NewCase Management Director Rehabilitation Hospital of Fort MyersCase Management DirectorBonita Springs, FLJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
NewPart-Time Licensed Clinical Social Worker Siena Lakes by Erickson Senior LivingPart-Time Licensed Clinical Social WorkerNaples, FLSee Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Siena Lakes helps people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us.
Director Case Management HCA HealthcareDirector Case ManagementPort Charlotte, FLThe Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives.
Case Management Director Encompass Health CorpCase Management DirectorFort Myers, FLJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
NewRe-Entry Specialist - Case Management (81070) Centurion HealthRe-Entry Specialist - Case Management (81070)Punta Gorda, FLThe Re-Entry Specialist works in collaboration with a multidisciplinary team to provide and complete release planning for patients in a correctional setting based on the determination that behavioral/mental health, medical services, and community resources will be required when the patient is released from the correctional environment. We are currently seeking a full-time Re-Entry Specialist to join our team at Charlotte Correctional Institution located at: 33123 Oil Well Road Punta Gorda, Florida 33955-9701.
Case Manager III St. Vincent de Paul CARESCase Manager IIIPort Charlotte, Florida$23.63Organize on-site programs, classes, workshops and social activities, including: substance abuse meetings such as AA, NA, CA; presentations by employers, vocational school educators and others to assist with interview skills, resumes and job placement; informational talks by low-income housing program facilitators, money management experts and home maintenance professionals. SUMMARY: The Case Manager III will provide specialized case management to veterans recovering from chronic, severe and multiple problems such as substance abuse and/or mental illnesses and develops and implementing supportive services and programs to assist clients in achieving greater self-determination, self-sufficiency and permanent housing .
Case Manager Morgan & Morgan, P.A.Case ManagerFort Myers, FLThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.
CAT Case Manager Charlotte Behavioral Health CareCAT Case ManagerPunta Gorda, FLTuition reimbursement, Public Service Loan Forgiveness (PSLF) eligible, and Health Resources and Services Administration (HRSA) loan repayment eligible for qualifying staff. Provide case management services for children ages 11 - 21 with mental health and/or co-occurring disorders as part of the Children's Community Action Treatment (CAT) Team in Charlotte County.
Family Support Team Case Manager Charlotte Behavioral Health CareFamily Support Team Case ManagerPunta Gorda, FLTuition reimbursement, Public Service Loan Forgiveness (PSLF) eligible, and Health Resources and Services Administration (HRSA) loan repayment eligible for qualifying staff. Provide case management services for youth and their families with mental health and/or co-occurring disorders as part of the Family Support Team to promote connection and stabilization of family unit.
Case Manager Rite of Passage BrandCase ManagerFort Myers, FloridaWhat you will do: As a Case Manager/ Transitional Services, you will be responsible for administrating, developing and facilitating the completion of case plans and treatment programs in accordance with the requests of the placing agency and the needs of each student on their case load. As a Case Manager , you will have the unique opportunity to create a positive, safe and supportive environment for the youth we serve while building a career rich in growth opportunities and self-fulfillment.
Case Manager Charlotte Behavioral Health CareCase ManagerPunta Gorda, FLBachelor's degree in Counseling, Social Work, Psychology, Criminal Justice, Nursing, Rehabilitation, Special Education, Health Education, or a related human services field with major coursework in the study of human behavior and development required. This role involves assessing needs, developing service plans, linking individuals to community resources, monitoring progress, and presenting case updates to the court team.
FITT Charlotte Case Manager Charlotte Behavioral Health CareFITT Charlotte Case ManagerPunta Gorda, FLFacilitate program, completion and aftercare if desired to promote safety of children, develop a safe, nurturing and stable living situation, provide information to update the safety plan, reduce the number of out of home placements when safe to do so and reduce rates of re-entry into the child welfare system. Bachelor's Degree with a major in counseling, social work, psychology, criminal justice, nursing, rehabilitation, special education, health education or a related field with included study of human behavior and development.
FITT Lee Case Manager Charlotte Behavioral Health CareFITT Lee Case ManagerPunta Gorda, FLFacilitate program, completion and aftercare if desired to promote safety of children, develop a safe, nurturing and stable living situation, provide information to update the safety plan, reduce the number of out of home placements when safe to do so and reduce rates of re-entry into the child welfare system. Bachelor's Degree with a major in counseling, social work, psychology, criminal justice, nursing, rehabilitation, special education, health education or a related field with included study of human behavior and development.
Case Manager Encompass Health Rehabilitation Hospital of Fort MyersCase ManagerFort Myers, FLJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Case Manager CenterstoneCase ManagerLabelle, FloridaThis role will ensure continuity of care with clients through case management services as well as link clients and their families to needed resources to help to improve their quality of life. Community-based program case managers, who either take crisis calls and/or home visits, must have a valid FL driver’s license with a good driving record and current auto insurance.
NewPre-Litigation Legal Assistant Case & Client Support Farah-Pre-Litigation Legal Assistant Case & Client SupportFort Myers, FLFarah & Farah is seeking a Legal Assistant in Fort Myers, FL to provide crucial support to attorneys and case managers in personal injury cases. The ideal candidate will have experience in a legal setting, proficiency in Microsoft Office Suite, and must be able to participate actively in client interactions and deadline compliance.
NewPretrial Case Manager: Court Coordination & Supervision City Of Santa Fe SpringsPretrial Case Manager: Court Coordination & SupervisionFort Myers, FLThis role requires a bachelor's degree in Criminal Justice or a related field, along with strong communication skills and proficiency in case management databases. Responsibilities include preparing case files, attending court events, and liaising with judicial personnel.
PRN Case Manager RN Lee Health System IncPRN Case Manager RNFort Myers, FLLocation: HealthPark Medical Center - 9981 So HealthPark Circle Fort Myers FL 33908 Department: Care Management Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum to Midpoint Pay Rate: $40.86 - $40.86 / hour Summary The Case Manager has clinical expertise with knowledge of medically appropriate criteria, and applies ….
NewCase Manager RN NE Lee Health System IncCase Manager RN NEFort Myers, FL$30.27–$40.86 / hourLocation: Gulf Coast Medical Center - 13681 Doctor's Way Fort Myers FL 33912 Department: Care Management Work Type: Full Time Shift: Shift 1/10:00:00AM to 8:30:00PM Minimum to Midpoint Pay Rate: $30.27 - $40.86 / hour Summary The Case Manager has clinical expertise with knowledge of medically appropriate criteria, and applies ….
RN-Case Manager-PACE Program-Lehigh Acres Chapters Health System IncRN-Case Manager-PACE Program-Lehigh AcresLehigh Acres, FL$61,860.66–$96,657.28 / yearCompletes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner. Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
RN - Case Manager-PACE Program Float Chapters Health System IncRN - Case Manager-PACE Program FloatPort Charlotte, FL$61,860.66–$96,657.28 / yearCompletes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner. Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.
NewPretrial Case Manager - Court & Supervision The-20th-Judicial-Circuit-of-FloridaPretrial Case Manager - Court & SupervisionFort Myers, FLThis role emphasizes developing strong relationships with judiciary team members and utilizing risk scores to enforce court orders. The ideal candidate will have a bachelor's degree in Criminal Justice or a related field, along with two years of relevant experience.
RN Case Manager - South Facilities Team Empath Hospice Of Marion CountyRN Case Manager - South Facilities TeamPort Charlotte, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. What youll do: The RN Case Manager beginning at admission the RNCM creates and maintains a plan of care, serving as the coordinator for patient and family interaction with Tidewell for the duration of the patient's hospice experience.
NewCase Worker (6920) The Salvation Army USACase Worker (6920)Ft Myers, FLThis position is responsible for: Case Worker monitors assigned caseload of clients participating in short-term life management; established program plan/goals and evaluates client's progress by conducting routine meetings with client and/or staff. Physical Requirements and Working Conditions: Work is performed in a normal office environment where there are little or no physical discomforts associated with changes in weather or discomforts associated with noise, dust, dirt, and the like.
RN Case Manager (PRN) Empath Hospice Of Marion CountyRN Case Manager (PRN)Port Charlotte, FLEmpath Health is a not-for-profit healthcare organization providing Full Life Care through a connected network of services across Florida, including hospice, home health, grief care, geriatric primary care, elder care (PACE), HIV and sexual health (EPIC), and dementia support. As a member of Empath Health, we help patients with advanced illness live meaningfully while supporting their families with warmth, expertise, and respect.
NewCase Manager, Personal Injury & Settlements MorganmorganjobsapplynowCase Manager, Personal Injury & SettlementsFort Myers, FLMorgan & Morgan in Fort Myers is seeking a highly organized Case Manager to assist attorneys in developing settlements and preparing documents. The ideal candidate should have experience in personal injury, strong communication skills, and proficiency in Microsoft Office tools.
NewPre-Suit Personal Injury Attorney Lead Case Team MorganmorganjobsapplynowPre-Suit Personal Injury Attorney Lead Case TeamFort Myers, FLApplicants should have a law degree, be active with the FL State Bar, and possess strong communication and leadership skills. This position involves handling all pre-litigation work, drafting documents, and managing a team of Case Managers.
Social Services Manager Pace Center for Girls I Do MatterSocial Services ManagerFt. Myers, FloridaThe Social Services Manager oversees social services prevention programming, ensuring that girls are provided with quality supports, including social emotional care, intensive wrap-around case (care) management, crisis counseling, and psycho educational groups. Assist with wrap-around care (case) management services as needed, including transportation services, field trips and other extracurricular activities, collaborate with outside entities and community providers involved in girls’ care, make referrals as appropriate, and advocate for needed resources.
Social Services Manager Pace Center for Girls, Inc.Social Services ManagerFt. Myers, FLPart timeThe Social Services Manager oversees social services prevention programming, ensuring that girls are provided with quality supports, including social emotional care, intensive wrap-around case (care) management, crisis counseling, and psycho educational groups. Assist with wrap-around care (case) management services as needed, including transportation services, field trips and other extracurricular activities, collaborate with outside entities and community providers involved in girls’ care, make referrals as appropriate, and advocate for needed resources.
Social Worker-Hope Healthcare/Pace MSW Chapters Health System IncSocial Worker-Hope Healthcare/Pace MSWLehigh Acres, FL$55,232.15–$86,300.24 / yearAll Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. Consult with and advise staff members as to the relationship of social, emotional and cultural factors to health and medical care, and as to the availability of social services in the community.
NewRN Care Manager - FGC Market ArchWell Health LLCRN Care Manager - FGC MarketFort Myers, FLJob Summary: The Nurse Care Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to achieve high quality care measured by positive patient outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans, focused on delivering improved quality, better patient experience and lower total cost of care.
GUARDIAN AD LITEM OFFICE, 20TH CIRCUIT- OPS CHILD ADVOCATE MANAGER- 21820005 Government of FloridaGUARDIAN AD LITEM OFFICE, 20TH CIRCUIT- OPS CHILD ADVOCATE MANAGER- 21820005FLSome examples of a "typical" working day may include the following: Collaborate with the Guardian ad Litem Office multidisciplinary team, management, Department of Children and Families, contracted service providers, Department of Juvenile Justice, Department of Education, Law Enforcement, etc. The Statewide Guardian ad Litem Office is Florida's award-winning, state-funded child advocacy organization that provides independent legal representation to abused, abandoned and neglected children in Florida's dependency court proceedings.
Social Worker Skilled Nursing Facility Vi LivingSocial Worker Skilled Nursing FacilityNaples, Florida$59,681.81–$74,596.06 / yearFull timeAdditional requirements include excellent problem solving skills, using a customer-focused approach to problem solving and goal setting, excellent communication and listening skills, enthusiastic, resourceful, organized and possesses strong personal awareness of nonverbal communication. This position assesses residents' social, financial and emotional needs; and makes appropriate referrals for resolution of problems and facilitates aspects of case management regarding resident transitions through the continuum of care in the community.
School Social Worker Acceleration AcademiesSchool Social WorkerFort Myers, FloridaThis role is ideal for both experienced professionals and recent MSW graduates with a Florida license who are ready to jump in, make an impact, and grow quickly in a mission-driven environment and who are passionate about student advocacy, community engagement, and equity in education . As a School Social Worker, you will play a key role in helping our Graduation Candidates (GCs) overcome real-life barriers that impact their ability to stay engaged in school.
Registered Clinicial Social Work Intern Estero FL Ellie Mental Health - 066Registered Clinicial Social Work Intern Estero FLEstero, FL$55,000–$65,000 / yearAs a Registered Clinicial Social Work Intern at Ellie Mental Health, you'll share our vision for improving and expanding access to quality mental health care and thrive in an environment driven by our core values of authenticity, humor, compassion, creativity, acceptance, and determination. Franchisees are independent business people and not employed by Ellie Family Services, PLLP, d/b/a “Ellie Mental Health”, Ellie MSO, LLC, or Ellie FAM LLC.
Registered Clinicial Social Work Intern Estero FL Ellie Mental HealthRegistered Clinicial Social Work Intern Estero FLEstero, FloridaAs a Registered Clinicial Social Work Intern at Ellie Mental Health, you'll share our vision for improving and expanding access to quality mental health care and thrive in an environment driven by our core values of authenticity, humor, compassion, creativity, acceptance, and determination. So we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health.
Registered Clinical Social Work Intern Naples FL Ellie Mental HealthRegistered Clinical Social Work Intern Naples FLNaples, FloridaAs a Registered Clinicial Social Work Intern at Ellie Mental Health, you'll share our vision for improving and expanding access to quality mental health care and thrive in an environment driven by our core values of authenticity, humor, compassion, creativity, acceptance, and determination. So we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health.
Business Development Representative North Port Behavioral HealthBusiness Development RepresentativeNorth Port, FloridaFull timeCollaborate closely with hospital discharge planners, social wor kers, case managers, physicians and management, as well as provide education staff to generate referral sources. Create outreach initiatives that will regularly communicate facility mission with referral sources through phone, email, e-blast, written notes, events, networking and other professional activities.
Business Development Representative Acadia Healthcare Co IncBusiness Development RepresentativeNorth Port, FLESSENTIAL FUNCTIONS: Collaborate closely with hospital discharge planners, social workers, case managers, physicians and management, as well as provide education staff to generate referral sources. PURPOSE STATEMENT: Expand lines of service as defined by management by developing and retaining referrals from physicians and other key non-physician referral sources.
Nursing Home Liaison Therapist East Alabama Medical CenterNursing Home Liaison TherapistFort Myers, FLPosition Summary: The Adult Therapist | Nursing Home Liaison provides clinical services to consumers and families, with a primary focus on individuals residing in nursing homes. This role includes conducting assessments, developing and implementing treatment plans, delivering therapeutic services, and coordinating care across agencies.
Director of Social Services - Full-Time Gulf Coast Village Skilled NursingDirector of Social Services - Full-TimeCape Coral, FL$67,000–$85,000 / yearFull timeBachelor’s degree in social work or Bachelor’s Degree in a related human-services related major including sociology, gerontology, psychology, rehabilitation counseling or special education AND one year in a healthcare setting where the individual is working as a supervised social worker who works directly with individuals. The surrounding Cape Coral area adds to the appeal, offering residents access to scenic waterfront canals, nature preserves, and a variety of local dining, shopping, and outdoor recreation opportunities that reflect the relaxed Southwest Florida lifestyle.
Hospital Liaison Rotech Healthcare Inc.Hospital LiaisonFORT MYERS, FLWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. In this role, you'll work closely with Case Management and Continuing Care teams to ensure a smooth transition for patients requiring Respiratory Therapy and Durable Medical Equipment (DME) at home.
Certified Child Life Specialist - Independent Contractor Chapters Health System IncCertified Child Life Specialist - Independent ContractorFort Myers, FL$26.56–$41.50 / hourThe CCLS will implement and administer a program consisting of therapeutic activities and interventions to pediatric hospice patients, families, children residing in the home of adult hospice patients, and community bereaved children across the service area. They will collaborate with the RN case managers, social workers, chaplains, bereavement counselors, and volunteers as part of the interdisciplinary team to continue developing age and developmentally appropriate materials, offer guidance for pediatric medical resources, and provide anticipatory bereavement support through legacy interventions.
Care Mgr RN PRN AdventHealthCare Mgr RN PRNPort Charlotte, FL$32.76–$57.47 / hourDevelops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs. Job Description: Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
rn care manager AdventHealthrn care managerPort Charlotte, FL$32.76–$57.47 / hourCommunicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services. Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
Speech Language Pathologist (SLP) The Stepping Stones Group LLCSpeech Language Pathologist (SLP)Fort Myers, FLRemoteCenter-Based ABA Therapy. Summer Intensive Program.
MDT COORDINATOR - 60074704 Government of FloridaMDT COORDINATOR - 60074704FT MYERS, FLProvide notification to the courts through Children's Legal Services and DCF Regional staff within 48 hours after the conclusion of the staffing when a unanimous consensus could not be reached and prepares written reports, within 5 business days, for the courts outlining the outcome of being unable to reach consensus. Establish and maintain cooperative working relationships with organizations and other agencies involved with child welfare such as community-based care providers, Children's Legal Services, Guardian ad Litem, schools, clinical professionals, and other community agency resources.
CHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60057584 Government of FloridaCHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60057584NAPLES, FLMust be physically able and have the ability to perform the following physical agility tasks: a.) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells, b.)assist with evacuation of persons served during an emergency situation, c.) have normal vision and hearing, including use of corrective devices, d.) do repetitive movements with arms, hands, neck and head, e.) bend, twist, turn, kneel, stoop, squat, push, pull, lift and walk extended distances, f.) lift and carry up to 30 pounds, g.) assist clients in and out of properties, vehicles and safety equipment/devices, h.) sit and/or stand for periods of time without a break, i.) work 16 hour shifts on occasion, j.) remain alert while on duty, k.) drive a vehicle (car or passenger van) to transport clients, during both daytime hours and nighttime hours. OR Criteria 2: (a) AA Degree or 60+ credit hours from an accredited college or university AND (b) Two years of professional work experience (see examples below) OR two years of law enforcement experience or active military service (honorably discharged or status that current service reflects serving honorably) AND Examples of Professional Work Experience: Guardian Ad Litem or similar Child Advocate Role Family Support Worker Group Home Worker Teachers Assistant/Aide Family Intervention Specialist EMT Case Manager Other welfare, education or medical professional jobs that occur in high-paced, high-stress environments that require critical decision-making to occur.
879041 - LVER GOVERNMENT OPERATIONS CONSULTANT II - 40045051 1 Government of Florida879041 - LVER GOVERNMENT OPERATIONS CONSULTANT II - 40045051 1FORT MYERS, FLMinimum: Appointment to this position must be made in the order of preference provided by Public Law 100-323, as follows: First to qualified service-connected disabled veterans; then, if no such disabled veteran is available, to qualified eligible veterans; and if no such eligible veteran is available, to qualified persons (as defined in 38 U.S.C.) Applicants applying via the Internet must ensure that required military documentation, DD form 214 and/or current US Department of Veterans' Affairs (VA)/ Defense letter reflecting character of discharge is submitted prior to closure of job announcement. In accordance with the Veterans Benefit Act of 2010, 38 U.S.C § 4102(A) (c)(8)(A) requires all newly hired LVER specialists are required to satisfactorily complete Jobs for Veterans State Grant (JVSG) training delivered by the National Veterans Training Institute (NVTI) within 18 months after the date of employment.
Home Health: Registered Nurse (RN) Millennium Home CareHome Health: Registered Nurse (RN)Port Charlotte, FloridaDuties of Position: Registered Nurse provides nursing care in accordance with the client's Plan of Care which includes performing comprehensive health and psychosocial evaluations, monitoring client’s condition, promoting sound health and preventive practices, and coordinating services, educational/training activities, and direct nursing. Registered Nurse provides nursing care in accordance with the client's Plan of Care which includes performing comprehensive health and psychosocial evaluations, monitoring client’s condition, promoting sound health and preventive practices, and coordinating services, educational/training activities, and direct nursing.