CNA (Memory Care) Harmony Senior ServicesCNA (Memory Care)Roanoke, VirginiaReports incidents involving residents to include care concerns or issues, to appropriate individuals (ex: HCC, RN/LPN, or ED) and completes appropriate documentation. The CNA/Direct Care Giver provides quality care and assistance with activities of daily living to residents of the community.
Medical Support Assistant (Medical Receptionist) Ansible Government SolutionsMedical Support Assistant (Medical Receptionist)Salem, VAHave the following experience or education (or combination of both) to meet minimum qualifications for employment: Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the knowledge and skills needed to perform the duties of the position. Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Medical Support Assistants (MSA) to support the Salem VA Medical Center located at 1970 Roanoke Blvd.
NewLPN Inpatient Acute Care for the Elderly Carilion ClinicLPN Inpatient Acute Care for the ElderlyRoanoke, Virginia$23.97–$35.96 / hourDemonstrates knowledge of the principles of growth and development, possesses the ability to collect data reflective of the patient’s status, interprets the appropriate information needed to identify each patient’s requirements relative to his or her age and specific needs, and provides the care needed as described in departmental policies and procedures. The LPN (inpatient) practices practical nursing within the parameters set forth in Carilion Clinics Plans for the Provision of Patient Care and functions under the direction of a registered nurse or physician.
NewRN Case Manager- Home Health Carilion ClinicRN Case Manager- Home HealthHardy, VirginiaAssesses, plans, implements, and evaluates patient care in order to achieve optimum patient outcomes for patients of all ages as appropriate to service area. Interprets the appropriate information needed to identify each patient’s requirements relative to his or her age specific needs and provides care according to departmental policies and procedures.
Cna/Pca Commonwealth Assisted LivingCna/PcaChristiansburg, VA$16–$19 / hourThis role entails aiding residents in Assisted Living and/or Memory Care with their daily activities, implementing individual care plans, documenting services provided, and fostering an environment where residents can maintain their dignity and quality of life. Directly assist residents with daily tasks, maintaining communication with the Resident Care Director regarding care provision and resident condition changes.
Home Health Certified Nursing Assistant - CNA Interim HealthcareHome Health Certified Nursing Assistant - CNAChristiansburg, VAAs a Certified Nurse Aide / Home Health Aide- CNA / HHA, you will assist clients with activities of daily living while providing companionship, emotional support, and personalized care. Qualifications of Certified Nurse Aide / Home Health Aide- CNA / HHA: Active Certified Nurse Aide (CNA) license in the state of Virginia.
Home Health Certified Nursing Aide - CNA Interim HealthcareHome Health Certified Nursing Aide - CNASalem, VAAs a Home Health Certified Nursing Assistants- CNA/ NA, you will assist patients with activities of daily living while working closely with the home health team to ensure patients receive exceptional care in accordance with their individualized care plans. Responsibilities of Home Health Certified Nursing Assistants- CNA/ NA: Provide one-on-one care for patients in a home setting.
Home Health Personal Care Aid - PCA Interim HealthcareHome Health Personal Care Aid - PCAChristiansburg, VAAs a Personal Care Aide / Caregiver- PCA, you will assist clients with activities of daily living while providing companionship, emotional support, and personalized care. This position is ideal for caregivers who enjoy helping others maintain independence, safety, and comfort within their home environment while having flexibility and control over their schedule.
Home Health Licensed Practical Nurse Humana IncHome Health Licensed Practical NurseRoanoke, VA$53,000–$73,000 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Pharmacy Manager Walmart IncPharmacy ManagerRoanoke, VA$112,000–$197,000 / yearEnsure compliance with company and legal policies, procedures and regulations by analyzing reports, implementing loss prevention and safety controls and overseeing safety and quality assurance reviews. Provide comprehensive patient care by processing and dispensing prescription orders, administering immunizations and other programs in compliance with Board of Pharmacy statutes and regulations.
Home Health Licensed Practical Nurse - LPN Interim HealthCare IncHome Health Licensed Practical Nurse - LPNRoanoke, VAWe are currently seeking a compassionate and skilled Home Health Licensed Practical Nurse - LPN to provide one-on-one nursing care for an elementary school-aged patient in a school setting in Roanoke, VA. The nurse will accompany and care for the student during the school day, ensuring the patient's health, safety, and medical needs are met in accordance with the physician's orders and plan of care.
- CNAHome Health Aide HHA - Interim HealthCare Inc- CNAHome Health Aide HHA -Christiansburg, VAAs a Certified Nurse Aide / Home Health Aide - CNA / HHA, you will assist clients with activities of daily living while providing companionship, emotional support, and personalized care. Qualifications of Certified Nurse Aide / Home Health Aide - CNA / HHA: Active Certified Nurse Aide (CNA) license in the state of Virginia.
Patient Care Technician - 9 West Unit Carilion ClinicPatient Care Technician - 9 West UnitRoanoke, VirginiaIf assigned to perform patient care tasks, must demonstrate knowledge of the principles of growth and development through the life span, possess the ability to recognize and report data reflective of the patient’s status, interpret the appropriate information needed to identify each patient’s requirements relative to his or her age and specific needs, and provide the care needed as described in departmental policies and procedures. Observes and documents data reflective of the patients’ status, interprets the appropriate information needed to identify each patient’s requirements relative to his or her age and specific needs, and provides the care needed as described in departmental policies and procedures.
Newfront office associate RAYUS Radiology Incfront office associateRoanoke, VAAs a Front Office Associate, you will be responsible for providing services to patients and referring professionals by answering phones, scheduling appointments, and greeting and registering patients in a cheerful, professional, and sincere manner. Act as liaison between imaging technologists and the patients waiting for exams, and relays messages regarding scanner status and other Clinic information.
Community Support Professional - Mental Health Skill Building New River Valley Community ServicesCommunity Support Professional - Mental Health Skill BuildingChristiansburg, VAEducation/Experience Required: • Graduation from an accredited college or university with at least a Bachelors degree in special education, social work, psychology, or approved human services related field is required. Works as part of the team to ensure individuals are developing skills needed to help them build a recovery plan and live optimally in the community.
NewLead Customer Service Associate Job - Salem, VA Zips Car WashLead Customer Service Associate Job - Salem, VASalem, VAExplore your career path, gain valuable experience, and take control of your earning potential by joining an energetic and positive team dedicated to excellence and lifting each other up to be their best. You will bring joy to people's journeys by creating a positive and light-hearted atmosphere where people love to clean their cars.
Clinical Track Assistant or Associate Professor - Anatomic Pathology Virginia TechClinical Track Assistant or Associate Professor - Anatomic PathologyBlacksburg, VirginiaDuties will include: a) Providing diagnostic pathology service (including surgical biopsy and necropsy duty) for Virginia Tech Animal Laboratory Services (ViTALS) and histopathology service for the Virginia Department of Agriculture and Consumer Services Animal Health Laboratory Services. Evidence of a research and publication track record is encouraged, ideally in a research focus area of the college which includes: Infectious diseases, Inflammatory/regulatory disorders (including cancer), Translational/regenerative medicine, Epidemiology/disease Investigation.
Associate Director for Medical Student Financial Aid Virginia TechAssociate Director for Medical Student Financial AidRoanoke, VirginiaReporting jointly to the Vice Dean of the Virginia Tech Carilion School of Medicine and the Associate Vice Provost for University Scholarships and Financial Aid, this position provides strategic leadership in the administration of financial aid programs while advancing student financial success through personalized advising, financial wellness education, operational excellence, and collaborative partnerships. Working collaboratively with medical school and university leadership, faculty, and staff, the Associate Director develops and implements financial aid and scholarship strategies that support recruitment, enrollment, persistence, graduation, successful transition to residency, and long-term financial well-being for future physicians.
NewMEDICAL OFFICE TECHNICIAN - FT - VC Christiansburg Carilion ClinicMEDICAL OFFICE TECHNICIAN - FT - VC ChristiansburgChristiansburg, VirginiaLicensure, certification, and/or registration: Velocity Care will require employee to obtain federal drug screen collector credential and federal breath alcohol technician certification within 6 months of hire. The Medical Office Technician provides day to day staffing in an outpatient clinic setting, both clinically and administratively, depending on the need of the practice.
Pulmonary Nurse Practitioner/Physician Assistant MedElite GroupPulmonary Nurse Practitioner/Physician AssistantRoanoke, VirginiaInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As a Pulmonology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with respiratory conditions, including asthma, COPD, pneumonia, and other pulmonary disorders.
Laboratory & Research Support Coordinator Virginia TechLaboratory & Research Support CoordinatorBlacksburg, VirginiaExperience developing and implementing training protocols, onboarding procedures, and lab and field safety practices related to invasive species and invasive species management; - Experience with field and laboratory research methods, sample collection, quality assurance processes, and data management; - Experience supporting research, monitoring, and management programs related to ecological systems. The Invasive Species Research and Extension (ISRE) Lab at Virginia Tech is seeking a highly organized, people-first Laboratory & Research Support Coordinator who enjoys working closely with students and helping build a positive, inclusive, and productive research community.
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA) National RecruitersHealth Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)Blacksburg, VirginiaWe’re looking for Nurse Practitioners (NPs) and Physician Assistants (PAs) interested in a flexible PRN role conducting in-home Health Risk Assessments (HRAs) for Medicare Advantage members. This is a great way to supplement your income, work autonomously, and make a real difference in patient care, without the responsibilities of ongoing treatment.
Medical Assistant- Certified - Pulmonary Medicine - New River Valley Carilion ClinicMedical Assistant- Certified - Pulmonary Medicine - New River ValleyChristiansburg, VirginiaLicensure, certification, and/or registration: Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Realize the advantages of advancing your career with an organization where you can expect supportive leadership, state-of-the-art technological resources, inter-professional teamwork, and innovative learning.
2nd Shift Lead Custodial Services Worker Virginia Tech2nd Shift Lead Custodial Services WorkerBlacksburg, VirginiaThe university offers more than 280 majors to a diverse enrollment of more than 36,000 undergraduate, graduate, and professional students in eight undergraduate colleges , a school of medicine , a veterinary medicine college, Graduate School , and Honors College . The university has a significant presence across Virginia, including Blacksburg, the greater Washington, D.C. area, the Health Sciences and Technology Campus in Roanoke, sites in Newport News and Richmond, and numerous Extension offices and research institutes .
NewCommercial Banking Associate-Healthcare Banking Hometrust BankCommercial Banking Associate-Healthcare BankingRoanoke, VAThe Commercial Banking Associate-Healthcare Banking supports the Healthcare Relationship Managers and commercial customers and prospects with all functions related to commercial loans, deposit services, online banking, and treasury management services to leverage Relationship Managers' (RM) abilities to develop and retain profitable customer relationships. HomeTrust Bank, founded in 1926, is a North Carolina chartered, community-focused financial institution committed to providing value-added community banking through online/mobile channels and multiple locations in Virginia, North Carolina, South Carolina, Tennessee, and Georgia.
LPN Inpatient - Neuro PCU Carilion ClinicLPN Inpatient - Neuro PCURoanoke, VirginiaDemonstrates knowledge of the principles of growth and development, possesses the ability to collect data reflective of the patient’s status, interprets the appropriate information needed to identify each patient’s requirements relative to his or her age and specific needs, and provides the care needed as described in departmental policies and procedures. This unit specializes in the step-down level of care of non-traumatic brain injuries and other diagnoses that include but not limited to Ischemic and Hemorrhagic Stroke, Seizure Disorders, Brain Tumor/Cancer, an Neuromuscular Conditions.
NewPatient Care Technician - 8 Mountain PCU Carilion ClinicPatient Care Technician - 8 Mountain PCURoanoke, VirginiaYou will provide nursing care that includes taking the patient's blood pressure, checking their oxygen levels and temperature, as well as assisting patients of all sexes and genders with bathing, meals, toileting, ambulation, and other basic needs. As part of the health care team, the Patient Care Technician performs basic clerical and technical clinical services relating to the care, cleanliness, safety, and comfort for patients of all ages.
LPN Dispensing Nurse Roanoke Comprehensive Treatment CenterLPN Dispensing NurseRoanoke, Virginia$30–$31.50 / hourFull timeThis role includes assessing patients, administering medications, monitoring vital signs, educating patients and families, and collaborating with the clinical team to ensure safe and effective treatment. Roanoke Comprehensive Treatment Center (CTC), located in Roanoke, VA, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation.
Fiscal and Grants Coordinator Virginia TechFiscal and Grants CoordinatorBlacksburg, VirginiaIn addition, the position supports post-award financial administration for all active research grants, including reviewing financial statements, monitoring award status, coordinating extensions and rebudgets, resolving overdrafts, projecting expenditures, and assisting with grant closeout processes. The Kevin T. Crofton Department of Aerospace and Ocean Engineering is seeking a motivated, detail-oriented, and team-oriented Fiscal and Grants Coordinator to provide comprehensive administrative and financial support to faculty, staff, students, and visitors.
Hospice Medical Director Gentiva HospiceHospice Medical DirectorRoanoke, Virginia$218,200–$272,775 / yearFull timeOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Experienced Caregiver (CNA/PCA/HHA) TheKeyExperienced Caregiver (CNA/PCA/HHA)Roanoke, VirginiaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Responsibilities: As a Caregiver for TheKey, you’ll support clients living with Alzheimer’s, Dementia and/or other cognitive impairments with personalized, 1:1 care in the safety of their homes:
Now Hiring Experienced Caregivers $300 Sign-On Bonus (CNA/PCA/HHA) TheKeyNow Hiring Experienced Caregivers $300 Sign-On Bonus (CNA/PCA/HHA)Moneta, VirginiaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Responsibilities: As a Caregiver for TheKey, you’ll support clients living with Alzheimer’s, Dementia and/or other cognitive impairments with personalized, 1:1 care in the safety of their homes:
RN Case Manager - Medical Pod Carilion ClinicRN Case Manager - Medical PodRoanoke, VirginiaOther Minimum Qualifications: Must demonstrate knowledge and competency in the following areas: satisfactory completion of orientation; positive interpersonal oral communication skills; effective written communication skills; integrity; innovation; team player; courteous; ability to resolve complaints/problems; customer-focused philosophy of service delivery; ability; willingness to work as an integral member of a multi-skilled team. Experience: Three years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management.
In-Home Services Manager InnovAgeIn-Home Services ManagerSalem, Virginia$96,100–$125,000 / yearFull timeA BSN or higher prepared RN with 3 yrs experience in the last 5 yrs in home health, primary care, or health facility with at least 1 year of supervisory or administrative experience OR an RN with 4 yrs experience in the last 5 yrs in a home health, primary care, or health facility with at least 1 year of supervisory or administrative experience. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; recognizing and rewarding employees; corrective disciplinary procedures and practices (under direction of supervisor and in partnership with Human Resources), addressing complaints and resolving problems.
NewFront Desk Attendant Carilion ClinicFront Desk AttendantRoanoke, VirginiaFor more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.
LPN - Outpatient - Pediatrics - Postal Drive Carilion ClinicLPN - Outpatient - Pediatrics - Postal DriveRoanoke, VirginiaThe LPN Outpatient provides practical nursing support in a physician practice or clinic setting, assisting with patient care, clinical procedures, and coordination of services. Education: Graduate of an accredited school of practical nursing required, or a new graduate of an approved program eligible to sit for the Virginia licensure exam.
Family Nurse Practitioner or PA- Independent Veteran Evaluations Empower Mental HealthFamily Nurse Practitioner or PA- Independent Veteran EvaluationsRoanoke, VirginiaCompany Overview: Join us at Empower Mental Health, a fast-growing private pay company dedicated to nurturing the growth of our employees and providing the highest quality of care to our clients. Job Summary: Are you an experienced and licensed Family Nurse Practitioner or Physician Assistant seeking a transformative opportunity or additional income to your current job?
LPN OUTPATIENT - Urology Carilion ClinicLPN OUTPATIENT - UrologyChristiansburg, VirginiaThe LPN Outpatient provides practical nursing support in a physician practice or clinic setting, assisting with patient care, clinical procedures, and coordination of services. Education: Graduate of an accredited school of practical nursing required, or a new graduate of an approved program eligible to sit for the Virginia licensure exam.
Clinical Asst/Asso Professor SA Emergency and Critical Care Virginia TechClinical Asst/Asso Professor SA Emergency and Critical CareBlacksburg, VirginiaThe successful applicant is expected to participate in classroom and laboratory teaching of veterinary students in emergency and critical care medicine as well as supervision and training of veterinary students and rotating interns in the emergency & critical care rotation. The university has a significant presence across Virginia, including the Innovation Campus in Northern Virginia; the Health Sciences and Technology Campus in Roanoke; sites in Newport News and Richmond; and numerous Extension offices and research centers .
Physician Medical Director - **Low Census - Work-life Balance - Competitive Total Compensation Package InnovAgePhysician Medical Director - **Low Census - Work-life Balance - Competitive Total Compensation PackageSalem, Virginia$295,000–$335,000 / yearFull timeThe Center Medical Director provides medical care for InnovAge PACE enrolled participants across a variety of settings, including but not limited to the center's clinic, participants’ homes, the nursing home, assisted living facilities and personal care boarding homes. Provide medical care to enrolled participants, including the evaluation, diagnosis and management of their medical conditions, including but not limited to taking of a medical history, performance of physical examination, ordering and interpretation of diagnostic tests, formulation of an assessment of condition and a treatment plan, writing prescriptions, ongoing follow up of same, and management of medical information from specialists and hospital teams.
Day Center CNA InnovAgeDay Center CNASalem, Virginia$18.37–$21.15 / hourPer diemResponsibilities: The Day Center CNA ( Certified Nurse Assistant) works at our Adult Day Health Center assisting participants with ADLs (activities of daily living) and providing both restorative and supportive care. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers.
Medical Assistant - Certified, Family Medicine - Roanoke Area Float Pool Carilion ClinicMedical Assistant - Certified, Family Medicine - Roanoke Area Float PoolRoanoke, VirginiaLicensure, certification, and/or registration: Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Realize the advantages of advancing your career with an organization where you can expect supportive leadership, state-of-the-art technological resources, inter-professional teamwork, and innovative learning.
Now Hiring Experienced Caregivers Overnight Shifts $300 Sign-On Bonus (CNA/PCA/HHA) TheKeyNow Hiring Experienced Caregivers Overnight Shifts $300 Sign-On Bonus (CNA/PCA/HHA)Roanoke, VirginiaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Responsibilities: As a Caregiver for TheKey, you’ll support clients living with Alzheimer’s, Dementia and/or other cognitive impairments with personalized, 1:1 care in the safety of their homes:
Now Hiring Experienced Caregivers All Shifts $300 Sign-On Bonus (CNA/PCA/HHA) TheKeyNow Hiring Experienced Caregivers All Shifts $300 Sign-On Bonus (CNA/PCA/HHA)Buchannan, VirginiaPart timeAt TheKey, we are committed to treating every employee with dignity and respect while providing a white glove experience for our clients to promote a healthy mind, body and spirit. Responsibilities: As a Caregiver for TheKey, you’ll support clients living with Alzheimer’s, Dementia and/or other cognitive impairments with personalized, 1:1 care in the safety of their homes:
Director of Front Office Analytics & Strategy / Football Virginia TechDirector of Front Office Analytics & Strategy / FootballBlacksburg, VirginiaThe university has a significant presence across Virginia, including Blacksburg, the greater Washington, D.C. area, the Health Sciences and Technology Campus in Roanoke, sites in Newport News and Richmond, and numerous Extension offices and research institutes . The university offers more than 280 majors to a diverse enrollment of more than 36,000 undergraduate, graduate, and professional students in eight undergraduate colleges , a school of medicine , a veterinary medicine college, Graduate School , and Honors College .
NewProgram Director Diagnostic Radiology Residency Carilion ClinicProgram Director Diagnostic Radiology ResidencyRoanoke, VirginiaWith more than 800 physicians working on our team, Carilion's unique clinic structure fosters strong interdisciplinary care where cooperation and collaboration drive quality outcomes and a strong culture of synergy. For general information and questions, please contact Andrea Henson, Director, Physician Recruitment, ahenson@carilionclinic.org?subject=Interest%20in%20Physician%20Posting.
Caregiver Harmony Senior ServicesCaregiverRoanoke, VirginiaReports incidents involving residents to include care concerns or issues, to appropriate individuals (ex: HCC, RN/LPN, or ED) and completes appropriate documentation. Employee Referral Bonus + Incentives (free meals, movie tickets, dining, automotive deals, retail discounts, finance/legal, consulting, electronics, and more!).
Patient Care Tech - Palliative Care Unit Carilion ClinicPatient Care Tech - Palliative Care UnitRoanoke, VirginiaIf assigned to perform patient care tasks, must demonstrate knowledge of the principles of growth and development through the life span, possess the ability to recognize and report data reflective of the patient’s status, interpret the appropriate information needed to identify each patient’s requirements relative to his or her age and specific needs, and provide the care needed as described in departmental policies and procedures. Observes and documents data reflective of the patients’ status, interprets the appropriate information needed to identify each patient’s requirements relative to his or her age and specific needs, and provides the care needed as described in departmental policies and procedures.
NewPsychiatrist - Child and Adolescent Medical Director Carilion ClinicPsychiatrist - Child and Adolescent Medical DirectorRoanoke, VirginiaWith more than 800 physicians working on our team, Carilion's unique clinic structure fosters strong interdisciplinary care where cooperation and collaboration drive quality outcomes and a strong culture of synergy. For general information and questions, please contact Andrea Henson, Director, Physician Recruitment, ahenson@carilionclinic.org?subject=Interest%20in%20Physician%20Posting.
Medical Office Technician (Lab) - Family Medicine, Vinton Carilion ClinicMedical Office Technician (Lab) - Family Medicine, VintonVinton, VirginiaLicensure, certification, and/or registration: Velocity Care will require employee to obtain federal drug screen collector credential and federal breath alcohol technician certification within 6 months of hire. The Medical Office Technician provides day to day staffing in an outpatient clinic setting, both clinically and administratively, depending on the need of the practice.