Personal Care Attendant HirextraPersonal Care AttendantHampton, NH$20–$21 / hourContractorThe purpose of this position is to provide compassionate, high-quality, and patient-centered personal care services to individuals who require assistance with activities of daily living (ADLs) due to age, illness, disability, or recovery from injury. The PCA works under the supervision of licensed healthcare professionals or care coordinators and provides non-medical assistance in accordance with the client's individualized care plan.
NewNurse Supervisor Ridgewood Center-NHNurse SupervisorBedford, NH$40–$50.50As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Nurse Supervisor supports the Director of Nursing with the delivery of efficient and effective nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction.
NewNurse Practitioner AlignMedNurse PractitionerConcord, NH$112,320–$128,960Qualifications: The Advanced Practice Provider must be a graduate from an accredited School of Nursing program, licensed as a registered nurse, certified as a Nurse Practitioner by being a nursing graduate from an accredited Nurse Practitioner Program with a Master's Degree in Nursing and have a concentration and specialty track of Older Adult and/or Family Nurse Practitioner (FNP). Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute and long-term care.
NewNurse Care Manager Hebrew SeniorLifeNurse Care ManagerGeorgetown, MA$78,576.07–$117,864.10The Nurse Care Manager collaborates with team members to engage residents in wellness assessments and health education, connect them to needed services, support in managing health concerns, coordinate care for residents returning from hospital or rehabilitation stays, document all resident care tasks, and partner with community providers to promote overall well-being. At its core, enhanced housing with services is a proactive approach wherein resident services staff regularly and actively reach out to each individual resident to engage with them around their health and wellness, identify areas of need/risk and provide intensive, individualized case management and support as needed and desired by the resident.
NewStudent Support Caregiver ConfidentialStudent Support CaregiverDurham, NHWorking closely with education and community services staff, you’ll support students’ routines, reinforce life skills, and maintain a safe, inclusive home setting. Milton Hershey School seeks a compassionate Student Support Caregiver to nurture and guide students in a residential, pre-K–12 environment.
Unit Manager, RN Exeter CenterUnit Manager, RNExeter, NH$45–$52Responsibilities: As a Unit Manager/Director - RN where within an assigned unit you will support the Director of Nursing with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee satisfaction. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewNurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsHaverhill, MA$1,800–$11,500Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
NewNurse Practitioner (Full Time) Regional Traveler - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (Full Time) Regional Traveler - In-Home Health AssessmentsLawrence, MA$115,500–$178,400Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments. Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation.
Direct Support Professional SevitaDirect Support ProfessionalWebster, NHIn a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. Provide training, assistance and supervision to individuals receiving care in the areas of living skills, therapeutic recreation, and other forms of assistance in both residential and community settings.
NewLicensed Practical Nurse SevitaLicensed Practical NurseChichester, NHAs LPN, you will provide prescribed medical treatment and personal care services under the direction of a registered nurse or physician to address the medical or psychiatric needs of individuals with developmental disabilities, acquired brain injuries, substance abuse issues, and/or emotional or behavioral challenges. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans.
Nursing Manager SevitaNursing ManagerChichester, NH$90,000–$95,000In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. As Manager of Nursing, you will lead a team of nursing staff and provide nursing services, training, and support to address the medical or psychiatric needs of individuals with developmental disabilities, substance abuse issues, and/or emotional or behavioral challenges.
Unit Manager, RN Mountain Ridge CenterUnit Manager, RNFranklin, NH$91,000–$104,000Responsibilities: As a Unit Manager/Director - RN where within an assigned unit you will support the Director of Nursing with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee satisfaction. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Direct Support Professional - Team Lead SevitaDirect Support Professional - Team LeadDeerfield, NH$17.50–$19.50In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges.
Clinical Reimbursement Coordinator, RN Mountain Ridge CenterClinical Reimbursement Coordinator, RNFranklin, NH$83,200–$104,000 / hourAs a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. *On call / MOD on weekends!* **Offering $10,000 Bonus** At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.
Clinical Reimbursement Coordinator Ridgewood Center-NHClinical Reimbursement CoordinatorBedford, NH$95,000–$99,000Overview: Ridgewood Center is Hiring a Clinical Reimbursement Coordinator (MDS Coordinator) *New Leadership team* $3,500 Sign-on bonus At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Licensed Practical Nurse (LPN) - up to $43/hr Shiftkey, LLCLicensed Practical Nurse (LPN) - up to $43/hrDover, NH$43ShiftKey enables independent Licensed Practical Nurses like you to bid on per diem LPN 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.
NewCertified Nursing Assistant, CNA Harris Hill CenterCertified Nursing Assistant, CNAConcord, NH$21–$24Overview: Are you ready to Work at your Own pace Harris Hill Center in Concord, NH a recipient of many Quality Awards and Under New Management is Now Hiring Per Diem LNAs - all Shifts available Are you passionate about making a meaningful impact in healthcare? As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewLicensed Nursing Assistant, LNA Harris Hill CenterLicensed Nursing Assistant, LNAConcord, NH$21–$24Overview: Harris Hill Center in Concord, NH a recipient of many Quality Awards *New Management* We are Hiring Full-time LNAs for all shifts $2,000 Bonus We offer great benefits or pay in lieu of benefits At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewCertified Nursing Assistant Harris Hill CenterCertified Nursing AssistantConcord, NH$21–$24Overview: Harris Hill Center in Concord, NH a recipient of many Quality Awards *New Management* We are Hiring Full-time LNAs for all shifts $2,000 Bonus We offer great benefits or pay in lieu of benefits At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewLicensed Nursing Assistant, LNA Hackett Hill Healthcare CenterLicensed Nursing Assistant, LNAManchester, NH$21–$24Overview: Hackett Hill Center a Five Star Facility and voted Best Nursing Home in 2026 by USA Today is Now Hiring a Full-time LNA 7am-3pm available Genesis Healthcare is a great place to work – with a family friendly culture, competitive salaries, and great benefits. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewCertified Nursing Assistant Hackett Hill Healthcare CenterCertified Nursing AssistantManchester, NH$21–$24Overview: Hackett Hill Center a Five Star Facility and voted Best Nursing Home in 2026 by USA Today is Now Hiring a Full-time LNA 7am-3pm available Genesis Healthcare is a great place to work – with a family friendly culture, competitive salaries, and great benefits. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewCertified Nursing Assistant, CNA Hackett Hill Healthcare CenterCertified Nursing Assistant, CNAManchester, NH$21–$24Overview: Hackett Hill Center a Five Star Facility and voted Best Nursing Home in 2026 by USA Today is Now Hiring a Full-time LNA 7am-3pm available Genesis Healthcare is a great place to work – with a family friendly culture, competitive salaries, and great benefits. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Licensed Practical Nurse (LPN) - up to $46/hr Shiftkey, LLCLicensed Practical Nurse (LPN) - up to $46/hrBelmont, NH$46ShiftKey enables independent Licensed Practical Nurses like you to bid on per diem LPN 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.
Licensed Practical Nurse (LPN) Shiftkey, LLCLicensed Practical Nurse (LPN)Dover, NH$43ShiftKey enables independent Licensed Practical Nurses like you to bid on per diem LPN 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.
NewLicensed Nursing Assistant, LNA Crestwood CenterLicensed Nursing Assistant, LNAMilford, NH$21–$32Overview: Crestwood Center in Milford, NH has been awarded a Five Star Facility We are Now Hiring LNAs 3pm - 11pm available We offer great benefits and up to 25% More Pay in Lieu of Benefits $3,000 Sign-on Bonus *Posted range includes evening shift differential and pay in lieu of benefits. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewCertified Nursing Assistant, CNA Crestwood CenterCertified Nursing Assistant, CNAMilford, NH$21–$32Overview: Crestwood Center in Milford, NH has been awarded a Five Star Facility We are Now Hiring LNAs 3pm - 11pm available We offer great benefits and up to 25% More Pay in Lieu of Benefits $3,000 Sign-on Bonus *Posted range includes evening shift differential and pay in lieu of benefits. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewCertified Nursing Assistant Crestwood CenterCertified Nursing AssistantMilford, NH$21–$32Overview: Crestwood Center in Milford, NH has been awarded a Five Star Facility We are Now Hiring LNAs 3pm - 11pm available We offer great benefits and up to 25% More Pay in Lieu of Benefits $3,000 Sign-on Bonus *Posted range includes evening shift differential and pay in lieu of benefits. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
NewLicensed Nursing Assistant, LNA Mountain Ridge CenterLicensed Nursing Assistant, LNAFranklin, NH$20–$25As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
NewCertified Nursing Assistant Mountain Ridge CenterCertified Nursing AssistantFranklin, NH$20–$25As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
NewCertified Nursing Assistant, CNA Mountain Ridge CenterCertified Nursing Assistant, CNAFranklin, NH$20–$25As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
NewLicensed Nursing Assistant, LNA Exeter CenterLicensed Nursing Assistant, LNAExeter, NH$21–$24As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
NewCertified Nursing Assistant, CNA Exeter CenterCertified Nursing Assistant, CNAExeter, NH$21–$24As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
NewCertified Nursing Assistant Exeter CenterCertified Nursing AssistantExeter, NH$21–$24As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNMethuen, MAAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
Licensed Nursing Home Administrator, LNHA Pheasant Wood CenterLicensed Nursing Home Administrator, LNHAPeterborough, NH$145,000–$150,000Qualifications: * Licensed according to state regulations * Excellent interpersonal skills - well-developed verbal and written communication skills * Thorough knowledge of administrative management techniques, supervisory practices, procedures, and principles * Working knowledge of all government regulations impacting Nursing Centers * On-call availability Benefits: *Variable compensation plans. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Licensed Nursing Assistant, LNA Rochester ManorLicensed Nursing Assistant, LNARochester, NH$21–$24As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
Certified Nursing Assistant Rochester ManorCertified Nursing AssistantRochester, NH$21–$24As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
Certified Nursing Assistant, CNA Rochester ManorCertified Nursing Assistant, CNARochester, NH$21–$24As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Licensed Nursing Assistant - LNA works under the direction of Registered Nurses to provide specific direct and indirect patient and resident care.
Assisted Living Certified Nursing Assistant, CNA Granite Ledges of ConcordAssisted Living Certified Nursing Assistant, CNAConcord, NH$17–$20As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. You will work under the direction of a Licensed Nurse to deliver efficient and effective nursing care in a Assisted Living setting, ensuring positive clinical outcomes and patient satisfaction.
Accounts Payable Coordinator Wakefield Thermal Solutions, Inc.Accounts Payable CoordinatorNashua, NHHistorically talented at restoring distressed companies, Heico now strategically targets acquisitions that will complement its ever-growing portfolio of companies in manufacturing, construction, and industrial services. Building on over four decades of leadership and experience, Wakefield Thermal designs, manufactures, and sells thermal management products that remove excess heat generated by electronic components.
Certified Nursing Assistant, CNA Pheasant Wood CenterCertified Nursing Assistant, CNAPeterborough, NH$21–$31.25Overview: Full Time Day & Evening shifts Available *Pay range includes shift differentials and Pay in Lieu of Benefits At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Certified Nursing Assistant Pheasant Wood CenterCertified Nursing AssistantPeterborough, NH$21–$31.25Overview: Full Time Day & Evening shifts Available *Pay range includes shift differentials and Pay in Lieu of Benefits At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Licensed Nursing Assistant, LNA Pheasant Wood CenterLicensed Nursing Assistant, LNAPeterborough, NH$21–$31.25Overview: Full Time Day & Evening shifts Available *Pay range includes shift differentials and Pay in Lieu of Benefits At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Licensed Practical Nurse - LPN Ridgewood Center-NHLicensed Practical Nurse - LPNBedford, NH$36–$39.50As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: Under the direction of a Registered Nurse (RN), the Licensed Practical Nurse delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction.
Licensed Practical Nurse - LPN Rochester ManorLicensed Practical Nurse - LPNRochester, NH$36–$39.50Overview: Rochester Manor is hiring a Full-time LPN 3pm - 11pm available *New leadership team* We offer great benefits or 25% more Pay in Lieu of Benefits $5,000 Hiring Bonus At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Licensed Practical Nurse - LPN Laconia Rehabilitation CenterLicensed Practical Nurse - LPNLaconia, NH$33–$50.50As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: Under the direction of a Registered Nurse (RN), the Licensed Practical Nurse delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction.
Licensed Practical Nurse - LPN Mountain Ridge CenterLicensed Practical Nurse - LPNFranklin, NH$33–$51.50As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: Under the direction of a Registered Nurse (RN), the Licensed Practical Nurse delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction.
NewTravel Nurse RN - Director of Nursing - $73 per hour in Derry, NH Adelphi HealthcareTravel Nurse RN - Director of Nursing - $73 per hour in Derry, NHDerry, NH$73Champion patients' needs, addressing concerns to promote patient-centered care. Provide effective guidance, creating a collaborative and positive work atmosphere for nursing personnel.
NewTravel Nurse RN - Nurse Manager - $2,280 to $2,300 per week in Franklin, NH TalentBurst, Inc.Travel Nurse RN - Nurse Manager - $2,280 to $2,300 per week in Franklin, NHFranklin, NH$2,280–$2,3002.4 Ensures timely and accurate compliance of the MDS process and that it reflects the patient's plan of care; 2.5 Participates with the interdisciplinary team in developing, implementing and evaluating ways to achieve patient goals and minimize rehospitalizations; 2.6 Ensures Point Click Care (PCC) is utilized according to the Business Processes; 2.7 Contacts attending physician to obtain orders as indicated (i.e., admission, change in condition, etc.); 2.8 Ensures that Physician Orders are followed as prescribed; 2.9 Oversees medication management to ensure adequate supplies and that all medications are handled in accordance Genesis policy; 2.10 Ensures that patient's attending physician and family or responsible party are promptly notified of any significant change in the patient's health condition; 2.11 Creates an environment that is respectful, team oriented and responsive to the concerns of staff, patients and families; 2.12 Ensures communication between licensed nursing staff and CNAs during and between shifts; 2.13 Participates in shift-to-shift communication between incoming and outgoing nursing staff; 2.14 Serves as a role model in the delivery of direct patient care using the nursing process; 2.15 Provides patient care when required; 2.16 Ensures discharge planning process is in place and provides consultation as needed; 2.17 Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. 3.2 Evaluates and provides feedback to the NPE and to the individual staff member regarding effectiveness of the program; 3.3 Participates in the evaluation of staff competency; 3.4 Demonstrates, teaches and evaluates nursing skills utilized in direct patient care of the unit's specific patient population; 3.5 Promotes professional development and career opportunities for nursing staff; Quality Improvement: 4.1 Participates in the development, implementation and evaluation of quality improvement activities for the Center and/or unit as requested; 4.2 Prepares written reports, reviews records and participates in needed data collection as indicated; 4.3 Reviews clinical records of patients with unplanned rehospitalizations to identify areas in need of improvement; 4.4 Ensures that patient's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with Genesis policies and procedures and the Federal/State rules and regulations; 5.
NewTravel Nurse RN - Nurse Manager in Peterborough, NH Cynet HealthTravel Nurse RN - Nurse Manager in Peterborough, NHPeterborough, NHResponsibilities include: Providing direct patient care by assessing, planning, implementing, and evaluating nursing interventions to ensure optimal outcomes. Collaborating with physicians, fellow nurses, and other healthcare professionals to develop and implement individualized patient care plans.