Registered Nurse Inpatient Hospice GIP CarePartnersRegistered Nurse Inpatient Hospice GIPBrevard, 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.
Homecare Hospice Registered Nurse CarePartnersHomecare Hospice Registered NurseAsheville, 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.
Inpatient Hospice GIP Registered Nurse CarePartnersInpatient Hospice GIP Registered NurseBrevard, 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.".
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. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being.
Registered Nurse Hospice Home Care CarePartnersRegistered Nurse Hospice Home CareBrevard, 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 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.".
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.
Hospice 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) 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 (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 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 (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 PACE Home Care CarePartnersRegistered Nurse Case Manager PACE Home CareAsheville, 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.
Float Pool Registered Nurse PRN CarePartnersFloat Pool Registered Nurse PRNAsheville, 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.
Registered Nurse Inpatient Rehab CarePartnersRegistered Nurse Inpatient RehabBrevard, 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.
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.
PACE Program Registered Nurse CarePartnersPACE Program 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.
NewRegistered Nurse Neurology Med Surg Mission HospitalRegistered Nurse Neurology Med SurgBrevard, 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.
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 PRNHendersonville, 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.
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.
Registered Nurse PCU Mission HospitalRegistered Nurse PCUBrevard, 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.
Home Health Registered Nurse CarePartnersHome Health Registered NurseAsheville, 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 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.
NewCardiology Stepdown Registered Nurse Mission HospitalCardiology Stepdown Registered NurseAsheville, 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 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.
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.
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 Cardiovascular PCU Mission HospitalRegistered Nurse Cardiovascular PCUWaynesville, 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. Leapfrog Hospital Safety Grade recognized Mission Hospital with an "A," nationally recognizing Mission Hospital's achievements in protecting patients and providing safer healthcare.
NewPsych Registered Nurse - South Mission HospitalPsych Registered Nurse - SouthAsheville, 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. Leapfrog Hospital Safety Grade recognized Mission Hospital with an "A," nationally recognizing Mission Hospital's achievements in protecting patients and providing safer healthcare.
NewRegistered Nurse Medical Cardiology Stepdown Mission HospitalRegistered Nurse Medical Cardiology StepdownHendersonville, 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.
Inpatient Rehabilitation Registered Nurse CarePartnersInpatient Rehabilitation Registered NurseWaynesville, 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.
ER Registered Nurse Blue Ridge Regional HospitalER Registered NurseSpruce 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. In collaboration with medical providers and other members of the care team, the RN provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.”
NewCVOR Registered Nurse PRN Mission HospitalCVOR Registered Nurse PRNWaynesville, 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. Continuous investment in equipment including surgical instruments, devices and patient positioning for you to do your best work with patient safety and workflow efficiency in the Operating Room.
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).
NewOncology Registered Nurse Mission HospitalOncology Registered NurseBrevard, 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.
NewPulmonary Stepdown Registered Nurse Mission HospitalPulmonary Stepdown Registered NurseAsheville, NCMission 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. 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.
NewAdult Med Surg Registered Nurse Mission HospitalAdult Med Surg Registered NurseHendersonville, NCAs a Adult 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.
NewPsych Registered Nurse West Adult Mission HospitalPsych Registered Nurse West AdultWaynesville, 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.
NewPsych Registered Nurse East unit Mission HospitalPsych Registered Nurse East unitWaynesville, 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.