LPN - Flexible Schedule Interim HealthCareLPN - Flexible ScheduleMeadville, PA$28–$30To qualify for a Licensed Practical Nurse (LPN) position with us, you will need: Licensure: Current unrestricted license to practice as Licensed Practical Nurse (LPN) in the state associated with this position . Provide in-home direct patient care according to the provider's prescribed plan of care (and nursing scope of practice) while closely monitoring progress/recovery .
Nurse Practitioner (PRN) - In-Home Health Assessments Matrix Medical NetworkNurse Practitioner (PRN) - In-Home Health AssessmentsOil City, PA$1,800–$11,500Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
NewRegistered Nurse Encompass Health Rehabilitation Hospital of MorgantownRegistered NurseCenterville, PAOur 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. Picture the impact of providing individualized, compassionate care that guides patients along their path to healing.
NewNurse Supervisor Encompass Health Rehabilitation Hospital of MorgantownNurse SupervisorCenterville, PAPreviousleadership role,suchaschargenurseorleadcapacity,whereyouwereresponsiblefor interim reporting, issue resolution, setting direction, and having accountability for patient and staff results. Our achievements, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud.
NewHome Infusion Nurse, Per Diem - Accredo - Clarion, PA The Cigna GroupHome Infusion Nurse, Per Diem - Accredo - Clarion, PAClarion, PAThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NURSING ASSISTANT - 5 TELEMETRY Independence Health SystemNURSING ASSISTANT - 5 TELEMETRYPADuties assigned are related primarily to specific nursing care functions, which do not require professional education or licensure, assisting in maintaining safe and efficient unit operations, providing support for patient care programs, utilizing excellent customer service skills and communication skills. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs).
NURSING ASSISTANT/TECHNICAL PARTNER - FLOAT POOL Independence Health SystemNURSING ASSISTANT/TECHNICAL PARTNER - FLOAT POOLPAMedium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood.
CERTIFIED NURSE AIDE - TCU- Per Diem Meadville Medical CenterCERTIFIED NURSE AIDE - TCU- Per DiemMeadville, PennsylvaniaPD applicants requesting to work more than 24 hours per week shall be required to fulfill one weekend per month or two weekend shifts per month , as determined by the operational needs of the unit. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly.
CERTIFIED NURSE AIDE- TCU/REHAB- FULL TIME- Evenings/Nights Meadville Medical CenterCERTIFIED NURSE AIDE- TCU/REHAB- FULL TIME- Evenings/NightsMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
CERTIFIED NURSE AIDE- TCU/REHAB- FULL TIME- Days/Evenings Meadville Medical CenterCERTIFIED NURSE AIDE- TCU/REHAB- FULL TIME- Days/EveningsMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
CERTIFIED NURSE AIDE- TCU/REHAB- FULL TIME- Days / Evenings Meadville Medical CenterCERTIFIED NURSE AIDE- TCU/REHAB- FULL TIME- Days / EveningsMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
Certified Nurse Aide/ Patient Care Tech- Wound Care - Per Diem Meadville Medical CenterCertified Nurse Aide/ Patient Care Tech- Wound Care - Per DiemMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
Pediatric Nurse (LPN or RN) | Seneca| Day Shift eKidzCare MeadvillePediatric Nurse (LPN or RN) | Seneca| Day ShiftSeneca, PennsylvaniaWhy Work With eKidzCare Pediatric Home Health: No Home Health Experience Needed – We welcome Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) new to home health care. Recent Two-Step Tuberculosis test (one year shelf life), Chest X-ray (6 month shelf life) or Blood Test (Upon Hire)(provided by eKidzCare, if needed).
NURSING ASSISTANT - FLOAT POOL - CASUAL Independence Health SystemNURSING ASSISTANT - FLOAT POOL - CASUALPAMedium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood.
Certified Nursing Assistant (CNA) / Home Health Aide (HHA) Care Options For KidsCertified Nursing Assistant (CNA) / Home Health Aide (HHA)Meadville, PennsylvaniaMaintain a clean, safe, and healthy environment, which may include light cleaning and straightening of the bathroom, straightening the sleeping and living areas, washing the patient's or client's dishes or laundry, and such tasks to maintain cleanliness and safety for the patient or client. As the leading pediatric community healthcare system, we provide dedicated, compassionate therapy, nursing, and support that integrates into children's lives and creates limitless possibilities for our growing team of clinicians.
NewLicensed Practical Nurse (LPN) Needed for the Overnight Shift (6p-6a) Must have experience ! Transitions Healthcare Autumn GroveLicensed Practical Nurse (LPN) Needed for the Overnight Shift (6p-6a) Must have experience !Harrisville, PATransitions Healthcare Autumn Grove Care Center is currently seeking a Licensed Practical Nurse (LPN) to join our team of talented caregivers. Transitions Healthcare, LLC offers competitive wages with an option to be paid on-demand, a suite of comprehensive benefits, and the opportunity to work for a healthcare team that shares a commitment to improving the health and well-being of all people in the communities we serve.
Licensed Practical Nurse - Emergency Department -Full Time - Nights Meadville Medical CenterLicensed Practical Nurse - Emergency Department -Full Time - NightsMeadville, PennsylvaniaThe Emergency Department nurse will develop and maintain a level of educational background in the following areas, but not limited to car of the neurologic patient, cardiac patient, pulmonary patient, burn patients, multiple system failure, trauma care obstetrical emergencies, psychiatric emergencies, EENT emergencies. PD applicants requesting to work more than 24 hours per week shall be required to fulfill one weekend per month or two weekend shifts per month , as determined by the operational needs of the unit.
REGISTERED NURSE - CLARION WOUND CTR Independence Health SystemREGISTERED NURSE - CLARION WOUND CTRPAMaintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturers instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques.
NURSE EXTERN - CLARION HOSPITAL - ICU, MED SURG, EMERGENCY DEPARTMENT Independence Health SystemNURSE EXTERN - CLARION HOSPITAL - ICU, MED SURG, EMERGENCY DEPARTMENTPAUnder the direction of the Registered Nurse Preceptor, the Nurse Extern's responsibilities include, but are not limited to, utilization of the nursing process in the provision of care, communicating with all members of the health care team to assure patient goals are being met and coordinated, providing excellent customer service while supporting the patients and families physical and emotional heath. Assists the RN preceptor in the practice of professional nursing by providing direct patient care to promote patient comfort and facilitate the performance of diagnostic and treatment procedures as outlined in the nursing care plan.
REGISTERED NURSE - NEW LIFE UNIT - PART TIME Nights Meadville Medical CenterREGISTERED NURSE - NEW LIFE UNIT - PART TIME NightsMeadville, PennsylvaniaEducation: Graduate of an accredited school of professional nursing Current State of Pennsylvania Registered Nurse Licensure Prefer one year of acute care nursing experience Neonatal Resuscitation Program (NRP) certified within one year Satisfactory meets departments’ unit specific annual competencies. Must be able to use the following Management Accountabilities/ Competencies: conflict resolution, staff counseling, problem solving, disciplinary process, policy and procedure implementation, teamwork, staff scheduling, support of management peers, interviewing, budgeting process, cost containment skills.
REGISTERED NURSE- PEDS / New Life Unit - EVENINGS/ NIGHTS - FULL TIME Meadville Medical CenterREGISTERED NURSE- PEDS / New Life Unit - EVENINGS/ NIGHTS - FULL TIMEMeadville, PennsylvaniaParticipates in MMC educational activities/programs, unit meetings and completes New Life Unit and hospital annual credentialing (skills day/Con-ed) in a timely manner. Prefer one year of acute care nursing experience Neonatal Resuscitation Program (NRP) certified within one year Satisfactory meets departments’ unit specific annual competencies.
GRADUATE NURSE - Clarion Hospital Independence Health SystemGRADUATE NURSE - Clarion HospitalPAParticipates in the interdisciplinary education to assess the patients readiness to learn, identify the patients educational barriers and tailor the educational processes to meet the needs of the patient/family. A Graduate an approved program by the State Board of Nursing, who has not completed examination for licensure is responsible for the complete nursing care of a group of patients under the direct supervision of a Registered Nurse.
LPN - CARDIOLOGY CLARION Independence Health SystemLPN - CARDIOLOGY CLARIONPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
REGISTERED NURSE - EMERGENCY DEPARTMENT Independence Health SystemREGISTERED NURSE - EMERGENCY DEPARTMENTPAThe Registered Nurse's responsibilities include, but are not limited to utilization of the nursing process in the provision of care, communicating with all members of the health care team to assure patient goals are being met and coordinated, providing excellent customer service while supporting the patients and families physical and emotional health. Minimum: One year Med/Surg RN experience or six months prior Emergency Department/Prehospital experience in a clinical role (i.e Emergency Care Tech, Advanced Emergency Care Tech, EMT, Paramedic, etc.).
LPN - PRIMARY CARE SLIPPERY ROCK Independence Health SystemLPN - PRIMARY CARE SLIPPERY ROCKPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
NURSE EXTERN- NEW LIFE UNIT - VARIABLE SHIFTS- Per diem Meadville Medical CenterNURSE EXTERN- NEW LIFE UNIT - VARIABLE SHIFTS- Per diemMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
NURSE EXTERN (LPN) - Days/Evenings - Hospice Meadville Medical CenterNURSE EXTERN (LPN) - Days/Evenings - HospiceMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
NURSE EXTERN - Cardiac Unit- Per-Diem Meadville Medical CenterNURSE EXTERN - Cardiac Unit- Per-DiemMeadville, PennsylvaniaAssists the Professional Nurse and the Practical Nurse with the daily routine and functions of the Nursing Units by the completion of both indirect and direct patient care activities. Demonstrates knowledge of and implements policies and procedures of the hospital and nursing departments - including safety awareness/Infection Control.
REGISTERED NURSE - INPATIENT MENTAL HEALTH - FULL TIME - Evenings and Nights Meadville Medical CenterREGISTERED NURSE - INPATIENT MENTAL HEALTH - FULL TIME - Evenings and NightsMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Directs, supervises and evaluates nursing care provided to the patients and administers direct care, by using professional nursing skills and judgments as required.
Registered Nurse - CATH LAB Cardiology/Interventional Radiology RN- FULL-TIME Meadville Medical CenterRegistered Nurse - CATH LAB Cardiology/Interventional Radiology RN- FULL-TIMEMeadville, PennsylvaniaCommunication: Reports pertinent observations, changes, and reactions regarding patients to the appropriate person (physician, manager, supervisor, etc.), Records these observations, changes and reactions accurately, concisely and legibly for patients undergoing cardiovascular procedures. Additionally, the nurse will assist the cardiologist/radiologist in all aspects of invasive, as well as non-invasive cardiology/radiology, including procedures performed at One Vernon Place, which may include and not be limited to circulating, monitoring and recording hemodynamic parameters.
RN ONCALL-RN Cath Lab Meadville Medical CenterRN ONCALL-RN Cath LabMeadville, PennsylvaniaTalking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Participates in patient care, teaching to patients and family, provides leadership working cooperatively with other health care providers, and provide outcomes appropriate to patient procedures.
LICENSED PRACTICAL NURSE - TCU/REHAB - FULL TIME - Day/Evening Meadville Medical CenterLICENSED PRACTICAL NURSE - TCU/REHAB - FULL TIME - Day/EveningMeadville, PennsylvaniaCommunication skills necessary to effectively: Provide instruction to the patient and/or significant other Provide explanations to the patient and/or significant other Explain nursing intervention. Reports on records all observed symptoms, reactions, treatments and changes in a patient’s condition and is evident by verbal reports and proper utilization of charting procedure.
Registered Nurse- Clinical Coordinator- ICU Meadville Medical CenterRegistered Nurse- Clinical Coordinator- ICUMeadville, PennsylvaniaAssists with interviews, new hires, orientation, pink sheets, schedules, multi-rater for evaluations, monthly staff meetings, counsels, and recommends termination of assigned staff with the assistance of the Director of ICU/Telemetry and Human Resources as reflected by staffing patterns, schedules, anecdotal, and disciplinary records. Performs or delegates completion of monthly Quality Audits on the following: restraints, conscious sedation, transfers, Restraints > 72 hours summary log, Vent Bundle, M&M, Maintains Midline placement log and random chart audits.
LICENSED PRACTICAL NURSE - TCU/REHAB - PART TIME - Day / Evening / Nights Meadville Medical CenterLICENSED PRACTICAL NURSE - TCU/REHAB - PART TIME - Day / Evening / NightsMeadville, PennsylvaniaCommunication skills necessary to effectively: Provide instruction to the patient and/or significant other Provide explanations to the patient and/or significant other Explain nursing intervention. Reports on records all observed symptoms, reactions, treatments and changes in a patient’s condition and is evident by verbal reports and proper utilization of charting procedure.
Registered Nurse - Emergency Department - Full Time - Nights Meadville Medical CenterRegistered Nurse - Emergency Department - Full Time - NightsMeadville, PennsylvaniaProfessional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Must have current ACLS and PALS certification or obtain within six months of assignment in ED.
Registered Nurse - Emergency Department - Full Time - Evening/Nights Meadville Medical CenterRegistered Nurse - Emergency Department - Full Time - Evening/NightsMeadville, PennsylvaniaTriages each patient and determines priority of care bases on physical, psychological, and social needs, as well as factors influencing patient flow through the Emergency care system. Formulates a plan of care for the emergency patient based on assessment, nursing diagnoses and/or collaborative problems, and outcome identification.
LICENSED PRACTICAL NURSE - FOURTH FLOOR (Telemetry) - PER- DIEM Meadville Medical CenterLICENSED PRACTICAL NURSE - FOURTH FLOOR (Telemetry) - PER- DIEMMeadville, PennsylvaniaPD applicants requesting to work more than 24 hours per week shall be required to fulfill one weekend per month or two weekend shifts per month , as determined by the operational needs of the unit. Applicants seeking a traditional PD schedule (approximately 16 hours per month ) must commit to a minimum of 4 hours per week , or an equivalent of 16 hours per month .
LICENSED PRACTICAL NURSE - TCU/REHAB - FULL TIME - Evening / Nights Meadville Medical CenterLICENSED PRACTICAL NURSE - TCU/REHAB - FULL TIME - Evening / NightsMeadville, PennsylvaniaCommunication skills necessary to effectively: Provide instruction to the patient and/or significant other Provide explanations to the patient and/or significant other Explain nursing intervention. Reports on records all observed symptoms, reactions, treatments and changes in a patient’s condition and is evident by verbal reports and proper utilization of charting procedure.
Registered Nurse - Stepping Stones - Evenings- Full Time Meadville Medical CenterRegistered Nurse - Stepping Stones - Evenings- Full TimeMeadville, PennsylvaniaReports pertinent observations, changes, and reactions regarding patients to the appropriate person (physician, manager, charge nurse, supervisor, etc.) Records these observations, changes and reactions accurately, concisely and legibly. Specific skills for his patient care unit which the staff member must demonstrate knowledge and competence include: Care of the patient requiring detoxification.
Registered Nurse - Intensive Care Unit - Per Diem Meadville Medical CenterRegistered Nurse - Intensive Care Unit - Per DiemMeadville, PennsylvaniaPD applicants requesting to work more than 24 hours per week shall be required to fulfill one weekend per month or two weekend shifts per month , as determined by the operational needs of the unit. Applicants seeking a traditional PD schedule (approximately 16 hours per month ) must commit to a minimum of 4 hours per week , or an equivalent of 16 hours per month .
REGISTERED NURSE - INTENSIVE CARE UNIT - Full-Time- Evening/ Nights Meadville Medical CenterREGISTERED NURSE - INTENSIVE CARE UNIT - Full-Time- Evening/ NightsMeadville, PennsylvaniaProfessional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Six months previous Med-Surg or ICU experience required.
Registered Nurse - Emergency Department - Full Time - Evenings Meadville Medical CenterRegistered Nurse - Emergency Department - Full Time - EveningsMeadville, PennsylvaniaProfessional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Must have current ACLS and PALS certification or obtain within six months of assignment in ED.
Licensed Practical Nurse - Inpatient Mental Health - Full Time- Evenings Meadville Medical CenterLicensed Practical Nurse - Inpatient Mental Health - Full Time- EveningsMeadville, PennsylvaniaProfessional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Performs direct patient care using the nursing process and technical skills according to hospital policy and procedure.
Registered Nurse - Stepping Stones - Per Diem Meadville Medical CenterRegistered Nurse - Stepping Stones - Per DiemMeadville, PennsylvaniaReports pertinent observations, changes, and reactions regarding patients to the appropriate person (physician, manager, charge nurse, supervisor, etc.) Records these observations, changes and reactions accurately, concisely and legibly. Specific skills for his patient care unit which the staff member must demonstrate knowledge and competence include: Care of the patient requiring detoxification.
REGISTERED NURSE - INTENSIVE CARE UNIT - FULL TIME - Evenings / Nights Meadville Medical CenterREGISTERED NURSE - INTENSIVE CARE UNIT - FULL TIME - Evenings / NightsMeadville, PennsylvaniaProfessional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Six months previous Med-Surg or ICU experience required.
Certified Nursing Assistant (CNA) - $2,000 Sign-On Bonus! LIFE-NWPACertified Nursing Assistant (CNA) - $2,000 Sign-On Bonus!Meadville, PAAt One Senior Care, you’ll be part of a compassionate team that makes a tangible difference in seniors’ lives — working together to keep participants safe, healthy, connected, and at home. You’ll work closely with nurses, therapists, and the interdisciplinary care team in a Participant-centered environment where teamwork, communication, and compassion come first.
NURSE NAVIGATOR - EDUCATION Independence Health SystemNURSE NAVIGATOR - EDUCATIONPAACLS Instructor Certification if teaching ACLS and/or overseeing Heart code ACLS, NRP Instructor Certification if teaching NRP and or/ overseeing NRP training, FHM Instructor (Fetal Heart Monitoring) if teaching FHM and/or overseeing FHM training, and Act33/73 clearances. House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-playwith children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf(carrying clubs).
Nurse Practitioner/Physician Assistant Monogram HealthNurse Practitioner/Physician AssistantClarion, PAMonogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth.
Home Health RN SydieraHome Health RNGrove City, PennsylvaniaIn this role, you’ll provide high-quality, patient-centered care in the comfort of patients’ homes—making a meaningful impact on their health and independence. Deliver skilled nursing care to patients in their homes in accordance with physician orders and care plans.