Licensed Psychiatric Nurse Practitioner (LPNP) HeadwayLicensed Psychiatric Nurse Practitioner (LPNP)Bennington, VTWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
Licensed Psychiatric Mental Health Nurse Practitioner HeadwayLicensed Psychiatric Mental Health Nurse PractitionerBennington, VTWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
Licensed Psychiatric Nurse Practitioner (Remote) HeadwayLicensed Psychiatric Nurse Practitioner (Remote)Bennington, VTRemoteWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
Licensed Psychiatric Nurse Practitioner (Virtual) HeadwayLicensed Psychiatric Nurse Practitioner (Virtual)Bennington, VTWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
NewTravel Nurse RN - Medical-Surgical - $2,208 per week in Bennington, VT Magnet MedicalTravel Nurse RN - Medical-Surgical - $2,208 per week in Bennington, VTBennington, VT$2,208.22–$2,208.22The Registered Nurse (RN) in the Med-Surg unit is responsible for providing direct patient care in a fast-paced environment, assisting with the recovery of patients who require medical and surgical interventions. The RN will work collaboratively with the healthcare team to deliver high-quality, compassionate care to patients across a variety of diagnoses and procedures, ensuring patient safety, comfort, and well-being during their hospital stay.
NewTravel Nurse RN - Medical-Surgical - $2,250 per week in Pittsfield, MA Magnet MedicalTravel Nurse RN - Medical-Surgical - $2,250 per week in Pittsfield, MAPittsfield, MA$2,249.78–$2,249.78The Registered Nurse (RN) in the Med-Surg unit is responsible for providing direct patient care in a fast-paced environment, assisting with the recovery of patients who require medical and surgical interventions. The RN will work collaboratively with the healthcare team to deliver high-quality, compassionate care to patients across a variety of diagnoses and procedures, ensuring patient safety, comfort, and well-being during their hospital stay.
NewTravel Nurse RN - Medical-Surgical - $2,334 per week in Pittsfield, MA Magnet MedicalTravel Nurse RN - Medical-Surgical - $2,334 per week in Pittsfield, MAPittsfield, MA$2,333.78–$2,333.78The Registered Nurse (RN) in the Med-Surg unit is responsible for providing direct patient care in a fast-paced environment, assisting with the recovery of patients who require medical and surgical interventions. The RN will work collaboratively with the healthcare team to deliver high-quality, compassionate care to patients across a variety of diagnoses and procedures, ensuring patient safety, comfort, and well-being during their hospital stay.
NewEndocrinologist Needed in Pittsfield, MA; No Call or Weekends CHG HealthcareEndocrinologist Needed in Pittsfield, MA; No Call or WeekendsPittsfield, MARates shown are all-inclusive and combine an hourly base pay with other potential earnings like overtime, call, and holiday pay. Your CompHealth recruiter will be your advocate assisting you with contract negotiation, including pay, benefits, and incentives with insights into facilities and national market trends.
NewNeurology-Dementia PA Albany Med Health SystemNeurology-Dementia PAAlbany, NY$116,035–$136,512 / year
NewNurse Practitioner/Physician Assistan Whitney M. Young Jr. Health CenterNurse Practitioner/Physician AssistanAlbany, NY$100,000–$140,000 / yearFull timeBe a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse community.
Family Nurse Practitioner (FNP) Titan Placement GroupFamily Nurse Practitioner (FNP)Pittsfield, MA$104,000–$120,000 / yearWe’re hiring a Family Nurse Practitioner in Great Barrington, Massachusetts who wants meaningful patient relationships, a balanced schedule, and the opportunity to serve a vibrant Berkshire community. The position emphasizes preventive care, chronic disease management, and patient education while working alongside a collaborative clinical team in a supportive practice environment.
Nurse Practitioner 100% Virtual, CareBridge Elevance HealthNurse Practitioner 100% Virtual, CareBridgeLatham, New YorkProvides urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. . The Advance Practice Provider, Nurse Practitioner is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values.
Nurse Practitioner, Bilingual (100% Virtual) - CareBridge Elevance HealthNurse Practitioner, Bilingual (100% Virtual) - CareBridgeLatham, New YorkProvides primary and urgent health care via telephone and tele video modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our MCO partners. The Advance Practice Provider, Nurse Practitioner Bilingual is responsible for collaborating with company physicians, the patient’s other physicians and providers, and their family members to develop complex plans of care in accordance with the patient’s health status and overall goals and values.
Nurse Practitioner CMR RecruitingNurse PractitionerGloversville, NY$120,000–$160,000 / yearWe are looking for a dedicated and compassionate Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF ) in Gloversville, NY for bedside patient care. We are looking for a Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF ) who prides themselves on a positive attitude and dedication to providing top-notch care.
Metro Travel Nurse Practitioner Milan Laser IncMetro Travel Nurse PractitionerMetro, CAFor Connecticut, Idaho, Louisiana, Oregon, South Dakota, South Carolina, and Washington: Current applicable Nurse Practitioner (NP) license in good standing, along with either active national certification as a Certified Family Nurse Practitioner (FNP-C or FNP-BC) or a Certified Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP-BC or AGNP-C), is required. Traveling Metro Providers support Milan?s clinic locations across the region, ensuring clients receive treatment when coverage is needed while supporting local teams.
Nurse Practitioner (NP) CMR RecruitingNurse Practitioner (NP)Valatie, NY$110,000–$145,000 / yearPosition Description: We are looking for a dedicated and compassionate Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF ) in Valatie, NY, for bedside patient care. We are looking for a Nurse Practitioner ( NP ) for our Skilled Nursing Facility ( SNF ) who prides themselves on a positive attitude and dedication to providing top-notch care.
Nurse Practitioner - Hospice VNA & Hospice of the Southwest Region IncNurse Practitioner - HospiceBennington, VTAttest to a face to face encounter being made and includes in the attestation: The beneficiary's name, the date of the encounter, the certification period dates, and that the clinical findings of that encounter have been provided to the certifying physician for use in determining continued eligibility for hospice care. Responsibilities include but are not limited to the following: Gather clinical information to support the diagnosis and prognosis and provide these findings from the face to face encounter to the physician who is considering recertifying the patient.
Lead Family Nurse Practitioner (FNP) - Urgent Care | $10k Sign-On Bonus! ConvenientMDLead Family Nurse Practitioner (FNP) - Urgent Care | $10k Sign-On Bonus!Pittsfield, MassachusettsLead Providers at ConvenientMD act as clinical leader for all clinical staff, mentoring and supporting new-grad providers as well as allied healthcare professionals. Collaborate with a Team:Work collaboratively and pro-actively with other providers and health care practitioners within your clinic to efficiently treat patients, and plan coordinated, efficient, and thoughtful dispositions (including transfer), all in a timely manner.
Nurse Practitioner Family Medicine Albany Medical CenterNurse Practitioner Family MedicineSlingerlands, NYConduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery. Apply knowledge of anatomy, principles or theories of neurology, microbiology, physiology, psychology, human disabilities, pharmacology, gerontology, human growth and development, human developmental disease, and medical terminology as appropriate in the care setting and as appropriate for level of medical licensure.
Home Based Primary Care - Nurse Practitioner - Capital Region, NY Trinity HealthHome Based Primary Care - Nurse Practitioner - Capital Region, NYCapital District, NY$124,800–$139,360 / yearSt. Peters Health Partners is seeking a full time Nurse Practitioner to join our Home Based Primary Care Team, delivering high quality primary care directly to patients in the Eddy Senior Living Communities throughout the Capital Region. This model provides exceptional care while achieving high patient and caregiver satisfaction, improving health outcomes, reducing avoidable ER visits and hospitalizations, and delaying or preventing nursing home placement.
Nurse Practitioner, Center of Excellence for Alzheimer''''s Disease Albany Medical CenterNurse Practitioner, Center of Excellence for Alzheimer''''s DiseaseAlbany, NYThe Albany Med Center of Excellence for Alzheimer's Disease provides advanced and subspecialized dementia care for patients throughout the region including the monoclonal antibody infusion treatments as well as comprehensive case management support. The Nurse Practitioner will work in close collaboration with the MDs, nurses, social workers, and other team members to deliver compassionate and top quality patient centered care for our dementia patients.
Palliative Care - Nurse Practitioner or Physician Assistant - Capital Region, NY Trinity HealthPalliative Care - Nurse Practitioner or Physician Assistant - Capital Region, NYCapital District, NY$138,729–$160,926 / yearOur community based palliative care program focuses on improving quality of life for individuals living with serious illness by providing expert symptom management, compassionate support, and guidance through complex medical decisions. St. Peter’s Health Partners is seeking a full time Nurse Practitioner or Physician Assistant to join our Community Palliative Care Team, providing patient centered care in the home throughout the Capital Region.
Physician Assistant (PA) or Nurse Practitioner (NP) WellNow Urgent CarePhysician Assistant (PA) or Nurse Practitioner (NP)Hudson, NYPreferred Qualifications: 18 months of experience in emergency medicine or 2 years of experience in a high-volume urgent care setting, including the ability to manage adult and pediatric patients. As an NP or PA, youll succeed by: Work alongside a team of dedicated healthcare professionals, providing high-quality care to patients in an urgent care setting.
Physician Assistant / Nurse Practitioner Fellowship WellNow Urgent CarePhysician Assistant / Nurse Practitioner FellowshipHudson, NYResponsibilities: Work collaboratively with Urgent Care teams under the mentorship of experienced NP/PA's to provide care for patients in our sites, this includes: Examining, diagnosing, and treating patients of all ages with acute illnesses and injuries or exacerbations of chronic disease. Our Mission, Goals and Strengths: The mission of the fellowship program is to provide fellows with comprehensive structure cognitive and clinical education that will enable them to become competent, proficient and professional urgent care providers.
Family Medicine - Nurse Practitioner or Physician Assistant - Rensselaer, NY Trinity HealthFamily Medicine - Nurse Practitioner or Physician Assistant - Rensselaer, NYRensselaer, NYSt Peter’s Health Partners is seeking a full time Family Medicine Nurse Practitioner or Physician Assistant to join their dynamic team of physicians and advanced practitioners at Family Medical Group on 279 Troy Road, Rensselaer, NY. The posted salary reflects the starting range of total compensation and does not include productivity bonuses, incentives related to quality and performance, extra shift incentives, and other forms of cash compensation as applicable to the position.
Family Medicine - Nurse Practitioner or Physician Assistant - Saratoga Springs, NY Trinity HealthFamily Medicine - Nurse Practitioner or Physician Assistant - Saratoga Springs, NYCapital District, NYSt Peters Primary Care, located at 4 Congress Place in Saratoga Springs is seeking a full time Family Medicine Nurse Practitioner or Physician Assistant to join their dynamic team of physicians and advanced practitioners. The posted salary reflects the starting range of total compensation and does not include productivity bonuses, incentives related to quality and performance, extra shift incentives, and other forms of cash compensation as applicable to the position.
Family Medicine - Nurse Practitioner or Physician Assistant - Troy, NY Trinity HealthFamily Medicine - Nurse Practitioner or Physician Assistant - Troy, NYTroy, NYSt Peter’s Health Partners is seeking a full time Family Medicine Nurse Practitioner or Physician Assistant to join their dynamic team of physicians and advanced practitioners at Troy Family Health Center, 79 Vandenburg Avenue, Troy, NY. The posted salary reflects the starting range of total compensation and does not include productivity bonuses, incentives related to quality and performance, extra shift incentives, and other forms of cash compensation as applicable to the position.
Psychiatric Nurse Practitioner MedElite GroupPsychiatric Nurse PractitionerAlbany, New YorkWe are seeking warm and razor-smart psychiatric nurse practitioners with entrepreneurial spirits to perform consultations in nursing homes in New York. If you enjoy working on a team with bright, ambitious, advanced practice nurses and are seeking the flexibility and autonomy of private practice, this is an excellent opportunity for you.
Cardiology Nurse Practitioner/ Physician Assistant MedElite GroupCardiology Nurse Practitioner/ Physician AssistantAlbany, New YorkInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident.
Cardiology Nurse Practitioner/ Physician Assistant MedElite Group, LLC.Cardiology Nurse Practitioner/ Physician AssistantAlbany, NY$150,000–$200,000 / yearInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident.
Psychiatric Nurse Practitioner MedElite Group, LLC.Psychiatric Nurse PractitionerAlbany, NY$150,000–$200,000 / yearWe are seeking warm and razor-smart psychiatric nurse practitioners with entrepreneurial spirits to perform consultations in nursing homes in New York. If you enjoy working on a team with bright, ambitious, advanced practice nurses and are seeking the flexibility and autonomy of private practice, this is an excellent opportunity for you.
Nurse Practitioner - Maternal Fetal Medicine Albany Medical CenterNurse Practitioner - Maternal Fetal MedicineAlbany, NYConduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery. Essential Duties and Responsibilities: Apply knowledge of anatomy, principles or theories of neurology, microbiology, physiology, psychology, human disabilities, pharmacology, gerontology, human growth and development, human developmental disease, and medical terminology as appropriate in the care setting and as appropriate for level of medical licensure.
Nurse Practitioner Per Diem - Family Medicine Albany Medical CenterNurse Practitioner Per Diem - Family MedicineSlingerlands, NYConduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery. Apply knowledge of anatomy, principles or theories of neurology, microbiology, physiology, psychology, human disabilities, pharmacology, gerontology, human growth and development, human developmental disease, and medical terminology as appropriate in the care setting and as appropriate for level of medical licensure.
Orthopedic Nurse Practitioner/Physician Assistant MedElite GroupOrthopedic Nurse Practitioner/Physician AssistantAlbany, New YorkInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As an Orthopedic Nurse Practitioner/Physician Assistant, you will play a vital role in providing comprehensive musculoskeletal and orthopedic care to residents in skilled nursing and long-term care facilities.
Gastroenterology Nurse Practitioner/ Physician Assistant MedElite GroupGastroenterology Nurse Practitioner/ Physician AssistantAlbany, New YorkInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident.
Neurology Nurse Practitioner/ Physician Assistant MedElite GroupNeurology Nurse Practitioner/ Physician AssistantAlbany, New YorkInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As a Neurology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with neurological disorders, including epilepsy, multiple sclerosis, Parkinson's disease, and other neurological conditions.
Pulmonary Nurse Practitioner/Physician Assistant MedElite GroupPulmonary Nurse Practitioner/Physician AssistantAlbany, New YorkInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As a Pulmonology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with respiratory conditions, including asthma, COPD, pneumonia, and other pulmonary disorders.
Pulmonary Nurse Practitioner/Physician Assistant MedElite Group, LLC.Pulmonary Nurse Practitioner/Physician AssistantAlbany, NY$150,000–$200,000 / yearInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As a Pulmonology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with respiratory conditions, including asthma, COPD, pneumonia, and other pulmonary disorders.
Orthopedic Nurse Practitioner/Physician Assistant MedElite Group, LLC.Orthopedic Nurse Practitioner/Physician AssistantAlbany, NY$150,000–$200,000 / yearInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As an Orthopedic Nurse Practitioner/Physician Assistant, you will play a vital role in providing comprehensive musculoskeletal and orthopedic care to residents in skilled nursing and long-term care facilities.
Gastroenterology Nurse Practitioner/ Physician Assistant MedElite Group, LLC.Gastroenterology Nurse Practitioner/ Physician AssistantAlbany, NY$150,000–$200,000 / yearInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident.
Neurology Nurse Practitioner/ Physician Assistant MedElite Group, LLC.Neurology Nurse Practitioner/ Physician AssistantAlbany, NY$150,000–$200,000 / yearInfinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. As a Neurology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with neurological disorders, including epilepsy, multiple sclerosis, Parkinson's disease, and other neurological conditions.
Hybrid Lead Family Nurse Practitioner (FNP) - Urgent Care & Virtual Care ConvenientMDHybrid Lead Family Nurse Practitioner (FNP) - Urgent Care & Virtual CarePittsfield, MassachusettsWe’reseeking a compassionate and experienced Family Nurse Practitioner (FNP) to join our team as a Hybrid Lead Provider, supporting both our Pittsfield urgent care clinic and virtual urgent care operations. In this role, you’ll serve as a clinical leader and mentor within our Pittsfield clinic while also extending access to care through scheduled virtual urgent care shifts.
Nurse Practitioner - Primary Care- Hudson Valley MG NewYork-PresbyterianNurse Practitioner - Primary Care- Hudson Valley MGHudson Valley, NY$157,500–$180,758 / yearThrough primary care and multispecialty medical practices, the physicians and other health care professionals of NYPMG, in collaboration with ColumbiaDoctors and Weill Cornell Physicians, provide families with high quality, patient-centered care close to home in the New York metropolitan area. The Nurse Practitioner is responsible for the management of care for a specified group of patients in accordance with mutually agreed upon protocols and within the policies and procedures established by the Department of Nursing, the American Nurses Association, and NewYork-Presbyterian Medical Group (NYPMG).
Nurse Practitioner Albany Medical CenterNurse PractitionerAlbany, NYNP - Nurse Practitioner - Licensed Upon Hire - required ATLS - Advanced Trauma Life Support Upon Hire - required BCLS - Basic Life Support Upon Hire - required Physical Demands Standing - Constantly Walking - Constantly Sitting - Rarely Lifting - Frequently Carrying - Frequently Pushing - Occasionally Pulling - Occasionally Climbing - Occasionally Balancing - Occasionally Stooping - Frequently Kneeling - Frequently Crouching - Frequently Crawling - Occasionally Reaching - Frequently Handling - Frequently Grasping - Frequently Feeling - Constantly Talking - Constantly Hearing - Constantly Repetitive Motions - Constantly * Eye/Hand/Foot Coordination - Constantly Thank you for your interest in Albany Medical Center! Conduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery.
Nurse Practitioner - Cardiology Outpatient Office Albany Medical CenterNurse Practitioner - Cardiology Outpatient OfficeAlbany, NYConduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery. Apply knowledge of anatomy, principles or theories of neurology, microbiology, physiology, psychology, human disabilities, pharmacology, gerontology, human growth and development, human developmental disease, and medical terminology as appropriate in the care setting and as appropriate for level of medical licensure.
Nurse Practitioner - Bariatric Program Albany Medical CenterNurse Practitioner - Bariatric ProgramDelmar, NYConduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery. Apply knowledge of anatomy, principles or theories of neurology, microbiology, physiology, psychology, human disabilities, pharmacology, gerontology, human growth and development, human developmental disease, and medical terminology as appropriate in the care setting and as appropriate for level of medical licensure.
Nurse Practitioner Pediatric Gastroenterology 22 New Scotland Ave Albany Albany Medical CenterNurse Practitioner Pediatric Gastroenterology 22 New Scotland Ave AlbanyAlbany, NYConduct patient assessments and complete physical examinations, collect clinical data including vital signs, collecting specimens, prepare patients for tests, therapy, or treatments, order and interpret medical laboratory test results, diagnose medical condition of patient, administer medications or treatments and perform minor surgery. Apply knowledge of anatomy, principles or theories of neurology, microbiology, physiology, psychology, human disabilities, pharmacology, gerontology, human growth and development, human developmental disease, and medical terminology as appropriate in the care setting and as appropriate for level of medical licensure.