NewNurse Practitioner or Physician Assistant - Post Graduate Mentorship Program (Adults Only) One MedicalNurse Practitioner or Physician Assistant - Post Graduate Mentorship Program (Adults Only)SEATTLE, 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. Managing a patient panel with a broad array of patient needs; conducting a mix of acute, chronic, and well visits with support and mentorship of an onsite clinical Preceptor.
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).
Nurse Practitioner or Physician Assistant - Capitol Hill One MedicalNurse Practitioner or Physician Assistant - Capitol HillSEATTLE, WA$146,100–$174,700 / yearIn the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary care setting, OR 1 year in an outpatient primary care setting, coupled with either a 1 year primary care fellowship or 1+ year in an urgent care setting. Our 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.
NewPhysician Assistant (PA-C) JobotPhysician Assistant (PA-C)Tacoma, WA$130,000–$180,000 / 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. * Spine or Ortho Spine experience including spinal cord injuries, spine tumors, spine injections, spinal defects, bone spurs, back sprains, osteoporosis, neuromuscular diseases, etc.
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).
Physician Assistant Orthopedics CommonSpirit HealthPhysician Assistant OrthopedicsLakewood, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
Physician Assistant Plastic Reconstructive Surgery CommonSpirit HealthPhysician Assistant Plastic Reconstructive SurgerySeattle, WAUnder the direction of the supervising physicians, the PA will be involved in all aspects of patient care including the development of treatment plans, coordination of care, and the management of pre and postoperative care. We cover the breadth of plastic surgery including breast reconstruction, microsurgery, body contouring, melanoma care, hand surgery, cancer reconstruction, and a variety of cosmetic procedures.
Primary Care Physician Bainbridge Island CommonSpirit HealthPrimary Care Physician Bainbridge IslandBainbridge Island, WA$302,000–$345,000 / yearur integrated health system has nearly 1,500 hospital beds including Bailey-Boushay House, the first skilled-nursing and outpatient chronic care management program in the United States designed specifically to meet the needs of people with HIV/AIDS; Benaroya Research. Virginia Mason Bainbridge Island offers a full range of primary care and internal medicine services with onsite ancillary support services such as moderate complex laboratory, general radiology, screening mammography, bone density, ultrasound and MRI/CT.
Physician Adult Primary Care Seattle CommonSpirit HealthPhysician Adult Primary Care SeattleSeattle, WA$188,400–$207,000 / yearOur integrated health system has nearly 1,500 hospital beds including Bailey-Boushay House, the first skilled-nursing and outpatient chronic care management program in the United States designed specifically to meet the needs of people with HIV/AIDS; 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. Work with a committed and caring team of physicians, allied health providers, nurses, medical assistants and clinical support team members, all of whom are committed to the Virginia Mason mission of improving the health and well-being of our patients.
NewCertified Occupational Therapist Assistant (COTA) Cottesmore of Life CareCertified Occupational Therapist Assistant (COTA)Gig Harbor, WA$33–$40Life Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance. As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
Physician Adult Primary Care Issaquah CommonSpirit HealthPhysician Adult Primary Care IssaquahIssaquah, WA$314,000–$345,000 / yearp>Work with a committed and caring team of physicians, allied health providers, nurses, medical assistants and clinical support team members, all of whom are committed to the Virginia Mason mission of improving the health and well-being of our patients. Our integrated health system has nearly 1,500 hospital beds including Bailey-Boushay House, the first skilled-nursing and outpatient chronic care management program in the United States designed specifically to meet th.
NewLicensed Physical Therapist Assistant Cottesmore of Life CareLicensed Physical Therapist AssistantGig Harbor, WA$33–$40Life Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance. As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
NewCare Manager Assistant - LPN Cottesmore of Life CareCare Manager Assistant - LPNGig Harbor, WA$36–$44Life Care Centers of America operates Skilled Nursing Facilities (SNFs) that provide: Long-term care for residents needing ongoing skilled support and compassionate daily assistance. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of and interpersonal contact with patients.
NewSenior Medical Assistant - Pulmonology Providence Health and ServicesSenior Medical Assistant - PulmonologySeattle, WA$29.79–$45.58 / hourIt 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. Coursework/Training: Graduate of an accredited school that includes hands on training in a clinical setting for medical assistants or, Coursework/Training: Graduate of a registered medical assistant apprenticeship program or, Coursework/Training: Has completed two years of medical training in the United States Armed Forces.
NewSenior Medical Assistant - Oncology Providence Health and ServicesSenior Medical Assistant - OncologySeattle, WA$29.56–$44.46 / hourIt 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. Responsibilities include: scheduling of new patients, follow-up clinic appointments, subsequent treatments, and requested diagnostic tests, acquiring of insurance verifications, referrals and authorizations, preparing and maintaining the patient's medical record, reconciling billing issues, answering multiple phone lines and triaging phone calls.
Field Nurse Practitioner (Vancouver, WA) Molina HealthcareField Nurse Practitioner (Vancouver, WA)SEATTLE, WA$88,453–$198,356 / yearp>Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
NewLicensed Psychiatric Nurse Practitioner (LPNP) HeadwayLicensed Psychiatric Nurse Practitioner (LPNP)Tacoma, WAWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
Licensed Psychiatric Mental Health Nurse Practitioner HeadwayLicensed Psychiatric Mental Health Nurse PractitionerTacoma, WAWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
NewVirtual Family Nurse Practitioner - CA License One MedicalVirtual Family Nurse Practitioner - CA LicenseSEATTLE, WA$59.10–$65.50 / hourIn the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary care setting seeing patients of all ages (0+), OR 2 years in an urgent care or emergency medicine setting seeing patients of all ages (0+) . The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers.
NewTravel Physical Therapy Assistant (PTA) - $1,829 per week in Spanaway, WA AlliedTravelCareersTravel Physical Therapy Assistant (PTA) - $1,829 per week in Spanaway, WASpanaway, WA$1,829–$1,829This travel assignment is a great opportunity for an experienced Physical Therapist Assistant (PTA) professional to work in a clinical setting while gaining new experience and earning competitive pay. Anders Group supports allied healthcare professionals with dedicated recruiters, transparent communication, and travel opportunities across the United States.
Emergency Medicine Advanced Practice Clinician in Federal Way, WA TeamHealthEmergency Medicine Advanced Practice Clinician in Federal Way, WAFederal Way, WAFull timeCommon cases include chest pain evaluations, transient neurologic symptoms, syncope, appendicitis, mild heart failure exacerbations, asthma exacerbations, low-risk trauma, and other conditions requiring short-term observation and treatment. This is a unique opportunity to practice in a physician-led observation medicine service that is managed by EM physicians and cares for patients placed in hospital observation status directly from the emergency department.
Nurse Practitioner - Hematology Oncology VieMed Healthcare StaffingNurse Practitioner - Hematology OncologySeattle, WAYou will be a vital part of a dedicated team providing expert outpatient clinical care, ensuring high-quality patient outcomes while enjoying a flexible schedule and excellent support. This assignment involves supporting inpatient hematology and oncology services at a prominent healthcare facility in Seattle, WA.
Field Nurse Practitioner (Seattle, WA) Molina HealthcareField Nurse Practitioner (Seattle, WA)Seattle, WA$88,453–$198,356 / yearJOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
Field Nurse Practitioner (Tacoma, WA) Molina HealthcareField Nurse Practitioner (Tacoma, WA)Tacoma, WA$88,453–$198,356 / yearJOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
Lead Advanced Practice Clinician in Bremerton, WA TeamHealthLead Advanced Practice Clinician in Bremerton, WABremerton, WAFull timeThis is an excellent opportunity for an experienced EM nurse practitioner or physician assistant who enjoys mentoring peers, collaborating on operations, and contributing to departmental decision-making, while continuing to practice clinically in a supportive, team-based environment. Bremerton features a growing downtown, arts and marina scene, and direct ferry access to Seattle, while Port Orchard offers a charming small-town feel with scenic bay views and a close-knit community.
NewAssistant Nurse Manager - Swedish Cancer Institute (Issaquah) Providence Health and ServicesAssistant Nurse Manager - Swedish Cancer Institute (Issaquah)Issaquah, WA$62.90–$99.31 / hourIt 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.
Emergency Medicine Advanced Practice Clinician in Bremerton, WA TeamHealthEmergency Medicine Advanced Practice Clinician in Bremerton, WABremerton, WAFull timeTeamHealth is excited to invite you to join our dynamic team at the brand-new, state-of-the-art Virginia Mason Franciscan Health Emergency and Urgent Care in Bremerton, Washington - a beautiful Pacific Northwest community! This facility is a cutting-edge hybrid freestanding emergency department and urgent care center, open 24/7, offering advanced care with access to lab equipment and a full radiology suite, including x-ray and CT scanners.
Emergency Medicine Advanced Practice Clinician in Port Orchard, WA TeamHealthEmergency Medicine Advanced Practice Clinician in Port Orchard, WAPort Orchard, WAFull timeTeamHealth is excited to invite you to join our dynamic team at the brand-new, state-of-the-art Virginia Mason Franciscan Health Emergency and Urgent Care in Port Orchard, Washington, a beautiful Pacific Northwest community! Our facility will be a cutting-edge hybrid freestanding emergency department (FSED) and urgent care center, open 24/7, offering advanced care with access to lab equipment and a full radiology suite, including x-ray and CT scanners.
NewCertified Occupational Therapist Assistant (COTA) Life Care Center of South HillCertified Occupational Therapist Assistant (COTA)Puyallup, WALife Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance . As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
NewCertified Occupational Therapist Assistant (COTA) Life Care Center of KirklandCertified Occupational Therapist Assistant (COTA)Kirkland, WALife Care Centers of America facilities operate as Skilled Nursing Facilities (SNFs) that provide: Long term care for residents who require ongoing skilled support and compassionate daily assistance. As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
Licensed Psychiatric Nurse Practitioner (Remote) HeadwayLicensed Psychiatric Nurse Practitioner (Remote)Seattle, WARemoteWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
Licensed Psychiatric Nurse Practitioner (Virtual) HeadwayLicensed Psychiatric Nurse Practitioner (Virtual)Tacoma, WAWe make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden.
NewPalliative Care Nurse Practitioner UnitedHealth GroupPalliative Care Nurse PractitionerEast Olympia, WA$105,758–$158,638 / yearCompletes a comprehensive assessment utilizing the palliative care domains of assessment, interprets findings, conducts medication reconciliation, and formulates problem-related diagnoses, initiates plan of care utilizing therapeutic interventions, and evaluates the results of these actions for adequate outcome responses. Demonstrates effective and ethical use of approved evidence-based palliative medicine practices in the delivery of all patient care based on physical, emotional, spiritual, psycho/social, ethical, educational, safety and related criteria, appropriate to the ages of patients served.
Nurse Practitioner Family Medicine Gravelly Lake CommonSpirit HealthNurse Practitioner Family Medicine Gravelly LakeLakewood, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Nurse Practitioner Family Medicine Lakewood CommonSpirit HealthNurse Practitioner Family Medicine LakewoodLakewood, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
NewTravel Nurse RN - Labor & Delivery in Silverdale, WA Concentric Healthcare StaffingTravel Nurse RN - Labor & Delivery in Silverdale, WASilverdale, WAWhy Join UsWork within a well-supported unit featuring 24/7 in-house OB/hospitalist, neonatal nurse practitioner, and OB anesthesia coverage, along with dedicated surgical tech and patient care assistant support on every shift. Required QualificationsActive RN license with a minimum of 2 years of LDRP experience (candidates with 1 year of experience may be considered with documented prior travel nursing experience).
NewTravel Nurse RN - Labor & Delivery - $2,745 per week in Silverdale, WA Cynet HealthTravel Nurse RN - Labor & Delivery - $2,745 per week in Silverdale, WASilverdale, WA$2,744.68–$2,744.68Job Title: Registered Nurse Profession: RN Specialty: Labor and Delivery Duration: 13 weeks Shift: 12 Hour Nights Hours per Shift: 36 hours Experience: Minimum 2 years License: Required Certifications: BLS ACLS NRP Preferred: Intermediate or Advanced FHM Must-Have: Experience in LDRP Comfortable attending deliveries independently Comfortable assisting with C-sections Ability to catch and transition newborns Experience in high-risk cases Description: This position is for a registered nurse specializing in labor and delivery. An average of 150-180 births occurs per month, with around 2,133 deliveries in 2022.
NewTravel Nurse RN - Labor & Delivery - $2,600 to $2,800 per week in Silverdale, WA United Health Care Staffing, Inc.Travel Nurse RN - Labor & Delivery - $2,600 to $2,800 per week in Silverdale, WASilverdale, WA$2,600–$2,800Experience Level: Minimum 2 years of experience required (Will consider 1 year of experience ONLY if the candidate has multiple prior travel assignments). In-House Providers: 24/7 OBGYN/Hospitalist, 24/7 Neonatal Nurse Practitioner (NNP) in Nursery, and 24/7 dedicated OB Anesthesia provider.
Nurse Pract Family Medicine Gig Harbor Milgard CommonSpirit HealthNurse Pract Family Medicine Gig Harbor MilgardGig Harbor, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
NewTravel Medical Technologist - $2,359 per week in Tacoma, WA AlliedTravelCareersTravel Medical Technologist - $2,359 per week in Tacoma, WATacoma, WA$2,359–$2,359Source=MedicalSolutions;SourceID=1098548 ;Status=Open;Client=St Joseph Medical Center ;City=Tacoma ;State=WA ;Zip=98405-4933 ;Start=7/6/2026;End=10/5/2026;Duration=91;Cert=Nuclear Medicine Technologist ;Specialty=Nuclear Medicine Tech Medicine ;Unit=Nuclear Medicine Tech Medicine ;Shift=8H Days M-F, 0730-1630, minimal call required;# of Postions=1;Guaranteed Hours=40 hours per week;Type=Travel;BillRate=88.42;OTRate=88.42 No, any professional color Department specific orientation 1 Week Additional Notes Additional Questions Cancellation can cancel up to 4 shifts per 13-week assignment, 3 shifts for assignments that are less than 13 weeks Charting BSN License to Trauma Level: Care Shift , 0730-1630, minimal call required Required Certification, Certified Nuclear Cardiology Technologist (NMTCB-NCT) Verification, Certified Nuclear Medicine Technologist (Nuc Med) - ARRT (N) Verification ;url= ;WinterPlanNeed=No;
CRNA CommonSpirit HealthCRNASeattle, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
NewHome Health LPN - Kitsap County Kaiser PermanenteHome Health LPN - Kitsap CountyPort Orchard, WA$32.87–$32.87Follows through and implements plan of care as directed; a) provides appropriate instruction to patient/consumer about routine health maintenance, normal/abnormal lab results, special procedures and follow-up care as directed; b) prepares and administers approved medications at the direction of the RN and upon order from MD, ARNP, or PA; c) performs treatments and assists with procedures as directed; d) competently performs skills/tasks as listed on LPN skills competency inventory. AGE SPECIFIC CARE: Demonstrates understanding of the physiologic and psychological effects of normal aging by assessing and implementing care to meet the needs of those populations served.
Nurse Practitioner / Physician Assistant (App) - Peds Urgent Care MultiCare Health SystemNurse Practitioner / Physician Assistant (App) - Peds Urgent CareOlympia, WAFull timeResponsibilities *Independently evaluate and treat pediatric patients presenting with non-emergent illnesses, minor injuries, infections, and other urgent concerns*Perform clinical procedures appropriate to training and scope, such as wound care, splinting, abscess drainage, foreign body removal, and rapid testing*Order and interpret diagnostics, including point-of-care labs and radiology, to guide clinical decisions*Prescribe medications, treatments, and referrals per Washington State guidelines for independent APPs*Educate patients and families about diagnoses, medications, follow-up care, and warning signs*Document clinical encounters thoroughly and accurately in the electronic health record (EHR)*Lead care coordination, including appropriate disposition planning and referrals to primary care or specialists*Collaborate effectively with physicians, nurses, imaging staff, and front-desk personnel to support patient flow and care quality-without requiring supervisory oversight*Engage in peer collaboration, clinical meetings, and case discussions that enhance practice quality, safety, and teamwork.*Support institutional performance goals, including efforts related to population health, equity, quality measures, and safety protocols.*Participate in clinical meetings and improvement initiatives, contributing to efforts that enhance patient outcomes and experience.*Maintains license and appropriate continuing education. Working collaboratively with physicians and healthcare teams, the APP performs assessments, procedures, and treatment planning for a wide range of pediatric conditions-ensuring access to quality care beyond traditional primary care hours.