NewRN Director Inpatient Hospice Operations AccentCare, Inc.RN Director Inpatient Hospice OperationsMilton, MA$120,000–$140,000As our Inpatient Clinical Nurse Manager, you’ll play a central role in bringing this center to life—leading a dedicated interdisciplinary hospice team and ensuring every patient and family receives exceptional, heartfelt support. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place.
NewAssistant Director of Nursing, RN Linden Ponds by Erickson Senior LivingAssistant Director of Nursing, RNHingham, MA$120,000–$150,000 / yearLocation: Linden Ponds by Erickson Senior LivingJoin our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled, Assisted Living, and Memory Care neighborhoods. See Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
RN Shift Supervisor Care-OneRN Shift SupervisorBrookline, MAThe RN Supervisor will be responsible for, but not limited to: Responsible for the day to day coordination and oversight of all aspects of nursing activities of the facility during her/his tour of duty. Serve as Administration's representation in the facility in the absence of the Director of Nursing, the Assistant Director of Nursing and the Administrator.
NewLPN Supervisor Care-OneLPN SupervisorBeverly, MA$45–$48 / hourThe LPN 3-11 Shift Supervisor OR LPN Weekend Supervisor will be responsible for, but not limited to: Responsible for the day to day coordination and oversight of all aspects of nursing activities of the facility during her/his tour of duty. Compensation will be based on, but not limited to, experience, qualifications, credentials, employment status, scheduled shift, and, if applicable, differentials related to a specific shift(s)/and or day(s).
NewLicensed Practical Nurse (LPN) WaldenLicensed Practical Nurse (LPN)Dedham, MA$33.75–$46.70Responsibilities Include: Assume responsibility for the quality of nursing care provided to patients, including maintaining optimal patient health, teaching, counseling, collaborative planning and restoration of optimal function. Walden Behavioral Care is one of the only rapidly-growing, leading national specialty healthcare systems dedicated to serving all genders and offering the full continuum of care for people with all types of eating disorders.
NewLicensed Practical Nurse (LPN) - Residential Program WaldenLicensed Practical Nurse (LPN) - Residential ProgramDedham, MA$33.75–$46.70Responsibilities Include: Assume responsibility for the quality of nursing care provided to patients, including maintaining optimal patient health, teaching, counseling, collaborative planning and restoration of optimal function. Walden Behavioral Care is one of the only rapidly-growing, leading national specialty healthcare systems dedicated to serving all genders and offering the full continuum of care for people with all types of eating disorders.
NewPRN Registered Nurse (RN) - Skilled Nursing in Tewksbury, MA - with same-day pay SnapCarePRN Registered Nurse (RN) - Skilled Nursing in Tewksbury, MA - with same-day payTewksbury, MA$52–$52SnapCare and connectRN have joined forces to give healthcare professionals more ways to find flexible work, support the facilities that need them, and deliver quality care where it matters most. This role includes assessing patient health, developing and implementing nursing care plans, and collaborating with interdisciplinary teams to provide high-quality patient care.
NewPRN Registered Nurse (RN) - Skilled Nursing in Milford, MA - with same-day pay SnapCarePRN Registered Nurse (RN) - Skilled Nursing in Milford, MA - with same-day payMilford, MA$52–$52SnapCare and connectRN have joined forces to give healthcare professionals more ways to find flexible work, support the facilities that need them, and deliver quality care where it matters most. This role includes assessing patient health, developing and implementing nursing care plans, and collaborating with interdisciplinary teams to provide high-quality patient care.
NewRegistered Nurse Care-OneRegistered NursePeabody, MA$49–$51 / hourDirect day to day functions of Licensed Practical Nurses and Certified Nursing Assistants, assuring compliance with state and federal regulations and facility policies and processes. According to facility policy and procedure, assure that all members of the interdisciplinary team are aware of and understand changes in resident nursing and/or medical plan of care.
Nursing Director – Hematology/Oncology & Bone Marrow Transplant Tufts Medical CenterNursing Director – Hematology/Oncology & Bone Marrow TransplantBoston, MA$162,773.52–$207,541.52 / yearA management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
NewClinical Nurse Coordinator- PT Nights Hebrew SeniorLifeClinical Nurse Coordinator- PT NightsBoston, MA$69,669–$104,503 / yearAssume responsibility for intervention in family matters requiring immediate attention, and refer appropriately to Nurse Manager/DON and/or Social Service Department for long-term management and follow-up. Communicate with the Administrative Coordinator and appropriate Nurse Manager/DON on staffing, scheduling, clinical, and administrative issues.
NewAssistant Director of Social Services Care OneAssistant Director of Social ServicesConcord, MA$75,000–$85,000 / yearSocial Service functions include but are not limited to: supervising social service staff, direct services, advocacy, counseling, service coordination, education, in-servicing, policy and program development and community relations. The Assistant Director of Social Services will abide by and practice according to the company's Social Service Policies and Procedures Manual, State and Federal guidelines and the National Association of Social Workers' "Code of Ethics".
NewPart Time Psychiatric Nurse Practitioner - Fee For Service ThriveworksPart Time Psychiatric Nurse Practitioner - Fee For ServiceCambridge, MA$74,000–$106,000To maintain safety and best practices for our clinicians and patients via telemedicine, Thriveworks does not push or incentivize the use of stimulant medications; instead, we offer them as an option based on the client’s specific symptoms and diagnosis, with prescribing decisions left to the discretion of the clinician. With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address.
NewPsychiatric Nurse Practitioner - Fee For Service ThriveworksPsychiatric Nurse Practitioner - Fee For ServiceQuincy, MA$147,000–$212,000To maintain safety and best practices for our clinicians and patients via telemedicine, Thriveworks does not push or incentivize the use of stimulant medications; instead, we offer them as an option based on the client’s specific symptoms and diagnosis, with prescribing decisions left to the discretion of the clinician. With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from thriveworks@myworkday.com or an @thriveworks.com email address.
NewDirector of Social Services Care OneDirector of Social ServicesLowell, MAEnsures and documents that residents/families have input into the care planning process; Acts as liaison between residents, families, outside agencies, and the Center Administrator to ensure that the resident's rights are maintained; Takes responsibility for conducting family meetings as needed; Functions in a management capacity and adheres to all policies and procedures of the Center as a representative of CareOne Administration; Performs administrative requirements such as completing necessary forms and reports under the direction of the Administrator and submitting such reports to the Administrator and/or consultants as required; Facilitates discharge planning including the development of an organized discharge plan for all customers; Concerns self with the safety of all Center residents in order to minimize the potential for fire and accidents. Also ensures that the Center adheres to legal, safety, health, fire, and sanitation codes by being familiar with his/her in carrying out the Center's fire, safety and disaster plans and by being familiar with current MSDS; Puts customer service first and adheres to the CareOne Culture of Excellence Pledge.
NewClinical Nurse Coordinator Hebrew SeniorLifeClinical Nurse CoordinatorDedham, MA$102,162–$153,244Assume responsibility for intervention in family matters requiring immediate attention, and refer appropriately to Nurse Manager/DON and/or Social Service Department for long-term management and follow-up. Communicate with Administrative Coordinator and appropriate Nurse Manager/DON on staffing, scheduling, clinical and administrative issues.
NewRegistered Nurse Emergency Department Transition to Practice Nights 7pm - 7:30am South Shore HealthRegistered Nurse Emergency Department Transition to Practice Nights 7pm - 7:30amWeymouth, MAWhat is the Emergency Department RN Transition to Practice Program?12 weeks of training that is tailored to meet your individual learning needs in our Level II Trauma Center at South Shore HealthHands-on nursing experience in assessing patients, planning care and providing careSuccessful program participants will be placed in a full-time shift position in the Emergency DepartmentProgram starts 9/21/2026Manages individualized, outcome oriented nursing care through the use of the nursing process. Depending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required.
NewRegistered Nurse Full Time VNA South Shore HealthRegistered Nurse Full Time VNARockland, MASee South Shore Health Privacy Policy at https://www.southshorehealth.org/website-privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. For each visit, demonstrates the skills and judgment necessary to implement the plan of care, nursing interventions, and procedures necessary for the skilled care of the patient, as evidenced by chart review and observation.
NewHospice Registered Nurse Case Manager- Per Diem Hebrew SeniorLifeHospice Registered Nurse Case Manager- Per DiemDedham, MA$77,035–$115,553 / yearRoutinely assesses patients response to plans of care and performs comprehensive assessments, hospice aide supervision, and coordination/oversight of hospice services provided in assisted living, LTC, SNF and hospital settings. The philosophy of the Hospice is rooted in Hessed (loving kindness), and Kevod HaBeriyot (honoring life), but Hebrew SeniorLife Hospice Care is open to anyone regardless of religious affiliation; our mission is informed by Jewish values that are shared across many faith traditions and spiritual belief systems.
NewRN- Nurse Supervisor Linden Ponds by Erickson Senior LivingRN- Nurse SupervisorHingham, MA$90,000–$110,000 / yearLocation: Linden Ponds by Erickson Senior LivingJoin our team asa Registered Nurse (RN) Nursing Supervisor who is responsible for the delivery of resident care by licensed and non-licensed staff in our Continuing Care Neighborhoods, which include skilled nursing, long-term care, assisted living, and memory care. Perform walking rounds through all Continuing Care neighborhoods (skilled nursing, long term care, assisted living, and memory care) to ensure nursing staff are providing the highest level of resident care possible.
NewNurse Assistant Hebrew SeniorLifeNurse AssistantDedham, MA$15–$28Experience working in assisted living, rest home, or any type of facility where one is working with multiple residents or patients. Nursing Assistants will also provide residents with assistance to take medications, under the careful supervision of the Nursing Coordinator.
NewTravel Nurse RN - Nurse Manager in Framingham, MA Ambition 24HoursTravel Nurse RN - Nurse Manager in Framingham, MAFramingham, MAThe ideal candidate will possess strong healthcare operations experience, financial management skills, and the ability to lead strategic initiatives that improve productivity, cost management, and compliance within a hospital setting. This leadership role is responsible for managing purchasing, inventory control, equipment distribution, financial performance, and operational efficiency across hospital supply chain functions.
NewBirthing Unit Registered Nurse (Rotating Resource RN) South Shore HealthBirthing Unit Registered Nurse (Rotating Resource RN)Weymouth, MADepending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required. Working collaboratively with physicians, midwives, advanced practice providers, and interdisciplinary team members, the RN is responsible for assessing, planning, implementing, and evaluating individualized patient care while promoting a safe, family-centered birthing experience.
NewRegistered Nurse (RN) - Critical Care (CCU) - 36hrs/week, nights - 7pm-7:30am x3/week South Shore HealthRegistered Nurse (RN) - Critical Care (CCU) - 36hrs/week, nights - 7pm-7:30am x3/weekWeymouth, MADepending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required. Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command.
NewRN- Nurse Evening Supervisor Linden Ponds by Erickson Senior LivingRN- Nurse Evening SupervisorHingham, MA$100,000–$120,000 / yearLocation: Linden Ponds by Erickson Senior LivingJoin our team asa Registered Nurse (RN) Nursing Supervisor who is responsible for the delivery of resident care by licensed and non-licensed staff in our Continuing Care Neighborhoods, which include skilled nursing, long-term care, assisted living, and memory care. Perform walking rounds through all Continuing Care neighborhoods (skilled nursing, long term care, assisted living, and memory care) to ensure nursing staff are providing the highest level of resident care possible.
NewTravel Nurse RN - Administration / Management - $2,227 to $2,489 per week in Brockton, MA Prime Time HealthcareTravel Nurse RN - Administration / Management - $2,227 to $2,489 per week in Brockton, MABrockton, MA$2,226.75–$2,488.72Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Case Manager in Somerville, MA SkyBridge HealthcareTravel Nurse RN - Case Manager in Somerville, MASomerville, MA$68.75–$81.25 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewCardiac Cath Lab - Travel Registered Nurse Trusted HealthCardiac Cath Lab - Travel Registered NurseBoston, MA$3,310–$3,310Candidates living • 12 months gap required between for Staff at Program: Mass General Brigham Incorporated (Direct) - Main Program and no current placement allowed at Program: Mass General Brigham Incorporated (Direct) - Main Program. - Case types range from outpatient RHC and stable coronary angiograms to complex coronary, structural, and vascular interventions.
NewHome Health RN Clinical Manager CenterWell Home HealthHome Health RN Clinical ManagerNot Specified, MA$84,900–$116,800 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
NewLPN/ RN- Part Time Brightview Senior Living, LLCLPN/ RN- Part TimeCanton, MA$34.75–$41.754. Comprehensive Benefits: Enjoy competitive salaries, health, vision and dental insurance options, retirement plans, tuition reimbursement, employee assistance programs and many more benefits that prioritize your well-being. Compensation Disclosure: The salary range mentioned above reflects the potential pay for this role and does not include bonuses or additional incentives (if applicable), nor does it include the value of our benefit program.
NewSurgical Technologist II Tufts Medical CenterSurgical Technologist IIBoston, MA$35–$39.90As the principal teaching hospital of Tufts University School of Medicine, Tufts Medical Center offers Surgical Technologists the opportunity to work alongside nationally recognized surgeons, nurses, anesthesia providers, residents, fellows, and multidisciplinary teams in a fast-paced, collaborative environment focused on clinical excellence and continuous learning. At Tufts Medical Center, our Surgical Technologists support a wide range of complex and specialized procedures across multiple surgical services, including transplant, trauma, robotics, vascular, orthopedic, thoracic, ENT, neurosurgery, and cardiovascular surgery.
NewUnit Coordinator 24 hour Days Hebrew SeniorLifeUnit Coordinator 24 hour DaysDedham, MA$42,386.56–$59,341.40Perform daily clerical duties as required and requested, i.e., develop and/or edit data and perform data entry; use computer skills to prepare reports, draft memos, and compose unit meeting minutes. Assist with unit educational activities, i.e., orientation of new staff, preparation of educational materials, and training of designated staff in computer skills.
NewCardiac Surgical Technologist Tufts MedicineCardiac Surgical TechnologistBoston, MA$36–$43.49As the principal teaching hospital of Tufts University School of Medicine and a nationally respected research institution, we are known for delivering groundbreaking, patient-centered care across more than 100 specialties and services, from primary care to our Level I Trauma Center to the region’s leading heart transplant program. Surgical Technologists are integral members of the surgical team, assisting in innovative cardiovascular surgeries while working alongside nationally recognized surgeons, perfusionists, anesthesia providers, and perioperative staff in a highly specialized environment.
NewPatient Care Associate I Hebrew SeniorLifePatient Care Associate IDedham, MA$15–$28Qualifications: Long term chronic care PCA Certified Nursing Assistant certification is preferred in good standing upon hire or current enrollment in a nursing school, having completed first clinical experience. They are an active participant in the activities, work, and social environment of the floors/households, and strive to make every patient encounter into a positive and meaningful experience and opportunity, while ensuring the provision of safe and efficient quality care.
NewPatient Care Associate II Hebrew SeniorLifePatient Care Associate IIBoston, MA$15–$28They are an active participant in the activities, work, and social environment of the unit/households, and strive to make every resident/patient encounter into a positive and meaningful experience and opportunity, while ensuring the provision of safe and efficient quality care. *Be proficient in obtaining vital signs and other procedures such as temperature, pulse, respirations, blood pressure, weight, blood glucose levels, pulse oximetry and urine and stool specimens as directed.
NewProfessional Development Specialist-1 Dana-Farber Cancer InstituteProfessional Development Specialist-1BOSTON, MA$113,200–$133,800 / yearSupports nurses in the management of symptom distress related to cancer and/or its treatment based on advanced knowledge of the etiology of cancer, the rationale for treatment, patient and family responses and needs, and associated nursing interventions. Demonstrates expertise in areas of oncology clinical practice, by participating in patient care to identify opportunities for improvement, assess staff performance, and facilitate implementation of new practices.
RN Assistant Director of Nursing (ADON) Andover Manor Rehab & NursingRN Assistant Director of Nursing (ADON)Andover, MA$106,000–$110,000 / yearFull timeThe ADON supports the Director of Nursing in overseeing daily clinical operations, nursing staff, compliance, and quality resident care throughout the facility. This is an excellent opportunity for an experienced RN with skilled nursing experience who is looking to grow in nursing leadership within a supportive long-term care environment.
Assistant Director of Nursing (ADON) (Registered Nurse/RN) Life Care Centers of America IncAssistant Director of Nursing (ADON) (Registered Nurse/RN)Billerica, MAPerform proficiently in all competency areas including but not limited to: nursing care, supervisory responsibilities,, infection control, patient rights, and safety and sanitation. Assist the DON in planning, developing, implementing, evaluating and directing the Nursing Services department.
Assistant Nursing Director Cardiovascular OR Lahey Hospital and Medical CenterAssistant Nursing Director Cardiovascular ORBoston, MA$150,000–$220,000 / yearThe Assistant Nursing Director (AND) plays a key leadership role overseeing daily operations, supporting high‑performing clinical teams, and ensuring exceptional patient care across complex cardiac, vascular, endovascular, and thoracic procedures. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Assistant Nursing Director Post Partum/Antepartum/Well Newborn Nursery Lahey Hospital and Medical CenterAssistant Nursing Director Post Partum/Antepartum/Well Newborn NurseryBoston, MA$150,000–$220,000 / yearThe Antepartum/Postpartum Unit at BIDMC provides comprehensive inpatient care for antepartum and postpartum patients and their newborns within a supportive academic medical center environment. In this leadership role, you will help coordinate and support nursing care delivery across disciplines, serving as a key liaison between clinical teams to ensure safe, seamless, and high-quality patient care.
Assistant Director of Nursing, RN Erickson Senior LivingAssistant Director of Nursing, RNHingham, MassachusettsLocation: Linden Ponds by Erickson Senior LivingLinden Ponds, a 5-star CMS-rated community, is seeking an Assistant Director of Nursing, RNto help lead our CCRC—a role ideal for a clinical leader who is passionate about person-centered care and developing strong, cohesive teams. Linden Ponds helps people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us.
Assistant Nursing Director Cardiovascular OR Beth Israel Lahey HealthAssistant Nursing Director Cardiovascular ORBoston, MassachusettsThe Assistant Nursing Director (AND) plays a key leadership role overseeing daily operations, supporting high‑performing clinical teams, and ensuring exceptional patient care across complex cardiac, vascular, endovascular, and thoracic procedures. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Assistant Director of Nursing (ADON) (Registered Nurse/RN) Life Care Center of Merrimack ValleyAssistant Director of Nursing (ADON) (Registered Nurse/RN)Billerica, MassachusettsPerform proficiently in all competency areas including but not limited to: nursing care, supervisory responsibilities,, infection control, patient rights, and safety and sanitation. Assist the DON in planning, developing, implementing, evaluating and directing the Nursing Services department.
Nursing Director - Cardiac Direct Access Care Unit and Ambulatory Cardiology Lahey Hospital and Medical CenterNursing Director - Cardiac Direct Access Care Unit and Ambulatory CardiologyBoston, MA$180,000–$230,000 / yearThe Cardiac Direct Access Unit (CDAc), located on BIDMC's West Campus, offers a unique opportunity to work in an innovative, fast-paced cardiovascular care setting that bridges outpatient and observation-based care. Serving patients referred through the BILH network, CDAc focuses on individuals experiencing new or worsening cardiac symptoms, as well as patients within the Advanced Heart Failure, Structural Heart, and Electrophysiology programs.
Nurse Director Emergency Department Boston Medical CenterNurse Director Emergency DepartmentBoston, MA$153,000–$222,000 / yearRequired Licenses & Certifications: Licensed to practice professional nursing as a Registered Nurse in the Commonwealth of Massachusetts in good standing required or the ability to obtain an MA RN license prior to starting employment. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness.
Nursing Director of Behavioral Health ($40K Sign-On Bonus) Macpower Digital Assets Edge Private LimitedNursing Director of Behavioral Health ($40K Sign-On Bonus)Natick, MA$150,000–$185,000 / yearMust-Have Qualifications: Associate Degree in Nursing (ADN) + Bachelor's in healthcare OR Bachelor of Science in Nursing (BSN). Key Details: Reports directly to Chief Nursing Officer (CNO).
NewAssistant Nurse Director, Labor & Delivery- 40 hrs, Off-shifts Lahey Hospital and Medical CenterAssistant Nurse Director, Labor & Delivery- 40 hrs, Off-shiftsBoston, MA$150,000–$220,000 / yearThe Role: Working under the direction of the Nursing Director, you will provide clinical leadership and coordination of nursing services, partnering closely with interdisciplinary teams to ensure safe, seamless, and high-quality patient care. This role serves as an important liaison across departments, supporting efficient clinical operations, patient flow, and exceptional care experiences for patients and families.
Nursing Director Adult Pediatric and Psychiatric Emergency Department Boston Medical CenterNursing Director Adult Pediatric and Psychiatric Emergency DepartmentBoston, MALicensed to practice professional nursing as a Registered Nurse in the Commonwealth of Massachusetts required or has the ability to obtain an MA RN license prior to starting employment. Ensures that desired patient outcomes are optimally achieved and that variances from established parameters are evaluated and addressed as necessary.