RN Director of Nursing Garden Terrace Alzheimer's Center of Excellence (Houston)RN Director of NursingHouston, TXWe are seeking an experience Registered Nurse with leadership experience in long-term care to lead our 110-bed skilled nursing facility (SNF) with passion and dedication. Garden Terrace Houston is conveniently located in the heart of the Medical Center and is proud to maintain a 5-star CMS rating for Quality Measures.
Home Health Nurse RN or LVN Connect PediatricsHome Health Nurse RN or LVNEast Houston, TX$20–$33 / hourAt Connect Pediatrics, we don't just hire - we inspire nurses to tap into their full potential, offering a vibrant work environment that boosts career growth and enhances nursing skills in the realm of in-home care. Connect Pediatrics Vision: Connect Pediatrics went from being the best-kept secret in Pediatric Home Health to becoming a key provider of Pediatric Private Duty Nursing across the state of Texas.
NewNurse Manager, Acute Care Case Management JobotNurse Manager, Acute Care Case ManagementHouston, TX$120,000–$145,000 / 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. Manager, Acute Case Management & Social Services: The Manager of Case Management & Social Services will lead a dynamic team and drive quality improvement and program outcomes!
NewAssistant Director of Nursing, RN Eagle's Trace by Erickson Senior LivingAssistant Director of Nursing, RNHouston, TXRemote$100,000 / yearLocation: Eagle's Trace by Erickson Senior Living Join 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 Weekend Supervisor Touchstone CommunitiesRN Weekend SupervisorPorter, TX$37–$40As part of Team Touchstone, you’ll play a key role in delivering exceptional post-acute care while working in an environment that values and supports its team members. We’re looking for an experienced RN Supervisor to join our team and help drive exceptional patient outcomes in a supportive, team-oriented environment.
NewWeekend RN Supervisor Touchstone CommunitiesWeekend RN SupervisorTomball, TXAs part of Team Touchstone , you’ll play a key role in delivering exceptional post-acute care while working in an environment that values and supports its team members . We’re looking for an experienced RN Supervisor to join our team and help drive exceptional patient outcomes in a supportive, team-oriented environment.
Registered Nurse/ RN, Home Health $10,000 Bonus AccentCare, Inc.Registered Nurse/ RN, Home Health $10,000 BonusHouston, TX$83,000–$102,000The position combines the activities of direct and indirect patient care and directs staff nurses, LVNs, CHHAs in the delivery of the individual patient’s plan of care as well as identifying interdisciplinary needs and coordination of the allied health clinicians. If you meet these qualifications, we would love to meet you: Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
RN - Home Health - PRN Enhabit Home Health & HospiceRN - Home Health - PRNCypress, TXWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Our PRN Registered Nurse (RN) administers skilled care visits to clients requiring intermittent professional services and teaches the client, family, and other members of the health care team.
NewRegistered Nurse Pediatric ER HCA Houston Healthcare KingwoodRegistered Nurse Pediatric ERKingwood, TXOther services include innovative and customized cardiovascular services, including open heart and vascular surgery and state-of-the-art imaging and endoscopy services for more accurate diagnosis and treatment plans. As a full-service, 420+ bed acute care hospital , HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years.
Registered Nurse (RN) - Certified Home Health - earn $55.73 per point connectRNRegistered Nurse (RN) - Certified Home Health - earn $55.73 per pointTomball, TX$55.73–$57.20Keywords: 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.
NewRN Lead CHRISTUS HealthRN LeadHouston, TXThe Registered Nurse (RN) is responsible for rendering professional nursing care across the wellness-illness continuum for the comfort and well-being of healthy retired Sisters and those Sisters in the acute, chronic, and terminal phases of illness. The RN is expected to utilize knowledge of infection control, safety, body mechanics, effective communication skills, interpersonal skills, and age-related differences when providing or delegating care.
RN - Hospice (Weekend Shift) Enhabit Home Health & HospiceRN - Hospice (Weekend Shift)Pasadena, TXWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
NewRN, Registered Nurse Lead - PRN CHRISTUS HealthRN, Registered Nurse Lead - PRNHouston, TXOversees and coordinates day-to-day activities of nursing personnel in patient care units, provides direction to Clinical Staff, implements work of assigned units and coordinates activities with other patient care units and related departments. Organizing and overseeing patient care delivery during an assigned shift; ensuring proper staffing and smooth operations of a patient care unit.
NewLabor and Delivery Registered Nurse PRN HCA Houston Healthcare NorthwestLabor and Delivery Registered Nurse PRNHouston, TXHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU , pediatrics, bariatrics and neurology. Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date).
NewTelemetry Registered Nurse - Acute Inpatient HCA Houston Healthcare NorthwestTelemetry Registered Nurse - Acute InpatientHouston, TXHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU , pediatrics, bariatrics and neurology. [Medical Surgical, Medical/Surgical, Med/Surg, Med-Surg, Med/Tele, Med-Tele, Med Tele, Medical Telemetry, Medical/Telemetry, Cardiac].
NewCardiac Cath Lab - Travel Registered Nurse Trusted HealthCardiac Cath Lab - Travel Registered NurseConroe, TX$2,59012 months gap required between for Per Diem at Program: Medical Solutions Plus Program - (TX) CommonSpirit Health and no current placement allowed at Program: Medical Solutions Plus Program - (TX) CommonSpirit Health. • 12 months gap required between for Staff at Program: Medical Solutions Plus Program - (TX) CommonSpirit Health and no current placement allowed at Program: Medical Solutions Plus Program - (TX) CommonSpirit Health.
NewDialysis Clinical Coordinator - RN Chronic In-center U.S. Renal CareDialysis Clinical Coordinator - RN Chronic In-centerKingwood, TXContinuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.
NewRegistered Nurse Emergency Room HCA Houston Healthcare NorthwestRegistered Nurse Emergency RoomHouston, TXHCA Houston Healthcare Northwest is a 415+ bed acute care hospital that has been serving the north Houston communities for more than 40 years, providing a wide range of medical services including cardiology, maternity care, Level III NICU , pediatrics, bariatrics and neurology. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.".
NewRN Clinical Supervisor - Hybrid Schedule Aveanna HealthcareRN Clinical Supervisor - Hybrid ScheduleHouston, TX$65,000 / yearSee Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
NewIntensive Community Manager, Complex Care (RN) ChenMedIntensive Community Manager, Complex Care (RN)Houston, TX$36.90–$52.70The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. They will assess, evaluate, and coordinate the team’s efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care.
NewPsychiatric Nurse Practitioner Prevail Behavioral Health & Wellness CenterPsychiatric Nurse PractitionerConroe, TX$65,000–$70,000 / yearResponsibilities:Deliver High-Quality Psychiatric Care: Conduct comprehensive psychiatric evaluations of children, adolescents, and adults and assessments for patients across the lifespan. Maintain Clinical Autonomy: Utilize your diagnostic expertise freely in an environment completely free of corporate micromanagement.
RN - Hospice Enhabit Home Health & HospiceRN - HospicePasadena, TXWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Consistently recognized as a great place to work, Enhabit delivers exceptional care and fosters a collaborative culture that supports professional growth and ongoing development.
Licensed Vocational Nurse/ LVN, Home Health AccentCare, Inc.Licensed Vocational Nurse/ LVN, Home HealthHouston, TX$65,000–$79,000Assesses all medicines a client may be taking to identify possible ineffective drug therapy or adverse reactions, significant side effects, drug allergies, contraindicated medications and reports any problems to the physician. Ability to provide nursing visits according to the treatment as prescribed by the physician and provide and maintain paperwork to maintain accurate and complete medical records.
NewRegistered Nurse (NOC) ClementineRegistered Nurse (NOC)Conroe, TXClementine Houston, located in Conroe, TX is a residential treatment program exclusively for adolescents seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. At Clementine , we support adolescents and their families on the path to full recovery by preparing each adolescent to navigate the challenges of life free of the eating disorder.
Registered Nurse (RN) - Internal Float Pool - Katy Advocate AuroraRegistered Nurse (RN) - Internal Float Pool - KatyKaty, TXAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation . Using evidence-based practice, clinical decision making, compassion and skilled communication, leads efforts to create the safest patient environment and the best patient experience across the continuum.
NewRN Shiftkey, LLCRNHouston, TX$49ShiftKey enables independent Registered Nurses like you to bid on per diem RN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
NewRegistered Nurses (RN) - up to $49/hr Shiftkey, LLCRegistered Nurses (RN) - up to $49/hrHouston, TX$49ShiftKey enables independent Registered Nurses like you to bid on per diem RN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Travel Nurse RN - Cardiovascular Operating Room - $1,917 per week in Houston, TX GetMed StaffingTravel Nurse RN - Cardiovascular Operating Room - $1,917 per week in Houston, TXHouston, TX$1,917Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. GetMed Staffing is searching for a strong CVOR RN to assist our traveler-friendly client.
NewCNA, Certified Nursing Assistant - Full Time CHRISTUS HealthCNA, Certified Nursing Assistant - Full TimeHouston, TXThe Certified Nurse Assistant (CNA) is responsible for performing routine service duties and procedures necessary for the care, comfort, and safety of the Sisters; including performing skills to meet the activities of daily living (ADLs) and other procedures within the scope of the CNA responsibilities. The CNA will maintain a clean, safe environment that reflects the preferences and needs of the Sisters by utilizing basic knowledge of communication techniques, infection control, safety, body mechanics, and age-related differences when providing care.
NewCNA, Certified Nursing Assistant - Part Time CHRISTUS HealthCNA, Certified Nursing Assistant - Part TimeHouston, TXThe Certified Nurse Assistant (CNA) is responsible for performing routine service duties and procedures necessary for the care, comfort, and safety of the Sisters; including performing skills to meet the activities of daily living (ADLs) and other procedures within the scope of the CNA responsibilities. The CNA will maintain a clean, safe environment that reflects the preferences and needs of the Sisters by utilizing basic knowledge of communication techniques, infection control, safety, body mechanics, and age-related differences when providing care.
NewCNA, Certified Nursing Assistant - PRN CHRISTUS HealthCNA, Certified Nursing Assistant - PRNHouston, TXThe Certified Nurse Assistant (CNA) is responsible for performing routine service duties and procedures necessary for the care, comfort, and safety of the Sisters; including performing skills to meet the activities of daily living (ADLs) and other procedures within the scope of the CNA responsibilities. The CNA will maintain a clean, safe environment that reflects the preferences and needs of the Sisters by utilizing basic knowledge of communication techniques, infection control, safety, body mechanics, and age-related differences when providing care.
Registered Nurse (RN) - Neurosurgery - South Houston Advocate AuroraRegistered Nurse (RN) - Neurosurgery - South HoustonHouston, TXMust demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation .
NewNew Grad Registered Nurse Residency GME - Gulf Coast Division - NWNew Grad Registered Nurse ResidencyHouston, TXWe have an exciting opportunity for you to join GME - Gulf Coast Division - NW which is part of the nation's leading provider of healthcare services, HCA Healthcare. What you will do in this role: Established and increasing knowledge base while incorporating clinical, social-behavioral, biomedical, and epidemiological sciences as well as applying this knowledge to patient care.
NewNew Graduate Registered Nurse GME - Gulf Coast Division - NWNew Graduate Registered NurseHouston, TXWe have an exciting opportunity for you to join GME - Gulf Coast Division - NW which is part of the nation's leading provider of healthcare services, HCA Healthcare. What you will do in this role: Established and increasing knowledge base while incorporating clinical, social-behavioral, biomedical, and epidemiological sciences as well as applying this knowledge to patient care.
Dialysis Facility Administrator U.S. Renal CareDialysis Facility AdministratorPasadena, TXAdditionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications: Must be full-time employee of the Company and available to clinic staff during time clinic is open. · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly.
NewNew Grad RN GME - Gulf Coast Division - NWNew Grad RNHouston, TXWe have an exciting opportunity for you to join GME - Gulf Coast Division - NW which is part of the nation's leading provider of healthcare services, HCA Healthcare. What you will do in this role: Established and increasing knowledge base while incorporating clinical, social-behavioral, biomedical, and epidemiological sciences as well as applying this knowledge to patient care.
NewNew Grad Registered Nurse (RN) GME - Gulf Coast Division - NWNew Grad Registered Nurse (RN)Houston, TXWe have an exciting opportunity for you to join GME - Gulf Coast Division - NW which is part of the nation's leading provider of healthcare services, HCA Healthcare. What you will do in this role: Established and increasing knowledge base while incorporating clinical, social-behavioral, biomedical, and epidemiological sciences as well as applying this knowledge to patient care.
Home Health Physical Therapist PRN HCA Houston Healthcare at HomeHome Health Physical Therapist PRNHouston, TXWorking closely with physicians and the care team, you’ll assess each patient’s needs and create personalized therapy plans designed around meaningful goals, active engagement, and exceptional patient outcomes. We have an exciting opportunity for you to join HCA Houston Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
NewCase Management Director Encompass Health Rehabilitation Hospital The VintageCase Management DirectorHouston, TXJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
NewHome Health Physical Therapist North Houston HCA Houston Healthcare at HomeHome Health Physical Therapist North HoustonHouston, TXWorking closely with physicians and the care team, you’ll assess each patient’s needs and create personalized therapy plans designed around meaningful goals, active engagement, and exceptional patient outcomes. We have an exciting opportunity for you to join HCA Houston Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
NewHospice Care Administrator- Houston, TX Vitas HealthcareHospice Care Administrator- Houston, TXHouston, TXAs a patient care administrator (PCA), you will join the senior leadership team for a VITAS service area, ensuring the clinical, financial, and operational aspects of hospice are running smoothly within your purview. Supported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients’ lives.
PRN Home Health Physical Therapist HCA Houston Healthcare at HomePRN Home Health Physical TherapistHouston, TXWorking closely with physicians and the care team, you'll assess each patient's needs and create personalized therapy plans designed around meaningful goals, active engagement, and exceptional patient outcomes. We have an exciting opportunity for you to join HCA Houston Healthcare at Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
LVN RN Skilled Nursing/Assisted Living Floor Nurse $26-$32 per hour!/Pick your own shift! KARELVN RN Skilled Nursing/Assisted Living Floor Nurse $26-$32 per hour!/Pick your own shift!Houston, TX$26–$32 / hourKnowledge of principles and methods involved in in-service instruction of nursing and auxiliary personnel, in demonstrating techniques and methods of patient-care services, and instruction of resident's needs required. Requires familiarity with medical diagnoses, procedures, and accepted medical treatment patterns; knowledge of procedures and techniques necessary to administer medication and treatment as prescribed by physician; knowledge of medications and possible side effects.
Registered Nurse – Critical Care Registered Nurse (ICU RN) - Local HYRE HARPER Co.Registered Nurse – Critical Care Registered Nurse (ICU RN) - LocalHouston, TexasThe ICU consists of three units with 36 beds, dedicated to surgical, medical, and cardiac patients requiring advanced monitoring and intervention. We are seeking experienced Critical Care Registered Nurses (ICU RNs) to provide exceptional care in a fast -paced and dynamic environment.
Registered Nurse II - Ben Taub - MedSurg 5F Nursing Unit Harris Health SystemRegistered Nurse II - Ben Taub - MedSurg 5F Nursing UnitHouston, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.
NewRegistered Nurse IV - Ben Taub - 5F Nursing Unit - FT/Day Harris Health SystemRegistered Nurse IV - Ben Taub - 5F Nursing Unit - FT/DayHouston, TXHarris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.
Advanced Practice Registered Nurse (APRN or PA) Neuro-Oncology University of Texas MD Anderson Cancer CenterAdvanced Practice Registered Nurse (APRN or PA) Neuro-OncologyTXAll of the following: Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC or ACAGNP or AGACNP or ACNPC-AG or AGACNP or AGNP or ACPNP or ANP or AGNP or AGPCNP or FNP or GNP or PNP or PMHNP or WHNP or APNP). At UT MD Anderson, the Advanced Practice Registered Nurse and Physician Assistant plays a critical role in advancing the institution's mission by providing high-quality clinical services, supporting innovative care models, and contributing to exceptional patient experiences through specialized expertise and continuity of care.
NewExperienced Clinical Nurse - Nursing Resource Pool University of Texas MD Anderson Cancer CenterExperienced Clinical Nurse - Nursing Resource PoolHouston, TXThis position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. With one of the largest clinical trial programs in the world, MD Anderson offers a collaborative environment that empowers nurses to lead in the administration of research therapies and the required ongoing monitoring.
Experienced Clinical Nurse - Nursing Resource Pool MD AndersonExperienced Clinical Nurse - Nursing Resource PoolHouston, TXThis position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. With one of the largest clinical trial programs in the world, MD Anderson offers a collaborative environment that empowers nurses to lead in the administration of research therapies and the required ongoing monitoring.
Manager of Nursing - Cardiothoracic Post-Surgical Unit Houston Methodist HospitalManager of Nursing - Cardiothoracic Post-Surgical UnitHouston, TXServes as role model to staff, reinforcing principles of service orientation and ensuring that the focus is always on improving patient care and/or services, effectively resolve concerns, complaints or conflict with patients, families, physicians and other interprofessional health care team members, taking appropriate action and channeling concerns according to appropriate procedures. Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences.