NewMedical Assistant Oak Street HealthMedical AssistantCanton, OH$18.50–$35.29The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Computer skills: Ability to quickly navigate and use multiple computer programs to include, but not limited to: Gmail, MS Word or Google Docs, Excel or Google Sheets, etc.
Licensed Practical/Vocational Nurse (LPN/LVN) Internal Medicine PhysiciansLicensed Practical/Vocational Nurse (LPN/LVN)Minerva, OH$19–$24 / yearFull timeThe medical office nurse assists the provider in preparing for the visit, performing point-of-care clinical services, and coordinating care among the patient, their PCP, specialists, pharmacies, and other entities to provide comprehensive care. The LPN is an integral part of the health care team.
NewMedical Call Center Agent UnitedHealth GroupMedical Call Center AgentCuyahoga Falls, OH$16–$29 / hourSee 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. This role entails managing high-volume communications by answering inbound calls from approximately 40-50 physicians daily while meeting a minimum performance goal of 64 calls per day.
Certified Nursing Assistant (CNA) Shiftkey, LLCCertified Nursing Assistant (CNA)Walnut Creek, OH$25ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Certified Nursing Assistant (CNA) - up to $25/hr Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $25/hrWalnut Creek, OH$25ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Certified Nursing Assistant (CNA) - up to $22/hr Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $22/hrMassillon, OH$22ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
NewMedical Geneticist Akron Children’sMedical GeneticistAkron, OHThe area is rich in history and cultural diversity, and provides a stimulating blend of outstanding educational, cultural, and recreational resources.?This four-season community offers outdoor enthusiasts more than 40,000 acres of parks for year-round enjoyment. With more than a million patient visits a year, we've been leading the way to healthier futures for children through quality patient care, education, advocacy, community service and medical discovery for more than 130 years!
NewMedical Geneticist (Faculty Position) Akron Children’sMedical Geneticist (Faculty Position)Akron, OHStarting Bonus ·Quality and Productivity Bonuses ·Relocation assistance ·Requirements include MD or DO degree, board certification/eligibility by the American Board of Medical Genetics and Genomics in Clinical Genetics and Genomics and the ability to obtain an active medical license in the state of Ohio. Children aren't just a segment of our focus; The services at Akron Children's Hospital span the entire scope of medical services available today – from routine and preventative care to emerging technologies in surgery and patient care.
Assistant Store Manager - Spencer's Spencer Gifts - Spirit HalloweenAssistant Store Manager - Spencer'sCanton, OH$14.75–$15 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Senior Assistant Store Manager Spencer Gifts - Spirit HalloweenSenior Assistant Store ManagerAkron, OH$16.25–$17 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
CERTIFIED MEDICAL ASSISTANT - GASTROENTEROLOGY Aultman Alliance Community HospitalCERTIFIED MEDICAL ASSISTANT - GASTROENTEROLOGYCANTON, OHBASIC FUNCTION: Responsible for preparing patients for physician exam/treatment, assisting physician, performing tests and procedures provide patient education and maintenance of clinical area and coordination of all aspects of the front office. AGE APPROPRIATE CARE: Colleague has been instructed in providing customer service and on interacting with age groups as related to the departments general client population: including use of appropriate interventions, communication and skills to match the age and/or abilities of the patient/family.
CERTIFIED MEDICAL ASSISTANT - AULTMAN ORRVILLE HOSPITAL (AOH)/TUSKY VALLEY SBHC Aultman Alliance Community HospitalCERTIFIED MEDICAL ASSISTANT - AULTMAN ORRVILLE HOSPITAL (AOH)/TUSKY VALLEY SBHCOHObtains vital signs, height, weight, and current accurate list of medications and all pertinent information needed for the physician to assess the patient. The primary purpose is to provide clinical support to the physician, provide patient and family education, and work cooperatively with the remainder of the office structure.
CERTIFIED MEDICAL ASSISTANT - AULTMAN ORRVILLE HOSPITAL (AOH)/BROWN SBHC Aultman Alliance Community HospitalCERTIFIED MEDICAL ASSISTANT - AULTMAN ORRVILLE HOSPITAL (AOH)/BROWN SBHCOHObtains vital signs, height, weight, and current accurate list of medications and all pertinent information needed for the physician to assess the patient. This includes precertification, authorizations, prior authorizations, physician orders, communicating with the patient, and putting on physician schedule if appropriate.
Certified Medical Assistant Akron, OH UnitedHealth Group IncCertified Medical Assistant Akron, OHAkron, OH$16.15–$28.80 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Our infrastructure enables us to provide extensive primary care services and diverse specialty care offerings while removing non-medical business functions from our clinical staff, allowing them to concentrate on care delivery.
Certified Medical Assistant Practice Supervisor UnitedHealth Group IncCertified Medical Assistant Practice SupervisorAkron, OH$60,200–$107,400 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Our infrastructure enables us to provide extensive primary care services and diverse specialty care offerings while removing non-medical business functions from our clinical staff, allowing them to concentrate on care delivery.
Certified Medical Assistant (CMA) Crystal Clinic Orthopaedic CenterCertified Medical Assistant (CMA)Medina, OHMaintains cleanliness of all clinical areas and exam rooms; restocks and orders supplies within budgetary constraints; checks and cleans equipment, makes minor adjustments, reports need for repair or maintenance to manager. Duties include rooming patients, obtaining medical histories, completing thorough documentation in EMR, preparation of injections, front desk phone calls, assisting with procedures, including the application and removal of casts and the fitting and educational use of Durable Medical Equipment (DME).
MEDICAL ASSISTANT - CVC (Canton) Aultman Alliance Community HospitalMEDICAL ASSISTANT - CVC (Canton)CANTON, OHActivity How Often Performed Standing F Walking F Lifting (70 pounds) O Carrying (70 pounds) O Pushing (70 pounds) O Climbing with (70 pounds) N Stooping/Bending O Twisting/Turning O Kneeling/Squatting O Crawling N Reaching Up/Reaching Forward O Additional information concerning physical requirements for the position: N/A HAZARDOUS EXPOSURE CATEGORY: Category I-Includes tasks that involve exposure to blood, body fluids, or tissues. PURPOSE OF POSITION The primary purpose of the Certified Medical Assistant (CMA) is to provide clinical support of patient care, provide patient and family teaching and work cooperatively under the direction of the Urgent Care Providers (MD, APN, PA) RESPONSIBILITIES EXPECTATIONS Perform clerical duties and register patients.
NewMedical Assistant (Clinical Partner) HarmonyCares.Medical Assistant (Clinical Partner)Uniontown, OHThe Clinical Partner (Medical Assistant) will assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.
Medical Assistant (Clinical Partner) HarmonyCaresMedical Assistant (Clinical Partner)Uniontown, OhioResponsibilities: The Clinical Partner (Medical Assistant) will assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.
MEDICAL ASSISTANT - Family Medicine of Hartville Aultman Alliance Community HospitalMEDICAL ASSISTANT - Family Medicine of HartvilleCANTON, OHThis includes but is not limited to rooming patients, vitals, drawing blood, giving vaccines, performing EKGs, answering phones, taking messages, sending messages to appropriate receiver, proposing refills, helping patients, providers and colleagues. Obtain and maintain current American Heart Association (AHA) training in Basic Life Support(BLS) utilizing Resuscitation Quality Improvement (RQI) is required.
MEDICAL ASSISTANT Aultman Alliance Community HospitalMEDICAL ASSISTANTCANTON, OHThis includes but is not limited to rooming patients, taking vitals, drawing blood, administrating vaccinations, performing EKGs, answering phones, taking messages, sending messages to appropriate receiver, proposing refills, prior-authorizations, helping patients, providers and colleagues. Department Summary Family Medicine of Stark County is a Family Medicine practice providing medical care to the Stark County community since 1989 with fourteen providers and multiple supporting colleagues located in North Canton, Ohio.
MEDICAL ASSISTANT - TRI COUNTY Aultman Alliance Community HospitalMEDICAL ASSISTANT - TRI COUNTYCANTON, OHBASIC FUNCTION: Responsible for preparing patients for physician exam/treatment, assisting physicians, performing tests and procedures, provide patient education and maintenance of the clinical area and coordination of all aspects of the front office. Such as MediTech (Hospital Support Software), Halogen (performance appraisal system), Relias (education system), ability to retrieve e-mails, complete online enrollment for health insurance/benefits and any other programs as assigned.
MEDICAL ASSISTANT - Endocrinology Canton Aultman Alliance Community HospitalMEDICAL ASSISTANT - Endocrinology CantonCANTON, OHLegal Entity Aultman Medical Group Inc Position Summary The Medical Assistant is a key member of the healthcare team who supports physicians, advance practice providers, and other clinical staff in providing high-quality patient care. Obtain and maintain current American Heart Association (AHA) training in Basic Life Support (BLS) utilizing Resuscitation Quality Improvement (RQI) is required.
Certified Medical Assistant (CMA) - Hand and Wrist Crystal Clinic Orthopaedic CenterCertified Medical Assistant (CMA) - Hand and WristAkron, OHPreferred Associations and Certifications: American Association of Medical Assistants (AAMA) - CMA American Medical Technologists (AMT) - RMA National Healthcareer Association (NHA) - CCMA BLS: Required within 3 months of hire. Responsible for rooming patients, obtaining medical histories, completing thorough documentation in EMR, preparation of injections, front desk phone calls, assisting with procedures, including the application and removal of casts and the fitting and educational use of Durable Medical Equipment (DME).
Certified Medical Assistant/CMA (Part-Time) Crystal Clinic Orthopaedic CenterCertified Medical Assistant/CMA (Part-Time)Kent, OHResponsible for rooming patients, obtaining medical histories, completing thorough documentation in EMR, preparation of injections, front desk phone calls, assisting with procedures, including the application and removal of casts and the fitting and educational use of Durable Medical Equipment (DME). Preferred Associations and Certifications are: American Association of Medical Assistants (AAMA) - CMA, American Medical Technologists (AMT) - RMA, and National Healthcareer Association (NHA) - CCMA.
Certified Medical Assistant/CMA/RMA Crystal Clinic Orthopaedic CenterCertified Medical Assistant/CMA/RMAKent, OHResponsible for rooming patients, obtaining medical histories, completing thorough documentation in EMR, preparation of injections, front desk phone calls, assisting with procedures, including the application and removal of casts and the fitting and educational use of Durable Medical Equipment (DME). Preferred Associations and Certifications are: American Association of Medical Assistants (AAMA) - CMA, American Medical Technologists (AMT) - RMA, and National Healthcareer Association (NHA) - CCMA.
NewMA - MEDICAL ASSISTANT - AULTMAN MEDICAL GROUP Aultman Alliance Community HospitalMA - MEDICAL ASSISTANT - AULTMAN MEDICAL GROUPCanton, OH2,400 Sign-On Bonus Available for Full-Time Positions Apply Today! a { text-decoration: none; color: 464feb; } tr th, tr td { border: 1px solid e6e6e6; } tr th { background-color: f5f5f5; } Explore Opportunities Across Multiple Primary Care and Specialty Practice Locations, Including: Family Medicine General Surgery Cardiovascular Consultants Vascular Services Endocrinology Womens Health Orthopedic and Sports Medicine Legal Entity Aultman Medical Group Inc Position Summary As a Certified or Registered Medical Assistant with Aultman Medical Group you will be responsible for supporting our providers in delivering exceptional patient care. This includes but is not limited to rooming patients, taking vitals, drawing blood, administrating vaccinations, performing EKGs, answering phones, taking messages, sending messages to appropriate receiver, proposing refills, prior-authorizations, helping patients, providers and colleagues.
Clinical Medical Assistant Alliance Family Health Center IncClinical Medical AssistantAlliance, OHResponsible for preparing patients for physician exam/treatment, assisting physician/provider, performing tests and procedures provide patient education and maintenance of clinical area and coordination of all aspects of the front office. Colleague has been instructed in providing customer service and on interacting with age groups as related to the department's general client population: including use of appropriate interventions, communication and skills to match the age and/or abilities of the patient/family.
Certified Medical Assistant/LPN SpringVale Health CentersCertified Medical Assistant/LPNOHSpringVale Health Centers, Inc. is seeking a full-time Licensed Practical Nurse (LPN) or Certified Medical Assistant to provide a variety of nursing duties in a Primary Care and Behavioral Health setting, including medication handling and administration while serving as a liaison between the physician/nurse practitioner and the client for a designated caseload. Provides a variety of client-related functions including ISP, correspondence, completes consults with community professionals, agencies and other individuals related to client care, responds to walk-in requests; provides medication education.
MEDICAL ASSISTANT - VASCULAR SERVICES Aultman Alliance Community HospitalMEDICAL ASSISTANT - VASCULAR SERVICESCANTON, OHThe CMA/RMA must make accurate decisions regarding the potential severity of problems telephoned to him/her by patients and must consult the physician in a timely fashion regarding those problems. TYPICAL PHYSICAL DEMANDS: Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination.
Medical Assistant, Paramedic, Advanced EMT Well Street Urgent CareMedical Assistant, Paramedic, Advanced EMTMedina, OHOccupational Medicine: Assist with our Occupational Medicine services, including drug screening, breath alcohol testing, audiograms, and pulmonary function testing, while adhering to company protocols. Join University Hospitals Urgent Care, where youll make a meaningful impact in a fast-paced clinical environment while enjoying work-life balance and professional growth opportunities.
Medical Assistant - Float Planned Parenthood of Greater OhioMedical Assistant - FloatKent, OHPlanned Parenthood of Greater Ohio is seeking mission-minded Associates to join us as a full-time (37.5 hours per week) Medical Assistant (Float) to serve our patients in our Eastern Ohio Region - Akron Health Center, Canton Health Center, Kent Health Center, and Youngstown Health Center. Qualified associates who are fluent in a needed language (Spanish, Nepali, or Somali, depending on geographic service area) will earn a $1.00 per hour differential for two years following successful examination.
Medical Assistant (MA) or License Practical Nurse (LPN) Northeast Ohio Medical UniversityMedical Assistant (MA) or License Practical Nurse (LPN)OH$16.42–$19.16 / hourBe part of an expanding academic medical practice at Northeast Ohio Medical University (NEOMED), committed to delivering integrated, patient-centered care and advancing health through education and clinical innovation. Position Title Medical Assistant (MA) or License Practical Nurse (LPN) Position Type Unclassified Department NEOMED Clinical Services Full or Part Time Full Time Pay Grade BW7.
NewMedical Assistant CVS Health CorpMedical AssistantCanton, OH$18.50–$35.29 / hourRole Description: The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Responsibilities: Ensure an efficient patient flow; room patients in a timely manner, complete vital signs, complete required screenings and complete medication reviews.
Medical Assistant Full Time United Surgical Partners International IncMedical Assistant Full TimeCanton, OHAs a Medical Assistant at Stark Ambulatory Surgery Center, you will have the opportunity to work alongside highly-trained physicians who specialize in diagnosing and treating a wide range of gastrointestinal conditions, including acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disease. Medical Assistant at Stark Ambulatory Surgery Center: The Medical Assistant maintains all endoscope equipment in a safe, efficient manner according to OSHA, SGNA, and manufacture guidelines.
Medical Assistant, Paramedic, Advanced EMT University Hospitals Urgent Care by WellMedical Assistant, Paramedic, Advanced EMTKent, OHPart timeOccupational Medicine : Assist with our Occupational Medicine services, including drug screening, breath alcohol testing, audiograms, and pulmonary function testing, while adhering to company protocols. Join University Hospitals Urgent Care, where you'll make a meaningful impact in a fast-paced clinical environment while enjoying work-life balance and professional growth opportunities.
Medical Assistant I Akron Children's HospitalMedical Assistant IBarberton, OHResponsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Collects data that contributes to the assessment and evaluation of individualized care and needs of assigned patients, including discharge plans, under the direction of the Licensed Nurse.
Medical Assistant I - MEDINA Akron Children's HospitalMedical Assistant I - MEDINAMedina, OHResponsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Collects data that contributes to the assessment and evaluation of individualized care and needs of assigned patients, including discharge plans, under the direction of the Licensed Nurse.
School Medical Assistant I: Twinsburg City Schools Akron Children's HospitalSchool Medical Assistant I: Twinsburg City SchoolsAkron, OHPrepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Those hired into School Health prior to March of 2023 without completion of one (1) of these programs but has relevant years of experience will be given credit for their experience in lieu of the program requirement(s).
NewMedical Assistant I - NORTH CANTON HEALTH CENTER Akron Children's HospitalMedical Assistant I - NORTH CANTON HEALTH CENTERNorth Canton, OHResponsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Collects data that contributes to the assessment and evaluation of individualized care and needs of assigned patients, including discharge plans, under the direction of the Licensed Nurse.
School Based Health Medical Assistant I: Summit/Portage County Akron Children's HospitalSchool Based Health Medical Assistant I: Summit/Portage CountyAkron, OHPrepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Those hired into School Health prior to March of 2023 without completion of one (1) of these programs but has relevant years of experience will be given credit for their experience in lieu of the program requirement(s).
School Medical Assistant I: Wooster City Schools Akron Children's HospitalSchool Medical Assistant I: Wooster City SchoolsWooster, OHPrepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Those hired into School Health prior to March of 2023 without completion of one (1) of these programs but has relevant years of experience will be given credit for their experience in lieu of the program requirement(s).
Global Float Medical Assistant II ACHP Akron Children's HospitalGlobal Float Medical Assistant II ACHPAkron, OHResponsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Collects data that contributes to the assessment and evaluation of individualized care and needs of assigned patients, including discharge plans, under the direction of the Licensed Nurse.
NewMedical Assistant I - AKRON Akron Children's HospitalMedical Assistant I - AKRONAkron, OHResponsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Collects data that contributes to the assessment and evaluation of individualized care and needs of assigned patients, including discharge plans, under the direction of the Licensed Nurse.
Medical Assistant I - (Externship Applicants Only) Akron Children's HospitalMedical Assistant I - (Externship Applicants Only)Akron, OHResponsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Collects data that contributes to the assessment and evaluation of individualized care and needs of assigned patients, including discharge plans, under the direction of the Licensed Nurse.
School Based Health Medical Assistant I: Richland/Crawford County Akron Children's HospitalSchool Based Health Medical Assistant I: Richland/Crawford CountyAkron, OHPrepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Those hired into School Health prior to March of 2023 without completion of one (1) of these programs but has relevant years of experience will be given credit for their experience in lieu of the program requirement(s).
Medical Assistant II - Behavioral Health - CANTON Akron Children's HospitalMedical Assistant II - Behavioral Health - CANTONCanton, OHSummary: The Medical Assistant II role provides Proficient level clinical and administrative support for patients under the direction of a Provider and/or licensed Nurse and assist with training needs within scope. Responsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure.
School Medical Assistant I: Akron Public Schools Akron Children's HospitalSchool Medical Assistant I: Akron Public SchoolsAkron, OHPrepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Those hired into School Health prior to March of 2023 without completion of one (1) of these programs but has relevant years of experience will be given credit for their experience in lieu of the program requirement(s).
School Medical Assistant I: North Canton City Schools Akron Children's HospitalSchool Medical Assistant I: North Canton City SchoolsNorth Canton, OHPrepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure. Those hired into School Health prior to March of 2023 without completion of one (1) of these programs but has relevant years of experience will be given credit for their experience in lieu of the program requirement(s).
Medical Assistant II - ENT Akron Children's HospitalMedical Assistant II - ENTAkron, OHSummary: The Medical Assistant II role provides Proficient level clinical and administrative support for patients under the direction of a Provider and/or licensed Nurse and assist with training needs within scope. Responsibilities: Prepares patients for examination; takes and records vital signs; performs phlebotomy as needed; administers medications as directed by the Providers according to policy and procedure.