Unit Manager (RN) Laurel Ridge Center for Health & RehabilitationUnit Manager (RN)Armonk, NYToday, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.
Director of Nursing (DON) JobotDirector of Nursing (DON)Queens, NY$200,000–$240,000 / 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. Three ADONs already in place means the DON can lead strategy, survey readiness, culture, and outcomes instead of personally carrying every wound, risk, education, and review issue.
Direct Support Professional (DSP) – Day Program Full- Time Our House, Inc.Direct Support Professional (DSP) – Day Program Full- Timeport reading, NJIf you’ve built strong communication skills, patience, problem-solving ability, and the confidence to work directly with people , this role offers a meaningful transition into human services and residential/day program support —no prior IDD experience required, just the right mindset and willingness to learn. Also a Great Transition If You’ve Worked In: Customer service, retail, or hospitality roles where you supported diverse individuals, managed challenging situations, and provided hands-on assistance.
NewCertified Peer Specialist Peer Care Manager Human Development Services of WestchesterCertified Peer Specialist Peer Care ManagerMamaroneck, NY$21–$23 / hourThe LR utilizes a person-centered, trauma informed model of care, which emphasizes and supports a person's potential for recovery by optimizing quality of life and reducing symptoms of behavioral health conditions through empowerment, choice, and health and wellness goals. In today’s ever-changing health care marketplace, HDSW offers person-centered, trauma-informed, culturally competent services to over 3000 people each year, through a unique blend of innovative inter-related programs.
NewAssistant Director of Nursing (ADON) Bushwick CenterAssistant Director of Nursing (ADON)Brooklyn, NY$120,000–$130,000Bushwick Center for Rehabilitation and Healthcare is a 225-bed rehabilitation and skilled nursing facility located on the border of Brooklyn & Queens. Our staff is committed to ensuring the highest quality of life of all our residents, by maintaining each resident’s dignity and independence.
Director of Nursing (DON) Glens Falls CenterDirector of Nursing (DON)Brooklyn, NY$120,000–$140,000We also offer Daily Pay through a trusted third-party provider, giving you faster access to your earnings, as well as premium health coverage through Aetna with low out-of-pocket costs. About Us: Glens Falls Center is a 120-bed rehabilitation and skilled nursing facility located in Glens Falls, NY.
Physical Therapy Assistant, Home Care, Westchester VNS HealthPhysical Therapy Assistant, Home Care, WestchesterBronx, NY$33.88–$42.35Transports and utilizes required technology devices (tablet), infection control materials and supplies using VNS Health designated/supplied carrying case (backpack) weighing approximately 15 – 20 lbs to and from patient homes/care facilities, VNS Health offices and therapists’ home. • Assists patients with therapeutic interventions and activities of daily living, which may require positioning, moving, transferring and lifting patients of varying body sizes and physical conditions, with and without assistance and as appropriate, instructing, demonstrating and verifying capabilities of family members and/or paraprofessionals.
Home Health Aide VNS HealthHome Health AideJericho, NY$20–$22We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Provide personal care and support, including ambulation, transfers, ostomy care, and assistance with medical equipment and self-administered medication.
Speech Language Pathologist, Home Care, Bronx (Per Diem) VNS HealthSpeech Language Pathologist, Home Care, Bronx (Per Diem)Bronx, NY$70–$75 / hourVNS Health Speech Language Pathologists design and deliver personalized 1:1 rehabilitative therapy programs for patients dealing with challenging disorders or are recovering from a surgery, illness, or accident and assess progress by being a part of their day-to-day life. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
Speech Language Pathologist, Home Care, Bronx (Part-Time) VNS HealthSpeech Language Pathologist, Home Care, Bronx (Part-Time)Bronx, NY$85,000–$106,300VNS Health Speech Language Pathologists design and deliver personalized 1:1 rehabilitative therapy programs for patients dealing with challenging disorders or are recovering from a surgery, illness, or accident and assess progress by being a part of their day-to-day life. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
Physical Therapist Assistant, Home Care, Bronx VNS HealthPhysical Therapist Assistant, Home Care, BronxBronx, NY$33.88–$42.35Transports and utilizes required technology devices (tablet), infection control materials and supplies using VNS Health designated/supplied carrying case (backpack) weighing approximately 15 – 20 lbs to and from patient homes/care facilities, VNS Health offices and therapists’ home. Assists patients with therapeutic interventions and activities of daily living, which may require positioning, moving, transferring and lifting patients of varying body sizes and physical conditions, with and without assistance and as appropriate, instructing, demonstrating and verifying capabilities of family members and/or paraprofessionals.
NewFamily Nurse Practitioner CVS HealthFamily Nurse PractitionerQueens, NY$50.22–$108.15MinuteClinic is proud to hold the American Nurses Credentialing Center (ANCC) Pathway to Excellence® designation, recognizing our commitment to a healthy work environment through Transformational Leadership, Quality, Safety, Shared Governance, Well-being, and Professional Development. As the largest retail health care provider in the nation and a Fortune Top 10 industry leader, MinuteClinic offers a unique opportunity to deliver affordable, accessible, and comprehensive high‑quality care to patients, families, and communities.
NewRegistered Nurse (RN) Supervisor Hope CenterRegistered Nurse (RN) SupervisorThe Bronx, NY$104,000We will maintain a comfortable, dignified environment where our residents can enjoy an engaged, healthy lifestyle that will be a constant steady source of peace of mind to their families. Hope Center’s mission is to provide the Hope Center community with the finest rehabilitation and skilled nursing services anywhere.
Care Team Manager - RN Required BoldAge PACECare Team Manager - RN RequiredKeansburg, NJ$100,000–$115,000The key responsibilities and skills of the position are management, coordination and facilitation of assigned interdisciplinary team, collaboration with all disciplines and departments, supervision and training of assigned IDT staff, facilitating and scheduling team meetings, the development of and implementation of participant care plans and all authorized interventions. Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen. .
Registered Nurse (RN) Unit Manager Boro Park CenterRegistered Nurse (RN) Unit ManagerBrooklyn, NY$115,000Boro Park Center for Rehabilitation and Healthcare is a 510-bed rehabilitation and Skilled Nursing Facility in the heart of the Boro Park section of Brooklyn. Our warm and nurturing environment allows each resident to maintain his or her Rehabilitation and Healthcare, healthier, happier, and most of all, with the tools to succeed.
Registered Nurse (RN) Rehab Unit Manager Beth Abraham CenterRegistered Nurse (RN) Rehab Unit ManagerThe Bronx, NY$117,000A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
Registered Nurse (RN) Unit Manager Beth Abraham CenterRegistered Nurse (RN) Unit ManagerThe Bronx, NY$95,000–$117,000A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
Assistant Director of Nursing (ADON) Skilled Nursing of BronxAssistant Director of Nursing (ADON)The Bronx, NY$130,000Skilled Nursing of Bronx is hiring a Assistant Director of Nursing (ADON) in Bronx, NY. DUTIES: Assist the DNS with management responsibilities and in maintaining the quality of care.
NewAssistant Director of Nursing (ADON) Skilled Nursing of BrooklynAssistant Director of Nursing (ADON)Brooklyn, NY$55A Skilled Nursing Facility in Brooklyn, NY is looking to hire an Assistant Director of Nursing (ADON) . Assist the Director of Nursing Services (DNS) with management responsibilities and maintaining quality of care.
NewAssistant Director of Nursing (ADON Beth Abraham CenterAssistant Director of Nursing (ADONThe Bronx, NY$130,000–$140,000A vital part of the Bronx community, the facility has a long history of providing a warm and nurturing environment, allowing each resident to get stronger, healthier, and happier. Beth Abraham Center for Rehabilitation and Nursing is a 448-bed rehabilitation and skilled nursing facility with impressive Resident and family satisfaction ratings.
NewClinical Director/Physical Therapist - Cross Bronx Access Physical Therapy & WellnessClinical Director/Physical Therapist - Cross BronxBronx, NY$124,800–$135,200Founded in 2003 by brothers Chris and Steve Albanese and their wives, all practicing physical therapists, ACCESS PT was born out of a shared passion for delivering patient-centered care in their hometown of Orange County, NY. With a strong focus on partnership, exceptional service, and a culture of compassion, ACCESS PT continues to expand—driven by the vision of improving the lives of 100,000 patients annually.
NewWeekend Licensed Practical Nurse (LPN) Amsterdam Nursing HomeWeekend Licensed Practical Nurse (LPN)New York, NY$37.18–$40.89Amsterdam Nursing Home is actively hiring LPN Team Members to work Weekends for our Skilled Nursing Facility in the heart of New York City. Our longstanding tradition of caring is carried out by an exceptional staff who are dedicated to the healing arts, providing each resident with the opportunity to thrive and achieve maximum comfort.
NewLicensed Practical Nurse (LPN) Far Rockaway CenterLicensed Practical Nurse (LPN)Queens, NY$33.85–$37.23Far Rockaway Center is a 100-bed rehabilitation and skilled nursing facility located in Far Rockaway, New York. Our staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence.
Registered Nurse (RN) Unit Manager Brooklyn CenterRegistered Nurse (RN) Unit ManagerBrooklyn, NY$105,000–$110,000A recognized leader in short-term rehab and long-term care, Brooklyn Center is committed to ensuring the highest quality of life for all our patients and residents, helping each to get stronger, healthier, and happier. Brooklyn Center for Rehabilitation and Healthcare is a state-of-the-art 281-bed rehabilitation and skilled nursing facility located in the Crown Heights section of Brooklyn.
Dermatology Nurse Practitioner or Physician Assistant Mitchell MartinDermatology Nurse Practitioner or Physician AssistantHackensack, NJ$80–$90 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This role requires providing general, surgical, and cosmetic dermatological care during varied weekday shifts and one weekend day per month.
Associate Medical Director Mitchell MartinAssociate Medical DirectorNew York, NY$225,000–$240,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Associate Medical Director - New York, NY (Onsite) - Full Time - Mon-Fri 09:00am-05:00pm - $225,000-$240,000 Per Year.
Clinical Supervisor Mitchell MartinClinical SupervisorQueens, NY$70,000–$80,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Clinical Supervisor - Astoria, NY (Onsite) - Full Time - Mon-Fri 08:30am-05:00pm (1 Late Evening) - $70,000-$80,000 Per Year.
RN Supervisor Behavioral Health Mitchell MartinRN Supervisor Behavioral HealthAstoria, NY$74,000–$110,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Supervisor of Nursing Behavioral Health - Astoria, NY (Onsite) - Full Time - Mon-Fri and Weekend as Needed - $74,000-$110,000 Per Year.
Nurse Practitioner or Physician’s Assistant (Dermatology) Mitchell MartinNurse Practitioner or Physician’s Assistant (Dermatology)Clark, NJ$130,000–$150,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Nurse Practitioner or Physician's Assistant - Dermatology - Clark/Avenel/Hillsborough, NJ (Onsite) - Full Time - 08:00 AM – 04:00 PM -$130,000-$150,000 Per Year.
NewLicensed Practical Nurse Mitchell MartinLicensed Practical NurseNew York, NY$65,000–$70,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • Join our team as a Licensed Practical Nurse, providing patient care in a dynamic healthcare setting.
NewNurse Practitioner (Dermatology - Saddle Brook / Clark Split) Mitchell MartinNurse Practitioner (Dermatology - Saddle Brook / Clark Split)Saddle Brook, NJ$130,000–$150,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Nurse Practitioner (Dermatology - Saddle Brook / Clark Split) - Saddle Brook, NJ (Primary)/Clark, NJ (Onsite) - Full-Time - Mon-Fri 08:00am-04:00pm - $130,000-$150,000 Per Year.
NewAllergy Nurse Practitioner or Physician's Assistant Fellowship Mitchell MartinAllergy Nurse Practitioner or Physician's Assistant FellowshipSuffern, NY$75,000–$80,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Allergy Nurse Practitioner or Physician's Assistant Fellowship - Suffern, NY (Hybrid) - Full Time - Mon-Fri, 09:00am-05:00pm - $75,000-$80,000 Per Year .
NewNurse Practitioner/Physician Assistant - Primary Care Mitchell MartinNurse Practitioner/Physician Assistant - Primary CareBrooklyn, NY$120,000–$150,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Nurse Practitioner/Physician Assistant - Primary Care - Brooklyn, NY (Onsite) - Full Time - Mon-Fri 09:00am-05:00pm - $120,000-$150,000 Per Year.
NewNurse Practitioner/Physician’s Assistant - Neuroimmune & Connective Tissue Neurology Mitchell MartinNurse Practitioner/Physician’s Assistant - Neuroimmune & Connective Tissue NeurologyNew York, NY$160,000–$190,000 / yearNurse Practitioner/Physician’s Assistant - Neuroimmune & Connective Tissue Neurology - New York, NY (Onsite) - Full Time - Four 10-Hour Shifts Per Week, 07:00am–07:00pm; Occasional Weekend Coverage as Needed - $160,000-$190,000 Per Year. By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods.
NewAllergy Nurse Practitioner or Physician Assistant Mitchell MartinAllergy Nurse Practitioner or Physician AssistantSuffern, NY$70–$80 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Allergy Nurse Practitioner or Physician Assistant - Suffern, NY (Onsite) - Full Time - Varied Weekdays, 1 Weekend Day/Month - $70.00-$80.00 Per HR.
NewNurse Practitioner/Physician Assistant - Primary Care (Bilingual) Mitchell MartinNurse Practitioner/Physician Assistant - Primary Care (Bilingual)Brooklyn, NY$120,000–$155,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Nurse Practitioner/Physician Assistant - Primary Care (Bilingual) - Brooklyn, NY (Onsite) - Full Time - Mon-Fri 09:00am-05:00pm - $120,000-$155,000 Per Year.
NewFamily Nurse Practitioner Mitchell MartinFamily Nurse PractitionerBrooklyn, NY$145,000–$155,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • Candidates should have experience in managing patients with diverse health needs and be familiar with electronic health record systems.
NewNurse Practitioner (Dermatology) Mitchell MartinNurse Practitioner (Dermatology)West New York, NJ$130,000–$150,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Nurse Practitioner (Dermatology) - West New York, NJ & Jersey City, NJ (Onsite) - Full Time - Mon-Fri 08:00am-04:00pm - $130,000-$150,000 Per Year.
Licensed Practical Nurse - Weekends Mitchell MartinLicensed Practical Nurse - WeekendsMontebello, NY$38–$40 / hourThe position is a contract opportunity with specific shift hours and involves providing resident-centered nursing care, coordinating with other healthcare professionals, and utilizing electronic medical records. Licensed Practical Nurse - Weekends - Rockland County, NY (Onsite) - Contract - Sat & Sun 07:00am-03:00pm/03:00pm-11:00pm - $38.00-$40.00 Per HR.
NewClinical Director Mitchell MartinClinical DirectorStamford, CT$100,000–$120,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Clinical Director - Stamford, CT Onsite - Full Time - $100,000-$120,000 Per Year.
Licensed Practical Nurse (Day Shift) Mitchell MartinLicensed Practical Nurse (Day Shift)Montebello, NY$38–$40 / hourLicensed Practical Nurse - Day Shift - Rockland County, NY (Hybrid) - Contract - Day Shift (Mon-Fri 07:00am-03:00pm) - $38.00-$40.00 Per HR. • The role is contract-based, focusing on day shifts, with responsibilities including administering medications, supervising staff, and ensuring compliance with regulations.
NewNurse Practitioner - Endocrinology Mitchell MartinNurse Practitioner - EndocrinologyNew York, NY$170,000–$190,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Nurse Practitioner - Endocrinology - New York, NY (Onsite) - Full Time - Wed–Sat - 4 x 10 - 08:00am–06:00pm or 07:00am-05:00pm - $170,000-$190,000 Per Year.
NewCenter Medical Director/Physician (M.D./DO) JobotCenter Medical Director/Physician (M.D./DO)Queens, NY$225,000–$254,000 / 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.
Family Nurse Practictioner - Pediatric Primary Care Clinic - Bilingual Mandarin JobotFamily Nurse Practictioner - Pediatric Primary Care Clinic - Bilingual MandarinQueens, NY$125,000–$175,000 / 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.
LPN JobotLPNNew York, NY$64,000–$75,000 / 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. Following each patient’s plan of care, the LPN provides direct care and documents each visit using the Netsmart EMR system; reporting any changes in the patient's condition to the RN Case Manager.
NewConflicts and New Business Intake Coordinator JobotConflicts and New Business Intake CoordinatorNew York, NY$65,000–$85,000 / 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. In this role you will be responsible for providing exceptional customer service, maintaining daily workflow, running and clearing conflict checks, and making adjustments for clients for any matters that arise!
Psychiatric Nurse Practitioner JobotPsychiatric Nurse PractitionerQueens, NY$150,000–$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. This is a fast-moving, highly supportive team where providers are trusted to practice autonomously while still having strong clinical support and leadership.
Hospice Nurse Practitioner for Pediatric patients (15K New Hire Bonus and PENSION) JobotHospice Nurse Practitioner for Pediatric patients (15K New Hire Bonus and PENSION)New York, NY$130,000–$150,000 / 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. He/she will also help build a teaching curriculum on pediatric aspects of hospice care that will be of use to our hospice workers who are engaged in pediatric care through cross coverage or for when young adolescents are incorporated into adult hospice teams.
ONSITE RN Clinical Care Coordinator at Prestigious Hospital (Manhattan) JobotONSITE RN Clinical Care Coordinator at Prestigious Hospital (Manhattan)New York, NY$100,000–$119,000 / 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. A NYC Metro Healthcare organization with over 100+ years of success in the community offering several services including hospice and palliative care, rehabilitation, and skilled nursing.
Homecare CHHA Coordinator of Care RN - Manhattan JobotHomecare CHHA Coordinator of Care RN - ManhattanNew York, NY$115,000–$120,000 / 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. Completes and submits OASIS assessments, reassessments, transfers, resumption of care, discharges, and significant changes in condition in accordance with Agency defined time frames.