NewRegistered Nurse (RN) - Home Health - $70K-95K per year Elara CaringRegistered Nurse (RN) - Home Health - $70K-95K per yearJackson, MI$70,000–$95,000 / yearAssesses hospice care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. As an After Hours/ On Call Registered Nurse, you’ll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Hospice team.
NewStaff - Registered Nurse (RN) - Director of Nursing - $95K-135K per year GentivaStaff - Registered Nurse (RN) - Director of Nursing - $95K-135K per yearJackson, MI$95,000–$135,000 / yearOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. With more than 550 locations and thousands of compassionate clinicians across 38 states, our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
NewRegistered Nurse (RN) - Director of Nursing - $95K-135K per year GentivaRegistered Nurse (RN) - Director of Nursing - $95K-135K per yearMichigan Center, MI$95,000–$135,000 / yearOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. With more than 550 locations and thousands of compassionate clinicians across 38 states, our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
NewNurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsWauseon, OHOur providers: Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols Administer and order point of care and lab-based testing as needed Work with physicians, case managers, social workers, family members, key caregivers, and ancillary medical personnel as appropriate Collaborate with Primary Care Physician (PCP) on patient education and follow up as necessary Provide services at the member’s place of residence which can be in their homes or Skilled Nursing Facilities. Master’s Degree or commensurate experience and satisfactory completion of NP licensure Current NP licensure in state of practice to include prescription authority or the ability to obtain prescriptive authority as needed AANP, AACN, or ANCC board certification in Adult, Adult Gerontology Primary Care, Adult Gerontology Acute Care, Family, Emergency, or Acute Care specialty Current BLS, ACLS or CPR certification 1 year of NP experience preferred, new grads encouraged to apply!
NewTravel Step Down Registered Nurse - $2,439 per week GrapeTree Medical StaffingTravel Step Down Registered Nurse - $2,439 per weekYpsilanti, MIGrapeTree takes pride in staffing high-quality, experienced CNAs, STNAs, LPNs, and RNs in 8-13 week travel contracts in nursing homes, assisted living, skilled nursing and memory care facilities across the midwestern US. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Long Term Acute Care (RN) - $1,973 per week Jackson Nurse ProfessionalsTravel Long Term Acute Care (RN) - $1,973 per weekSylvania, OHAwarded Best of Staffing - Talent and Client 2024, and rated as a Top Workplace 2023 by the Orlando Sentinel, Jackson Nurse Professionals goes the extra mile to provide travel nurses the career they deserve, while providing clients with a large range of highly skilled nurses to fill short, long-term, and temporary assignments. Filling critical needs in patient care, Jackson Nurse Professionals delivers cost-effective travel nurse staffing solutions to over 500 hospitals, outpatient clinics, and home health clients nationwide.
NewLocal Contract LTAC Registered Nurse - $40-47 per hour Medical Solutions LTCLocal Contract LTAC Registered Nurse - $40-47 per hourSylvania, OH$40–$47 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewLocal Contract LTAC Nurse Manager - $38-45 per hour Medical Solutions LTCLocal Contract LTAC Nurse Manager - $38-45 per hourYpsilanti, MI$38–$45 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewLocal Contract Operating Room RN - $50-59 per hour Medical SolutionsLocal Contract Operating Room RN - $50-59 per hourJackson, MI$50–$59 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel LTAC Registered Nurse - $1,846 per week Medical Solutions LTCTravel LTAC Registered Nurse - $1,846 per weekYpsilanti, MIMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Stepdown Registered Nurse - $1,978 per week Medical SolutionsTravel Stepdown Registered Nurse - $1,978 per weekYpsilanti, MIMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel ECMO Specialist Nurse - $3,955 per week TNAA TotalMed RNTravel ECMO Specialist Nurse - $3,955 per weekAnn Arbor, MIAs a CVICU Travel Nurse, you will work with a diverse team of caregivers to administer care to patients following specialized procedures including open-heart surgery and heart transplants. As a CVICU Travel Nurse, you should be prepared to perform the following tasks: Provide critical care to patients with potentially life-threatening heart conditions.
NewRegistered Nurse (RN) - Case Manager, Hospice - $70K-90K per year Elara CaringRegistered Nurse (RN) - Case Manager, Hospice - $70K-90K per yearAnn Arbor, MI$70,000–$90,000 / yearAssesses hospice care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. As a Hospice Registered Nurse Case Manager, you’ll contribute to our success in the following ways: Ensures that all activities performed align with the vision of Elara Caring’s board of directors, executive team, and the leadership of the Hospice team.
NewTravel Operating Room Circulator RN - $2,535 per week PRIDE HealthTravel Operating Room Circulator RN - $2,535 per weekJackson, MIPRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Operating Room Circulator RN - $2,575 per week PRIDE HealthTravel Operating Room Circulator RN - $2,575 per weekJackson, MIPRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. PRIDE Health is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Jackson, Michigan.
NewTravel NICU Registered Nurse - $1,973 per week Supplemental Health CareTravel NICU Registered Nurse - $1,973 per weekYpsilanti, MI$1,782–$1,973 / weekSHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
NewTravel Long Term Acute Care RN - $1,704 per week Supplemental Health CareTravel Long Term Acute Care RN - $1,704 per weekYpsilanti, MI$1,548–$1,704 / weekAs recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve. SHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts.
NewTravel Intravenous Therapy RN - $2,186 per week Supplemental Health CareTravel Intravenous Therapy RN - $2,186 per weekToledo, OH$2,020–$2,186 / weekAs recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve. SHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts.
NewTravel PCU Registered Nurse - $2,193 per week ADN HealthcareTravel PCU Registered Nurse - $2,193 per weekJackson, MIADN Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Jackson, Michigan. Our Client is currently seeking PCU - Progressive Care Unit for positions in Jackson, Michigan for a 3x12 Evenings, 12:00:00-00:00:00, 12.00-3 shift.
NewTravel PCU RN - $2,123 per week Access HealthcareTravel PCU RN - $2,123 per weekAnn Arbor, MIAccess Healthcare was founded by two travel nurses, Danielle and Diego, who had a dream and a shared vision of creating an agency which all nurses would want to work with. Access Healthcare aims to provide superior service to our nursing family by providing around the clock support, competitive pay packages and an unmatched benefits package!
Registered Nurse Encompass Health Rehabilitation Hospital of ToledoRegistered NursePerrysburg, OHOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Nurse Manager Encompass Health Rehabilitation Hospital of ToledoNurse ManagerLambertville, MIPrevious leadership role, such as charge nurse or lead capacity, where you were responsible for interim reporting, issue resolution, setting direction, and having accountability for patient and staff results. As a Nurse Manager, envision making a profound impact within your community by providing essential care and guidance throughout patients' rehabilitation journeys.
NewTravel Nurse RN - PCU - Progressive Care Unit - $2,356 per week GrapeTree Medical StaffingTravel Nurse RN - PCU - Progressive Care Unit - $2,356 per weekYpsilanti, MIGrapeTree takes pride in staffing high-quality, experienced CNAs, STNAs, LPNs, and RNs in 8-13 week travel contracts in nursing homes, assisted living, skilled nursing and memory care facilities across the midwestern US. GrapeTree Medical Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Ypsilanti, Michigan.
NewRegistered Nurse - $5,000 Sign On Bonus UnitedHealth GroupRegistered Nurse - $5,000 Sign On BonusHolland, OH$36.27–$54.41 / hourQuality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.
NewLicensed Practical Nurse (LPN) Regency at JacksonLicensed Practical Nurse (LPN)JACKSON, MISupervise the care/services provided by Certified Nursing Assistants (CNA)/State-Tested Nursing Assistants (STNA) and other team members who care for guests. As a licensed practical nurse (LPN) with Regency at Jackson you will work as part of a team providing skilled nursing and short-term rehabilitation care to our valued guests.
NewLicensed Practical Nurse (LPN) - Sign On Bonus Regency at JacksonLicensed Practical Nurse (LPN) - Sign On BonusJACKSON, MISupervise the care/services provided by Certified Nursing Assistants (CNA)/State-Tested Nursing Assistants (STNA) and other team members who care for guests. As a licensed practical nurse (LPN) with Regency at Jackson you will work as part of a team providing skilled nursing and short-term rehabilitation care to our valued guests.
NewChief Nursing Officer Encompass Health Rehabilitation Hospital of ToledoChief Nursing OfficerTemperance, MIUtilize a staffing matrix that factors in patient acuity and adjusts staffing to meet budgeted NHPPD.Integratecomplexdatatomakeinformeddecisions,developprogramsandplansthat optimize health, promote wellness, manage illness, and prevent patient complications. Two years of recent (within the last 5 years) Nursing Management experience, with responsibilitiesincluding24-houraccountability,FTEmanagement,policy,procedure,and budgetary oversight, as well as conducting disciplinary action.
NewRegistered Nurse - Night Shift Terraces of Boise - a HumanGood communityRegistered Nurse - Night ShiftAdrian, United States Virgin Islands$40–$46 / hourThe Terraces of Boise, one of 13 HumanGood communities honored by U.S. News & World Report as a ‘Best Nursing Home‘ is hiring a Full-time Registered Nurse (RN) for its Skilled Nursing team. Current/Prior nursing experience in senior care, skilled nursing, post-acute or sub-acute care is preferred.
NewTravel NICU RN - $1,925 per week TNAA TotalMed RNTravel NICU RN - $1,925 per weekAnn Arbor, MIAlongside the rest of the care team, NICU RNs assist in providing round-the-clock care to these patients and support to the parents. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.
NewRegistered Nurse - Part-Time Terraces of Boise - a HumanGood communityRegistered Nurse - Part-TimeAdrian, United States Virgin Islands$40–$46 / hourThe Terraces of Boise, one of several HumanGood communities honored by U.S. News & World Report as a ‘Best Nursing Home 2026‘ is hiring a Part-time Registered Nurse (RN) for its Skilled Nursing team. Here, you‘ll have the benefits and compensation you need to build a secure life for your family, and real opportunities to grow in your career, gain leadership skills and develop personally.
NewRegistered Nurse (RN) Regency at JacksonRegistered Nurse (RN)JACKSON, MIThe Registered Nurse plans, coordinates, provides and manages nursing care, services and health education to nursing home guests. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.
NewRegistered Nurse (RN) - Sign On Bonus Regency at JacksonRegistered Nurse (RN) - Sign On BonusJACKSON, MIThe Registered Nurse plans, coordinates, provides and manages nursing care, services and health education to nursing home guests. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.
NewLicensed Practical Nurse - Corrections - $870 per week - Urgently Hiring Supplemental Health CareLicensed Practical Nurse - Corrections - $870 per week - Urgently HiringToledo, OH$780–$870 / weekAs recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve. SHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts.
Registered Dietician Software Galaxy Systems, LLCRegistered DieticianJackson, MI$2,136 / weekContractorDuration: 13 Weeks Interviews: MS Teams Minimum Exp: 1 year of recent full-time experience (within past 5 years) as a RD in acute care, nursing home or inpatient rehab/LTACH setting. Must have experience listed in acute care, nursing home, inpatient rehab/LTACH).
Nursing Home Administrator Career StrategiesNursing Home AdministratorAdrian, MichiganThis role oversees all areas of facility operations, including regulatory compliance, team leadership, financial performance, and resident satisfaction. The ideal candidate will be a strong, compassionate leader with proven operational expertise and a commitment to delivering high-quality resident care.
Licensed Nursing Home Administrator (LNHA) Otterbein SeniorLifeLicensed Nursing Home Administrator (LNHA)Jackson, MIThe LNHA fosters a collaborative environment that supports strong relationships with the Executive Director, Otterbein SeniorLife leadership, partners, residents, families, and the surrounding community. The Licensed Nursing Home Administrator (LNHA) is responsible for the overall leadership and daily operations of the Otterbein ministry, including the Health Center, Assisted Living, and campus-based care programs.
NewLicensed Nursing Home Administrator - Community Otterbein SeniorLifeLicensed Nursing Home Administrator - CommunityJackson, MIResponsibilities include overseeing departments related to the care and services to our Elders (residents), including but not limited to Activities, Hospice, Medical Records, Nursing, Social Services, Laundry, and Housekeeping. Otterbein is a vibrant, faith-based, not-for-profit Senior Living Community that offer Independent and Assisted Living, Nursing Care, Memory Care and Rehabilitation in Michigan, Ohio and Indiana.
Home Health Admission Registered Nurse - $5,000 Sign On Bonus! Optimal CareHome Health Admission Registered Nurse - $5,000 Sign On Bonus!Canton, MI$77,000–$88,000 / yearWorking closely with physicians and an interdisciplinary care team, you'll coordinate services, make informed clinical decisions, and play a central role in shaping patient outcomes and supporting each person's journey toward greater health and independence. As a Home Health Registered Nurse, you'll deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in the comfort of their own environment.
Home Health Registered Nurse Optimal CareHome Health Registered NurseJackson, MI$75,000–$85,000 / yearWorking closely with physicians and an interdisciplinary care team, you'll coordinate services, make informed clinical decisions, and play a central role in shaping patient outcomes and supporting each person's journey toward greater health and independence. As a Home Health Registered Nurse, you'll deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in the comfort of their own environment.
RN - Home Healthcare Maxim Healthcare Services IncRN - Home HealthcarePerrysburg, OH$30–$35 / hourIn this role, under the supervision of a clinical manager, you will assess, plan, and implement patient care, educate patients and their families on disease processes, procedures, and medications, and manage various patient needs such as wound care, trachs, Gtubes, Catheters, Vents, and medication administration. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
LPN - Home Healthcare Maxim Healthcare Services IncLPN - Home HealthcarePerrysburg, OH$25–$30 / hourIn this role, under the supervision of a clinical manager, you will assess, plan, and implement patient care, educate patients and their families on disease processes, procedures, and medications, and manage various patient needs such as wound care, trachs, Gtubes, Catheters, Vents, and medication administration. At Maxim Home Healthcare, we offer a fantastic Licensed Practice Nurse (LPN) position for those who value the autonomy and satisfaction of delivery exceptional care in the comfort of patient's home.
Home Health RN Case Manager Ohio Living Home Health & Hospice - Greater ToledoHome Health RN Case ManagerToledo, OHSustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care. For home health, identifies when patients need or qualify for additional services and notifies appropriate team member or team leader.
Registered Nurse RN Behavioral Home Health Elara CaringRegistered Nurse RN Behavioral Home HealthJackson, MIAs a Registered Nurse Behavioral Health, youll contribute to our success in the following ways: Assesses assigned case load of behavioral health care patients and families to identify the physical, psychosocial, and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and on-site evaluations. We know theres no place like home, and thats why our teams continue to provide high-quality care to more than 60,000 patients each day in their preferred home setting.
Travel Home Health Registered Nurse KPG HealthcareTravel Home Health Registered NurseHolland, OHThe primary factor differentiating KPG Healthcare from other recruitment firms is the quality of our experience, the breadth of our industry network, and the creativity that we apply to finding the perfect placement options. KPG Healthcare is a Staffing Firm that provides diverse Supplemental and Permanent Healthcare Staffing solutions to a wide range of Clients throughout the Nation.
CareConnect Registered Nurse (RN) – Part-time - In home Urgent Care - Toledo, OH Wellbe Senior MedicalCareConnect Registered Nurse (RN) – Part-time - In home Urgent Care - Toledo, OHToledo, Ohio$37.25–$54.12 / hourPerform clinical interventions as appropriate and at the direction of the overseeing provider, including medication administration (PO, SL, IM, IV), wound care, point-of-care testing, phlebotomy, Foley catheter care, IV fluid administration, and other approved nursing procedures. We are seeking a highly skilled, compassionate Registered Nurse (RN) to deliver high-quality, patient-centered care through a combination of in-home patient visits, telehealth patient consults with Nurse Practitioners or Physicians as required, and administrative tasks.
CareConnect Registered Nurse (RN) – In home Urgent Care - Toledo, Ohio Wellbe Senior MedicalCareConnect Registered Nurse (RN) – In home Urgent Care - Toledo, OhioToledo, Ohio$77,000–$112,000 / yearPerform clinical interventions as appropriate and at the direction of the overseeing provider, including medication administration (PO, SL, IM, IV), wound care, point-of-care testing, phlebotomy, Foley catheter care, IV fluid administration, and other approved nursing procedures. We are seeking a highly skilled, compassionate Registered Nurse (RN) to deliver high-quality, patient-centered care through a combination of in-home patient visits, telehealth patient consults with Nurse Practitioners or Physicians as required, and administrative tasks.
Ann Arbor RN Home Care Nurse BrightStar Care of Howell / Brighton / Ann Arbor, MIAnn Arbor RN Home Care NurseSaline, MIClinically Competent in various areas of skilled needs (ie, tube feeding, trach care, respiratory care, etc). At BrightStar Care, we provide uplifting care our clients and families and are proud to offer you the opportunity to pursue your passion with the recognition and benefits you need.
Contract RN - Home Health Field Nurse Nurses DirectContract RN - Home Health Field NurseToledo, OhioEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases.
LPN - Home Health Care - Full Time - Day Shift - Jackson Henry Ford HospitalLPN - Home Health Care - Full Time - Day Shift - JacksonJackson, MIUnder the supervision of a RN or provider, the LPN uses sound nursing judgment in the provision of nursing care. Knowledge about the care of neonatal, pediatric, adolescent, adult, and geriatric patients.
RN Case Manager - Home Health (PRN) Attend Home CareRN Case Manager - Home Health (PRN)Toledo, OhioAttend Home Care is a nationally growing home care organization committed to delivering compassionate, high-quality care to individuals and families across the country. We are seeking a compassionate and skilled Registered Nurse (RN) who is passionate about delivering high-quality patient care in the home setting.