NewSenior Project Manager - Electrical JobotSenior Project Manager - ElectricalEl Paso, TX$175,000–$250,000 / 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. Responsibilities: Lead and manage the execution of all phases of large-scale electrical construction projects, including conceptual development, planning, scheduling, budgeting, and implementation.
Sr Mgr - Technical Accounting, Reporting & Controls JobotSr Mgr - Technical Accounting, Reporting & ControlsHouston, TX$200,000–$225,000 / 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 will provide you with an opportunity to leverage your expertise in managing and coordinating accounting and reporting activities, delivering insights, and driving business performance.
NewConstruction Project Manager / Spanish Speaking in Houston, TX - Full Time GDR DefenseConstruction Project Manager / Spanish Speaking in Houston, TX - Full TimeHouston, TXFull timeGUSFECET Company Description: We specialize in high-quality Precast Concrete Fencing and masonry systems , serving a diverse clientele that includes commercial, residential, governmental, and architectural sectors. Employer specializes in high-quality precast concrete fencing and masonry systems, serving a diverse clientele that includes commercial, residential, governmental, and architectural sectors.
Project Manager JobotProject ManagerAustin, TX$100,000–$110,000 / 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. Develop comprehensive project plans that merge customer requirements with company goals and coordinate various managers and technical personnel during all project phases.
NewSenior Project Manager (Custom Software & Healthcare) JobotSenior Project Manager (Custom Software & Healthcare)Schertz, TX$120,000–$200,000 / 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. Rather than supporting a single product, you'll partner with innovative healthcare organizations to design and deliver technology that improves patient experiences, provider workflows, and healthcare outcomes.
Technical Project Manager TeleWorld SolutionsTechnical Project ManagerPlano, TXFull timeWith the experience of hundreds of thousands of successful implementations, including macro, DAS, Small Cells, and Wi-Fi, the world’s leading network operators and OEMs trust our knowledge and experience to plan, perform, troubleshoot, and implement an array of technologies and solutions. TeleWorld Solutions is a strategic wireless engineering and consulting firm offering network operators, OEMs and tower companies turnkey design, optimization, network dimensioning and deployment services.
NewSenior Project Manager Vaco LLCSenior Project ManagerDallas, TX$135,000–$150,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Tax Manager JobotTax ManagerHouston, TX$160,000–$180,000 / 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. Excellent negotiation and communication skills, with the ability to effectively present complex tax concepts and strategies to non-tax professionals.
NewAccounting Manager JobotAccounting ManagerCarrollton, TX$100,000–$130,000 / 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. The successful candidate will be responsible for overseeing all aspects of financial management, including corporate accounting, regulatory and financial reporting, budget and forecasts preparation, as well as development of internal control policies and procedures.
Project Manager Rotating Machinery ServicesProject ManagerHouston, TXFull timeThe goal was to provide turbomachinery operators with unparalleled service based on established relationships, solid engineering, and technical expertise—all backed by responsiveness in competitive prices and lead times. Projects will prepare final shipping request form including list of items, job number, customer contact information, location, and determine party responsible for final shipping cost.
NewBusiness Development Manager, Finance & Accounting Vaco LLCBusiness Development Manager, Finance & AccountingHouston, TX$55,000–$100,000Minimum 4 years’ client relations experience in audit, tax, and/or public accounting highly preferred, or experience selling accounting/financial project solutions. Work with an elite recruitment team to fulfill special projects and interim positions in audit, financial reporting, FP&A, M&A, taxation, software implementations, and more.
NewAccounting Manager (Hybrid) JobotAccounting Manager (Hybrid)Plano, TX$110,000–$145,000 / yearOverseeing training programs for Accounting Services staff, identifying holes in knowledge, and expanding upon video library in Paylocity in support of division strategy to provide high level consulting for all AS clients. Our Accounting Services Manager will oversee multiple projects, consult with Clients, deliver management reports, provide QuickBooks/software training and other consulting services.
Account Manager Hajoca CorporationAccount ManagerFort Worth, TXEffectively use Microsoft Office software (Outlook, Word, Excel) to communicate via email, to maintain weekly sales plans, call reports, and customer contact files, and to analyze customer data. . Work with the customer, Profit Center Manager, and Credit Manager to facilitate payment of all accounts receivable; communicate any changes in a customer’s business that might cause a credit risk.
Safety Manager JobotSafety ManagerEl Paso, TX$100,000–$130,000 / 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. With a strong backlog, outstanding reputation, and a people-first culture, we continue to grow while maintaining the feel of a close-knit organization where employees have a voice and a direct stake in the company's success.
NewSenior Audit Manager ( Hybrid) JobotSenior Audit Manager ( Hybrid)Grapevine, TX$140,000–$200,000 / 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. Well-established, full-service CPA firm that provides a full suite of traditional audit/review, tax, and accounting services to individuals and businesses, both large and small, throughout the Dallas/Fort Worth area.
Project Manager - Global Technology Solutions Rotating Machinery ServicesProject Manager - Global Technology SolutionsPasadena, TXFull timeThe primary function of a GTS Project Manager is to plan and oversee all phases of centrifugal compressor and steam turbine shop turnarounds and overhauls to ensure projects are completed on time and within budget. The goal was to provide turbomachinery operators with unparalleled service based on established relationships, solid engineering, and technical expertise—all backed by responsiveness in competitive prices and lead times.
NewFund Accounting Manager Vaco LLCFund Accounting ManagerDallas, TX$130,000–$160,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewInvestment Accounting Manager Vaco LLCInvestment Accounting ManagerDallas, TX$140,000–$160,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Project Manager - Global Technology Solutions Rotating Machinery Svcs IncProject Manager - Global Technology SolutionsPasadena, TXFull timeThe primary function of a GTS Project Manager is to plan and oversee all phases of centrifugal compressor and steam turbine shop turnarounds and overhauls to ensure projects are completed on time and within budget. The goal was to provide turbomachinery operators with unparalleled service based on established relationships, solid engineering, and technical expertise—all backed by responsiveness in competitive prices and lead times.
NewAccounting Manager Vaco LLCAccounting ManagerCoppell, TX$125,000–$135,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Senior Project Manager â Enterprise Technology / ECMS eStaffLLCSenior Project Manager â Enterprise Technology / ECMSAustin, TXTemporaryContractorWe are seeking an experienced Senior Project Manager for a Hybrid position in Austin, Texas leading large, complex enterprise technology initiatives from planning through production implementation. This role requires strong governance, stakeholder management, and delivery execution across multiple concurrent workstreams, with frequent communication to executive leadership.
Maintenance Manager JobotMaintenance ManagerDenton, TX$145,000–$160,000 / 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. Founded nearly a century ago and based in Denton, TX, with additional operations throughout North Texas, we are a rapidly growing food manufacturing organization serving customers across the United States.
NewSenior Manager of Accounting Vaco LLCSenior Manager of AccountingIrving, TX$135,000–$150,000Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Sr Project Manager - San Antonio, TX Ceco Concrete Construction, LLCSr Project Manager - San Antonio, TXSan Antonio, TXFounded in 1912, Ceco has more than 100 years of experience serving the commercial construction industry as a client-centric, single source solution for concrete structures. The Senior Project Manager is responsible for the execution and oversight of concrete formwork projects and ensures productivity, quality, cost control, and safety.
Project Manager - San Antonio, TX Ceco Concrete Construction, LLCProject Manager - San Antonio, TXSan Antonio, TXFounded in 1912, Ceco has more than 100 years of experience serving the commercial construction industry as a client-centric, single source solution for concrete structures. The Project Manager leads the execution and oversight of concrete frame and formwork projects and ensures productivity, quality, cost control, and safety.
NewManager, Diagnostic Services - Breast Health Parkland Health and Hospital SystemManager, Diagnostic Services - Breast HealthPlano, TXCultivates and maintains positive working relationships with management, physicians, nurses, hospital staff, students, and vendors in order to provide optimal patient care, and interdepartmental cooperation, and improve effectiveness, productivity, and efficiency in support of overall Parkland and department goals. Serves as a liaison between the department and the information technology divisions coordinating and monitoring the implementation of various programs and systems such as the EMR and PACS to ensure the appropriate clinical operation and patient safety as requirements change.
Program Manager II Recaro Aircraft Seating Americas, Inc.Program Manager IIFt Worth, TXThe Program Manager II is responsible for the coordination of all activities related to the fulfilment of assigned customer orders for commercial aircraft passenger seats, from the time a program is handed over by the Sales department until program closure. The Program Manager II must have the industry experience / knowledge required to manage complicated / product development projects and be in position to mentor less experienced Program Managers.
NewProgram Manager Neonatal Services - Perinatal Admin CHRISTUS HealthProgram Manager Neonatal Services - Perinatal AdminAlice, TXThe hospital is a Level IV Trauma Center and is licensed for 186 beds and offers comprehensive medical and surgical services including pediatrics, obstetrics, skilled nursing, emergency and intensive care, as well as cardiac and comprehensive services. Demonstrates strong interpersonal skills, possesses good negotiating skills and promotes teamwork; monitors team member feedback to ensure effectiveness of communication and understanding of organizational direction and expectations.
Project Manager - Dallas, TX Ceco Concrete Construction, LLCProject Manager - Dallas, TXDallas, TXThe Project Manager leads the execution and oversight of concrete frame and formwork projects and ensures productivity, quality, cost control, and safety. Most importantly, our people count on and believe in one another and know our success depends on our frontline workers building great projects that reflect our values and vision.
HR Manager JobotHR ManagerDallas, TX$80,000–$100,000 / 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewCommercial Construction Senior Project Manager HITT ContractingCommercial Construction Senior Project ManagerLubbock, TXEvery day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates. The Senior Project Manager’s role is to effectively manage both small and large scale projects from discovery and design to development and implementation.
NewCommercial Construction Senior Project Manager - Healthcare & Life Sciences HITT ContractingCommercial Construction Senior Project Manager - Healthcare & Life SciencesHouston, TXEvery day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates. The Senior Project Manager’s role is to effectively manage both small and large scale projects from discovery and design to development and implementation.
Project Manager Remedial Construction Services, L.PProject ManagerHouston, TX$90,000–$130,000 / yearDirect project execution in full compliance with contractual scope and requirements, including responsibilities related to pre-bid planning, proposal development, project startup, contract administration, resource allocation, cost control, material procurement, subcontractor coordination, cash flow management, and change order negotiations. Analyze physical progress and financial performance data to develop accurate, data-driven forecasts, supporting timely and comprehensive performance status reports that include projected completion dates, budget adherence, and overall financial outcomes.
Assistant Project Manager I - San Antonio, TX Ceco Concrete Construction, LLCAssistant Project Manager I - San Antonio, TXSan Antonio, TXBachelors or Associates degree in Engineering, Construction Management, related degree, or its equivalent and a minimum of 1-2 years of work experience successfully supporting similar primary responsibilities meeting and exceeding performance expectations. Founded in 1912, Ceco has more than 100 years of experience serving the commercial construction industry as a client-centric, single source solution for concrete structures.
NewDAS Project Manager Communication Technology Services (CTS)DAS Project ManagerCarrollton, TX$90,000–$125,000 / yearCommunication Technology Services (CTS ) is one of the largest integrators and managed service providers for enterprise cellular networks in the U.S., specializing in the design, installation and support of Distributed Antenna System (DAS), Small Cell, and 4G/5G Private Wireless Networks for Enterprise. Ensure all project teams are adhering to proper safety protocols (JSAs, Daily Safety Meetings, Tool Box Talks, PPE) and have the proper tools/equipment to complete the defined tasks safely.
NewProgram Manager Perinatal Services - Nursing Admin CHRISTUS HealthProgram Manager Perinatal Services - Nursing AdminIrving, TXAssists in establishing effective strategies for service line initiatives, education and competency, physician collaboration, integration, outcomes, and resource utilization with the goal of increasing service line growth, efficiency, compliance, safety, and patient experience. Demonstrate strong interpersonal skills and good negotiating skills and promote teamwork; monitor team member feedback to ensure effective communication and understanding of organizational direction and expectations.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNMarble Falls, TXFacilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
Project Manager III- Substation (On Site Position) New River Electrical CorporationProject Manager III- Substation (On Site Position)Southlake, TXResponsible for all project planning documents including but not limited to scope management plan, schedule management plan, cost management plan, quality management plan, resource management plan, communications management plan, risk management plan, procurement management plan, change management plan, scope baseline, schedule baseline, cost baseline, and the performance measurement baseline. Further, the Project Manager III is responsible for conducting business development activities, preparing estimates and bids, project schedule management, overall planning and management of field operations, procurement/purchasing, scope definition and change management, implementing and monitoring effective safety plans, and accurately managing financials including P&L for assigned projects.
NewPrincipal Client Success Manager TTECPrincipal Client Success ManagerAustin, TX$150,000–$160,000 / yearLead project initiatives, attend client-related meetings, manage requirement changes, develop action plans, lead client-facing meetings, quarterly business reviews, site visits and other sessions. Ability to proactively develop and maintain solid business partnerships to ensure success in balancing the department and customer needs with the legal and financial expectations of the organization and ensure needed business outcomes.
Criminal Justice Case Manager PermiaCareCriminal Justice Case ManagerMidland, TXEducation Required: A Bachelor's degree from an accredited college or university with a major in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistance, gerontology, special education, educational psychology, early childhood education or early childhood intervention or a bachelor's degree with at least 30 hours of coursework in the previous fields. The Criminal Justice Case Manager provides case management to clients in the TCOOMMI program, including coordination of services and monitoring of mental health treatment needs of individuals who are on probation or parole.
Program Manager - Airlines Exp Pinnacle Technical ResourcesProgram Manager - Airlines ExpFort Worth, Texas$65–$70 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. We are seeking a highly skilled Program Manager to lead and manage large-scale IT programs and enterprise project management initiatives.
NewProject Manager Information Technology II - IM Project Management Office CHRISTUS HealthProject Manager Information Technology II - IM Project Management OfficeIrving, TXThe Project Manager will gather and evaluate information concerning a user’s conceptual needs, estimate and schedule project activities, and associated costs, coordinate and participate in analysis/design/coding activities, ensure that system changes are fully tested, ensure users are fully trained and prepared, associated guideline and procedure requirements are met, and coordinate the implementation of the changes. Ensuring super-users or other support personnel are in place at go-live, and succession planning is documented to ensure ongoing competency support in facilities and departments affected by new systems being implemented or upgraded.
Sr Transportation Manager Medline IndustriesSr Transportation ManagerKaty, TX$116,000–$174,000 / yearFull timeManagement responsibilities: - Typically manages through multiple Managers and/or Supervisors - Oversee major projects/programs/outcomes - Budget responsibility - Interpret and execute policies for departments/projects; develop, recommend and implement new policies or modifications to existing policies - Provide general guidelines and parameters for staff functioning - Hiring staff, recommending pay increases, performing performance reviews, training and development of staff, estimating personnel needs, assigning work, meeting completion dates, interpreting and ensuring consistent application of organizational policies MINIMUM JOB REQUIREMENTS Work Experience - Experience managing and dispatching drivers and use of routing software. - Basic level skill in Microsoft Excel - Basic skill level in Microsoft PowerPoint - Basic level skill in Microsoft Word - Ability to move, lift, carry supplies/equipment up to 50 lbs and may have to occasionally lift up to 75 lbs - Must be able to stand for a minimum of 8 hours and up to 12 hours per day for up to 6 days a week PREFERRED JOB REQUIREMENTS Education Bachelor’s degree.
NewManager, Project Accounting HITT ContractingManager, Project AccountingDallas, TXThis individual will report to the Director of Project Accounting and is responsible for reporting revenue and profit, forecasting, cash flow and risk, as well as the overall health of the project accounting teams. Every day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates.
NewArchitectural Project Manager JobotArchitectural Project ManagerPlano, TX$75,000–$90,000 / 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. Here are some of the experience we are looking for: putting together full sets of CDs, permitting, RFIs, and site visits for upfront verification, during construction, punch-lists, and meeting with the city for permit related requirements.
Program Manager I Recaro Aircraft Seating Americas, Inc.Program Manager IFt Worth, TXDescription: Position Summary: The Program Manager I is responsible for the coordination of all activities related to the fulfillment of assigned customer orders for commercial aircraft passenger seats, from the time a program is handed over by the Sales department, through development, certification, supply chain and production, and until program closure. Supervise all BFE activities, including the timely placement and receipt of BFE orders, required for CDR, test and HoV production seats.
NewManager, Oracle HCM KPMGManager, Oracle HCMDallas, TXPrepare high-level and detailed technical project plan and schedule for construct phase of the project including data mapping workshop sessions, integration functional and technical design sessions; articulate delivered Cloud SaaS data extraction tools and capabilities and preform final review the technical SDLC deliverables before submitting to client. Experience in working with Oracle Integration Cloud and advanced Excel skills such as Pivot, VLookup, writing VBA macros, Microsoft Project with sound knowledge in data conversion tools and integration tools for Oracle Cloud.
NewClinical Manager / Registered Nurse, Home Health AccentCare, Inc.Clinical Manager / Registered Nurse, Home HealthTemple, TX$95,000–$100,000This includes the coordination and management of patient care, and the supervision and coaching of clinical personnel to ensure that care and services are delivered appropriately. If you meet these qualifications, we would love to meet you: Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
NewBA Project Manager - Bilingual (Mandarin/English) Comau LLCBA Project Manager - Bilingual (Mandarin/English)Austin, TXStart project from kick-off until the final test in the customer’s plant; Responsible for project timing and margin, Supervise the quality; Act as reference point for customer during whole project life; work with sales to build and maintain customer relationship, and achieve customer satisfaction; Dealing with contract variations; Build and maintain project WBS and timing plan; responsible for project review during project rolling; Work with function managers to allocate resource to work on project in order to secure project running; Work with purchasing department to select and manage critical supplier; Coordinate project function interface issues under local organization matrix and contribute to consolidate system procedure; Adopt previous project lessons-learned and prevent them for on-going project; Define the strategy “Make and Buy” for project scope of supply; Drive the analysis and implement the recovery action on the risks defined in proposal and project phase; Project report in closing phase in aspect of lessons, possible optimization; Evaluate team member’s performance in project closing phase; Contribute to long term development of local business and organization; Advanced offering/selling for metal cutting project when needs. Follow the project management and site management process defined by the company; Follow the EHS regulation and process and ensure the execution in the onsite management;
NewRegistered Nurse Program Manager - Emergency Trauma CHRISTUS HealthRegistered Nurse Program Manager - Emergency TraumaJasper, TXDirects the operation of clinical programs and promotes quality services for the community and patients. Develops, implements and maintains policies and procedures for programs to ensure quality patient care and services.