or low-cost medical care – especially those who are pregnant with nowhere to turn.