Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNJacksonville, FLOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
NewTravel Nurse RN - Care Manager - $2,301 per week LanceSoftTravel Nurse RN - Care Manager - $2,301 per weekFort Myers, FLLanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.
Clinic Manager Physical Therapist Assistant $5K Sign-On Bonus Outpatient Clinic in Orlando, FL 32806 CORA Physical TherapyClinic Manager Physical Therapist Assistant $5K Sign-On Bonus Outpatient Clinic in Orlando, FL 32806Orlando, FLAs a Clinic Manager - Physical Therapist Assistant (PTA) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $5,000) is available for qualified Clinic Manager - Physical Therapist Assistant candidates at select CORA clinic locations.
Clinic Manager PT-Physical Therapist Full-Time-Outpatient Clinic-Leesburg, FL $10K Sign-On Bonus CORA Physical TherapyClinic Manager PT-Physical Therapist Full-Time-Outpatient Clinic-Leesburg, FL $10K Sign-On BonusLeesburg, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager PT-Full-Time 10K Sign-On Bonus-Outpatient Clinic-The Villages, FL CORA Physical TherapyClinic Manager PT-Full-Time 10K Sign-On Bonus-Outpatient Clinic-The Villages, FLOcala, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager PT-Physical Therapist -Full-Time-Outpatient Clinic-Ocala, FL $10K Sign-On Bonus CORA Physical TherapyClinic Manager PT-Physical Therapist -Full-Time-Outpatient Clinic-Ocala, FL $10K Sign-On BonusOcala, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager Physical Therapist $10K Sign-On Bonus- Manager Bonus Yearly-Outpatient Clinic -Orlando Fl 32806 CORA Physical TherapyClinic Manager Physical Therapist $10K Sign-On Bonus- Manager Bonus Yearly-Outpatient Clinic -Orlando Fl 32806Orlando, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist Clinic Manager – New Clinic Launch - Odessa, FL CORA Physical TherapyPhysical Therapist Clinic Manager – New Clinic Launch - Odessa, FLOdessa, FLYou’ll work alongside a supportive regional leadership team while having the autonomy to innovate, grow referral partnerships, and build a clinic culture centered on collaboration, outcomes, and patient-first care. As a Clinic Manager in a startup-style clinic environment, you’ll enjoy the autonomy to lead operations, influence hiring, and team development, and drive the clinic’s success from opening day forward.
Physical Therapist Clinic Manager – New Clinic Launch - Spring Hill, FL CORA Physical TherapyPhysical Therapist Clinic Manager – New Clinic Launch - Spring Hill, FLSpring Hill, FLYou’ll work alongside a supportive regional leadership team while having the autonomy to innovate, grow referral partnerships, and build a clinic culture centered on collaboration, outcomes, and patient-first care. As a Clinic Manager in a startup-style clinic environment, you’ll enjoy the autonomy to lead operations, influence hiring, and team development, and drive the clinic’s success from opening day forward.
Physical Therapist Clinic Manager – New Clinic Launch - Hudson, FL CORA Physical TherapyPhysical Therapist Clinic Manager – New Clinic Launch - Hudson, FLHudson, FLYou’ll work alongside a supportive regional leadership team while having the autonomy to innovate, grow referral partnerships, and build a clinic culture centered on collaboration, outcomes, and patient-first care. As a Clinic Manager in a startup-style clinic environment, you’ll enjoy the autonomy to lead operations, influence hiring, and team development, and drive the clinic’s success from opening day forward.
Bilingual Clinic Manager - Davie Clinic Centrum HealthBilingual Clinic Manager - Davie ClinicDavie, FloridaBy uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. The role encompasses budget oversight, regulatory compliance, and fostering a positive work environment to support staff morale and enhance patient satisfaction, contributing to the overall success and reputation of the clinic.
NewHialeah - Clinic Manager PT CORA Physical TherapyHialeah - Clinic Manager PTHialeah, FLCORA Physical Therapy., we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care. We believe every patient deserves high-quality care, and every team member deserves the tools and support to thrive.
NewClinic Manager - Physical Therapist CORA Physical TherapyClinic Manager - Physical TherapistPonte Vedra, FLWhat You‘ll Do As a Clinic Manager at CORA, you’ll lead with purpose—making a meaningful difference in your community while guiding your team and delivering exceptional patient care. CORA Physical Therapy., we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care.
NewPhysical Therapist - Clinic Manager - Ft. Lauderdale CORA Physical TherapyPhysical Therapist - Clinic Manager - Ft. LauderdaleDelray Beach, FLCORA Physical Therapy, we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care. We believe every patient deserves high-quality care, and every team member deserves the tools and support to thrive.
NewClinic Manager - Physical Therapist - Oakleaf CORA Physical TherapyClinic Manager - Physical Therapist - OakleafSaint Augustine, FLWhat You‘ll Do As a Clinic Manager at CORA, you’ll lead with purpose—making a meaningful difference in your community while guiding your team and delivering exceptional patient care. CORA Physical Therapy., we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care.
NewClinic Manager Physical Therapist- Full-Time , Bonus Incentive, $10K Sign-on Bonus, The Villages, FL CORA Physical TherapyClinic Manager Physical Therapist- Full-Time , Bonus Incentive, $10K Sign-on Bonus, The Villages, FLOcala, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager PT- Full Time CORA Physical TherapyClinic Manager PT- Full TimePalm Coast, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist - Clinic Manager - $12,000 Sign-On Bonus Eligible CORA Physical TherapyPhysical Therapist - Clinic Manager - $12,000 Sign-On Bonus EligibleHaines City, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $12,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist - Clinic Manager - Full-Time - Outpatient CORA Physical TherapyPhysical Therapist - Clinic Manager - Full-Time - OutpatientJacksonville, FLAs a Clinic Manager at CORA, you’ll lead with purpose—making a meaningful difference in your community while guiding your team and delivering exceptional patient care. At CORA Physical Therapy , we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care.
Physical Therapist - Clinic Manager - West Boynton Beach CORA Physical TherapyPhysical Therapist - Clinic Manager - West Boynton BeachBoynton Beach, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager PT CORA Physical TherapyClinic Manager PTJacksonville, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager PT- Full Time- Outpatient CORA Physical TherapyClinic Manager PT- Full Time- OutpatientFleming Island, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist - Clinic Manager CORA Physical TherapyPhysical Therapist - Clinic ManagerLake Placid, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist - Clinic Manager - Outpatient - Monthly Incentive CORA Physical TherapyPhysical Therapist - Clinic Manager - Outpatient - Monthly IncentiveSebring, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist - Clinic Manager - Outpatient CORA Physical TherapyPhysical Therapist - Clinic Manager - OutpatientRiverview, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Physical Therapist - Clinic Manager - Full-Time - Bonus Incentive, $10K Sign-on Bonus, The Villages, FL CORA Physical TherapyPhysical Therapist - Clinic Manager - Full-Time - Bonus Incentive, $10K Sign-on Bonus, The Villages, FLThe Villages, FLAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
Clinic Manager – Physical Therapist - Full-Time CORA Physical TherapyClinic Manager – Physical Therapist - Full-TimeSaint Augustine, FLAs a Clinic Manager - Physical Therapist (PT/PTA) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. At CORA Physical Therapy, we empower our clinicians with tools, support, and flexibility-so you can focus on what really matters: patient care.
Medical Operations Manager/ Practice Manager / Clinic Manager Medi-WeightlossMedical Operations Manager/ Practice Manager / Clinic ManagerLake Mary, FloridaThis role blends leadership, sales, and clinical expertise, giving you the chance to inspire your team, build real relationships with patients, and drive the clinic's success. You'll oversee every aspect of clinic operations clinical, financial, operational, personnel, and administrative while delivering exceptional service and exceeding sales goals.
Prosthetic Clinic Manager Martin BionicsProsthetic Clinic ManagerTampa, FloridaIn addition to overseeing clinical care, the Clinic Manager is also responsible for leading the clinic staff and managing administrative functions of the facility. As the lead practitioner for the clinic, the clinic manager is responsible for the quality of care for every patient the clinic interacts with, from consultation to final delivery and follow-up care.
NewPhysical Therapist, Clinic Manager I PT Solutions Physical TherapyPhysical Therapist, Clinic Manager ISt Petersburg, Florida$78,000–$95,000 / yearFull timeFrom ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. Additional quarterly incentive for growing clinic and encouraging quality care delivered by all team members within clinic.
Physical Therapist- Clinic Manager PT Solutions Physical TherapyPhysical Therapist- Clinic ManagerHudson, Florida$85,000–$100,000 / yearFull timeFrom ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. Additional quarterly incentive for growing clinic and encouraging quality care delivered by all team members within clinic.
Physical Therapist, Clinic Manager II PT Solutions Physical TherapyPhysical Therapist, Clinic Manager IILand O Lakes, Florida$78,000–$95,000 / yearFull timeFrom ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. Additional quarterly incentive for growing clinic and encouraging quality care delivered by all team members within clinic.
MGR - OUTPATIENT CLINIC University Health Services IncMGR - OUTPATIENT CLINICOAKLAND PARK, FLHeadquartered in King of Prussia, PA, UHS ranks on the Fortune 500 list of America's largest corporations with over 90,000 employees and is consistently listed among Fortune's "Most Admired Companies" and one of the 30 Most Meaningful Companies To Work For in America by Business Insider. Responsibilities Fort Lauderdale behavioral Health Center is looking for a dynamic Outpatient Clinic Manager to join our team of professionals who are dedicated to providing help and hope to individuals and families for the achievement of improving their mental health as a local pain management clinic.
Clinic Manager, Physical Therapist Advanced ScopeClinic Manager, Physical TherapistPanama City, FloridaA leading physician-owned orthopedic practice is hiring Physical Therapists (PTs) for multiple outpatient orthopedic clinics throughout the Florida Panhandle , including Panama City Beach, Pensacola, Crestview, Niceville, and Santa Rosa Beach . If you're looking for an Outpatient Orthopedic Physical Therapist job in Florida with a respected private orthopedic practice that invests in its clinicians, we'd love to speak with you.
Prosthetic Clinic Manager Martin Bionics Innovations LLCProsthetic Clinic ManagerTampa, FLPatient Care Coordinator Patient Advocate Prosthetist Prosthetic Technician Qualifications 5+ years of experience in prosthetic care State O&P license required ABC Certified Prosthetist (CP) or Certified Prosthetist Orthotist (CPO) preferred Familiarity with Martin Bionics' socket system, or other adjustable systems, preferred Previous leadership experience, preferred Evaluation Regular, informal one-on-one meetings with supervisor for bi-directional feedback Formal performance review to take place annually Physical Demands Physical demands befitting normal out-patient prosthetic care. Clinic Manager Highlights Title Clinic Manager Employment Type Full-Time, Non-Exempt Location 14201 Bruce B Downs Boulevard, Tampa FL Compensation Competitive Salary, Benefits, & Bonus Structure Supervisor Director, Clinic Operations Summary The Clinic Manager determines the success of their Martin Bionics clinic location.
Registered Nurse Clinic Manager Premise Health Holding CorpRegistered Nurse Clinic ManagerJacksonville, FLCurrent certification with hands-on training in AHA, ARC or equivalent Basic Life Support for health care providers is required; Advanced Cardiac Life Support may also be required based on contract scope of services. As a Full-Time Registered Nurse, Health Center Manager, you'll lead the delivery of high-quality, patient-centered care for client employees at our onsite Health Center in Jacksonville, FL.
Clinic Manager American Renal Associates Holdings IncClinic ManagerJupiter, FL$80,288–$130,468 / yearOur mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. This is accomplished by hiring, developing, and inspiring a multi-disciplinary team, collaborating with physicians, tracking and delivering superior patient outcomes and monitoring regulatory and safety requirements.
Clinic Manager II - Continuity of Care and GME Residency Program Community Health Systems IncClinic Manager II - Continuity of Care and GME Residency ProgramNaples, FLThis role focuses on optimizing clinic operations, improving patient care, managing budgets, overseeing staff, ensuring compliance with healthcare regulations, and driving continuous quality improvement. The Manager, Clinics II is responsible for the operational, clinical, and financial management of multiple outpatient clinics or a large, complex clinic.
Clinic Manager Hanger, Inc.Clinic ManagerFort Lauderdale, FloridaFull timeWhy Us?: With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. As a Hanger Prosthetist and/or Orthotist, you will leverage exceptional training and an extensive collaborative clinical community nearly 1500 providers strong to provide or supervise the delivery of comprehensive prosthetic and orthotic care.
Clinic Manager II - Urgent Care Community Health Systems IncClinic Manager II - Urgent CareNaples, FLThis role focuses on optimizing clinic operations, improving patient care, managing budgets, overseeing staff, ensuring compliance with healthcare regulations, and driving continuous quality improvement. The Manager, Clinics II is responsible for the operational, clinical, and financial management of multiple outpatient clinics or a large, complex clinic.
Multi-Clinic Manager (PT/PTA) H2 HealthMulti-Clinic Manager (PT/PTA)Fort Myers, FloridaAt H2 Health, we believe your career should fit your lifestyle—whether you’re excited to explore new places with our travel positions or prefer to make a lasting impact locally. You will be working with a primarily geriatric caseload 1:1 with a mix of patients with Dementia and Alzheimer's-related conditions, general ortho, and balance and dizziness.
NewMulti-Clinic Manager H2 HealthMulti-Clinic ManagerThe Villages, FloridaAt H2 Health, we believe your career should fit your lifestyle—whether you’re excited to explore new places with our travel positions or prefer to make a lasting impact locally. You will be working with a primarily geriatric caseload 1:1 with a mix of patients with Dementia and Alzheimer's-related conditions, general ortho, and balance and dizziness.
Clinic Office Manager - #1530 Loan Administration Network, Inc (LANI)Clinic Office Manager - #1530Tampa, FLFacilitate and assist as needed in housekeeping functions such as: changing exam room table paper, disinfecting surfaces, upkeep and tidiness of the entire clinic (exam rooms, bathrooms, waiting area, front office, lab room, etc.), ensuring all equipment is clean and presentable. • 5 years prior relevant experience, preferably in an Occupational, General or Internal Medicine work environment; generally has 2 years of experience supervising, or leading teams or projects.
Clinic Manager-Physical Therapist New Clinic start up-Daytona Beach, FL CORA Physical TherapyClinic Manager-Physical Therapist New Clinic start up-Daytona Beach, FLDaytona Beach, FLYou’ll work alongside a supportive regional leadership team while having the autonomy to innovate, grow referral partnerships, and build a clinic culture centered on collaboration, outcomes, and patient-first care. As a Clinic Manager in a startup-style clinic environment, you’ll enjoy the autonomy to lead operations, influence hiring, and team development, and drive the clinic’s success from opening day forward.
Eldercare Nurse Clinic Manager Mount Sinai Medical Center of FloridaEldercare Nurse Clinic ManagerHialeah, FloridaParticipates in Leadership meetings to review risk scoring, pharmacy benefit managers Part D reviews, utilization, QI directives, Key Performance Indicator reviews and other key metrics of Eldercare at least monthly; addresses concerns with the Director from staff. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more.
Multispecialty Mgr | Surgery North- Clinic | Days | Full Time UF HealthMultispecialty Mgr | Surgery North- Clinic | Days | Full TimeJacksonville, FloridaFull timeThe Department of Surgery is seeking applicants for the position of Multispecialty Office Manager, a critical role in the department that provides day to day management and oversight of over 10 subspecialties across the divisions of Gastrointestinal Surgery / Surgical Oncology, Plastic Surgery, and ENT. Under the supervision and leadership of associated Ambulatory/Operations Administrator(s), a successful candidate will work well in a matrix structure, have a strong skillset in building teams and fostering employee development, while building a working culture of excellence in all aspects of clinical and clerical functions.
Multispecialty Mgr | Surgery Downtown-Clinic | Full- Time| Days UF HealthMultispecialty Mgr | Surgery Downtown-Clinic | Full- Time| DaysJacksonville, FloridaFull timeThe Department of Surgery is seeking applicants for the position of Multispecialty Office Manager, a critical role in the department that provides day to day management and oversight of over 10 subspecialties across the divisions of Gastrointestinal Surgery / Surgical Oncology, Plastic Surgery, and ENT. Under the supervision and leadership of associated Ambulatory/Operations Administrator(s), a successful candidate will work well in a matrix structure, have a strong skillset in building teams and fostering employee development, while building a working culture of excellence in all aspects of clinical and clerical functions.
CP/CPO Clinic Manager - Tampa, FL MRINetwork JobsCP/CPO Clinic Manager - Tampa, FLTampa, FloridaWe’re partnering with a specialty prosthetics practice to identify a Certified Prosthetist or CPO ready to step into a leadership role and take ownership of a high-performing clinic. This is an opportunity for someone who wants more than just a patient load — this is about leading a team, driving outcomes, and being the face of a respected practice in the community.
Manager - Mayo Clinic Beyond Walls Mayo ClinicManager - Mayo Clinic Beyond WallsJacksonville, FL$105,060–$157,643 / yearSupport effective decision making and ensure long term sustainability through deep understanding of healthcare, education, and research finance models, including revenue drivers, to support effective decision making and ensure long term sustainability. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations.
Manager - Clinic Practice II - Family Medicine/Walk-In Care - BMP Pace Baptist Health CareManager - Clinic Practice II - Family Medicine/Walk-In Care - BMP PacePace, FloridaThe Practice Manager II is responsible for managing all assigned personnel within an office setting, which includes interviewing, hiring, orientation, development and performance of personnel, and monitoring the delivery of quality services. The Practice Manager II is the leader for the practice and is responsible for all daily practice operations, including but not limited to, patient satisfaction, practice budget, staff schedules, patient flow, and compliance.