NewFamily Medicine, Family Medicine Lacey Medical Plaza Suite 202 Adventist Health System/WestFamily Medicine, Family Medicine Lacey Medical Plaza Suite 202Hanford, CA$342,000–$387,000 / yearTherefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Hanford offers a blend of historical charm, cultural diversity, outdoor recreation, and community spirit, making it an appealing destination for individuals and families looking to live in California's Central Valley.
NewFamily Medicine, Family Medicine Reedley Jefferson/Sanger with Medical Directorship (Reedley) Adventist Health System/WestFamily Medicine, Family Medicine Reedley Jefferson/Sanger with Medical Directorship (Reedley)Hanford, CA$342,000–$387,000 / yearTherefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. With a population of approximately 25,000 residents, Reedley is known for its rich agricultural heritage, often referred to as the "Fruit Basket of the World" due to its extensive production of fruits like peaches, plums, and nectarines.
NewFamily Medicine, Family Medicine Physician (Medical Director) - Avenal, CA Adventist Health System/WestFamily Medicine, Family Medicine Physician (Medical Director) - Avenal, CAAvenal, CA$369,000–$429,000 / yearIn a region dubbed the worlds fruit basket, the Central Valley is conveniently located 90 minutes to either Californias central coast or Sequoia National Park, 2 hours to Yosemite National Park, and 3 hours to San Francisco or Los Angeles, providing access to year-round adventure! Were looking for physicians to join our team who: maintain responsibility for providing expert clinical care, provide comprehensive health assessments, perform medical diagnosis of acute and chronic illnesses, provide timely charting in EMR, and formulate treatment plans and or/interventions.
NewTravel Nurse RN - Medical-Surgical in Tulare, CA TravelNurseSourceTravel Nurse RN - Medical-Surgical in Tulare, CATulare, CAEach position in work history must include the charting system used; if multiple EMR systems were used in a single role, dates must be provided to clarify when each system was utilized. TravelNurseSource is working with Concentric Healthcare Staffing to find a qualified Med/Surg RN in Tulare, California, 93274!
NewTravel Nurse RN - ED - Emergency Department - $2,079 per week Fusion Medical Staffing-NursingTravel Nurse RN - ED - Emergency Department - $2,079 per weekHanford, CAThis role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel Nurse RN - ED - Emergency Department - $1,956 per week Fusion Medical Staffing-NursingTravel Nurse RN - ED - Emergency Department - $1,956 per weekTulare, CAThis role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel Nurse RN - Emergency Room (ER) / Trauma - $1,954 to $2,079 per week in Hanford, CA TravelNurseSourceTravel Nurse RN - Emergency Room (ER) / Trauma - $1,954 to $2,079 per week in Hanford, CAHanford, CA$1,954–$2,079This role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. Collaborate effectively with interdisciplinary teams including physicians, specialists, paramedics, social workers and other support staff to ensure comprehensive care.
NewTravel Nurse RN - Emergency Room (ER) / Trauma - $1,839 to $1,956 per week in Tulare, CA TravelNurseSourceTravel Nurse RN - Emergency Room (ER) / Trauma - $1,839 to $1,956 per week in Tulare, CATulare, CA$1,839–$1,956This role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. Collaborate effectively with interdisciplinary teams including physicians, specialists, paramedics, social workers and other support staff to ensure comprehensive care.
NewObstetrics & Gynecology, OB/GYN Physician Opportunity Omni Family HealthObstetrics & Gynecology, OB/GYN Physician OpportunityReedley, CAThe OB/GYN Physician is primarily responsible for providing medical services for the patients of Omni Family Health, a community health center; in addition, the Physician may be directed by the Chief Medical Officer to perform other duties in accordance with funding agencies requirements, contractual agreements, policies, procedures, and protocols established by the Omni Family Health Board of Directors. Authoritative knowledge of the principles of practice, principles of general management and specifically in personnel management and techniques in running a medical practice in a community health center are highly desirable.
Travel Physical Therapy Assistant (PTA) - $1,382 to $1,582 per week in Fresno, CA AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,382 to $1,582 per week in Fresno, CAFresno, CA$1,382.10–$1,582.10You will collaborate with therapists and interdisciplinary teams to implement treatment plans, document progress in the electronic medical record, and support patient mobility and functional goals. You will work with patients recovering from injuries or illness, helping them move better, feel better, and stay active under the guidance of a licensed Physical Therapist.
NewHematology/Oncology, Independent Oncology Practice Opportunity with Path to Partnership! Navista Network, LLCHematology/Oncology, Independent Oncology Practice Opportunity with Path to Partnership!Fresno, CA$550,000–$650,000 / yearPhysician shall be compliant to complete and clear necessary privileging, credentialing, and licensing applications to remain in good standing in accordance with the bylaws, policies, procedures, rules and regulations of the Group and all hospitals in which the physician holds clinical privileges. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growthwhile maintaining their independence.
Medical Records Clerk STARS BEHAVIORAL HEALTH GROUP, INC.Medical Records ClerkFresno, CAHow you will make a difference: The Clerk has the primary responsibility for reviewing and completing records in the Electronic Medical Records (EMR) system and ensuring required documents are completed on time. Skills and Services: Clerical office support through data entry, administration, customer service, phone support, mail processing.
CORRECTIONAL CASE RECORDS SUPERVISOR State Of CaliforniaCORRECTIONAL CASE RECORDS SUPERVISORHanford, CA$6,311–$7,817Mission: To facilitate the successful reintegration of the individuals in our care back to their communities equipped with the tools to be drug-free, healthy, and employable members of society by providing education, treatment, rehabilitative, and restorative justice programs, all in a safe and humane environment. Candidates new to CDCR or the Division of Juvenile Justice are required to submit to a background investigation process utilizing Live Scan fingerprinting, and Tuberculosis testing prior to appointment followed by departmental annual Tuberculosis testing/evaluation thereafter.
Health Record Clerk (Temp) Family Healthcare NetworkHealth Record Clerk (Temp)Visalia, CAProfessional & Technical Knowledge: Effective June 1, 2026, all individuals hired into the role must: Must have proof of completion of high school with a minimum overall GPA of 2.5 or completion of General Educational Development (GED) with a minimum overall score of 162.5. If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma.
Medical Receptionist United Health Centers of the San Joaquin ValleyMedical ReceptionistHanford, CaliforniaResponsibilities: Works closely with the Medical Reception Supervisor and other members of the clinic management team to: Provides prompt clerical support; promotes a smooth patient flow; collects and records data accurately; maintains order of the front office, equipment and supplies. Consider joining the team to leave a lasting impact in your local community as you can look forward to being the first point of contact for our patients visiting our health centers.
Medical Receptionist United Health Centers of San Joaquin ValleyMedical ReceptionistFresno, CAWorks closely with the Medical Reception Supervisor and other members of the clinic management team to: Provides prompt clerical support; promotes a smooth patient flow; collects and records data accurately; maintains order of the front office, equipment and supplies. Consider joining the team to leave a lasting impact in your local community as you can look forward to being the first point of contact for our patients visiting our health centers.
Medical Receptionist RadNet IncMedical ReceptionistHanford, CAWhen you join us as a Patient Service Representative, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world-class customer service.
Medical Receptionist Roth Staffing CompaniesMedical ReceptionistFresno, California$18–$22 / hourAbility to communicate calmly and clearly with patients about appointments in all circumstances including when they are ill or have an emergen. * Communicate effectively with physicians, clinical staff, dialysis units, and outside providers to support continuity of care.
Medical Assistant I - Regional Medical CHC Clinica Sierra VistaMedical Assistant I - Regional Medical CHCFresno, CAWe're looking for someone to join our team as a Medical Assistant I/II who: Under the direction of the Director of Operations or designee, this position will be responsible for floating between front office and/or back office medical assistant clinical operation roles to fill staff shortages as assigned. Additionally, this role promotes Clinica Sierra Vista Production System (CSVPS), ensures operational efficiency, follows through with implementation, monitoring and reporting on all health center objectives.
Medical Receptionist RadNet Central CaliforniaMedical ReceptionistHanford, CaliforniaFull timeWhen you join us as a Patient Service Representative , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world-class customer service.
NewMedical Assistant Kaweah Delta Health Care District GuildMedical AssistantTulare, CA$20–$30 / hourUnder the direction of an LVN/RN and/or licensed medical professional, the Medical Assistant performs a variety of patient care activities to assist medical providers and support the delivery of patient care in the medical office. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics.
NewFloat Medical Assistant Allergy & ENT Associates PAFloat Medical AssistantHanford, CAThis position assists with patient care, allergy testing, immunotherapy injections, patient education, inventory management, and daily office operations while ensuring excellent patient service and compliance with practice policies and procedures. Position Summary: The Medical Assistant is responsible for providing clinical and administrative support to physicians and providers in a fast-paced allergy and immunology practice.
Medical Assistant Front/Back (AGHA) Sante HealthMedical Assistant Front/Back (AGHA)Fresno, CAFull timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. In addition to your medical assisting responsibilities, you also handle a variety of office duties including scheduling appointments, answering phones, screening calls, relaying messages by phone or mail, and answering patient questions about general policies and procedures.
Family Medicine Lacey Medical Plaza Suite 202 Adventist Health System/WestFamily Medicine Lacey Medical Plaza Suite 202Hanford, CA$342,000–$387,000 / yearTherefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Hanford offers a blend of historical charm, cultural diversity, outdoor recreation, and community spirit, making it an appealing destination for individuals and families looking to live in California's Central Valley.
Family Medicine Reedley Jefferson/Sanger with Medical Directorship (Reedley) Adventist Health System/WestFamily Medicine Reedley Jefferson/Sanger with Medical Directorship (Reedley)Hanford, CA$342,000–$387,000 / yearTherefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. With a population of approximately 25,000 residents, Reedley is known for its rich agricultural heritage, often referred to as the "Fruit Basket of the World" due to its extensive production of fruits like peaches, plums, and nectarines.
Medical Back Office Assistant (Temporary) SKIN AND CANCER INSTITUTEMedical Back Office Assistant (Temporary)Hanford, CAThe incumbent in this position may operate any/all of the following equipment: Microsoft 365 apps, fax, email, phone, Klara, EMA, ModMed, iPAD, NoahFace (biometric timeclock), Tandem, CoverMyMeds, LabCorp (software for looking up labs results and ordering supplies), Quest diagnostics. The Back Office Medical Assistant plays a vital role in supporting clinical operations by assisting providers with patient care, performing clinical procedures, and maintaining accurate medical records.
Medical Assistant - Front Office (Temp) Family Healthcare NetworkMedical Assistant - Front Office (Temp)Fresno, CAProfessional & Technical Knowledge: Possesses work-related skills at a higher level than completion of high school, including formal written and verbal communications skills, computational and computer skills, mathematical, technical or health care related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program. The employee is frequently required to stand or walk; and must occasionally bend waist, twist waist, squat, climb, kneel, reach above and below shoulder height, as well as the ability to occasionally lift and carry light objects such as supplies, charts, or small equipment.
Medical Assistant - Back Office Family Healthcare NetworkMedical Assistant - Back OfficeVisalia, CAProfessional & Technical Knowledge: Effective June 1, 2026, all individuals hired into the role must: Possesses work-related skills at a higher level than completion of high school, including formal written and verbal communications skills, computational and computer skills, mathematical, and technical skills. Have proof of completion of high school with a minimum overall GPA of 2.5 or completion of General Educational Development (GED) with a minimum overall score of 162.5, and health care related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
Medical Assistant Roth Staffing CompaniesMedical AssistantFresno, California$20–$23 / hourUltimate Staffing is currently recruiting for a Front or Back Office Medical Assistants, Medical Receptionists, Medical Billers and Referral Coordinators that have experience in Internal Medicine, Family Practice or Pediatrics or Oncology. -Documents receipt assists with ensures completion of disability and other miscellaneous forms/ letters in a timely manner.
Medical Director- Emergency PetVet Care CentersMedical Director- EmergencyVisalia, CA$200,000–$225,000 / yearOur compensation package includes: • Competitive Salary Up to $225,000 (Negotiable B.O.E) • Lucrative High Earning Production Plan • Medical Director Stipend • Generous Signing and Retention packages available - up to $75,000 for experienced veterinarians! Veterinarian degree (DVM or VMD) from an accredited college or university Current State Veterinary License DEA registration must be obtained and maintained 1+ years of experience in a veterinary emergency practice Strong diagnostic and clinical skills.
Emergency Medical Director - Tulare-Kings Veterinary Emergency Services PetVet Care CentersEmergency Medical Director - Tulare-Kings Veterinary Emergency ServicesVisalia, CA$215,000–$245,000 / yearThe city's natural charm and gracious, vibrant community captivate visitors year-round with experiences highlighted by live entertainment, stunning art, rich history, and world-class restaurants. Pay Range $215,000—$245,000 USD At PetVet Care Centers, we're committed to a Culture of Care — for pets, for the people who love them, and for the team members who make it all possible.
Medical Float Roth Staffing CompaniesMedical FloatVisalia, California$18–$24 / hourWe are seeking a reliable and flexible Medical Assistant (Float) to support both front office and back office operations across our medical clinics. Travel to support different clinic locations, including Hanford at least once per week .
Family Medicine Physician (Medical Director) - Avenal, CA Adventist Health System/WestFamily Medicine Physician (Medical Director) - Avenal, CAAvenal, CA$369,000–$429,000 / yearIn a region dubbed the worlds fruit basket, the Central Valley is conveniently located 90 minutes to either Californias central coast or Sequoia National Park, 2 hours to Yosemite National Park, and 3 hours to San Francisco or Los Angeles, providing access to year-round adventure! Were looking for physicians to join our team who: maintain responsibility for providing expert clinical care, provide comprehensive health assessments, perform medical diagnosis of acute and chronic illnesses, provide timely charting in EMR, and formulate treatment plans and or/interventions.
Medical Assistant-Temporary Aria Community Health CenterMedical Assistant-TemporaryTulare, CAAs a Federally Qualified Health Center and licensed primary care clinic, we provide comprehensive medical and dental services, along with specialized care in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry, and Optometry. Cognitive Abilities: Aptitude to complete tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for decision-making, problem-solving, and comprehending.
Medical Assistant Aria Community Health CenterMedical AssistantLemoore, CAAs a Federally Qualified Health Center and licensed primary care clinic, we provide comprehensive medical and dental services, along with specialized care in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry, and Optometry. Cognitive Abilities: Aptitude to complete tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for decision-making, problem-solving, and comprehending.
Medical Coder and Biller - Fresno, CA Healthcare ISMedical Coder and Biller - Fresno, CAFresno, CAPosition Summary: As a Medical Billing Specialist, you will be responsible for ensuring accurate and timely billing of patient accounts, as well as following up on unpaid claims to maximize revenue for our organization. We are seeking experienced individuals to contribute their coding and billing expertise to one of our healthcare clients in Fresno Please review the two positions and apply if you feel you would be a good fit.
Medical Assistant - Back Office (EMVL) Sante HealthMedical Assistant - Back Office (EMVL)Fresno, CAPart timeSante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management. Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
In-House Coordinator - Community Regional Medical Center Donor Network WestIn-House Coordinator - Community Regional Medical CenterFresno, CAMaintains critical care knowledge and critical thinking skills to effectively and independently manage brain dead and donation after cardiac death donors using approved donor protocols and develops action plan with clinical team as needed. The In-House Coordinator is primarily responsible for developing and implementing hospital strategic plans, responding to donor referrals, authorizing donation and clinical management of donors to enhance eye, organ, and tissue donation within the assigned hospital(s).
Medical Assistant I - North Fine CHC Clinica Sierra VistaMedical Assistant I - North Fine CHCFresno, CAWe're looking for someone to join our team as a Medical Assistant I/II who: Under the direction of the Director of Operations or designee, this position will be responsible for floating between front office and/or back office medical assistant clinical operation roles to fill staff shortages as assigned. Additionally, this role promotes Clinica Sierra Vista Production System (CSVPS), ensures operational efficiency, follows through with implementation, monitoring and reporting on all health center objectives.
Registered Dietitian Inpatient at Community Regional Medical Center - Part- Time Thomas Management LLCRegistered Dietitian Inpatient at Community Regional Medical Center - Part- TimeFresno, CA$38–$40 / hourPart timeProvides appropriate follow-up in accordance with the patient's treatment goals, referring patients for outpatient counseling, community resources or home services, as appropriate. Works collaboratively with and provides area supervision of dining service staff to assure accuracy of diet prescriptions and high level of customer satisfaction/scores.
Physician needed in Central CA - Community Medical Providers Sante HealthPhysician needed in Central CA - Community Medical ProvidersFresno, CAFull timeCommunity Medical Providers (CMP) is a physician-led medical group with more than 100 dedicated and outstanding Primary Care Providers working to deliver personalized care to patients throughout Central California. As a champion for community health, CMP combines years of experience, talented staff, and an understanding of our community, to offer the best contracts, facilities, programs, and resources to our physician partners.
Medi-Cal Eligibility Technician WellpathMedi-Cal Eligibility TechnicianHanford, CaliforniaFull timeFamiliarity with CalAIM, justice-involved reentry services, Medi-Cal aid codes, CIN numbers, eligibility portals, and electronic medical record systems is strongly preferred. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
Certified Medical Assistant Aria Community Health CenterCertified Medical AssistantHanford, CAAs a Federally Qualified Health Center and licensed primary care clinic, we provide comprehensive medical and dental services, along with specialized care in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry, and Optometry. Requires frequent bending, reaching, and repetitive hand movements (specifically keyboarding and writing), standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.
Registered Dietitian Inpatient at Community Regional Medical Center - Part- Time Thomas CuisineRegistered Dietitian Inpatient at Community Regional Medical Center - Part- TimeFresno, CaliforniaProvides appropriate follow-up in accordance with the patient's treatment goals, referring patients for outpatient counseling, community resources or home services, as appropriate. Works collaboratively with and provides area supervision of dining service staff to assure accuracy of diet prescriptions and high level of customer satisfaction/scores.
Medical Waste Containers-Class A Haz Driver Fresno Regional Workforce Development BoardMedical Waste Containers-Class A Haz DriverFresno, CADrive over the road (OTR) for 10–14 days, followed by approximately 30 days of local routes before the next OTR assignment. Experience operating vehicles in a safe manner (straight trucks and tractor trailers as large as 26 and 53 feet long).
Medical Waste Containers - Class A Hazmat OTR Driver - 6642 Daniels HealthMedical Waste Containers - Class A Hazmat OTR Driver - 6642Fresno, CAOur focus is delivering quality and safety-focused medical waste management services that reduce needlestick injuries, improve infection control and reduce the environmental footprint of our customers. We are seeking an enthusiastic, customer focused driver with a Class A Hazmat license and experience driving large trucks to utilize your experience across the Fresno, CA Plant.
NewMedical Director - Orthopedic Surgeon - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Orthopedic Surgeon - Remote From AnywhereFresno, CARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Nurse Practitioner or Physician Assistant - Medical Oncology Community Health SystemNurse Practitioner or Physician Assistant - Medical OncologyFresno, CaliforniaWe also operate four acute-care hospitals – Community Regional Medical Center, Clovis Community Medical Center, Fresno Heart & Surgical Hospital and Community Behavioral Health Center – as well as several long-term care, outpatient and other healthcare facilities. This is an exceptional opportunity to work alongside a collaborative team of Medical Oncologists, Hematologists, and experienced Advanced Practice Providers in a comprehensive cancer center dedicated to delivering high‑quality, patient‑centered oncology care.
Medical Assistant I - Comprehensive Care Center Clinica Sierra VistaMedical Assistant I - Comprehensive Care CenterFresno, CAEssential Functions: Perform routine patient care functions as prescribed by licensed heath care providers following established clinical protocols, policies, and procedures within their scope of education, training, and responsibilities. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive.
Associate Medical Director United Health Centers of the San Joaquin ValleyAssociate Medical DirectorFresno, California$290,000–$410,000 / yearFull timeUnited Health Centers has been serving rural communities of the Central Valley since 1971 with a commitment to improving the health of our communities with a network of Health Centers offering comprehensive primary care and specialty care services. In addition, the position works internally to represent Clinical in special programs/projects for the effective integration of multidisciplinary patient/client services across multiple departments.