NewClinical Nurse Manager - RN – Perioperative Services – Full-time - Days (7AM-5PM) NewYork-PresbyterianClinical Nurse Manager - RN – Perioperative Services – Full-time - Days (7AM-5PM)Brooklyn, NY$145,000–$168,000 / yearAs the Clinical Nurse Manager, you will manage patient care delivery within Perioperative Services, serving as a clinical resource and administrator in the absence of unit leaders or when care-related issues arise. In collaboration with the Patient Care Director, the Clinical Nurse Manager will participate in the establishment of the units short and long term goals and ensures its alignment with the hospital’s overall strategic goals.
Hospital based inpatient Clinical Care RN with $15K Sign on Bonus JobotHospital based inpatient Clinical Care RN with $15K Sign on BonusNew York, NY$101,500–$120,000 / 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. Conduct thorough chart assessments of patient cases and bedside evaluations to determine the clinical picture and hospice eligibility, Collaborate with facility clinical team and hospice physicians to make informed decisions regarding patient care.
NewONSITE RN Clinical Care Coordinator at Prestigious Hospital (Manhattan) JobotONSITE RN Clinical Care Coordinator at Prestigious Hospital (Manhattan)New York, NY$100,000–$119,000 / 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. A NYC Metro Healthcare organization with over 100+ years of success in the community offering several services including hospice and palliative care, rehabilitation, and skilled nursing.
Physician Assistant/Nurse Practitioner (APP), Clinical Instructor, Neurosurgery, General Neurosurgery Service Stony Brook UniversityPhysician Assistant/Nurse Practitioner (APP), Clinical Instructor, Neurosurgery, General Neurosurgery ServiceStony Brook, NYFull timeIt encompasses Stony Brook University Hospital, Stony Brook Children's Hospital, the five Health Sciences schools -- Dental Medicine, Health Technology and Management, Medicine, Nursing and Social Welfare -- as well as the major centers and institutes, programs and more than 50 community-based healthcare settings throughout Suffolk County. Includes routine and emergency consultations in collaboration with the on-call attending, daily management, coordination of care, patient and family counseling, ordering and interpreting diagnostic testing as well as routine and emergent bedside procedures such as lumbar puncture, ventriculoperitoneal shunt tap, placement of ICP monitor, ventriculostomy, and lumbar drain.
Hospice Clinical Coordinator RN (Inpatient Hospice) JobotHospice Clinical Coordinator RN (Inpatient Hospice)New York, NY$105,000–$122,000 / yearThis role partners closely with hospital teams, physicians, case managers, and interdisciplinary hospice professionals to evaluate patients for hospice services, coordinate admissions, provide inpatient hospice support, and ensure patients receive exceptional end-of-life care. Information 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.
NewRegistered Nurse Pediatric Clinical Research Professional Case ManagementRegistered Nurse Pediatric Clinical ResearchNewark, NJWe are looking for CMRNs to visit a Pediatric Populations who can perform the following skills during a mobile visit: Must be willing to travel 1-2hrs one way to see subjects . Please contact Ashley Sin at (303) 317-5486 x486 or at ashley.sin@emvenio.com today to learn more about our opportunities where you can make a difference in your own career!
NewClinical Manager, Nurse Practitioner VNS HealthClinical Manager, Nurse PractitionerBronx, NYMinimum of three years of clinical experience in treating clients in a behavioral health setting requiredFor Certified Community Behavioral Health Clinic (CCBHC): Minimum of one years’ experience in a substance use treatment setting, evaluating patients with substance use disorders & prescribing medications for addiction treatment. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
NewClinical Nurse Specialist – RN – Medical ICU-Stepdown - FT - Days NewYork-PresbyterianClinical Nurse Specialist – RN – Medical ICU-Stepdown - FT - DaysManhattan, NY$150,324–$161,649 / yearDeliver advanced nursing practices as a Clinical Nurse Specialist for our Medical ICU, Medicine Stepdown and Medicine Units, and consult on critical cases from across the region. It’s a patient-focused environment, where your in-depth understanding of the clinical and human aspects of Critical Care and Medicine will be a valuable resource to patients, families and fellow clinicians.
NewClinical Nurse Specialist – RN – CTICU - FT - Days NewYork-PresbyterianClinical Nurse Specialist – RN – CTICU - FT - DaysNew York, NY$150,324–$161,649 / yearDeliver advanced nursing practices as a Clinical Nurse Specialist for our Medical ICU, Medicine Stepdown and Medicine Units, and consult on critical cases from across the region. It’s a patient-focused environment, where your in-depth understanding of the clinical and human aspects of Critical Care and Medicine will be a valuable resource to patients, families and fellow clinicians.
NewClinical Quality Improvement Specialist, Registered Nurse (Onsite 3 Days/Week) VNS HealthClinical Quality Improvement Specialist, Registered Nurse (Onsite 3 Days/Week)New York, NY$85,000–$106,300We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Collaborates across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNNew York, NY$90,000–$151,000 / yearOther: • 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.
NewClinical Nurse Manager - Cardiothoracic ICU - FT - Nights NewYork-PresbyterianClinical Nurse Manager - Cardiothoracic ICU - FT - NightsNew York, NY$145,000–$168,000 / yearIn collaboration with the Patient Care Director, participates in the establishment of unit(s) short- and long-term goals and ensures its alignment with the hospital’s overall strategic goals. The Clinical Nurse Manager assumes first line leadership responsibility and accountability for managing the delivery of patient care on an assigned unit.
NewClinical Nurse Manager - Surgical Oncology - FT - Nights NewYork-PresbyterianClinical Nurse Manager - Surgical Oncology - FT - NightsNew York, NY$145,000–$168,000 / yearIn collaboration with the Patient Care Director, participates in the establishment of unit(s) short- and long-term goals and ensures its alignment with the hospital’s overall strategic goals. The Clinical Nurse Manager assumes first line leadership responsibility and accountability for managing the delivery of patient care on an assigned unit.
NewClinical Nurse Manager – CNM – Inpatient Psychiatry-Medicine – 11North NewYork-PresbyterianClinical Nurse Manager – CNM – Inpatient Psychiatry-Medicine – 11NorthManhattan, NY$145,000–$168,000 / yearWe have also received designation from the American Nurses Credential Center Magnet Recognition Program for our amazing nursing care and professionalism in nursing practice. You will facilitate efficient and cost-effective daily operations of the unit in relation to patient throughput including admissions, discharges and transfers.
Senior Manager, Clinical Nurse Educator – Sickle Cell Disease - Remote Agios PharmaceuticalsSenior Manager, Clinical Nurse Educator – Sickle Cell Disease - RemoteNew York, NYRemote$127,219–$190,828 / yearBuilding on the company’s leadership in the field of cellular metabolism, Agios is advancing a robust clinical pipeline of investigational medicines with active and planned programs in alpha- and beta-thalassemia, sickle cell disease, pediatric PK deficiency and MDS-associated anemia. Our teams cultivate strong bonds with patient communities, healthcare professionals, partners and colleagues, which helps us discover, develop and deliver therapies for genetically defined diseases – and make a bigger difference in their lives.
NewBilingual Registered Dietitian Clinical Research - PRN Professional Case ManagementBilingual Registered Dietitian Clinical Research - PRNLong Island, NY$50Performs the full scope of Registered Dietitian practices; including, but not limited to, providing virtual lifestyle counseling visits to improve nutrition and dietary quality, mental health and developing coping skills, and building health behavior and lifestyle habits that align with participant's goals and values. Please contact Ashley Sin at (303) 317-5486 x486 or at ashley.sin@emvenio.com today to learn more about our opportunities where you can make a difference in your own career!
RN Supervisor Milford Health & Rehabilitation CenterRN SupervisorMonroe, CTToday, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.
NewClinical Nurse Manager - Pediatric Service Line Evening Flex NewYork-PresbyterianClinical Nurse Manager - Pediatric Service Line Evening FlexManhattan, NY$145,000–$168,000 / yearAs the Pediatric Service Line Clinical Manager, you will lead a Magnet designated nursing team and collaborate with the transformational leaders of the entire pediatric team, working closely with the three units’ Patient Care Directors and fellow Clinical Managers. The Epicenter of Pediatric Nursing in a World Class Organization Clinical Nurse Manager - Pediatric Service Line Evening Flex At NewYork-Presbyterian, amazing things are truly happening!
NewClinical Nurse Manager Medical Surgical Oncology-Nights NewYork-PresbyterianClinical Nurse Manager Medical Surgical Oncology-NightsManhattan, NY$145,000–$168,000 / yearPreferred Criteria o · Previous management experience o Masters Degree preferred or attaining o Certification in oncology two years of acute care oncology RN experience Required Criteria · At least two years of acute care RN Experience · Bachelor's degree in nursing · Current New York State RN license (or willingness to obtain) · BCLS certification · Excellent oral and written communication skills Join a healthcare system where employee engagement is at an all-time high. And it’s your opportunity to enjoy flexible scheduling, shared clinical decision-making, inspirational leadership, supportive colleagues and much more.
NewClinical Social Worker - Fee For Service ThriveworksClinical Social Worker - Fee For ServiceParamus, NJIndependently licensed and living in New Jersey — LCSW (Licensed Clinical Social Worker) A behavioral health generalist who is open to treating a variety of clients, including couples and children Invested in helping your clients achieve measurable progress Confident working with modern clinical technology, including telehealth and EHR tools A good teammate — we’re building a clinical community and value positive contributors Up to $112,200 based on licensure type, session volume, and bonus opportunities. Guaranteed bi-weekly pay for completed sessions ~ Medical, dental, and vision coverage ~Short- and long-term disability insurance ~ Company-paid life and AD&D insurance ~ CEU reimbursement and free in-house training ~ Our Community Being a clinician can feel isolating, especially in a telehealth world.
NewRN Clinical Reviewer Greenlife Healthcare StaffingRN Clinical ReviewerJericho, NYThis individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures.
Clinical Solutions Manager- Informatics Medline IndustriesClinical Solutions Manager- InformaticsNew York City, NY$101,000–$152,000 / yearFull timeReviews and assesses applicable financial, clinical, and operational data, as well as evidence-based literature to assist teams in evaluating new supplies and new technology, using evidence based clinical data, benchmarked best practices and data driven analysis. Participate as a clinical team representative on project teams, committees and in meetings with various corporate departments to provide input as to the clinical perspectives on products and issues.
Unit Manager (RN) Laurel Ridge Center for Health & RehabilitationUnit Manager (RN)Carmel, NYToday, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.
NewRN - OR - Contract - MSBI AxelonRN - OR - Contract - MSBINew York, NY$70–$82 / hourRole models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines/Drains/Airway, Pain and Plan of Care) AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. Skills: NYS RN License BLS, ACLS, CNOR, PALS 2 years OR experience and experience in scrub and circulate Min 2 years RN experience 1 year travel exp for Travel positions, not required for Per Diem positions EPIC experience highly preferred Flexible Schedule, weekends & holidays required.
NewRN (Radiation Oncology) AxelonRN (Radiation Oncology)New York, NY$50–$60 / hourRole models the tenets of *** Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines/Drains/Airway, Pain and Plan of Care) AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager to ensure supplies are appropriately utilized and inventory is sufficient for patient care.
Bilingual Mandarin OR Cantonese RN Brooklyn NY JobotBilingual Mandarin OR Cantonese RN Brooklyn NYBrooklyn, NY$101,000–$117,800 / yearYou will only see FOUR Hospice patients per day and will manage caseload of terminally ill, end-of-life patients, delivering skilled nursing care in home and facility settings, supporting patients and families throughout the end-of-life process. Information 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.
NewBehavioral Health Clinical Quality Improvement Specialist, LCSW (Onsite 3 Days/Week) VNS HealthBehavioral Health Clinical Quality Improvement Specialist, LCSW (Onsite 3 Days/Week)New York, NY$85,000–$106,300In this role, you will partner closely with vendor partners, providers, clinical teams, analytics, and network leadership to drive improvement in HEDIS/QARR measures, access to care, transitions of care, and overall member experience. VNS Health is seeking a Behavioral Health-focused Quality Improvement Specialist to lead initiatives that improve clinical quality, member outcomes, and provider performance across our Behavioral Health network and partnerships.
NewClinical Case Manager, Care Management VNS HealthClinical Case Manager, Care ManagementNew York, NY$93,400–$116,800We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
NewRegistered Nurse Clinical Reviewer / IDR Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / IDRJericho, NYGreenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. This includes chart screens, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
Hospice Admissions RN covering Brooklyn / Queens / Manhattan with 15K Sign on JobotHospice Admissions RN covering Brooklyn / Queens / Manhattan with 15K Sign onQueens, NY$100,000–$116,800 / 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 RN will also engage in community outreach to physicians and other medical providers to share information regarding Hospice and Palliative care, as well as gather feedback to inform performance improvement initiatives.
Licensed Clinical Social Worker BMS Family Health and Wellness CentersLicensed Clinical Social WorkerBrooklyn, NY$88,000–$98,000 / yearThis role provides direct clinical services to adolescent and adult patients our primary care and school-based clinic settings. Description: BMS Family Health Center is seeking a compassionate and dedicated Licensed Clinical Social Worker (LCSW) to join our behavioral health team.
NewHospice Admissions RN with 15K Bonus and Pension (Bronx and Brooklyn NY) JobotHospice Admissions RN with 15K Bonus and Pension (Bronx and Brooklyn NY)New York, NY$100,000–$117,000 / 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. A NYC Metro Healthcare organization with over 100+ years of success in the community offering several services including hospice and palliative care, rehabilitation, and skilled nursing.
NewClinical Assessment Manager-Manhattan/Queens or Brooklyn-Bilingual Chinese Speaking Required VNS HealthClinical Assessment Manager-Manhattan/Queens or Brooklyn-Bilingual Chinese Speaking RequiredNew York, NY$85,000–$106,300Performs in-home assessment for members who have identified significant changes in condition since last in-home assessment; provides comprehensive review and determination of member’s needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
NewPerioperative Service Clinical Manager - RN - Main Operating Room - Days NewYork-PresbyterianPerioperative Service Clinical Manager - RN - Main Operating Room - DaysManhattan, NY$145,000–$168,000 / yearFrom being the first in the country to treat aneurysms to pioneering efforts in cardiac surgery and organ transplantation, our patient-focused RNs experience and achieve more than most can imagine. Partner closely with nursing team leaders on quality measures, guide independent thinking, and patient-focused compassion.
CRNA Clinical Coordinator Yale New Haven HealthCRNA Clinical CoordinatorShelton, CTCertified Registered Nurse Anesthetist Completion of Certified Nurse Anesthetist Training Program Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse Anesthetist Council on accreditation of Nurse Anesthesia Programs. 3.1 The CRNA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure.
NewClinical Success Director - Northeast Region B. BRAUN MEDICAL (US) INCClinical Success Director - Northeast RegionManhattan, NY$160,000–$185,000 / yearTo gain access to our Healthcare Customers clinical settings, field sales, field service, and other customer facing professionals are required to register with the vendor credentialing organization associated with the Healthcare Customers, complete the Healthcare Customers’ required process, and undergo a series of clearances. Many of our Healthcare Customers require outside vendors like us to present proof that they have certain requisite vaccinations and immunizations, including, but not limited to, vaccinations against COVID-19 and seasonal influenza, before being granted entry into the Healthcare Customers’ clinical settings.
NewClinical Testing Psychologist (PhD, PsyD) - Bedford Hills, NY LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Bedford Hills, NYBedford Hills, NY$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.
NewClinical Testing Psychologist (PhD, PsyD) - Monroe, CT LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Monroe, CTMonroe, CT$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.
NewClinical Testing Psychologist (PhD, PsyD) - Fairfield, CT LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Fairfield, CTFairfield, CT$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.
NewClinical Testing Psychologist (PhD, PsyD) - Carmel, NY LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Carmel, NYCarmel, NY$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.
NewClinical Testing Psychologist (PhD, PsyD) - Mahopac, NY LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Mahopac, NYMahopac, NY$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.
NewClinical Testing Psychologist (PhD, PsyD) - Stony Point, NY LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Stony Point, NYStony Point, NY$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.
NewClinical Testing Psychologist (PhD, PsyD) - Danbury, CT LifeStance HealthClinical Testing Psychologist (PhD, PsyD) - Danbury, CTDanbury, CT$119,800–$138,240 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. We are actively hiring talented Clinical Testing Psychologists in Carmel, New York, who are passionate about patient care and committed to clinical excellence.