NewHospice RN Case Manager - Waynesville, NC - PRN UnitedHealth GroupHospice RN Case Manager - Waynesville, NC - PRNWaynesville, NC$34.45–$51.65 / hourAs members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. See United Healthcare Privacy Policy at https://www.unitedhealthgroup.com/privacy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Homecare Hospice Registered Nurse CarePartnersHomecare Hospice Registered NurseWaynesville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. Participates in coordination of hospice services, appropriately reporting the identified needs to the interdisciplinary group, including Hospice Aide, Director of Clinical Services –Hospice, and Chaplain.
Registered Nurse Inpatient Hospice GIP CarePartnersRegistered Nurse Inpatient Hospice GIPWaynesville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care.
Inpatient Hospice GIP Registered Nurse CarePartnersInpatient Hospice GIP Registered NurseWaynesville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care.
NewInpatient Hospice Solace Center Registered Nurse CarePartnersInpatient Hospice Solace Center Registered NurseWaynesville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.".
Registered Nurse Hospice Home Care McDowell CarePartnersRegistered Nurse Hospice Home Care McDowellBrevard, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
Registered Nurse Hospice Home Care CarePartnersRegistered Nurse Hospice Home CareAsheville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care.
NewTravel Nurse RN - Hospice - $1,868 per week in Asheville, NC TalentBurst, Inc.Travel Nurse RN - Hospice - $1,868 per week in Asheville, NCAsheville, NC$1,868Shift- 06:45 PM -07:15 AM Unit Information: Home care Hospice nurse Location: Buncombe county Address: mobile Floor: Building: General Information Tell us about the unit(s): · Type of staff: o Day Shift – 1 team manager per branch, 1 CNC, 3 RN case managers, 2-3 PCTs.
NewTravel Nurse RN - Hospice - $1,936 to $2,164 per week in Asheville, NC Prime Time HealthcareTravel Nurse RN - Hospice - $1,936 to $2,164 per week in Asheville, NCAsheville, NC$1,936.30–$2,164.10Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewHospice and Palliative Care Physician Needed in North Carolina CHG HealthcareHospice and Palliative Care Physician Needed in North CarolinaAsheville, NCYour CompHealth recruiter will be your advocate assisting you with contract negotiation, including pay, benefits, and incentives with insights into facilities and national market trends. Contact Lisa Goldstein at lisa.goldstein@comphealth.com or (954) 837-2674 to learn more about this opportunity.
REGISTERED NURSE - LIBERTY ADVANTAGE Liberty HealthREGISTERED NURSE - LIBERTY ADVANTAGEAsheville, NCCollaborates with the broad range of Plan and Facility Interdisciplinary Care Team members (including Plan Medical Director, Nurses, and Utilization Management staff; Interdisciplinary Facility Leadership, Medical Director, Attending Physicians, Advanced Practice Providers, Nurses, aides, and other staff; and others). Maintain effective communication with Liberty Advantage Administrative Director, Medical Director, and/or Lead Nurse Practitioner or other assigned Provider, to ensure effective implementation of Liberty Advantage Model of Care.
Registered Nurse (RN) ICU Haywood Regional Medical CenterRegistered Nurse (RN) ICUClyde, NCOur 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. In addition to your base compensation, this position also offers: - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
Registered Nurse RN Home Health Enhabit Home Health & HospiceRegistered Nurse RN Home HealthColumbus, NCPerforming accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role. In addition to performing visits and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved with providing care to patients and oversees the frequency of visits for the episode.
Registered Nurse (RN) PCU/Telemetry Haywood Regional Medical CenterRegistered Nurse (RN) PCU/TelemetryClyde, NCOur 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. In addition to your base compensation, this position also offers: - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
NewRegistered Nurse Weekend Position UnitedHealth GroupRegistered Nurse Weekend PositionWaynesville, NC$67,104–$100,656 / yearDevelops, implements, and updates patient plans of care in collaboration with physicians and the interdisciplinary team; ensures home‑health eligibility and completes comprehensive nursing assessments (including OASIS and medication reconciliation). The Registered Nurse coordinates total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
NewRegistered Nurse Buncombe & Haywood Counties UnitedHealth GroupRegistered Nurse Buncombe & Haywood CountiesWaynesville, NC$28.27–$50.48 / hourQuality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.
NewRegistered Nurse (RN) Emergency Department Haywood Regional Medical CenterRegistered Nurse (RN) Emergency DepartmentClyde, NCOur 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. With an average daily volume of approximately 74 patients, this role offers the opportunity to contribute to high-quality emergency medical care while working alongside a dedicated team in a fast-paced setting.
Registered Nurse (RN) Med Surg Haywood Regional Medical CenterRegistered Nurse (RN) Med SurgClyde, NCOur 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. Join our team in a 39-bed Medical Surgical unit where you will provide compassionate care to patients alongside a dedicated team of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Registered Nurse Case Manager Home Health CarePartnersRegistered Nurse Case Manager Home HealthBrevard, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
Registered Nurse Case Manager PACE Home Care CarePartnersRegistered Nurse Case Manager PACE Home CareWaynesville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Act as the liaison between the contracted home health agency and the PACE program coordinating homecare Nurses, Home Health Aides, Homecare Services Non-Skilled Aides and the Homecare Schedulers.
Registered Nurse (RN) Urgent Care Haywood Regional Medical CenterRegistered Nurse (RN) Urgent CareCanton, NCOur 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. In addition to your base compensation, this position also offers: - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
Registered Nurse Post Acute Transition Specialist CarePartnersRegistered Nurse Post Acute Transition SpecialistHendersonville, NCThe Post-Acute Transitions Specialist will ensure appropriate patient placement through screenings and assessments in collaboration with SNF Discharge Planners & Inter- Disciplinary Teams, Ambulatory Care Managers, MHP Care Managers, BPCI Transitions Care Coordinator, practice referral coordinators, physicians, and CarePartners Post-Acute service line team members. They will maximize positive financial outcomes for designated patient populations, intervening at key points in the disease process by facilitating appropriate Post-Acute placement, participating in Goals of Care/Advanced Care Planning dialogue and effective transitions to prevent readmissions, and lower total cost of care thru the appropriate utilization of Post-Acute services.
Registered Nurse (RN) - Clinical Team Leader - Home Health Enhabit Home Health & HospiceRegistered Nurse (RN) - Clinical Team Leader - Home HealthColumbus, NCWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Float Pool Registered Nurse PRN CarePartnersFloat Pool Registered Nurse PRNHendersonville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care.
Registered Nurse (RN) Operating Room Haywood Regional Medical CenterRegistered Nurse (RN) Operating RoomClyde, NCOur 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. The scope of procedures includes a diverse range of specialties: Ear, Nose and Throat (ENT), Cataract and Retinal Eye surgeries, Gynecologic, Laparoscopic and Endoscopic, Orthopedic, Pain Management, Plastic and Reconstructive, and Gastroenterological surgeries.
Acute Care Registered Nurse Blue Ridge Regional HospitalAcute Care Registered NurseSpruce Pine, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. We offer many medical specialties, including emergency services, prenatal and postnatal obstetrical care, cardiac and pulmonary rehabilitation programs, nuclear medicine and walk-in, non-emergency care at Mission My Care Now Spruce Pine.
Home Health Registered Nurse PRN CarePartnersHome Health Registered Nurse PRNBrevard, NCLocated in Asheville, North Carolina, it’s services include a Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Private Duty, PACE (Program of All-inclusive Care for the Elderly) and Orthotics & Prosthetics. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
NewRegistered Nurse - Neurology Mission HospitalRegistered Nurse - NeurologyHendersonville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Mission Hospital , a member of Mission Health, an operating division of HCA Healthcare, located in Asheville, North Carolina, serves as the regional tertiary and quaternary care center in Western North Carolina and the adjoining region.
Registered Nurse Inpatient Rehab CarePartnersRegistered Nurse Inpatient RehabAsheville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
NewPsych Registered Nurse Adult Mission HospitalPsych Registered Nurse AdultHendersonville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Mission Hospital , a member of Mission Health, an operating division of HCA Healthcare, located in Asheville, North Carolina, serves as the regional tertiary and quaternary care center in Western North Carolina and the adjoining region.
Registered Nurse General Surgery Neuro Mission HospitalRegistered Nurse General Surgery NeuroBrevard, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Overview of A6 West Neurology: Imagine yourself as part of our dynamic team on A6 West Neurology, a 36-bed med-surg neuro tele unit specializing in providing exceptional care to patients with various neurological conditions.
PACE Program Registered Nurse CarePartnersPACE Program Registered NurseHendersonville, NCLocated in Asheville, North Carolina, it’s services include a Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Private Duty, PACE (Program of All-inclusive Care for the Elderly) and Orthotics & Prosthetics. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
Registered Nurse PCU Mission HospitalRegistered Nurse PCUAsheville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Mission Hospital is licensed for 853 beds and is the region’s only trauma center, comprehensive stroke center, Level III neonatal intensive care unit, and includes the only children’s hospital in Western North Carolina.
NewRegistered Nurse Medical Surgical Neuro Mission HospitalRegistered Nurse Medical Surgical NeuroHendersonville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Overview of A6 West Neurology: Imagine yourself as part of our dynamic team on A6 West Neurology, a 36-bed med-surg neuro tele unit specializing in providing exceptional care to patients with various neurological conditions.
Float Pool Registered Nurse CarePartnersFloat Pool Registered NurseWaynesville, NCWith more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.".
Inpatient Rehab Registered Nurse PRN CarePartnersInpatient Rehab Registered Nurse PRNBrevard, NCLocated in Asheville, North Carolina, it’s services include a Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Private Duty, PACE (Program of All-inclusive Care for the Elderly) and Orthotics & Prosthetics. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
NewOncology Registered Nurse Mission HospitalOncology Registered NurseHendersonville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology.
Home Health Registered Nurse CarePartnersHome Health Registered NurseBrevard, NCLocated in Asheville, North Carolina, it’s services include a Rehabilitation Hospital, Home Health, Outpatient Rehabilitation, Hospice, Palliative Care, Private Duty, PACE (Program of All-inclusive Care for the Elderly) and Orthotics & Prosthetics. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
NewPsych Registered Nurse Peds Mission HospitalPsych Registered Nurse PedsHendersonville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Manages the continuation of care by serving as the interface between healthcare providers and community support systems who coordinate ongoing care needs for specialized patient groups.
NewCardiology Stepdown Registered Nurse Mission HospitalCardiology Stepdown Registered NurseWaynesville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage."
NewPsych Registered Nurse West Unit Mission HospitalPsych Registered Nurse West UnitWaynesville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Mission Hospital , a member of Mission Health, an operating division of HCA Healthcare, located in Asheville, North Carolina, serves as the regional tertiary and quaternary care center in Western North Carolina and the adjoining region.
Charge Nurse (RN) Med/Surg Haywood Regional Medical CenterCharge Nurse (RN) Med/SurgClyde, NCOur 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. Join our team in a 39-bed Medical Surgical unit where you will provide compassionate care to patients alongside a dedicated team of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Acute Care Registered Nurse PRN Blue Ridge Regional HospitalAcute Care Registered Nurse PRNSpruce Pine, NCBlue Ridge Regional Hospital offers medical specialties including emergency services, prenatal and postnatal obstetrical care, wound clinic, cardiac stress testing, cardiac and pulmonary rehabilitation programs, nuclear medicine, 3D mammography, endoscopy services, critical care, rehabilitation services and fitness center, cancer services, orthopedics, general surgical services, pediatrics and family medicine, and walk-in, non-emergency care at Mission My Care Now Spruce Pine. Blue Ridge Regional Hospital, a member of Mission Health, an operating division of HCA Healthcare, is a community hospital serving Mitchell, Yancey, lower Avery and upper McDowell counties.
NewRegistered Nurse Neuro Med Surg Mission HospitalRegistered Nurse Neuro Med SurgHendersonville, NCMission Hospital , a member of Mission Health, an operating division of HCA Healthcare, located in Asheville, North Carolina, serves as the regional tertiary and quaternary care center in Western North Carolina and the adjoining region. Overview of A6 West Neurology: Imagine yourself as part of our dynamic team on A6 West Neurology, a 36-bed med-surg neuro tele unit specializing in providing exceptional care to patients with various neurological conditions.
NewRegistered Nurse Med-Surg Neuro Mission HospitalRegistered Nurse Med-Surg NeuroAsheville, NCAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills.
Med Surg Registered Nurse Mission HospitalMed Surg Registered NurseWaynesville, NCAs a Med Surg Registered Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. Mission Hospital , a member of Mission Health, an operating division of HCA Healthcare, located in Asheville, North Carolina, serves as the regional tertiary and quaternary care center in Western North Carolina and the adjoining region.
General Medicine Registered Nurse Mission HospitalGeneral Medicine Registered NurseWaynesville, NCMission Hospital , a member of Mission Health, an operating division of HCA Healthcare, located in Asheville, North Carolina, serves as the regional tertiary and quaternary care center in Western North Carolina and the adjoining region. Mission Hospital is licensed for 853 beds and is the region’s only trauma center, comprehensive stroke center, Level III neonatal intensive care unit, and includes the only children’s hospital in Western North Carolina.