NewRadiologic Technologist-Per Diem-Varied-Capitol Hill Kaiser PermanenteRadiologic Technologist-Per Diem-Varied-Capitol HillSeattle, WA$43.91–$43.91Able to assist lead technologist or radiology leadership by coordinating new employee training and orientation, and identifying staff training issues, able to assist lead technologist in monitoring work flow and assigning tasks to other staff to address issues and participating in operational policy and procedures development as appropriate. Prepares Radiology rooms for patient procedures, develops images, maintains supply levels, ensures diagnostic equipment is maintained and properly working within manufacturer specifications.
NewRadiologic Technologist-Paid Mammography Training-Per Diem-Day-Capitol Hill Kaiser PermanenteRadiologic Technologist-Paid Mammography Training-Per Diem-Day-Capitol HillSeattle, WA$48.78–$48.78State of Washington certification as Mammography Technologist and American Registry of Mammography Technologists (AART-M) registration by date of hire or will train radiology technician with two (2) years experience. Customer Service: Provides timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other fellow employees.
Per Diem Physician - South Lake Union One MedicalPer Diem Physician - South Lake UnionSEATTLE, WAOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role).
Per Diem Family Physician - Ballard One MedicalPer Diem Family Physician - BallardSEATTLE, WAOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues.
Per Diem Physician - Downtown Seattle One MedicalPer Diem Physician - Downtown SeattleSEATTLE, WAOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role).
Per Diem Nurse Practitioner or Physician Assistant - South Lake Union One MedicalPer Diem Nurse Practitioner or Physician Assistant - South Lake UnionSEATTLE, WAOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role).
Per Diem Nurse Practitioner or Physician Assistant - Downtown Seattle One MedicalPer Diem Nurse Practitioner or Physician Assistant - Downtown SeattleSEATTLE, WAOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role).
Per Diem Family Nurse Practitioner or Physician Assistant - Ballard One MedicalPer Diem Family Nurse Practitioner or Physician Assistant - BallardSEATTLE, WAOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role).
Cardiologist Interventional Per Diem CommonSpirit HealthCardiologist Interventional Per DiemAuburn, WAOur integrated health system includes Bailey-Boushay House, the first skilled-nursing and outpatient chronic care management program in the United States; Benaroya Research Institute, internationally recognized for autoimmune disease research; and Virginia Mason Institute, a teaching organization which coaches health care professionals and others around the world in the Virginia Mason Production System, an innovative lean management method for improving quality and safety. There are a total of fourteen Cardiologists and thirteen advanced practice practitioners; four interventional cardiologists, a structural cardiologist, three electrophysiologists, an advanced cardiac imager specializing in cardiac MRI, and an advanced heart failure cardiologist.
NewRN Hospital Float Pool Per Diem Nights Capitol Hill Kaiser PermanenteRN Hospital Float Pool Per Diem Nights Capitol HillSeattle, WA$50.99–$50.99Strong communication skills and ability to collaborate with providers and teams that include CNA-s, MA-s, Respiratory Techs, HUC, Monitor Tech, Pharmacy and Lab, along with other departments, i.e., ED/UC, OR, PACU, SPU/Endo, IR, etc. Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician.
NewRN Float Pool Specialty Care Clinics Per Diem Capitol Hill Kaiser PermanenteRN Float Pool Specialty Care Clinics Per Diem Capitol HillSeattle, WAAssesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric).
NewRN SPU Endoscopy Per Diem Capitol Hill Kaiser PermanenteRN SPU Endoscopy Per Diem Capitol HillSeattle, WA$50.99–$50.99Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric).
Home Infusion Nurse Per Diem - Accredo - Tacoma, WA The Cigna GroupHome Infusion Nurse Per Diem - Accredo - Tacoma, WATacoma, WA$38–$63 / hourThese 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.
NewHome Health Visiting RN (Per Diem/PRN) - Everett/North Snohomish County Kaiser PermanenteHome Health Visiting RN (Per Diem/PRN) - Everett/North Snohomish CountySeattle, WA$55.86–$55.86Follows through the plan of care as developed to: provide appropriate instruction to patient/caregiver about health care, disease management and adjustment to illness; direct and supervise the care and services of LPN and HHA in the home setting; perform treatments; instruct patients/families in self care activities and home safety; and competently perform skills/tasks per plan of care. Performs skilled procedures to include injections, dressings, catheter insertion and care, colostomy and tracheotomy, central line IV care and blood draws.
NewRN Specialty Care Clinic Float Per Diem Capitol Hill Kaiser PermanenteRN Specialty Care Clinic Float Per Diem Capitol HillSeattle, WA$50.99–$50.99Assesses the needs of designated patients requiring hospitalization; initiates nursing admission database and discharge planning in collaboration with inpatient staff and physician. Identifies own learning needs and participates in educational programs related to those age-specific patient populations served (Neonatal, Pediatric, Adolescent, Geriatric).
NewRadiologic Technologist-Per Diem-Capitol Hill Kaiser PermanenteRadiologic Technologist-Per Diem-Capitol HillBellevue, WAAble to assist lead technologist or radiology leadership by coordinating new employee training and orientation, and identifying staff training issues, able to assist lead technologist in monitoring work flow and assigning tasks to other staff to address issues and participating in operational policy and procedures development as appropriate. Prepares Radiology rooms for patient procedures, develops images, maintains supply levels, ensures diagnostic equipment is maintained and properly working within manufacturer specifications.
NewMammography Technologist I-Seattle-Per Diem Kaiser PermanenteMammography Technologist I-Seattle-Per DiemSeattle, WACustomer Service: Provides timely, responsive, expert services to customers in a positive friendly manner, to include patient, physicians, and other fellow employees. State of Washington certification as Mammography Technologist and American Registry of Radiologic Technologists (AART-M) registration by date of hire or will train radiology technologist.
NewTravel Nurse RN - Pediatric Intensive Care Unit - $2,143 per week in Seattle, WA Health Advocates NetworkTravel Nurse RN - Pediatric Intensive Care Unit - $2,143 per week in Seattle, WASeattle, WA$2,143.16–$2,143.16RN – PICU Registered Nurse - Health Advocates Network is urgently hiring PICU RNs with at least XXX years of recent experience! Competitive pay rates, Referral Bonus, Medical, Dental and Vision.
NewTravel Nurse RN - Post-Anesthesia Care Unit (PACU) / Pre-Post Op - $2,280 per week in Seattle, WA Health Advocates NetworkTravel Nurse RN - Post-Anesthesia Care Unit (PACU) / Pre-Post Op - $2,280 per week in Seattle, WASeattle, WA$2,280.20–$2,280.20RN – Pre-Op Registered Nurse - Health Advocates Network is urgently hiring Pre-Op RNs with at least 2 years of recent experience! Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!
NewPhysician - Urgent Care - Swedish Edmonds Urgent Care VituityPhysician - Urgent Care - Swedish Edmonds Urgent CareEdmonds, WAThe city's historic downtown is home to art galleries, local shops, and delicious restaurants, while Edmonds’ waterfront offers opportunities for boating, beachcombing, and enjoying beautiful sunsets. Residents enjoy a mild Pacific Northwest climate, with cool, rainy winters and pleasant summers ideal for outdoor activities like hiking, kayaking, and exploring local parks.
NewPhysician - Emergency Medicine - Swedish Edmonds Hospital VituityPhysician - Emergency Medicine - Swedish Edmonds HospitalEdmonds, WAResidents enjoy a mild Pacific Northwest climate, with cool, rainy winters and pleasant summers ideal for outdoor activities like hiking, kayaking, and exploring local parks. The city's historic downtown is home to art galleries, local shops, and delicious restaurants, while Edmonds’ waterfront offers opportunities for boating, beachcombing, and enjoying beautiful sunsets.
NewPhysician - Hospital Medicine - Nocturnist - Providence Regional Medical Center Everett VituityPhysician - Hospital Medicine - Nocturnist - Providence Regional Medical Center EverettEverett, WAEverett, Washington is situated along the scenic shores of Puget Sound and beautifully blends the natural beauty of the Pacific Northwest with outdoor recreation, waterfront charm, and the convenience of city living. In addition, Vituity physicians participate in our partnership model from day one, which includes profit distributions, equity ownership, and K-1 tax advantages.
NewPhysician Assistant or Nurse Practitioner - Emergency Medicine - Full-Time - Swedish Edmonds Hospital VituityPhysician Assistant or Nurse Practitioner - Emergency Medicine - Full-Time - Swedish Edmonds HospitalEdmonds, WA$87–$91Residents enjoy a mild Pacific Northwest climate, with cool, rainy winters and pleasant summers ideal for outdoor activities like hiking, kayaking, and exploring local parks. The city's historic downtown is home to art galleries, local shops, and delicious restaurants, while Edmonds’ waterfront offers opportunities for boating, beachcombing, and enjoying beautiful sunsets.
NewPhysician - Hospital Medicine - Providence Regional Medical Center Everett VituityPhysician - Hospital Medicine - Providence Regional Medical Center EverettEverett, WAEverett, Washington is situated along the scenic shores of Puget Sound and beautifully blends the natural beauty of the Pacific Northwest with outdoor recreation, waterfront charm, and the convenience of city living. In addition, Vituity physicians participate in our partnership model from day one, which includes profit distributions, equity ownership, and K-1 tax advantages.
NewPhysician Assistant or Nurse Practitioner - Emergency Medicine - Swedish Edmonds Hospital VituityPhysician Assistant or Nurse Practitioner - Emergency Medicine - Swedish Edmonds HospitalEdmonds, WA$87–$91Residents enjoy a mild Pacific Northwest climate, with cool, rainy winters and pleasant summers ideal for outdoor activities like hiking, kayaking, and exploring local parks. The city's historic downtown is home to art galleries, local shops, and delicious restaurants, while Edmonds’ waterfront offers opportunities for boating, beachcombing, and enjoying beautiful sunsets.
NewAdvanced Provider - Hospital Medicine - Providence Regional Medical Center Everett VituityAdvanced Provider - Hospital Medicine - Providence Regional Medical Center EverettEverett, WA$75–$92Everett, Washington is situated along the scenic shores of Puget Sound and beautifully blends the natural beauty of the Pacific Northwest with outdoor recreation, waterfront charm, and the convenience of city living. The city is home to the largest public marina on the West Coast and is near iconic destinations like Mount Rainier National Park and North Cascades National Park.
Chaplain - Per Diem Providence St. Joseph HealthChaplain - Per DiemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
Business Office Specialist (Per Diem) Providence St. Joseph HealthBusiness Office Specialist (Per Diem)Seattle, WAFull timeTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Associate's Degree in Business/Accounting or 2 years of work experience (e.g., in banking, bookkeeping) can be substituted for each year of formal education (e.g., HS diploma and four years of work experience).
Per Diem Primary Care Physician - All Ages 1Life Healthcare, Inc.Per Diem Primary Care Physician - All AgesWedgwood, WAFull timeOur seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues.
Medical Assistant - Per diem - Heart and Vascular Providence St. Joseph HealthMedical Assistant - Per diem - Heart and VascularEdmonds, WAFull timeIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Occupational Therapist (Per Diem) - PACE Providence St. Joseph HealthOccupational Therapist (Per Diem) - PACESeattle, WAFull timeThe OT functions independently, working in multiple settings including the PACE center, participant homes, Adult Family Homes, Assistive Living Facilities and nursing homes. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Patient Scheduler (Per Diem) - PACE Providence St. Joseph HealthPatient Scheduler (Per Diem) - PACEKent, WAFull timeThe Patient Scheduler is an office-based, non-clinical position responsible for scheduling appointments and dispatching transportation to ensure Providence PACE participants are transported to and from scheduled medical appointments. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
IPR Per Diem Case Manager MultiCare Health SystemIPR Per Diem Case ManagerPuyallup, WAFull timeInnovative facilities like the LEED Gold-certified Dally Tower and Pulse Heart Institute make Good Samaritan a dynamic workplace for clinicians eager to advance their careers in a state-of-the-art environment. To provide a single point of focus for rehabilitation patients as they move throughout the continuum of care to assure smooth, appropriate, coordinated, timely and resource sensitive transitions and assuring those services provided are in the best interest of the patient and family.
Care Manager LCSW - Per Diem Providence St. Joseph HealthCare Manager LCSW - Per DiemEverett, WAFull timeThe goal of the Inpatient Care Management LCSW is to ensure continuity of care for vulnerable patients by identifying and addressing social, financial, cognitive/behavioral or legal barriers to accessing necessary resources and care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
EKG Technician - per diem Providence St. Joseph HealthEKG Technician - per diemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
Dietary Assistant - Per Diem Providence St. Joseph HealthDietary Assistant - Per DiemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
CT Technologist - per diem Providence St. Joseph HealthCT Technologist - per diemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
Echocardiograph Technologist - per diem Providence St. Joseph HealthEchocardiograph Technologist - per diemEverett, WAFull timeThe Cardiac Ultrasound Technologist individualizes patient care using age related concepts based on the unit population by applying age related concepts including knowledge of growth and development, safety needs, collection and interpretation of data, treatments and care typically required and participating in the evaluation of care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Dietitian - per diem Providence St. Joseph HealthDietitian - per diemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
Patient Services Specialist - Per diem Providence St. Joseph HealthPatient Services Specialist - Per diemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
Patient Services Specialist *Per Diem* Providence St. Joseph HealthPatient Services Specialist *Per Diem*Everett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
Dietary Assistant - per diem Providence St. Joseph HealthDietary Assistant - per diemEverett, WAFull timeOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
PCT - Pre/Post Surgery - Per Diem MultiCare Health SystemPCT - Pre/Post Surgery - Per DiemTacoma, WAFull timeHome to the MultiCare Regional Cancer Center, a Family Birth Center and specialized neonatal care in partnership with Mary Bridge Children's, our collaborative, mission-driven teams offer a rewarding environment for career growth and professional excellence. With a 24-hour Emergency Department, Level II Adult Trauma Center, advanced cardiac, neurological, orthopedic and robotic surgery, Tacoma General combines innovation with compassionate care.
RN ICU Per Diem MultiCare Health SystemRN ICU Per DiemAuburn, WAFull timeMultiCare Auburn Medical Center, serving South King County since 1921, is a 195-bed hospital with 58 behavioral health beds, a Family Birth Center, Level II NICU, Level III Trauma Center, MultiCare Regional Heart & Vascular Center, and advanced surgical services including robotic-assisted procedures. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare.
LMHC Per Diem MultiCare Health SystemLMHC Per DiemPuyallup, WAFull timeTreating a broad array of behavioral health disorders, mental illness and co-occurring illnesses, within this role you will be able to apply evidenced-based and evidence-informed outpatient therapy and clinical service skill sets in your daily work functions. You will provide psychotherapy, supportive therapy, i.e. problem solving, role-playing, modeling and support, social skill development, and assertiveness training to increase patient social and interpersonal activities in community settings.
Diabetes Care Coordinator - Per Diem MultiCare Health SystemDiabetes Care Coordinator - Per DiemTacoma, WAFull timeThe Diabetes Care Coordinator (DCC) position is responsible for providing comprehensive administrative and technical support for a complex program of services; working cooperatively and collaboratively with management personnel to ensure smooth and efficient daily operations in the designated department. Serve as "first touch" of care which can include but not limited to: Providing tutorials to patients on the use of Bookings and Mychart, scheduling and referral/insurance concerns, managing communication, coordinating meeting rooms.
MRI Technologist (Per Diem) MultiCare Health SystemMRI Technologist (Per Diem)Tacoma, WAFull timeThis 226-bed, not-for-profit hospital features a multispecialty team across 20+ primary and specialty care locations, providing cardiac care, cancer care, pediatric trauma care, hospice and advanced care for children with special health needs. Registered with the American Registry of Radiologic Technologists (MRI) or American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) upon hire, or within 6 months of hire into this classification.
Staff Chaplain Rehab Per Diem MultiCare Health SystemStaff Chaplain Rehab Per DiemPuyallup, WAFull timeThis position works closely with the multi-disciplinary team to provide a total intervention/counseling service and requires a service oriented individual with the ability to relate to the critically and/or terminally ill, handicap, disadvantaged, and individuals of various ethnic groups. Innovative facilities like the LEED Gold-certified Dally Tower and Pulse Heart Institute make Good Samaritan a dynamic workplace for clinicians eager to advance their careers in a state-of-the-art environment.
Pediatric Med-Surg RN Per Diem MultiCare Health SystemPediatric Med-Surg RN Per DiemTacoma, WAFull timeTogether, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement.
Pediatric Med-Surg RN per diem MultiCare Health SystemPediatric Med-Surg RN per diemTacoma, WAFull timeTogether, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare. Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service or internal candidates hired before January 1, 2021 may be considered in satisfaction of this requirement in lieu of an education agreement.