NewREGISTERED NURSE - CAPITAL NURSING AND REHABILITATION CENTER Liberty HealthREGISTERED NURSE - CAPITAL NURSING AND REHABILITATION CENTERRaleigh, NCCurrent, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year. Ability to make decisions regarding nursing problems, realizing that errors and incompetence may have serious consequences for patients.
NewRegistered Nurse– Surgical / Post-Op Acute Care – Raleigh, NC JobotRegistered Nurse– Surgical / Post-Op Acute Care – Raleigh, NCRaleigh, NC$34–$49 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a strong role for an RN seeking a structured day-shift hospital setting with consistent patient flow, strong support, and meaningful work caring for surgical and acute care patients.
Registered Nurse III (Experienced) - Duke University Hospital - Operating Room Duke HealthRegistered Nurse III (Experienced) - Duke University Hospital - Operating RoomDurham, NCException:Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
NewLICENSED PRACTICAL NURSE - CAPITAL NURSING AND REHABILITATION CENTER Liberty HealthLICENSED PRACTICAL NURSE - CAPITAL NURSING AND REHABILITATION CENTERRaleigh, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. At Liberty Healthcare and Rehabilitation Services , we promote a challenging, but rewarding opportunity in a caring environment.
NewNurse Practitioner / Physician Assistant - Hybrid Work From Home & On-Site JobotNurse Practitioner / Physician Assistant - Hybrid Work From Home & On-SiteDurham, NC$108,000–$134,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Providers work alongside an experienced physician team with MA and RN support in a setting designed to give APPs real specialty exposure without the chaos or heavy bureaucracy of many larger systems.
HOSPICE REGISTERED NURSE Liberty HealthHOSPICE REGISTERED NURSEDurham, NCJob Requirements: Current RN licensure in state of practice, successful completion of a nursing education from an approved school of nursing with two years of clinical nursing experience and at least one year of hospice nursing experience preferred. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion.
Registered Nurse (Experienced) - Peds Cardiac Stepdown Duke HealthRegistered Nurse (Experienced) - Peds Cardiac StepdownDurham, NCPeds Cardiac Stepdown has 19 beds that primarily have infants through young adult patients with congenital heart disease, cardiac transplant, and cardiology patients that are trach and ventilator dependent. Incentives & Total Rewards: Relocation Assistance: Relocation assistance is available to employees who are relocating from a permanent residence located more than 50 miles from Duke University Hospital.
REGISTERED NURSE - LIBERTY COMMONS OF JOHNSTON COUNTY Liberty HealthREGISTERED NURSE - LIBERTY COMMONS OF JOHNSTON COUNTYBenson, NCCurrent, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year. Ability to make decisions regarding nursing problems, realizing that errors and incompetence may have serious consequences for patients.
NewREGISTERED NURSE - PARKVIEW HEALTH AND REHABILITATION CENTER Liberty HealthREGISTERED NURSE - PARKVIEW HEALTH AND REHABILITATION CENTERChapel Hill, NCCurrent, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year. Ability to make decisions regarding nursing problems, realizing that errors and incompetence may have serious consequences for patients.
Nursing Program Manager - Med/Surg Critical Care Duke HealthNursing Program Manager - Med/Surg Critical CareDurham, NCManage, coordinate and participate in a variety of administrative and/or clinical activities related to MSCC Quality and Safety within Nursing Services; coordinates all quality and safety efforts with stakeholders across the CSU and develops policies and procedures consistent with program objectives. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Registered Nurse, (RN), Behavioral Health Lifepoint Behavioral HealthRegistered Nurse, (RN), Behavioral HealthRaleigh, NCOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Nurses enjoy set schedules, strong leadership support, and the opportunity to make a meaningful impact in the lives of patients navigating mental health and substance abuse recovery.
Nurse Practitioner Liberty HealthNurse PractitionerRaleigh, NCAssesses patients for palliative care needs and creates/oversees the palliative plan of care In facilities and in patient’s homes. Job Requirements: Current, unrestricted valid Nurse Practitioner license from the Board of Nursing/PA License from the Medical Board in the state of assignment or the ability to obtain.
Registered Nurse (RN), Behavioral Health Lifepoint Behavioral HealthRegistered Nurse (RN), Behavioral HealthRaleigh, NCTriangle Springs is a 77-bed behavioral health hospital located in Raleigh, North Carolina, providing care for patients with mental health and substance use disorders. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave, and paid time off.
Registered Nurse (RN) Emergency Services Maria Parham HealthRegistered Nurse (RN) Emergency ServicesLouisburg, NC$20,000Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Registered Nurse - Wound Clinic Duke HealthRegistered Nurse - Wound ClinicDurham, NCWe provide pre and post procedure appointments for Chronic Wounds Care which consist of pressure ulcers, non-healing surgical wounds, trauma wounds, wounds associated with slow bloodflow to lower extremities. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date.
Registered Nurse (RN) - Operating Room Duke HealthRegistered Nurse (RN) - Operating RoomDurham, NCPlan and provide advanced and/or specialized nursing care for patients in guided by DUHS Professional Practice model participate in the clinical ladder program, educational activities, departmental committees, research projects or other health related projects as assigned. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
Case Manager (RN) Hospice Home Care Duke HealthCase Manager (RN) Hospice Home CareDurham, NCDevelop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs. Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program.
Registered Nurse (RN) Ortho Neuro, Weekend Option Duke HealthRegistered Nurse (RN) Ortho Neuro, Weekend OptionDurham, NCKnowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Able to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking. Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required.
NewHOSPICE CLINICAL MANAGER - RN Liberty HealthHOSPICE CLINICAL MANAGER - RNSmithfield, NCProvides direct patient care as necessary to include case management, Oasis care planning, assigning Care staff, and ensuring the efficient, effective utilization of existing staffing resource. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion.
Outpatient Registered Nurse - RN Fresenius Medical CareOutpatient Registered Nurse - RNRaleigh, NCPerforms ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees.
Registered Nurse (RN) - General Surgery Stepdown Duke HealthRegistered Nurse (RN) - General Surgery StepdownDurham, NCException: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within five years of their start date. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date.
SUPPORT NURSE - LPN - PARKVIEW HEALTH AND REHABILITATION CENTER Liberty HealthSUPPORT NURSE - LPN - PARKVIEW HEALTH AND REHABILITATION CENTERChapel Hill, NCMust be a Licensed Practical Nurse (LPN) graduated from an accredited School of Nursing, with a current, valid license as a Licensed Practical Nurse in North Carolina and submit proof of license renewal. Assist with other general duties which include rounds with doctors; checking MD orders, including update of orders; verification of completeness of nursing summaries timely and verification that all nursing records are complete and timely.
Clinical Nurse II- Cardiology Triage Duke HealthClinical Nurse II- Cardiology TriageRaleigh, NCException: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. We are seeking a CLINICAL NURSE II at Duke Cardiology of Raleigh , located in Raleigh, NC to serve as a triage nurse and as an integral member of the healthcare team and provide direct and indirect care to patients.
NewREGISTERED NURSE SUPERVISOR (RN) - LIBERTY COMMONS OF LEE COUNTY Liberty HealthREGISTERED NURSE SUPERVISOR (RN) - LIBERTY COMMONS OF LEE COUNTYSanford, NCSupervises Nursing services for Facility during shift in accordance with the Nursing Practice Act, Facility policies and procedures, and the local, state, and federal regulations. Current, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year.
REGISTERED NURSE SUPERVISOR (RN) - LOUISBURG HEALTH & REHAB CENTER Liberty HealthREGISTERED NURSE SUPERVISOR (RN) - LOUISBURG HEALTH & REHAB CENTERLouisburg, NCSupervises Nursing services for Facility during shift in accordance with the Nursing Practice Act, Facility policies and procedures, and the local, state, and federal regulations. Current, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year.
REGISTERED NURSE SUPERVISOR (RN) - PARKVIEW HEALTH AND REHABILITATION CENTER Liberty HealthREGISTERED NURSE SUPERVISOR (RN) - PARKVIEW HEALTH AND REHABILITATION CENTERChapel Hill, NCSupervises Nursing services for Facility during shift in accordance with the Nursing Practice Act, Facility policies and procedures, and the local, state, and federal regulations. Current, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year.
Registered Nurse (RN) - Operating Room - Duke Regional Hospital Duke HealthRegistered Nurse (RN) - Operating Room - Duke Regional HospitalDurham, NCWith 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. This diverse specialty mix allows nurses to continuously expand their skill set while working alongside highly engaged interdisciplinary teams.
Nurse Manager- Duke Innovative Pain Therapies Duke HealthNurse Manager- Duke Innovative Pain TherapiesRaleigh, NCCultivate exemplary customer service throughout the organization; promote effective communication skills to include, but not limited to problem solving, assertiveness, and support for team members, feedback, active listening and conflict resolution. Promote education for patients, patient families and the community; participate in direct patient care activities as a targeted strategy for role modeling or information gathering.
NewNurse Manager- Urogynecology Duke HealthNurse Manager- UrogynecologyRaleigh, NCAdministrative duties including: ordering supplies, scheduling staff, assignments, reviews, monitoring accreditation readiness, monitoring workflows for drift and correcting/coaching when necessary, payroll, interviewing staff, reviewing staff performance. We are seeking a Nurse Manager in our Urogynecology Clinic located in Raleigh, NC to be an integral member of the healthcare team and provide direct and indirect care to patients.
Nurse Manager-Cardiology Duke HealthNurse Manager-CardiologyMorrisville, NCThe Nurse Manager reports to the Practice Administrator to integrate both overall clinic and nursing priorities into operational workflows, promote quality improvement initiatives, and support provider teams. Serve as a resource and liaison for patients, staff, and providers regarding nursing and operational concerns, escalating as appropriate to Practice Administrator or Ambulatory Operations Director.
Registered Nurse (RN) - Certified Home Health - earn $61.87 per point connectRNRegistered Nurse (RN) - Certified Home Health - earn $61.87 per pointRaleigh, NC$64.53–$66Keywords: Registered Nurse, RN, RN Per Diem, Certified Home Health, OASIS, HomeCare HomeBase, Side Hustle, Flexible Hours, Per Diem, Competitive Pay, PRN. One-To-One Support & Clinical Mentorship: You work hard to care for so many, our team is dedicated to making sure that your questions are answered and that you feel supported day in and day out.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNRaleigh, NCOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
NewNursing Care Assistant I (CNA) General Medicine Stepdown Duke HealthNursing Care Assistant I (CNA) General Medicine StepdownDurham, NCAdminister treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
NewNursing Care Assistant I (CNA I) Home Health-PRN Duke HealthNursing Care Assistant I (CNA I) Home Health-PRNDurham, NCAdminister treatment and personal care procedures to patients including, but not limited to, feeding, bathing, hair care, changing clothing, nail care, bed-making, assisting with ambulation, enemas, skin care, and bowel and bladder elimination; provide such additional care as required to meet the personal needs and comfort of assigned patients. Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve.
Registered Nurse (RN) Hospice Home Care Duke HealthRegistered Nurse (RN) Hospice Home CareDurham, NCDevelop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs. Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program.
Registered Nurse, Outpatient Services Central Carolina HospitalRegistered Nurse, Outpatient ServicesSanford, NCIn addition to your base compensation, this position also offers: - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. Central Carolina Hospital is a 137-bed acute care hospital that has been offering exceptional care to the Lee County community for over 115 years.
Registered Nurse (RN) Geriatric Maria Parham HealthRegistered Nurse (RN) GeriatricLouisburg, NC$20,000Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. It is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier, with acute care, rehabilitation, and behavioral health facilities nationwide.
NewRegistered Nurse, ICU Central Carolina HospitalRegistered Nurse, ICUSanford, NCOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
NewNURSE PRACTITIONER Liberty HealthNURSE PRACTITIONERSanford, NCThat is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion. Provide clinical findings of that face to face encounter Primary care physician, and/or supervising Medical Director/Associate Medical Director.
Registered Nurse (Experienced RN) - Intermediate/Med Surg Stepdown Units - Float Pool Duke HealthRegistered Nurse (Experienced RN) - Intermediate/Med Surg Stepdown Units - Float PoolDurham, NCThe largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. You’ll gain exposure to a wide variety of patient populations while working alongside top clinical teams across the health system—all while earning a competitive float premium and receiving full benefits.
LICENSED PRACTICAL NURSE - LIBERTY COMMONS OF JOHNSTON COUNTY Liberty HealthLICENSED PRACTICAL NURSE - LIBERTY COMMONS OF JOHNSTON COUNTYBenson, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment.
LICENSED PRACTICAL NURSE - TEMPLETON OF CARY Liberty HealthLICENSED PRACTICAL NURSE - TEMPLETON OF CARYCary, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment.
LICENSED PRACTICAL NURSE - LOUISBURG HEALTH & REHAB CENTER Liberty HealthLICENSED PRACTICAL NURSE - LOUISBURG HEALTH & REHAB CENTERLouisburg, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment.
LICENSED PRACTICAL NURSE - PARKVIEW HEALTH AND REHABILITATION CENTER Liberty HealthLICENSED PRACTICAL NURSE - PARKVIEW HEALTH AND REHABILITATION CENTERChapel Hill, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. Observes patients for symptoms and/or reactions, including general physical and/or mental condition for signs, which may be indicative of adverse change.
NewLICENSED PRACTICAL NURSE - LIBERTY COMMONS OF LEE COUNTY Liberty HealthLICENSED PRACTICAL NURSE - LIBERTY COMMONS OF LEE COUNTYSanford, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. At Liberty Healthcare and Rehabilitation Services , we promote a challenging, but rewarding opportunity in a caring environment.
NewLICENSED PRACTICAL NURSE - HAYES BARTON PLACE Liberty HealthLICENSED PRACTICAL NURSE - HAYES BARTON PLACERaleigh, NCJob Description: Assists in direction of nursing services for unit/hall, in accordance with the Nursing Practice Act, and under the supervision of a Registered Nurse. At Liberty Healthcare and Rehabilitation Services , we promote a challenging, but rewarding opportunity in a caring environment.
NewClinical Nurse Leader (NIGHTS) - Emergency Department Duke HealthClinical Nurse Leader (NIGHTS) - Emergency DepartmentDurham, NCWith 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing.
Registered Nurse (RN) Home Health Duke HealthRegistered Nurse (RN) Home HealthDurham, NCDuke HomeCare and Hospice provides innovative, team-based care focused on achieving the best outcomes for patients, families, and the communities served. Our collective success depends on the robust exchange of ideas — an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.
Cardiac Cath Lab - Travel Registered Nurse Trusted HealthCardiac Cath Lab - Travel Registered NurseRaleigh, NC$2,480Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket.
NURSE ANESTHETIST (CRNA) Duke HealthNURSE ANESTHETIST (CRNA)Durham, NCWith 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. With 388 bed's it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.