NewTravel Nurse RN - Post-Anesthesia Care Unit (PACU) / Pre-Post Op - $1,827 to $1,944 per week in Winchester, VA TravelNurseSourceTravel Nurse RN - Post-Anesthesia Care Unit (PACU) / Pre-Post Op - $1,827 to $1,944 per week in Winchester, VAWinchester, VA$1,827–$1,944This role involves assessing patient recovery, implementing post-operative care plans, administering treatments, collaborating with the surgical team, and coordinating care for discharging or transporting patients. 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.
Travel CT Tech in Winchester, VA Concentric Healthcare StaffingTravel CT Tech in Winchester, VAWinchester, VAWhy Join Us Join a 495-bed award-winning regional referral facility offering a broad scope of advanced imaging services. Schedule / Job Type Contract | Travel | 13-Week Assignment | Nights | Thursday, Friday & Saturday, 6:00 PM – 6:30 AM | 36 Hours Guaranteed Per Week | Onsite.
NewTravel Physical Therapist (PT) - $1,806 to $2,006 per week in Cumberland, MD Jackson Therapy PartnersTravel Physical Therapist (PT) - $1,806 to $2,006 per week in Cumberland, MDCumberland, MD$1,805.68–$2,005.68The area provides easy access to the Great Allegheny Passage trail, connecting to long-distance cycling routes and rail-trail scenery, suitable for an active, outdoor-focused lifestyle and quiet suburban living. Cumberland is adjacent to the C&O Canal National Historical Park and within a 15–20 minute drive of Rocky Gap State Park, offering hiking, boating, and fishing opportunities.
Registered Nurse (RN) - Internal Float Pool - Romney Advocate AuroraRegistered Nurse (RN) - Internal Float Pool - RomneyRomney, WVAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation . Using evidence-based practice, clinical decision making, compassion and skilled communication, leads efforts to create the safest patient environment and the best patient experience across the continuum.
FOIA Records Specialist Winchester Amentum Services IncFOIA Records Specialist WinchesterWinchester, VAAmentum is a global leader in advanced engineering and innovative technology solutions, trusted by the United States and its allies to address their most significant and complex challenges in science, security and sustainability. Essential duties and responsibilities for the position include, but are not limited to: Provide administrative support to search, collect, and analyze responsive documents for incoming FOI/PA requests and maintain information regarding the documents in a database.
Mobile Medical Assistant 360careMobile Medical AssistantBerlin, PennsylvaniaMain duties include maintaining clinical records and charts through electronic medical records, care and cleaning of medical equipment, and supporting provider. Maintains medical supplies inventory by auditing stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
Certified Medical Assistant, Pre-Admission Testing Valley HealthCertified Medical Assistant, Pre-Admission TestingWinchester, VABased on previous and current assessments (i.e. vital signs, chart review, patient symptoms), recognizes changes in the patient's condition and communicates these changes to the provider in a timely manner. Completes routine office clinical functions including but not limited to processing patient phone calls and processing faxes in an accurate and timely manner.
Medical Assistant (MA) Float Shenandoah OncologyMedical Assistant (MA) FloatWinchester, Virginia$20–$28 / hourThis is an excellent opportunity for someone who enjoys variety in their workday, thrives in a fast-paced environment, and is passionate about helping patients navigate their cancer journey with dignity and compassion. Guided by The RETIC Way—Respect, Excellence, Teamwork, Integrity, and Compassion —we foster a supportive culture where employees are valued, developed, and empowered to grow.
Certified Medical Assistant (CMA) — Urgent Care — Winchester Gateway Bon Secours Mercy HealthCertified Medical Assistant (CMA) — Urgent Care — Winchester GatewayWinchester, VAEducation:** + High School/GED (required) + Enrollment in an approved Medical Assistant program (required within 30 days employment) **Required Licensing & Certifications:** + Active Medical Assisting certification from one of the following (required within 12 months of start date): + Certified Medical Assistant (CMA); American Association of Medical Assisting + Registered Medical Assistant (RMA); American Medical Technologists + Certified Clinical Medical Assistant (CCMA); National Healthcareer Association (NHA) + Nationally Certified Medical Assistant (NCMA); National Center for Competency Testing (NCCT)(not accepted in the state of South Carolina) + Nationally Registered Certified Medical Assistant (NRCMA); National Association for Health Professionals (not accepted in the state of South Carolina) + (NRCMA or NCMA certifications are not accepted in the state of South Carolina) + If incumbent is unable to obtain MA certification, an Assessment-Based Recognition in Order Entry (ABR-OE) is acceptable (not accepted in the state of South Carolina) + BLS Basic Life Support, American Heart Association (required at hire for Roper St Francis Healthcare locations; preferred at hire, required prior to independent patient care at BSMH) **Experience:** + Completion of externship or clinical lab training (preferred) + 1 year of recent Medical Assisting experience (preferred) **Skills & Abilities:** + Record patients' medical history, vital statistics, or information such as test results in medical records. Under the direction of the provider, the Medical Assistant contributes to the completion of the patient’s chief complaint (including, but not limited, to respirations, blood pressure, pulse oximetry, height, weight, and temperature), documents patient/family needs, participates in planning and implementing care for patients, and may administers ordered medications (oral, injection, topically, etc.) within the Medical Assisting scope and state guidelines.
Emergency Medical Technician (EMT) - Full Time Valley HealthEmergency Medical Technician (EMT) - Full TimeWinchester, VA$20.12–$30.18 / hourThe EMT is responsible for providing safe, high-quality, and customer-focused medical transportation up to the basic life support level to and from medical facilities, under the direction of Valley Medical Transport's dispatch center and the Operations Manager. Must satisfy the requirements for a DOT equivalent physical examination to obtain and maintain a Medical Examiner's Certificate, as well as submit to periodic drug screenings, as defined by applicable federal, state, and VH policies & regulations.
Emergency Medical Technician (EMT) - Per Diem Valley HealthEmergency Medical Technician (EMT) - Per DiemWinchester, VA$20.12–$30.18 / hourThe EMT is responsible for providing safe, high-quality, and customer-focused medical transportation up to the basic life support level to and from medical facilities, under the direction of Valley Medical Transport's dispatch center and the Operations Manager. Must satisfy the requirements for a DOT equivalent physical examination to obtain and maintain a Medical Examiner's Certificate, as well as submit to periodic drug screenings, as defined by applicable federal, state, and VH policies & regulations.
Emergency Medical Technician (EMT) - Full Time Varied Shifts Valley HealthEmergency Medical Technician (EMT) - Full Time Varied ShiftsWinchester, VA$20.12–$30.18 / hourThe EMT is responsible for providing safe, high-quality, and customer-focused medical transportation up to the basic life support level to and from medical facilities, under the direction of Valley Medical Transport's dispatch center and the Operations Manager. Must satisfy the requirements for a DOT equivalent physical examination to obtain and maintain a Medical Examiner's Certificate, as well as submit to periodic drug screenings, as defined by applicable federal, state, and VH policies & regulations.
Medical Assistant- Primary Care University of Pittsburgh Medical CenterMedical Assistant- Primary CareCumberland, MDClean exam/procedure rooms, instruments and equipment between patient visits to maintain infection control. Assist patients as needed with walking, transfers, dressing, collecting specimens, preparing for exam, etc.
Medical Assistant - MAC Primary Care University of Pittsburgh Medical CenterMedical Assistant - MAC Primary CareCumberland, MDIn this role, you will support both clinical and front office functions, including rooming patients, assisting with procedures, managing patient flow, and ensuring accurate documentation and communication. Occasional travel to other office locations including Lavale Primary Care, Frostburg Primary Care and Dr. Gupta Internal Medicine may be required based on staffing coverage needs.
NewMedical Facilities Inspector Commonwealth of VirginiaMedical Facilities InspectorWinchester, VA$75,000–$89,250 / yearYour work will include reviewing medical records, care plans, staffing documentation, medication administration practices, facility policies, and operational systems; interviewing residents, family members, and facility staff; and observing resident care, dining services, infection-control practices, and overall facility operations. You will identify deficient practices, determine the appropriate scope and severity, prepare clear and legally defensible Statements of Deficiencies, review plans of correction, participate in revisit surveys and monitoring activities, and collaborate with an interdisciplinary team of healthcare and regulatory professionals.
Certified Medical Assistant (CMA) - Urgent Care - Winchester Gateway Mercy HealthCertified Medical Assistant (CMA) - Urgent Care - Winchester GatewayWinchester, VAUnder the direction of the provider, the Medical Assistant contributes to the completion of the patient's chief complaint (including, but not limited, to respirations, blood pressure, pulse oximetry, height, weight, and temperature), documents patient/family needs, participates in planning and implementing care for patients, and may administers ordered medications (oral, injection, topically, etc.) within the Medical Assisting scope and state guidelines. Successfully completes skills or competency checklists to be able to help physicians examine and treat patients, performing such tasks as handing them instruments, giving injections, removing sutures, changing dressings on wounds.
Physician (Medical Officer) - Direct Hire U.S. Department of JusticePhysician (Medical Officer) - Direct HireMD$124,308–$315,000 / yearIf you are on active duty and expect to be discharged or released from active duty service within 120 days, you may submit a Certificate of Release or Discharge from Active Duty from the appropriate Branch Personnel Office containing the following information: (1) the military service dates including the expected discharge or release date; (2) and the character of service (must be an honorable or general discharge); and (3) any qualifying service/campaign/expeditionary medals. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed pre-medical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.
Medical Staff Office Coordinator - Full Time First Shift Valley HealthMedical Staff Office Coordinator - Full Time First ShiftWVThe Medical Staff Office Coordinator is responsible coordination, oversight and other credentialing tasks of the Medical Staff Services office, including physician and advanced practice provider health credentialing and re-credentialing, meeting management, flow of information from medical staff committees through the Medical Staff Executive Committee and Valley Health Quality Medical Affairs Committee of the Board of Trustees. Knowledge of various databases used in credentialing, including National Practitioner Data Base, OIG, SAMS, Certificate and State Licensing Boards.
Certified Medical Assistant (CMA) - Urgent Care - Winchester Gateway Bon Secours Mercy Health IncCertified Medical Assistant (CMA) - Urgent Care - Winchester GatewayWinchester, VAUnder the direction of the provider, the Medical Assistant contributes to the completion of the patient's chief complaint (including, but not limited, to respirations, blood pressure, pulse oximetry, height, weight, and temperature), documents patient/family needs, participates in planning and implementing care for patients, and may administers ordered medications (oral, injection, topically, etc.) within the Medical Assisting scope and state guidelines. Successfully completes skills or competency checklists to be able to help physicians examine and treat patients, performing such tasks as handing them instruments, giving injections, removing sutures, changing dressings on wounds.
NewSite Medical Director Wellpath IncSite Medical DirectorCumberland, MDTuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans. 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.
NewSite Medical Director WellpathSite Medical DirectorCumberland, MarylandPer diemWellpath 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. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
Certified Medical Assistant / Business Assoc, Float Pool, Full-time, Day The Valley HospitalCertified Medical Assistant / Business Assoc, Float Pool, Full-time, DayVA$22.99–$28.74 / hourCurrent and valid certification as a certified medical assistant or registered medical assistant recognized by the Board of Examiners such as American Medical Technology (AMT), American Association of Medical Assistants (AAMA), National Center for Competency Testing (NCCT) required. Responsible for maintaining the daily patient schedule and answers all incoming calls that results in scheduling an appointment, medication refills or pass along inquiries from a clinical or billing nature, in a courteous, caring and respective manner.
Mobile Healthcare Technician 360careMobile Healthcare TechnicianBerlin, PennsylvaniaMain duties include maintaining clinical records and charts through electronic medical records, care and cleaning of medical equipment, and supporting provider. Maintains medical supplies inventory by auditing stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
Registered Nurse – Itinerant (220 days) - Evening West Virginia Department of EducationRegistered Nurse – Itinerant (220 days) - EveningWVOrganizes and implements state-wide fluoride rinse program which involves ordering supplies and equipment from state, parental permission forms, weekly records, and end of the year report to state. While performing the duties of this job, the employee is frequently required to reach, stand, walk, lift, grasp, write, talk, hear, see, use technology such as computer and multimedia equipment, and use repetitive motions.
Office Assistant I - MAC GI University of Pittsburgh Medical CenterOffice Assistant I - MAC GICumberland, MDJoin UPMC's MAC GI Physicians team as an Office Assistant, where you'll play an essential role in delivering a welcoming and efficient experience for patients. Utilize appropriate modules of the automated financial management system for scheduling, information verification, entering charges, co-payment collection/ reconciliation and other tasks.
Corrections LPN STAFF TODAYCorrections LPNCumberland, MDHealth Advocates Network is currently seeking a Licensed Practical Nurse to work at a facility in Cumberland, MD. Proficiency in the English language is necessary for communication with other staff and patients.
Patient Service Representative, Interventional Pain Specialists Valley HealthPatient Service Representative, Interventional Pain SpecialistsWinchester, VA$18.22–$22.78 / hourThis position assures that a high-quality patient experience takes place by providing administrative support to the ambulatory care team through excellent customer service, attention to detail and interpersonal skills. Covers at other locations performing like office functions as requested in times of staffing shortages or during workload efficiency adjustments.
Patient Service Representative - Urology - Full Time Valley HealthPatient Service Representative - Urology - Full TimeWinchester, VAIn addition to a competitive salary, our most popular benefits for full-time employees include: A Zero-Deductible Health Plan Dental and vision insurance Generous Paid Time Off Tuition Assistance Retirement Savings Match A Robust Employee Assistance Program to help with many aspects of emotional wellbeing * Membership to Healthy U: An Incentive-Based Wellness Program Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. Department WMC UROLOGY CLINIC - 209701 Worker Sub Type Regular Work Shift Pay Grade Job Description Patient Service Representative serves as the first point of contact for patients within the Valley Health physicians' network.
Physiatrist Mary Free Bed Rehabilitation HospitalPhysiatristWinchester, VirginiaEnhances knowledge and understanding of capabilities and services among medical professionals and patient populations through regular participation in professional education sessions with network partners, discharge planning conferences at regional acute care hospitals, participation in ICU and other Rehab teams at network and regional acute care hospitals and similar activities, community outreach and programming opportunities presented or promoted by the Hospital. Mary Free Bed Medical Group has been retained by Valley Health to recruit a full-time experienced, dynamic individual with strong leadership skills to provide Physiatry Services for Winchester Rehabilitation Center located in the Shenandoah Valley and the ‘Top of Virginia”.
Physical Therapy Assistant The Centers for Advanced Orthopaedics LLPhysical Therapy AssistantWinchester, VAPart timeThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. Performs and documents tests and measurements appropriate for the given condition which may include strength, range of motion, sensory perception, functional capacity, and respiratory and circulatory efficiency of the patient.
Physical Therapist The Centers for Advanced Orthopaedics LLPhysical TherapistWinchester, VA$85,000 / yearPart timeThe Physical Therapist administers necessary physical therapy treatment as determined through a comprehensive evaluation process, for patients suffering from injuries or dysfunction of systems, including but not limited to the musculoskeletal, neuromuscular, central nervous system, cardiovascular and integumentary systems. Administers physical therapy treatments and monitors such treatment within the scope of physical therapy practice as appropriate for the patient's condition to decrease pain, increase range of motion and strength and promote function.
Patient Services Representative University of Pittsburgh Medical CenterPatient Services RepresentativeCumberland, MDStays informed on navigation and usability of UPMC Patient Portal; confidently and clearly communicates what patients need to know to navigate the Portal to ensure a smooth experience and continued access to health information and care services. You'll also help patients navigate available resources, promote convenient patient-focused technologies, and communicate proactively to ensure patients feel informed, valued, and supported throughout their visit.
Veterinarian Allied UniversalVeterinarianWinchester, VAOur veterinary team is comprised of Veterinarians and Licensed Veterinary Technicians caring for the health and wellness of a large number of working dogs. Use a cloud-based working-dog-specific electronic medical record system, maintain veterinary records, generate relevant reports, and track necessary data.
Registered Nurse - Unit Clinical Care Coordinator - Full Time Valley HealthRegistered Nurse - Unit Clinical Care Coordinator - Full TimeWinchester, VA$37.24–$54.07 / hourThe Unit Clinical Care Coordinator serves as the primary liaison among emergency services, surgical services, nursing, finance, physicians, utilization review, and medical records to ensure appropriate bed assignments, patient care needs are met, and treatment plans are executed at the correct level of care. Registered Nurse must hold either: A current multistate (compact) RN license issued by the nurse's state of residency (RNs have 60 days after relocating to a new state to apply for a multistate (compact) RN license in their new state of residency); or.
Registered Nurse (Case Management) Western Region CareerRegistered Nurse (Case Management)Cumberland, MarylandThe delegating Registered Nurse is responsible for providing nursing services and support to adults with disabilities in the day habilitation program and community residences in accordance with agency policy and all applicable federal and state regulations. It is especially suited for nurses who enjoy a mix of hands-on care, staff training, and clinical leadership, and who are looking to make a meaningful impact in both residential and day program settings.
Veterinary Technician Manager Ethos Veterinary HealthVeterinary Technician ManagerWinchester, VAFull timeVVERC's Veterinary Technician Manager is a key member of the hospital leadership team, responsible for overseeing all licensed veterinary technicians (LVTs) and veterinary medical support staff. This role ensures that the hospital is fully prepared to deliver excellent medical care by providing strong leadership, effective training, and operational oversight.
Paramedic Field Supervisor Valley HealthParamedic Field SupervisorWVThe Paramedic Field Supervisor will provide support to the Operations Manager, field staff and dispatch through fleet management, logistics, staffing/scheduling, ensuring consistent operational readiness and system status management in a high- volume commercial ambulance/Emergency Medical Services (EMS) service. The Supervisor will provide patient care at their current certification level when supervising ambulance and transport personnel, filling in for vacant shifts and staffing/upstaffing an ambulance or transport vehicle for critical patient or operational needs.
Paramedic Field Supervisor - Full Time Third Shift Valley HealthParamedic Field Supervisor - Full Time Third ShiftWinchester, VA$29.40–$44.10 / hourThe Paramedic Field Supervisor will provide support to the Operations Manager, field staff and dispatch through fleet management, logistics, staffing/scheduling, ensuring consistent operational readiness and system status management in a high- volume commercial ambulance/Emergency Medical Services (EMS) service. The Supervisor will provide patient care at their current certification level when supervising ambulance and transport personnel, filling in for vacant shifts and staffing/upstaffing an ambulance or transport vehicle for critical patient or operational needs.
Registered Nurse - Winchester Shenandoah Valley Medical System IncRegistered Nurse - WinchesterWinchester, VAPromotes and restores patient's health by completing the nursing process; collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; supervising assigned team members. Role & Responsibilities: Promotes patient independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; answering questions.
Licensed Practical Nurse (LPN) - Family Health Care LifePoint Health IncLicensed Practical Nurse (LPN) - Family Health CarePAOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. The hospital provides 24/7 emergency care as an accredited chest pain center, and offers high-quality, comprehensive outpatient, imaging, diagnostic, and specialty services close to home.
Registered Nurse (Case Management) Unified Community Connections IncRegistered Nurse (Case Management)Cumberland, MD$38.20 / hourPart timeThe delegating Registered Nurse is responsible for providing nursing services and support to adults with disabilities in the day habilitation program and community residences in accordance with agency policy and all applicable federal and state regulations. It is especially suited for nurses who enjoy a mix of hands-on care, staff training, and clinical leadership, and who are looking to make a meaningful impact in both residential and day program settings.
Physical Therapist - Travel Contract Jackson Therapy PartnersPhysical Therapist - Travel ContractCumberland, MDThe area provides easy access to the Great Allegheny Passage trail, connecting to long-distance cycling routes and rail-trail scenery, suitable for an active, outdoor-focused lifestyle and quiet suburban living. Cumberland is adjacent to the C&O Canal National Historical Park and within a 15–20 minute drive of Rocky Gap State Park, offering hiking, boating, and fishing opportunities.
Physician - Foot and Ankle Surgeon The Centers for Advanced Orthopaedics LLPhysician - Foot and Ankle SurgeonWinchester, VA$335,000 / yearPart timeWinchester is located about one hour from Dulles International Airport and 90 minutes from Washington, D.C. Our main office is located less than one mile from Winchester Medical Center, a Level II trauma center affiliated with Valley Health System, which offers a broad spectrum of diagnostic, medical, surgical, and rehabilitative services. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia.
Mammography Tech Valley HealthMammography TechWinchester, VA$33.64–$50.46 / hourThe Mammography Technologist works collaboratively with radiologists, providers, and support staff to ensure safe, accurate, and compassionate care for patients across the communities served by Valley Health. The Mammography Technologist provides high-quality breast imaging services in support of Valley Health's commitment to improving access to preventive care throughout the region.
Oncology Navigator - Full time Valley HealthOncology Navigator - Full timeWinchester, VAThe role and process of oncology navigation, depending on assignments, may also involve responsibilities to coordinate specialized programs designed to serve at-risk populations for developing cancer to include, but not be limited to, Low Dose Lung Cancer (LDCT), Every Woman's Life (EWL) and Survivorship Care Planning. Provides care coordination services to include assisting with referrals within the cancer center, facilitating referrals outside of the cancer center, and prioritizes referral workflow to ensure timely access to care.
Oncology Navigator - Part time - (RN licensure required) Valley HealthOncology Navigator - Part time - (RN licensure required)Winchester, VAThe role and process of oncology navigation, depending on assignments, may also involve responsibilities to coordinate specialized programs designed to serve at-risk populations for developing cancer to include, but not be limited to, Low Dose Lung Cancer (LDCT), Every Woman's Life (EWL) and Survivorship Care Planning. Provides care coordination services to include assisting with referrals within the cancer center, facilitating referrals outside of the cancer center, and prioritizes referral workflow to ensure timely access to care.
Bone Density Technologist - Full Time Valley HealthBone Density Technologist - Full TimeWinchester, VA$33.64–$50.46 / hourThe Bone Density Technologist performs diagnostic bone densitometry (DXA) procedures to assess bone mineral density and evaluate patients for conditions such as osteoporosis. This role ensures high-quality imaging, patient safety, and accurate data collection while providing compassionate patient care.
Occupational Therapist- Home Health Bayada Home Health Care, Inc.Occupational Therapist- Home HealthWinchester, VA$65–$71 / hourAs a home care Occupational Therapist, you will be an integral member of a multi-disciplinary health care team that provides rehabilitative care and skilled nursing to clients, affording them the opportunity to receive the medical care required to remain at home. Perform thorough evaluations of patients' functional status, including muscle function, endurance, visual coordination, written and verbal communication skills, and ADL and IADL performance.