NewLocal Contract LPN / LVN - $37 per hour - Urgently Hiring Staff TodayLocal Contract LPN / LVN - $37 per hour - Urgently HiringColumbia, SCWe have upheld this belief in all our recruiting and management functions, resulting in Staff Today being one of the largest staffing companies in the United States. At Staff Today we believe that successful organizations are a product of experienced and talented employees.
Travel LPN / LVN - Psychiatric - $1,239 per week - Urgently Hiring Supplemental Health CareTravel LPN / LVN - Psychiatric - $1,239 per week - Urgently HiringColumbia, SC$1,141–$1,239 / weekJob Description: Supplemental Health Care is hiring Psychiatric Licensed Practical Nurses for contract assignments at a partnering Behavioral Health facility in Columbia, South Carolina. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
NewLPN / LVN Encompass Health Rehabilitation Hospital of ColumbiaLPN / LVNColumbia, SCUtilize your specialized skill set to deliver top-tier, compassionate, and personalized care, dedicating time to deeply comprehend patients and support their rehabilitation goals. Ourachievements,including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud.
Travel Psychiatric LPN/LVN - $1,239 per week - Urgently Hiring Supplemental Health CareTravel Psychiatric LPN/LVN - $1,239 per week - Urgently HiringColumbia, SC$1,141–$1,239 / weekJob Description: Supplemental Health Care is hiring Psychiatric Licensed Practical Nurses for contract assignments at a partnering Behavioral Health facility in Columbia, South Carolina. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
Occupational Therapist (OT) - Home Health Interim HealthCare of the MidlandsOccupational Therapist (OT) - Home HealthColumbia, SCYou provide skilled, compassionate care that helps patients recover, manage chronic conditions, and live safely and independently at home, while using your clinical expertise to prevent hospitalizations, empower patients and families, and improve long-term outcomes through trusted relationships and coordinated care. We believe exceptional care begins with supported occupational therapists, and we foster an environment where clinicians are respected, empowered, and equipped to do meaningful work—if you’re ready to make a lasting difference in patients’ lives, we invite you to join our team.
NewTravel Nurse RN - Med/Surg / Telemetry - $2,231 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Med/Surg / Telemetry - $2,231 per week in Columbia, SCColumbia, SC$2,231TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Med/Tele experience.
NewTravel Nurse RN - Post-Anesthesia Care Unit (PACU) / Pre-Post Op - $1,819 per week in Camden, SC TRS HealthcareTravel Nurse RN - Post-Anesthesia Care Unit (PACU) / Pre-Post Op - $1,819 per week in Camden, SCCamden, SC$1,819TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Post Anesthesia Care Unit experience.
NewTravel Nurse RN - Med/Surg / Telemetry - $1,758 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Med/Surg / Telemetry - $1,758 per week in Columbia, SCColumbia, SC$1,758TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Med/Tele experience.
NewTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,809 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,809 per week in Columbia, SCColumbia, SC$1,809TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Intensive Care Unit experience.
NewTravel Nurse RN - Operating Room - $1,819 per week in Camden, SC TRS HealthcareTravel Nurse RN - Operating Room - $1,819 per week in Camden, SCCamden, SC$1,819TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has OR - Operating Room experience.
NewTravel Nurse RN - Emergency Room (ER) / Trauma - $1,694 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Emergency Room (ER) / Trauma - $1,694 per week in Columbia, SCColumbia, SC$1,694TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Emergency Room experience.
NewTravel Nurse RN - Radiology - $2,133 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Radiology - $2,133 per week in Columbia, SCColumbia, SC$2,133TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Radiology - Electrophysiology Lab experience.
NewTravel Nurse RN - Cardiovascular Intensive Care Unit - $1,809 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Cardiovascular Intensive Care Unit - $1,809 per week in Columbia, SCColumbia, SC$1,809TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Cardiovascular Intensive Care Unit experience.
NewTravel Nurse RN - Radiology - $1,998 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Radiology - $1,998 per week in Columbia, SCColumbia, SC$1,998TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Radiology - Cardiac Cath Lab experience.
NewTravel Nurse RN - Endoscopy - $1,742 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Endoscopy - $1,742 per week in Columbia, SCColumbia, SC$1,742TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Endoscopy/GI Lab experience.
NewTravel Nurse RN - Telemetry - $1,860 per week in Columbia, SC TRS HealthcareTravel Nurse RN - Telemetry - $1,860 per week in Columbia, SCColumbia, SC$1,860TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in SC, and has Telemetry Unit experience.
NewTravel Nurse RN - PCU - Progressive Care Unit - $1,746 per week TRS HealthcareTravel Nurse RN - PCU - Progressive Care Unit - $1,746 per weekLancaster, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Med Surg - $2,394 per week TRS HealthcareTravel Nurse RN - Med Surg - $2,394 per weekLancaster, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Nurse RN - Telemetry - $1,860 per week TRS HealthcareTravel Nurse RN - Telemetry - $1,860 per weekSumter, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Nurse RN - PCU - Progressive Care Unit - $2,394 per week TRS HealthcareTravel Nurse RN - PCU - Progressive Care Unit - $2,394 per weekLancaster, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Nurse RN - Telemetry - $2,394 per week TRS HealthcareTravel Nurse RN - Telemetry - $2,394 per weekLancaster, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - ED - Emergency Department - $1,746 per week TRS HealthcareTravel Nurse RN - ED - Emergency Department - $1,746 per weekLancaster, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Electrophysiology Lab - $2,134 per week TRS HealthcareTravel Nurse RN - Electrophysiology Lab - $2,134 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - OR - Operating Room - $1,819 per week TRS HealthcareTravel Nurse RN - OR - Operating Room - $1,819 per weekCamden, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Med Surg / Telemetry - $1,758 per week TRS HealthcareTravel Nurse RN - Med Surg / Telemetry - $1,758 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Cardiac Cath Lab - $1,998 per week TRS HealthcareTravel Nurse RN - Cardiac Cath Lab - $1,998 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - ED - Emergency Department - $1,695 per week TRS HealthcareTravel Nurse RN - ED - Emergency Department - $1,695 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - PACU - Post Anesthesia Care - $1,819 per week TRS HealthcareTravel Nurse RN - PACU - Post Anesthesia Care - $1,819 per weekCamden, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Nurse RN - Med Surg / Telemetry - $2,231 per week TRS HealthcareTravel Nurse RN - Med Surg / Telemetry - $2,231 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - ICU - Intensive Care Unit - $1,809 per week TRS HealthcareTravel Nurse RN - ICU - Intensive Care Unit - $1,809 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Endoscopy - $1,742 per week TRS HealthcareTravel Nurse RN - Endoscopy - $1,742 per weekColumbia, SCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewOutpatient Registered Nurse - RN Fresenius Medical CareOutpatient Registered Nurse - RNColumbia, SCPerforms ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees.
NewRN - $`10K Sign On Encompass Health Rehabilitation Hospital of IrmoRN - $`10K Sign OnWest Columbia, SCOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
NewRN - Hiring Now Encompass Health Rehabilitation Hospital of IrmoRN - Hiring NowColumbia, SCOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
NewDialysis RN Encompass Health Rehabilitation Hospital of IrmoDialysis RNSpringdale, SCBe the Kind of Hemodialysis Nurse You Want to Be - All in One Location Your role involves: Providing direct patient care to inpatients in need of hemodialysis. If this resonates with you, welcome to our team, where you'll have the opportunity to offer specialized care close to home and heart, forming meaningful connections with patients while significantly enhancing their quality of life.
NewRegistered Nurse - $10K Sign On Bonus Encompass Health Rehabilitation Hospital of IrmoRegistered Nurse - $10K Sign On BonusColumbia, SCOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
NewRegistered Nurse Encompass Health Rehabilitation Hospital of IrmoRegistered NurseColumbia, SCOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
NewRegistered Nurse - Hiring Now Encompass Health Rehabilitation Hospital of IrmoRegistered Nurse - Hiring NowColumbia, SCOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Licensed Psychiatric Mental Health Nurse Practitioner HeadwayLicensed Psychiatric Mental Health Nurse PractitionerColumbia, SCWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
NewTravel PCU Stepdown RN ConfidentialTravel PCU Stepdown RNSUMTER, SCRequired Qualifications: One year of recent experience as a Stepdown RN Current Valid RN license in compliance with state regulations Current BLS Certification (AHA/ARC) Current ACLS Certification (AHA/ARC) Preferred Qualifications: Progressive Care Certified Nurse (PCCN) Certification NIHSS Certification Other certifications and licenses may be required for this position Summary: A Stepdown Registered Nurse provides care to patients who are transitioning from intensive care to medical-surgical or general inpatient units. They assess and manage complex patient needs, administer medications and treatments, and collaborate with multidisciplinary teams to ensure safe, patient-centered care.
Licensed Marriage and Family Therapist (LMFT) HeadwayLicensed Marriage and Family Therapist (LMFT)Columbia, SCHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Marriage and Family Therapist HeadwayLicensed Marriage and Family TherapistColumbia, SCHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Mental Health Therapist HeadwayLicensed Mental Health TherapistColumbia, SCHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Psychiatrist HeadwayLicensed PsychiatristColumbia, SCWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner.
Licensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USAShaw A F B, SCRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor‑led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
NewTravel ER RN - $2,561 per week American TravelerTravel ER RN - $2,561 per weekLancaster, SCAmerican Traveler is seeking an experienced ER RN for a 13-week travel assignment at a short-term acute care hospital, requiring charge experience, an SC or compact RN license, and ACLS, BLS, NIHSS, and PALS certifications. Travelers should be aware that during hurricane season (June–November, with peak activity in August and September), all employees and contractors may be assigned to emergency response teams.
NewTravel MS/Tele RN - $2,388 per week American TravelerTravel MS/Tele RN - $2,388 per weekColumbia, SCAmerican Traveler is seeking an experienced RN for a Med/Surg Telemetry position at an acute care hospital, requiring a minimum of 2 years of MS/Tele experience and an active SC or Compact RN license. Responsibilities include cardiac telemetry monitoring, IV therapy, blood product administration, central and peripheral line care, PICC line management, and non-invasive respiratory management.
NewTravel ER RN - $1,778 per week American TravelerTravel ER RN - $1,778 per weekColumbia, SCTravelers should be aware that during hurricane season (June–November, with peak activity in August and September), all staff and contractors may be assigned to emergency response teams. American Traveler is seeking an experienced ER RN for a night shift travel position at an acute care hospital, requiring 2+ years of ER experience and active SC or compact RN licensure.
NewTravel Med Surg/Telemetry RN (Neuro & Stroke) - $2,052 per week Prime StaffingTravel Med Surg/Telemetry RN (Neuro & Stroke) - $2,052 per weekColumbia, SCREQUIRED CERTIFICATIONS======================== ACLS, BLS, NIHSSREQUIRED CLINICAL SKILLS========================= Starting IVs, accessing ports, managing PICC & central lines, peripheral IV care, blood product administration, PCA & heparin protocols HFNC, nasal cannula, trach management Telemetry (remote), dysrhythmia interpretation & management, Rapid Response Team use CVA care, spinal cord injury, traumatic brain injury, pre/post neurosurgery, continuous bladder irrigation, isolation precautions, surgical drain management, Feeding tube careUNIT DETAILS AND FLOATING========================== Ratios: 1:4-5 Patient Population & Unit Details: Adults with embolic & hemorrhagic strokes, seizures, neurosurgical cases (shunt revisions, tumor removals, craniotomies/cranioplasties). ID: 63816427 Shift: Day 3x12-Hour (07:00 - 19:30) Description: ** OPTION OF UPTO 26 WEEK ASSIGNMENT **POSITION: RN MS/Tele (Neuro & Stroke)====================================== Years of Experience Required: 1 yearSCHEDULING DETAILS AND CHARTING================================ Shift hours/Contract Length: Charting: 1 yr of EPIC experience required Weekend Requirement: Every Other RTO/Block & Special Scheduling Requests: ALL requests must be included with the submission.
NewTravel MS/Tele RN - $2,052 per week Prime StaffingTravel MS/Tele RN - $2,052 per weekColumbia, SCCharting: 1 yr of EPIC experience required REQUIRED CERTIFICATIONS======================= BLS, ACLS, NIHSS REQUIRED CLINICAL SKILLS======================== Must have Ortho Experience UNIT DETAILS AND FLOATING========================= Ratios: 1:5-6 Adult 26-bed orthopedic spine unit specializing in spinal surgeries (laminectomies, spinal fusions, discectomies) with integrated pain management, physical therapy, & mobility support Patient diagnoses include Med/Surg, Tele, cardiac, low-risk ACS, TIAs, diabetes, hypertension, COPD, dehydration, chest pain, DVT, & PE Special procedures: bedside lumbar puncture, post Cath (radial/femoral), post-surgical care, post renal biopsy, CT Angio, and Heparin drips Floating: While Prisma Health prioritizes keeping staff in their home unit, agency staff are required to float to other units or campuses as needed. The unit is dedicated to managing comprehensive care including pain management, physical therapy Special Procedures/Unit Details: bedside lumbar puncture/ post cath (radial/femoral), clean or no interventions/ post-surgical/post renal biopsy/CT Angio/Heparin drips/ Special Equipment: Telemetry/bedside pulse oximetry/dinamaps/glucometers #Tier3 Travel Compliance Extensions: Effective 2/1/26 (Nursing only, excluding CVOR) Travelers cannot extend for a 4 th consecutive contract.