NewRN Case Manager - Home Health Interim HealthCare Home Health and HospiceRN Case Manager - Home HealthKalamazoo, MIOperating through 300+ offices, our commitment to nurses is expressed through our passion to put patients first; a culture that values and appreciates nurses; and our ongoing efforts to advocate for nurses in ways that elevate their profession and reward their sacrificial work. Our team consists of collaborative leadership, hardworking clinicians, and supportive office staff with the same goal in mind: to provide the best one-on-one care for our patients.
NewAccount Manager – Specialty Pharmacy (Infusion Therapies) JobotAccount Manager – Specialty Pharmacy (Infusion Therapies)Ann Arbor, MI$95,000–$125,000 / 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. This role focuses on building strong provider relationships, generating qualified new patient starts, and serving as a trusted liaison between physicians, clinical stakeholders, and our infusion care teams.
NewHospice RN Case Manager Interim HealthCare Home Health and HospiceHospice RN Case ManagerKalamazoo, MI$75,000–$100,000 / weekInterim HealthCare of West Michigan is a locally owned and operated leader in post-acute care services in West Michigan. Provides education and interventions to support the effective management of the patient’s pain and other physical symptoms as well as assesses the patient/family’s response to intervention and treatment.
Certified Case Manager Encompass Health Rehabilitation Hospital of MiddletownCertified Case ManagerNorth Star, DEThe CCM oversees the effective coordination of services and manages issues in the following main areas: admission and discharge, team conference and interdisciplinary plan of care communication, patient and family education, payor relations and total fiscal management. The Certified Case Manager (CCM) serves as a key member of the interdisciplinary team and actively manages and directs resource utilization to achieve the highest quality outcomes during a patient's rehabilitation experience.
NewRN Case Manager Crossbridge HospiceRN Case ManagerKalamazoo, MI$80,000–$90,000Develops patient care plan that specifically addresses identified patient problems; nursing problems and goals that has been identified as mutually agreed upon goals with patient(s) during on-call hours, weekends and/or holiday(s). This role requires compassion, strong clinical judgment, excellent communication skills, and the ability to support patients and families through highly sensitive and meaningful experiences.
Nurse Case Manager II IconmaNurse Case Manager IIWayne and Macomb Counties, MIResponsibilities: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Registered Nurse (RN) Case Manager UP Health System - MarquetteRegistered Nurse (RN) Case ManagerMarquette, MIOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Using expert clinical assessment, real‑time collaboration with physicians and care teams, and strong utilization management skills, they ensure patients receive the right level of care while supporting timely discharges, reducing avoidable delays, and improving the overall hospital experience.
NewTravel Nurse RN - Case Manager - $1,950 per day in Pontiac, MI SkyBridge HealthcareTravel Nurse RN - Case Manager - $1,950 per day in Pontiac, MIPontiac, MI$1,950Whether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager - $2,566 per week in Lansing, MI Cynet HealthTravel Nurse RN - Case Manager - $2,566 per week in Lansing, MILansing, MI$2,566Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8-hours (08:30 - 17:00) Experience: 2 years of experience required License: Active RN license in the relevant state Certifications: Relevant certifications preferred Must-Have: Acute hospital experience required Epic experience required Float required to any inpatient unit Weekend coverage required: one weekend per month Description: The position involves working as a Case Manager. Additional skills preferred include acute hospital knowledge, admission criteria understanding, appeals and denials navigation, care coordination expertise, and familiarity with CMS guidelines.
NewTravel Nurse RN - Case Manager - $2,324 per week in Lansing, MI Atlas MedStaffTravel Nurse RN - Case Manager - $2,324 per week in Lansing, MILansing, MI$2,324Atlas Medstaff is currently seeking candidates in the RN (Case Manager) profession for a 13 week contract in the Lansing, Michigan area. *Estimated compensation package based on a usual week of work, inclusive of taxable hourly wage and expected weekly travel expenses.
NewTravel Nurse RN - Case Manager - $2,295 per week in Lansing, MI OneStaff MedicalTravel Nurse RN - Case Manager - $2,295 per week in Lansing, MILansing, MI$2,295.25Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
staff - Registered Nurse (RN) - Clinic Case Management - $31-42 per hour Detroit Medical Centerstaff - Registered Nurse (RN) - Clinic Case Management - $31-42 per hourCommerce Township, MI$31–$42 / hourThe individual’s responsibilities include the following activities: a) accurate LOS screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs, m) timely complete and concise documentation in the Tenet Case Management documentation system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned. The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
Local Contract Nurse Manager RN - Case Management - $90 per hour Trusted Resource Associates (TRA)Local Contract Nurse Manager RN - Case Management - $90 per hourDetroit, MITrusted Resource Associates (TRA) is seeking a local contract nurse RN Case Management Manager for a local contract nursing job in Detroit, Michigan. TRA is Tenet's in-house nationwide contingent pool for Interim Leaders, Nursing and Allied travel and local contracts.
NewLocal Contract Case Manager RN - $64 per hour Assured NursingLocal Contract Case Manager RN - $64 per hourLansing, MIAssured Nursing is seeking a local contract nurse RN Case Management for a local contract nursing job in Lansing, Michigan. Posted job title: RN:Case Management,08:00:00-16:00:00.
Discharge Planner PRN Per Diem (BSW) University Health Services IncDischarge Planner PRN Per Diem (BSW)ST. JOHNS, MIOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Learn more about Cedar Creek Hospital online at: Cedar Creek Hospital Position Description The Discharge Planner/Coordinator (BSW) provides discharge planning support to the psychiatric case-management department and supports psycho-educational group programming.
Social Worker Discharge Planner / Care Coordination Specialist Rivergate TerraceSocial Worker Discharge Planner / Care Coordination SpecialistRiverview, MichiganWe are seeking a highly organized, proactive, and compassionate Discharge Planner / Care Coordination Specialist to support residents and families throughout the discharge planning process in a fast-paced skilled nursing and rehabilitation setting. Preferred Qualifications: ?Experience in skilled nursing, rehabilitation, hospital discharge planning, case management, social services, home health, or healthcare coordination strongly preferred.
NewDischarge Planner - Social Worker - LSW Required NexCare WellBridge Senior LivingDischarge Planner - Social Worker - LSW RequiredRomeo, MICoordinating discharge planning services, i.e., helping to place a resident on a waiting list for community congregate living, arranging intake for home care services for residents returning home, assisting with transfer arrangements to other facilities. Bachelor’s Degree in Social Work, or in related human services field, including but not limited to Sociology, Special Education, Rehabilitation Counseling, and Psychology; must have a minimum of a Limited License in Social Work; LBSW preferred.
NewCare Manager Registered Nurse (Discharge Planner) Full Time, Days Holland HospitalCare Manager Registered Nurse (Discharge Planner) Full Time, DaysHolland, MichiganThe Care Manger will actively facilitate communication by collaborating with the patient's Primary Care Provider, UR team, other members of the health care team, along with any community resources to ensure informed decision making, while streamlining the patient care delivery process to avoid duplication or fragmentation. The RN care manager will take a proactive role by early intervention and collaborative practice with staff nurses, physicians, ancillary services, payer sources, and outside agencies assuring appropriate use of resources while focusing on positive outcomes.
Social Worker Discharge Planner / Care Coordination Specialist Life Care Centers of America IncSocial Worker Discharge Planner / Care Coordination SpecialistRiverview, MIWe are seeking a highly organized, proactive, and compassionate Discharge Planner / Care Coordination Specialist to support residents and families throughout the discharge planning process in a fast-paced skilled nursing and rehabilitation setting. Degree in Social Work, Human Services, Healthcare Administration, Psychology, Sociology, or a related field preferred; equivalent relevant healthcare experience will be considered.
Social Worker / Discharge Planner SCNSocial Worker / Discharge PlannerNorthville, MichiganFull timeThe Social Worker/Discharge Planner will assess the client, identify what services are needed, coordinate referrals and follow-up to ensure the client’s needs continue to be met. Problem-solving skills: Many clients will be in complex situations and have hired Senior Care Network to assist with their problems.
Social Worker / Discharge Planner Homestead Home HealthSocial Worker / Discharge PlannerNorthville, MIThe Social Worker/Discharge Planner will assess the client, identify what services are needed, coordinate referrals and follow-up to ensure the client’s needs continue to be met. Problem-solving skills: Many clients will be in complex situations and have hired Senior Care Network to assist with their problems.
NewInpatient Case Manager - Discharge & Utilization Select MedicalInpatient Case Manager - Discharge & UtilizationBattle Creek, MISelect Medical is seeking a Case Manager in Battle Creek, Michigan, dedicated to providing world-class care in its Critical Illness Recovery Hospital. The Case Manager will handle utilization reviews, resource management, and develop effective discharge plans while collaborating with a multidisciplinary team.
NewCase Manager - Inpatient Discharge & Utilization Select MedicalCase Manager - Inpatient Discharge & UtilizationAnn Arbor, MIThis role involves utilization reviews, resource management, and patient discharge planning to ensure high-quality care for critically ill patients. Select Medical in Ann Arbor, Michigan is seeking a full-time Case Manager for their Critical Illness Recovery Hospital.
NewMSW Case Manager: Discharge & Care Coordination Leader MyMichigan Medical GroupMSW Case Manager: Discharge & Care Coordination LeaderLansing, MIYou will lead psychosocial assessments, advocate for patient-centered planning, and coordinate resources to optimize health outcomes while ensuring regulatory compliance and quality care.#J-18808-Ljbffr. The role emphasizes crisis management, ethical considerations, and collaborative problem-solving with physicians and the care team.
Clinical Service Planner West Michigan Community Mental Health SystemClinical Service PlannerLudington, MichiganActing as a consistent link into the system for the consumer and/or their family including educating persons served and supports regarding disability, treatment options and regimens, use of medication, management along with ensuring persons served and support are knowledgeable of 24-hour crisis services, while ensuring that the implementation of clinical practice is completed in accordance with the principles of evidence-based practices and models of care. The plan of service should include behaviorally defined and measurable objectives; person-centered service goals; interventions and supports that require consumer actions and identify scope, frequency, and duration; the use of available natural supports and specific discharge criteria.
Registered Nurse (RN) - Case Manager Adaptive Home HealthRegistered Nurse (RN) - Case ManagerMacomb, MichiganOwn your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality. Enjoy customized schedules, optimized routing for greater efficiency, and ambient AI scribing that automatically documents your visits while you focus on your patients.
Respiratory Sales Representative VieMed CareersRespiratory Sales RepresentativeSaginaw, MichiganDevelop sales territory action plans and call strategies to maintain ongoing business with current accounts and apply working knowledge of clinical, consultative, and strategic selling skills to drive new market potential to grow the business within assigned territory. While our Respiratory Therapists provide the highest level of clinical care and support for our patients, our Sales Representatives work in conjunction with healthcare decision-makers to ensure a comfortable transition for the patient from the hospital to their home.
Respiratory Sales Representative Sleep Management LLCRespiratory Sales RepresentativeSaginaw, MIPart timeDevelop sales territory action plans and call strategies to maintain ongoing business with current accounts and apply working knowledge of clinical, consultative, and strategic selling skills to drive new market potential to grow the business within assigned territory. While our Respiratory Therapists provide the highest level of clinical care and support for our patients, our Sales Representatives work in conjunction with healthcare decision-makers to ensure a comfortable transition for the patient from the hospital to their home.
NewRN Clinical Liaison Gentiva Health Services Inc (Inactive)RN Clinical LiaisonPortage, MIIn this role, you will ensure that intake and referral processes are completed efficiently and effectively to meet the needs of patients, families, referral sources, and the organization. Receive and respond to referrals from hospitals, home health, physicians, case managers, skilled nursing facilities, and other healthcare professionals.
Provider Relations & Medicaid Network Development Manager | Michigan | $78,000 and up + Bonus Morgan StephensProvider Relations & Medicaid Network Development Manager | Michigan | $78,000 and up + BonusTroy, MichiganThis role is ideal for candidates currently working in Provider Relations, Network Development, Case Management, Care Coordination, Community Relations, LTSS, Waiver Programs, or Managed Care who are interested in joining a rapidly growing home care organization and helping expand referral partnerships throughout Michigan. The Provider Relations & Medicaid Network Development Manager will be responsible for building relationships with referral sources, managed care organizations, waiver programs, case managers, discharge planners, and community partners throughout Michigan.
Patient Care Manager - LMSW or MSW Munson HealthcarePatient Care Manager - LMSW or MSWCadillac, MIThe Patient Care Manager facilitates progression-of-care; and monitors the patient''s progress to ensure that the plan of care and services provided are patient focused, high quality, evidence based, appropriate to patient needs, efficient, and cost effective. Ability to identify appropriate community resources on assigned caseload and to work collaboratively with patients, families, and multidisciplinary team and community agencies to achieve desired patient outcomes.
Patient Care Manager - BSW Munson HealthcarePatient Care Manager - BSWTraverse City, MIThe Patient Care Manager facilitates progression-of-care; and monitors the patient''s progress to ensure that the plan of care and services provided are patient focused, high quality, evidence based, appropriate to patient needs, efficient, and cost effective. Ability to identify appropriate community resources on assigned caseload and to work collaboratively with patients, families, and multidisciplinary team and community agencies to achieve desired patient outcomes.
Transition of Care Coach (RN) Remote (Must Reside in Michigan) Molina Healthcare IncTransition of Care Coach (RN) Remote (Must Reside in Michigan)Detroit, MIRemoteEducates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
RN Clinical Liaison Gentiva HospiceRN Clinical LiaisonJackson, MichiganFull 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. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Clinical Liaison Great Lakes DivisionClinical LiaisonMichiganFull timeThey develop and manage communications between patients, families, and care professionals to increase admissions from assigned hospitals to local Trilogy Health Services campuses. We’re proud to be recognized as one of Fortune’s Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor’s Top 100 Best Companies to Work.
Healthcare Business Development Manager – Private Duty Home Care BrightStar CareHealthcare Business Development Manager – Private Duty Home CareShelby Township, MichiganThis role focuses on building and managing relationships with hospitals, case managers, social workers, and community partners , while proactively expanding the agency’s referral network across multiple cities. We are seeking an experienced Healthcare Business Development Manager to grow referral volume, increase active census, and drive revenue through healthcare referral relationships.
Case Manager - ACT Lenawee Community Mental Health AuthorityCase Manager - ACTAdrian, MI$53,976–$69,810 / yearFull timeBachelor's degree in a human services field from an accredited program; Licensed by the State of Michigan to practice in a human services field (if applicable); Education, training and/or work experience in the behavioral health field with adults diagnosed with severe and persistent mental illness; Basic computer knowledge (such as familiarity with email and internet use) and have experience with Microsoft Office applications (Word, Excel, Power Point, etc.); Possess a valid U.S. driver's license, with an acceptable driving record. LCMHA is also a participating / qualifying site for several student debt relief options including the HRSA Loan Repayment Program & MDHHS Behavioral Health Loan Repayment Program (Please note that employee eligibility is determined by these programs, and not by LCMHA).
Admissions Director PACS Group IncAdmissions DirectorMI$50,000–$70,000 / yearAs directed, assists in planning and execution of outreach events such as on-site facility health fairs, educational programs, and other promotional events designed to attract hospital discharge planners, physicians, and other key persons to the facility. Works to initiate, nurture and maintain contacts with physicians, social workers, and discharge planners as valued customers to maximize referrals and facilitate admissions; Must attend daily stand-up meetings.
Case Manager - I/DD Services Lenawee Community Mental Health AuthorityCase Manager - I/DD ServicesAdrian, MI$53,976–$69,810 / yearFull timeBachelor's degree in a human services field from an accredited program; Licensed by the State of Michigan to practice in a human services field (if applicable); Education, training and/or work experience in the behavioral health field with individuals with developmental disabilities; Basic computer knowledge (such as familiarity with email and internet use) and have experience with Microsoft Office applications (Word, Excel, Power Point, etc.); Valid driver's license. LCMHA is also a participating / qualifying site for several student debt relief options including the HRSA Loan Repayment Program & MDHHS Behavioral Health Loan Repayment Program (Please note that employee eligibility is determined by these programs, and not by LCMHA).
Case Manager - RN - Full Time - Days Henry Ford HospitalCase Manager - RN - Full Time - DaysDetroit, MIThe skills of the inpatient RN Case Manager are challenging to ascertain proficiency, therefore, if an applicant has recent acute inpatient hospital experience within the last 2 years, they are more successful in transitioning into our RN Case Management role. Certifications: Certification in Case Management (CCM) by the Commission for Case Management Certification or Accredited Case Manager (ACM) by the American Case Management Association is required within one year of hire.
Respiratory Sales Representative Viemed Healthcare IncRespiratory Sales RepresentativeGrand Rapids, MIDevelop sales territory action plans and call strategies to maintain ongoing business with current accounts and apply working knowledge of clinical, consultative, and strategic selling skills to drive new market potential to grow the business within assigned territory. Work Environment: Sales: This job operates in the field by calling on, marketing to both existing and potential referral sources: i.e., Pulmonologist, Hospitalist, Critical Care Physicians, Hospitals, Case Managers, Social Workers, etc.
Lead Case Manager ($3000 Sign-on Bonus!!) Neighborhood Service Organization IncLead Case Manager ($3000 Sign-on Bonus!!)Detroit, MIAdditionally, the Lead Case Manager will work with the Director of Case Management to ensure compliance with multiple funding sources and contractual obligations and the quality of services provided. Provides individual supervision to assigned team which includes mentoring, coaching, training, and administering disciplinary actions as necessary in keeping with Human Resources policies and procedures.
Grant - Case Manager Michigan Association of Superintendents and AdministratorsGrant - Case ManagerWayne, MIMaintains an ongoing relationship with families for the purpose of sharing information regarding educational planning and programming for the student; assisting the family in utilizing appropriate community resources; and providing counseling to facilitate social adjustment. Case management focus with client is based on individual client needs and situation; including but not limited to basic needs, education, career, health, parenting, healthy relationships, contraceptive use and safe sex practices.
Registered Nurse RN - Case Manager Trinity HealthRegistered Nurse RN - Case ManagerMIThis role will require discussion of the plan of care daily with physicians and care team members to ensure the continued need for acute care hospitalization, while exploring the most desirable/appropriate post-acute care setting to meet the patients' needs and goals. The Registered Nurse Case Manager assumes overall accountability for patients' discharge plans while assuming a leadership role in achieving desired clinical, financial and resource utilization outcomes.
Registered Nurse RN - Case Manager Trinity Health CorporationRegistered Nurse RN - Case ManagerBrighton, MIThis role will require discussion of the plan of care daily with physicians and care team members to ensure the continued need for acute care hospitalization, while exploring the most desirable/appropriate post-acute care setting to meet the patients' needs and goals. The Registered Nurse Case Manager assumes overall accountability for patients' discharge plans while assuming a leadership role in achieving desired clinical, financial and resource utilization outcomes.
Registered Nurse Case Manager TEEMARegistered Nurse Case ManagerGrand Blanc, MISupport and coaching of clinical documentation efforts and serving as a clinical resource for coders ensuring that documentation accurately reflects severity of illness and intensity of service. We are currently seeking a highly Experienced Acute Care Inpatient Case Manager with strong discharge planning expertise to join our team.
Case Manager - Full Time - Day Shift - Macomb Henry Ford HospitalCase Manager - Full Time - Day Shift - MacombClinton Township, MIThe case manager provides effective discharge planning services that support a safe transition to the next level of care and addresses the needs of patients who have experienced a critical event or diagnosis that requires management strategies to optimize health outcomes along the care continuum. The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs.
Case Manager - Full Time - Day Shift - Wyandotte Henry Ford HospitalCase Manager - Full Time - Day Shift - WyandotteWyandotte, MIThe case manager provides effective discharge planning services that support a safe transition to the next level of care and addresses the needs of patients who have experienced a critical event or diagnosis that requires management strategies to optimize health outcomes along the care continuum. The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs.
Case Manager - Full Time - Days - West Bloomfield Henry Ford HospitalCase Manager - Full Time - Days - West BloomfieldMIThe case manager provides effective discharge planning services that support a safe transition to the next level of care and addresses the needs of patients who have experienced a critical event or diagnosis that requires management strategies to optimize health outcomes along the care continuum. The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs.
Case Manager - Full Time - Days - Jackson Henry Ford HospitalCase Manager - Full Time - Days - JacksonJackson, MIThe case manager provides effective discharge planning services that support a safe transition to the next level of care and addresses the needs of patients who have experienced a critical event or diagnosis that requires management strategies to optimize health outcomes along the care continuum. The Case Manager is a member of the hospital or specialty-based patient-centered care team or treatment team responsible for the collaborative practices of identification, assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's health care needs.