NewAPP Clinical Leader - Cardiology Norwich - Nurse Practitioner (APRN) or Physician Assistant Hartford HealthCare Medical GroupAPP Clinical Leader - Cardiology Norwich - Nurse Practitioner (APRN) or Physician AssistantHope Valley, RIThe Hartford HealthCare Heart & Vascular Institute is seeking a Physician Assistant or Nurse Practitioner (APRN) leader in Cardiology at Backus Hospital as well as supporting the outpatient Hartford Healthcare Medical Group office setting to coordinate an advanced level of comprehensive health care for cardiology patients. This role specifically oversees the work of the APP team in cardiology supporting the Norwich provider group of general cardiologists and non-invasive procedural cardiologists and takes a leadership role in overall program development and quality.
NewOncology Nurse Leader (RN) Backus HospitalOncology Nurse Leader (RN)Chepachet, RIThe Nurse Leader (RN) will work closely with the Nurse Manger to manage the workflow of the Infusion Center and ensure safe quality care is continuously provided to all patients. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology.
School Age Childcare Group Leader (Lead Teacher) EAST BAY COMMUNITY ACTION PROGRAMSchool Age Childcare Group Leader (Lead Teacher)Newport, RI$21–$26 / hourJoin East Bay Community Action Program (EBCAP) as a Teacher Lead (School Age Childcare Group Leader) and become a key part of an engaging, supportive after-school experience where every day brings new opportunities to inspire young minds! You'll guide daily learning experiences, foster positive relationships with students and families, and help shape a nurturing space that supports both academic success and social-emotional growth.
Before & After School Group Leader/Early Learning Professional - College Students Encouraged to Apply AlphaBEST Education, Inc.Before & After School Group Leader/Early Learning Professional - College Students Encouraged to ApplyBarrington, RICompletion of 20 credits (semester system) or 30 credits (quarter system) of training at a college/university AND at least 1 year of qualifying teaching experience in a Certified Child Care Center (or comparable group care program). 2 or more years of qualifying teaching experience (with at least one year as a teacher) in a Certified Child Care Center (or comparable group care program).
Before and After School Group Leader AlphaBEST Education, Inc.Before and After School Group LeaderCumberland, RICompletion of 20 credits (semester system) or 30 credits (quarter system) of training at a college/university AND at least 1 year of qualifying teaching experience in a Certified Child Care Center (or comparable group care program). 2 or more years of qualifying teaching experience (with at least one year as a teacher) in a Certified Child Care Center (or comparable group care program).
Clerical Group Leader RIH Rhode Island HospitalClerical Group LeaderRhode IslandPrepares and maintains a variety of reports and documents (often of a confidential nature) requiring file search, interpretation and compilation of data (i.e. budget reports, billing, grant proposals, time sheets, etc.) May prepare statistical analyses for number of patients, type of treatment or service provided, number of discharges, tray census, dietary statistics report, or other reports requiring compilation, tabulation and/or display of data. SUMMARY: Under general supervision, provides secretarial, clerical and administrative support services, including scheduling of meetings and appointments, screening calls, preparing correspondence, taking minutes of meetings, maintaining patient records, preparing statistical analyses, etc.
Clerical Group Leader Brown University HealthClerical Group LeaderProvidence, RI$19.97–$32.96 / hourPrepares and maintains a variety of reports and documents (often of a confidential nature) requiring file search, interpretation and compilation of data (i.e. budget reports, billing, grant proposals, time sheets, etc.) May prepare statistical analyses for number of patients, type of treatment or service provided, number of discharges, tray census, dietary statistics report, or other reports requiring compilation, tabulation and/or display of data. SUMMARY: Under general supervision, provides secretarial, clerical and administrative support services, including scheduling of meetings and appointments, screening calls, preparing correspondence, taking minutes of meetings, maintaining patient records, preparing statistical analyses, etc.
NewSenior Litigation Practice Group Leader DarrowEverett LLpSenior Litigation Practice Group LeaderProvidence, RIYou will supervise and mentor attorneys, coordinate resources, and drive efficiency across the department while aligning with the firm's policy and strategic goals.#J-18808-Ljbffr. The role requires excellent communication, organization, and leadership to manage litigation matters and ensure compliance with firm and court requirements.
Group Leader, Production ZOLL MedicalGroup Leader, ProductionPawtucket, Rhode IslandRemoteThe Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Follows workflow and investigates and corrects delays, exercises judgment in referring problems to next higher level and reassigns personnel as necessary.
Group Fitness Instructor (flexible, as-needed) Trustmark Insurance CompanyGroup Fitness Instructor (flexible, as-needed)East Providence, RIHealthFitness is looking for a Group Exercise Instructor to bring energy and inspiration to our client sites throughout Rhode Island-including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! Minimum Requirements Current group exercise instructor certification from ACE, AFAA/NASM, ACSM, NETA, NCCPT, or other NCCA nationally accredited specialty class certification required.
Group Fitness Instructor (part-time and substitute) Trustmark Insurance CompanyGroup Fitness Instructor (part-time and substitute)East Providence, RI$30–$50 / hourHealthFitness is looking for Group Exercise Instructors to bring energy and inspiration to our client sites throughout Rhode Island-including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! We are dedicated to improving the health and wellbeing of those we serve and consider ourselves lucky to inspire, motivate and engage over 1 million participants across our 135 clients, from corporations to health systems to colleges and universities.
Join Our GI Revolution - Providence, RI: Thrive with the Nation's Premier Physician-Led Group The Specialty AllianceJoin Our GI Revolution - Providence, RI: Thrive with the Nation's Premier Physician-Led GroupProvidence, RIThis partnership empowers the group to deliver superior, individualized patient care by leveraging GI Alliances robust, world-class business and organizational support, ensuring our physicians can focus on what they do best - providing top-notch care in a successful and dynamic private practice setting. Guided by our Physician Executive Committee, Regional Clinical Governance Boards, and Local Head Physician leadership, our practice is founded on the principle of being physician-led at every level - national, state, and local.
Licensed Under 65 Group Sales Representative Allstate Insurance CompanyLicensed Under 65 Group Sales RepresentativeRI$14.57–$17.02 / hourAs a Licensed Under 65 Group Sales Representative, you'll utilize your in-depth Life and Health Insurance knowledge and sales skills to consult small group companies on the most beneficial Life and Health Plans that best suit their employees' specific needs. Enthusiastic about the role insurance and financial products play in helping people manage the risks of everyday life, recover from the unexpected, and realize their dreams.
Group Fitness Instructor (part-time & substitute) HealthFitnessGroup Fitness Instructor (part-time & substitute)Warwick, Rhode IslandHealthFitness is looking for Group Exercise Instructors to bring energy and inspiration to our client sites throughout Rhode Island —including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! Current group exercise instructor certification from ACE, AFAA/NASM, ACSM, NETA, NCCPT, or other NCCA nationally accredited specialty class certification required.
Group Fitness Instructors (part-time and substitute) HealthFitnessGroup Fitness Instructors (part-time and substitute)Lincoln, Rhode IslandHealthFitness is looking for Group Exercise Instructors to bring energy and inspiration to our client sites throughout Rhode Island —including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! Current group exercise instructor certification from ACE, AFAA/NASM, ACSM, NETA, NCCPT, or other NCCA nationally accredited specialty class certification required.
Group Class Instructor (part-time and substitute) HealthFitnessGroup Class Instructor (part-time and substitute)Narragansett, Rhode IslandHealthFitness is looking for Group Exercise Instructors to bring energy and inspiration to our client sites throughout Rhode Island —including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! Current group exercise instructor certification from ACE, AFAA/NASM, ACSM, NETA, NCCPT, or other NCCA nationally accredited specialty class certification required.
Group Fitness Instructor (part-time and substitute) HealthFitnessGroup Fitness Instructor (part-time and substitute)East Providence, Rhode IslandHealthFitness is looking for Group Exercise Instructors to bring energy and inspiration to our client sites throughout Rhode Island —including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! Current group exercise instructor certification from ACE, AFAA/NASM, ACSM, NETA, NCCPT, or other NCCA nationally accredited specialty class certification required.
Group Fitness Instructor (flexible, as-needed) HealthFitnessGroup Fitness Instructor (flexible, as-needed)East Providence, Rhode IslandHealthFitness is looking for a Group Exercise Instructor to bring energy and inspiration to our client sites throughout Rhode Island —including Cranston, Narragansett, East Providence, Providence, Lincoln, Warwick, and more! Current group exercise instructor certification from ACE, AFAA/NASM, ACSM, NETA, NCCPT, or other NCCA nationally accredited specialty class certification required.
Senior Accountant needed for Community Health group in Providence, RI HealthPlus StaffingSenior Accountant needed for Community Health group in Providence, RIProvidence, Rhode IslandWorking closely with the Finance team, you will be responsible for maintaining accurate financial records, analyzing financial data, and supporting budgeting and reporting processes. Our client is a nonprofit organization dedicated to empowering individuals and families to achieve self-sufficiency and improve their quality of life.
Staff Accountant needed for Community Health group in Providence, RI HealthPlus StaffingStaff Accountant needed for Community Health group in Providence, RIProvidence, Rhode IslandWorking closely with the Finance team, you will be responsible for maintaining accurate financial records, analyzing financial data, and supporting budgeting and reporting processes. Our client is a nonprofit organization dedicated to empowering individuals and families to achieve self-sufficiency and improve their quality of life.
Team Leader, Client Services FidelityTeam Leader, Client ServicesSmithfield, Rhode IslandRemoteCustomer Service Please be advised that Fidelity’s business is governed by the provisions of the Securities Exchange Act of 1934, the Investment Advisers Act of 1940, the Investment Company Act of 1940, ERISA, numerous state laws governing securities, investment and retirement-related financial activities and the rules and regulations of numerous self-regulatory organizations, including FINRA, among others. The Team Leader is a key member of the Regional Center Client Services group providing leadership to a team of licensed associates.
Team Leader, Infection Prevention & Control and Employee Health South County HospitalTeam Leader, Infection Prevention & Control and Employee HealthRISouth County Health has received numerous distinctions for patient care and safety over the years, which have included a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and As for hospital quality and patient safety by The Leapfrog Group. Having celebrated over100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible while enjoying a healthy work-life balance.
Thought Leader Liaison ImCheck Therapeutics SASThought Leader LiaisonRI$190,000–$225,000 / yearTo be successful: the TLL team members will build close working relationships with, but not limited to: National Sales Directors, Regional Business Directors, Neuroscience Specialty Representatives, Medical Science Liaisons, Marketing teams, and Value & Access teams to ensure alignment on broader business objectives in their assigned regions. The position focuses on building and maintaining strong relationships with established and emerging thought leaders, generating actionable market insights, and driving advocacy for Ipsen's Neuroscience portfolio across Adult Spasticity, Cervical Dystonia, Pediatric Spasticity, and future anticipated indications such as Migraine.
Thought Leader Liaison, Iqirvo, Northeast ImCheck Therapeutics SASThought Leader Liaison, Iqirvo, NortheastProvidence, RI$162,000–$235,000 / yearJob Description: The Thought Leader Liaison (TLL), Rare Disease, is responsible for building & maintaining brand and company awareness among National, Regional, and Local Key Opinion Leaders (KOLs) thru regular engagement and education for Iqirvo. Proactively identify and develop strategic partnerships with top-tier thought leaders and influencers who shape clinical practice and policy within Ipsen's core disease states.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderWarwick, RI$55,600–$99,300 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Operations Leader Petco Animal Supplies IncOperations LeaderMiddletown, RIWe are 29,000+ strong and together we nurture the pet-human bond in more than 1,500 Petco stores across the U.S., Mexico and Puerto Rico, 250+ Vetco Total Care hospitals, hundreds of preventive care clinics and eight distribution centers. As a Key Holder, you are a trusted member of the leadership team who helps ensure smooth daily operations, exceptional customer service, and a safe, secure environment for pets, partners, and customers.
Regional Business Development Leader - Water, Environment Consulting Services Woodard & Curran IncRegional Business Development Leader - Water, Environment Consulting ServicesProvidence, RI$185,000–$260,000 / yearExperience partnering with executive leadership, regional leadership, and Practice Leaders to develop and execute growth strategies across multiple markets and geographies. You will collaborate closely with Regional Leaders, Practice Leaders, Client Managers, Marketing, and Operations to align priorities and bring the full capabilities of Woodard & Curran to our clients.
Thought Leader Liaison Ipsen SAThought Leader LiaisonProvidence, RI$190,000–$225,000 / yearTo be successful: the TLL team members will build close working relationships with, but not limited to: National Sales Directors, Regional Business Directors, Neuroscience Specialty Representatives, Medical Science Liaisons, Marketing teams, and Value & Access teams to ensure alignment on broader business objectives in their assigned regions. The position focuses on building and maintaining strong relationships with established and emerging thought leaders, generating actionable market insights, and driving advocacy for Ipsen's Neuroscience portfolio across Adult Spasticity, Cervical Dystonia, Pediatric Spasticity, and future anticipated indications such as Migraine.
Thought Leader Liaison, Iqirvo, Northeast Ipsen SAThought Leader Liaison, Iqirvo, NortheastProvidence, RI$162,000–$235,000 / yearJob Description: The Thought Leader Liaison (TLL), Rare Disease, is responsible for building & maintaining brand and company awareness among National, Regional, and Local Key Opinion Leaders (KOLs) thru regular engagement and education for Iqirvo. Proactively identify and develop strategic partnerships with top-tier thought leaders and influencers who shape clinical practice and policy within Ipsen's core disease states.
Shift Leader Dunkin'Shift LeaderEast Providence, RIDunkin' is a market leader in the hot regular/decaf/flavored coffee, iced regular/decaf/flavored coffee, donut, bagel and muffin categories. Maintain a safe, secure, and healthy work environment by following and enforcing safety, food safety and sanitation guidelines; comply with local and state laws.
NewNational Marketing & Communications Leader Woodard & Curran IncNational Marketing & Communications LeaderProvidence, RI$170,000–$260,000 / yearReporting to the Chief Strategy & Growth Officer, this role is responsible for shaping and executing the firm's marketing strategy in alignment with organizational objectives, overseeing a team of marketing professionals, and driving business growth through strategic marketing initiatives. With broad strategic influence and direct accountability for market expansion and the revenue pipeline, this role serves as the bridge between marketing and overall business strategy, ensuring that marketing efforts contribute measurably to Woodard & Curran's success.
PM District Leader Dunkin'PM District LeaderCranston, RI$20Additional key areas of responsibility include: · Guide overall business strategy into day-to-day execution, providing coaching and feedback to Restaurant Managers. Dunkin' is a market leader in the hot regular/decaf/flavored coffee, iced regular/decaf/flavored coffee, donut, bagel and muffin categories.
Pharmacy Intern NU RIH Rhode Island HospitalPharmacy Intern NURhode IslandUnder the supervision of a pharmacist and direction of a technician supervisor, technician group leader or technician specialist, performs a variety of technical, clinical, and support tasks designed to assist pharmacists with the formulation, preparation, dispensing and delivery of medications and pharmaceutical supplies. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists in the formulation and preparation of medications, under the direct supervision of a pharmacist, by: Reviewing practitioner medication orders and preparing medications for review and dispensing by a pharmacist.
Pharmacy Intern RIH Rhode Island HospitalPharmacy InternRhode IslandUnder the supervision of a pharmacist and direction of a technician supervisor, technician group leader or technician specialist, performs a variety of technical, clinical, and support tasks designed to assist pharmacists with the formulation, preparation, dispensing and delivery of medications and pharmaceutical supplies. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists in the formulation and preparation of medications, under the direct supervision of a pharmacist, by: Reviewing practitioner medication orders and preparing medications for review and dispensing by a pharmacist.
Pharmacy Technician Supervisor RIH Rhode Island HospitalPharmacy Technician SupervisorRhode IslandThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. Supervises the work of pharmacy technician group leaders, pharmacy technician specialists, pharmacy technicians, pharmacy student interns, and technician externs hereafter referred to as pharmacy technicians Assists with the creation of job roles and responsibilities, develops assignments, assigns work, creates, and maintains work schedules, and designs training plans.
Pharmacy Intern Brown University HealthPharmacy InternProvidence, RI$17–$26.60 / hourUnder the supervision of a pharmacist and direction of a technician supervisor, technician group leader or technician specialist, performs a variety of technical, clinical, and support tasks designed to assist pharmacists with the formulation, preparation, dispensing and delivery of medications and pharmaceutical supplies. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists in the formulation and preparation of medications, under the direct supervision of a pharmacist, by: Reviewing practitioner medication orders and preparing medications for review and dispensing by a pharmacist.
Quality Auditor - 3rd shift Eaton Corporation PlcQuality Auditor - 3rd shiftRIWhat you'll do: The Quality Auditor will work from prints, method sheets, inspection method sheets, sketches, and/or verbal instructions using any and all measurement equipment such as but not limited to; micrometers, verniers, dial bore gauges, drop sticks, size blocks, dial indicators, comparators, protractors, pin/plug gauge, thread gauges, radius gauges, calipers, air gages, as well as special purpose equipment such as; surface finish Indicators, spring checkers, surface plates, hardness measuring machines, manual and programmable optical comparators, optical flats, pressure test fixtures, multi-axis measuring and concentricity/roundness measuring equipment, and other visual measurement systems. Set up and perform bench inspections, layout inspections, in-process inspections, receiving inspections, First Articles, and final inspections as needed.
Staff Cost Consultant Acuity International LLCStaff Cost ConsultantRIPerforms any other duties as directed by the Project Manager / Supervisor / Manager Qualifications and Skills: Candidate must be a US Citizen Bachelor's degree in Engineering, Construction Management, or related field of study and a minimum of 5-10 years of relevant experience in related industry. The Staff Cost Consultant leads quality control reviews and maintains relationships with project personnel, particularly with individual discipline group leaders and engineers and provides technical direction to assigned personnel, when delegated.
Pharmacy Technician Specialist - Retail TMH The Miriam HospitalPharmacy Technician Specialist - RetailRhode IslandHolds and maintains current National Pharmacy Technician Certification (CPhT) or has a minimum of one-year licensed pharmacy technician work experience, sits for National Pharmacy Technician Certification (CPhT) exam within first 6 months of hire, and achieves and maintains National Pharmacy Technician Certification (CPhT) within 12 months of hire. Under the supervision of a Pharmacist and direction of the Pharmacy Technician Group Leader, the Pharmacy Technician Specialist, Retail rotates to all applicable work assignments and work shift as business need dictates and contingent upon individual demonstrated competency of necessary skills and knowledge for the respective area.
Ambulatory Liaison TMH The Miriam HospitalAmbulatory LiaisonRhode IslandActing as the agent of a provider, who is a licensed clinician, employed, or under contract with a Brown University Health affiliated entity and has agreed in writing to participate (Opt-in) in the Brown University Health Medication Access Program (MAP), hereinafter referred to asiProvideri, the Ambulatory Liaison authorizes prescription refills in accordance with the document entitled “Brown University Health Medication Access Refill Guideline”.ii. Must obtain within 3 months of hire, and maintain no less than annually thereafter, pharmacy ambulatory liaison competency requirements as demonstrated through completion of the Medication Access Program Competency Checklist, as well as disease state-specific training, accreditation updates, and other operational competencies as required.
Pharmacy Technician Specialist PD - Retail TMH The Miriam HospitalPharmacy Technician Specialist PD - RetailRhode IslandAssumes responsibility for assigned areas of the pharmacy including inventory management, medication purchasing, medication compounding and repackaging, dispensing, and sales.strike/strikePrepares, formulates and packages medications including hazardous substances, controlled substances, and other pharmaceutical supplies under the immediate supervision of a pharmacist. Coordinates quality assurance activities for assigned areas of the pharmacy.strike/strikeEnsures medication supply areas are neat and orderly, chemotherapy agents are appropriately segregated, and all medications are stored under proper conditions for light, temperature, and sanitation.
Manager OR Support Services RIH Rhode Island HospitalManager OR Support ServicesRhode IslandThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. SUMMARY: Reporting to the Director of Surgical Services, directs the daily activities of the Housekeeping Aides and OR Assistant staff in the Main OR, the Hasbro OR and the Ambulatory Surgical Center that will maintain and improve the workflow and environment.
Staff Cost Consultant Acuity InternationalStaff Cost ConsultantRemote, RI, RIRemoteThe Staff Cost Consultant leads quality control reviews and maintains relationships with project personnel, particularly with individual discipline group leaders and engineers and provides technical direction to assigned personnel, when delegated. Knowledge of financial reporting systems and controller account codes, and understanding of Controller instructions, which impact Project Controls (including Project Financial Status Reports and Earned Revenue Determination Data).
Supervisor II, Electrode Production (3rd Shift) ZOLL MedicalSupervisor II, Electrode Production (3rd Shift)Pawtucket, Rhode IslandRemoteResponsible for providing supervision and direction to employees of a large department (over 50 employees) and/or guidance and support to peers and group leaders in similar or other departments in the areas of attainment of production goals, safety, training, employee relations, quality and housekeeping issues. The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally.
Supervisor II, Electrode Production Zoll Medical CorpSupervisor II, Electrode ProductionPawtucket, RI$81,900–$122,800 / yearResponsible for providing supervision and direction to employees of a large department (over 50 employees) and/or guidance and support to peers and group leaders in similar or other departments in the areas of attainment of production goals, safety, training, employee relations, quality and housekeeping issues. The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally.
Manager OR Support Services Brown University HealthManager OR Support ServicesProvidence, RI$82,284.80–$135,782.40 / yearThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. SUMMARY: Reporting to the Director of Surgical Services, directs the daily activities of the Housekeeping Aides and OR Assistant staff in the Main OR, the Hasbro OR and the Ambulatory Surgical Center that will maintain and improve the workflow and environment.