HarmonyCaresNewCHA - Nurse Practitioner, Specialty Programs - Per Visit HarmonyCaresCHA - Nurse Practitioner, Specialty Programs - Per VisitKalamazoo, MIBoard certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA). HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.
Signify HealthNewNurse Practitioner for In-home Visits Signify HealthNurse Practitioner for In-home VisitsOnondaga, MIRemote$2,500–$4,000You will be provided a pre-populated, patient-specific form for each evaluation and do not prescribe medicine, order lab tests, or alter people’s current treatment regimen. We’re hiring board-certified nurse practitioner contractors to conduct In-Home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
Bronson Healthcare GroupNewRheumatology Physician Bronson Healthcare GroupRheumatology PhysicianKalamazoo, MIWith a workforce of more than 9,000, we re one of the area s largest employers and our physicians and staff are nationally recognized for many exceptional achievements in quality, safety and service: Magnet Hospital for Nursing (); Healthgrades Outstanding Patient Experience Award (); Governor s Award of Excellence (2019). Bronson, a tertiary and teaching hospital serving patients and families throughout southwest Michigan and northern Indiana, offers a full range of services from primary care to advanced critical care and is a verified Level I Trauma Center.
Bronson Healthcare GroupNewGastroenterology Physician Bronson Healthcare GroupGastroenterology PhysicianKalamazoo, MIBronson, a tertiary and teaching hospital serving patients and families throughout southwest Michigan and northern Indiana, offers a full range of services from primary care to advanced critical care and is a verified Level I Trauma Center. With a workforce of more than 9,000, we re one of the area s largest employers and our physicians and staff are nationally recognized for many exceptional achievements in quality, safety and service: At Bronson, not only are we known for quality care, we are also nationally recognized as a top workplace.
PsyPhyCarePrimary Care Physician (Family or Internal Medicine) – Battle Creek, MI PsyPhyCarePrimary Care Physician (Family or Internal Medicine) – Battle Creek, MIBattle Creek, MIPsyPhyCare, a division of Business Staffing of America, Inc., is seeking Board-Certified Primary Care Physicians (Family Practice or Internal Medicine) to provide comprehensive medical services in a patient-centered, outpatient setting. PsyPhyCare, a division of Business Staffing of America, Inc., is a trusted healthcare staffing partner serving government and private clients nationwide.
Western Michigan University Homer Stryker MD School of MedicineMedical Assistant - Primary Care Clinic Western Michigan University Homer Stryker MD School of MedicineMedical Assistant - Primary Care ClinicKalamazoo, MI$15.90–$18.55 / hourCampus located in downtown Kalamazoo serves as the primary educational facility with student study and social spaces, team-based learning halls, faculty and administrative offices, a state-of-the-art Simulation Center accredited by the Society for Simulation in Healthcare, basic science research labs, as well as toxicology and forensic pathology labs. Our full time employees receive 8 full-day and 2 half-day paid holidays, an 8 hour preference holiday, 8 hours of paid volunteer time per year, and an extremely generous Paid Time Off (PTO) accrual as well as an annual wellness reimbursement of $300.
TeamHealth CorporatePrimary Care Physician in Kalamazoo, MI TeamHealth CorporatePrimary Care Physician in Kalamazoo, MIKalamazoo, MI$252,000–$300,000 / yearOur comprehensive clinical and operational leadership team will support your transition into our medical practice with a comprehensive 3-month onboarding program along with a dedicated clinical field mentor and support from industry leading clinical experts in post-acute medicine. The medical practice is part of TeamACO, a dedicated long-term Accountable Care Organization participating in the Medicare Shared Savings Program for our clinicians, which could result in you receiving a portion of the shared savings if certain criteria are met.
Beacon Health SystemAdvanced Practice Clinician NP PA - Critical Care Beacon Health SystemAdvanced Practice Clinician NP PA - Critical Carekalamazoo, MILicensure Certification RegistrationRequired CredentialsNurse Practitioner with Prescriptive Authority credentialed from the Michigan Board of Nursing obtained prior to hire date or job transfer date. In collaboration with a physician provides for the expansion of individualized primary healthcare services by diagnosing and treating certain acute or chronic health conditions.
BesticaNewMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-F BesticaMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-FBattle Creek, MI$21–$21Clinical Care Registered Nurse - Battle Creek Primary Purpose The Clinical Care Registered Nurse (CCRN) role provides direct nursing care to participants. Specific Requirements Possess current CPR certification by AHA or willing and able to obtain as offered by Senior Care Partners PACE Demonstrates our core values of compassion, integrity, teamwork, and excellence.
Lamb CompanyNewMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-F Lamb CompanyMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-FBattle Creek, MI$56–$56Clinical Care Registered Nurse - Battle Creek Primary Purpose The Clinical Care Registered Nurse (CCRN) role provides direct nursing care to participants. Specific Requirements Possess current CPR certification by AHA or willing and able to obtain as offered by Senior Care Partners PACE Demonstrates our core values of compassion, integrity, teamwork, and excellence.
GlobalPoint HCNewMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-F GlobalPoint HCMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-FBattle Creek, MIClinical Care Registered Nurse - Battle Creek Primary Purpose The Clinical Care Registered Nurse (CCRN) role provides direct nursing care to participants. Specific Requirements Possess current CPR certification by AHA or willing and able to obtain as offered by Senior Care Partners PACE Demonstrates our core values of compassion, integrity, teamwork, and excellence.
Carenest Health ServicesNewMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-F Carenest Health ServicesMI - BC - Clinical Care RN - Days 8:00 to 4:30 M-FBattle Creek, MIThe Clinical Care Registered Nurse (CCRN) role provides direct nursing care to participants. Must be fully vaccinated, or willing to be fully vaccinated against the following communicable diseases: Influenza, MMR, Varicella, Tdap/Td, Covid-19 and Hepatitis B.
Western Michigan University Homer Stryker MD School of MedicineRegistered Nurse, Specialty Care Clinic Western Michigan University Homer Stryker MD School of MedicineRegistered Nurse, Specialty Care ClinicKALAMAZOO, MICampus located in downtown Kalamazoo serves as the primary educational facility with student study and social spaces, team-based learning halls, faculty and administrative offices, a state-of-the-art Simulation Center accredited by the Society for Simulation in Healthcare, basic science research labs, as well as toxicology and forensic pathology labs. WMed contributes to the economic vitality of Southwest Michigan through the services we provide, as well as the creation of 1,600 new jobs, with an estimated annual economic impact of $353 million in Kalamazoo and Calhoun counties.
Total Extended Care ServicesNurse Practitioner / Physician Assistant - Physical Medicine & Rehabilitation Total Extended Care ServicesNurse Practitioner / Physician Assistant - Physical Medicine & RehabilitationMarshall, MITotal Extended Care Services is a growing Physical Medicine and Rehabilitation (PM&R) group focused on helping patients regain function, improve quality of life, and reduce avoidable hospital readmissions in skilled nursing and sub-acute rehabilitation settings. Rather than working in a high-volume primary care setting, you will focus on helping patients improve mobility, functionality, pain management, and overall rehabilitation progress.
Total Extended Care ServicesNewNurse Practitioner/Physician Assistant Total Extended Care ServicesNurse Practitioner/Physician AssistantKalamazoo, MIExpert Team: Collaborate with Board-Certified Physical Medicine and Rehabilitation Physicians along with other Nurse Practitioners and Physician Assistants trained in PM&R . Total Extended Care Services, a growing Physical Medicine and Rehab group is looking for a dedicated Nurse Practitioner/Physician Assistant to join our team.
Optimal CareNurse Practitioner Optimal CareNurse PractitionerKalamazoo, MI$100,000–$120,000 / yearThe Nurse Practitioner practice will focus on caring for geriatric and seriously ill populations to assist patients and families with comfort and quality of life. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day.
VOANS Senior Community Care of MichiganNurse Practitioner (Full-Time) Monday-Friday 8:00 AM-4:30 PM VOANS Senior Community Care of MichiganNurse Practitioner (Full-Time) Monday-Friday 8:00 AM-4:30 PMLansing, MIPart timePerforms physical assessments of new PACE Enrollees, semi-annual reassessments of participants and develops and implements appropriate plans of care to Senior Community Care program participants. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.
HarmonyCaresNurse Practitioner (NP) PRN HRAs Per-visit HarmonyCaresNurse Practitioner (NP) PRN HRAs Per-visitPortage, MichiganPRN NP, 8hrs per week minimum seeing patients in 30 mile radius of home in Calhoun County, MI, for 1x Annual Eedicare Wellness Exams and Medicaid Pediatric Chronic Care Confirmation Appointment. Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA).
Beacon Health SystemNeonatal Nurse Practitioner Beacon Health SystemNeonatal Nurse PractitionerKalamazoo, MILicensure and Certification: Required Credentials: • Nurse Practitioner with Prescriptive Authority, credentialed from the Michigan Board of Nursing, obtained prior to hire date or job transfer date. In collaboration with a physician, provides for the expansion of individualized primary healthcare services by diagnosing and treating certain acute or chronic health conditions.
Theoria MedicalBattle Creek, MI: Nurse Practitioner or Physician Assistant, PRN Theoria MedicalBattle Creek, MI: Nurse Practitioner or Physician Assistant, PRNBattle Creek, MIAdvanced Practice Providers must hold an active U.S. license and be board certified by ANCC, AANPCB, PNCB, or AACN (for Nurse Practitioners), or by NCCPA (for Physician Assistants). We are currently seeking a APP (FNP, NP, or Adult Gero NP) or PA based in Battle Creek, MI, serving local skilled nursing facilities within a close-knit, mission-driven care community.
Grace HealthFamily Nurse Practitioner/ Physician Assistant Grace HealthFamily Nurse Practitioner/ Physician AssistantBattle Creek, MIGrace Health, a Federally Qualified Health Center (FQHC), is seeking a Family Nurse Practitioner (FNP) or Physician Assistant (PA) to join our expanding team of healthcare professionals. PA Education: Graduate of an accredited Physician Assistant program and eligible for or currently certified by the National Commission on Certification of Physician Assistants.
Industry Health SolutionsNurse Practitioner / Physician Assistant Per Diem Industry Health SolutionsNurse Practitioner / Physician Assistant Per DiemColdwater, MIContractorCandidates will be expected to hold a Physician Assistant or Nurse Practitioner license in good standing in the state of Michigan, have good orthopedic skills, preferably at least two years' experience and an understanding of occupational medicine, excellent and dynamic people skills, good communication skills, professional confidence, and be an independent thinker. You will be joining a team of physical therapists, athletic trainers, certified medical assistants, and case managers to provide a comprehensive team approach of care to our client company's employees.
Gentiva HospiceNewHospice Nurse Practitioner Gentiva HospiceHospice Nurse PractitionerPortage, MichiganOur nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Bronson HealthcareNewAPP Bronson Family Medicine Portage Bronson HealthcareAPP Bronson Family Medicine PortageKalamazoo, MICommunicates clearly and efficiently both verbally and in writing Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time. Establishes medical diagnoses for common short term and chronic stable health problems; orders and evaluates diagnostic studies; performs and monitors therapeutic procedures (sutures, incision and drainage, IV's, casting & splinting); assesses and/or manages follow up plans.
CEP America LLCPhysician Assistant or Nurse Practitioner - Emergency Medicine - Three Rivers Health Hospital CEP America LLCPhysician Assistant or Nurse Practitioner - Emergency Medicine - Three Rivers Health Hospitalthree rivers, MIThree Rivers, MI - Seeking Emergency Medicine Advanced Providers Become a Valued Member of Your Emergency Medicine Team As an Advanced Provider, you play a critical role in our mission to improve lives in the Emergency Department and are a valued member of the full care team. The Practice Three Rivers Health Hospital - Three Rivers, Michigan At Vituity, Advanced Providers are respected, empowered, and involved in making a difference at the clinical level and leadership level.
SCP HealthPRN/Part-time Hospitalist Nurse Practitioner - Hillsdale, MI SCP HealthPRN/Part-time Hospitalist Nurse Practitioner - Hillsdale, MIHillsdale, MIAs a physician-founded and physician-led organization specializing in emergency, hospital, and critical care medicine, we believe clinicians should focus on what matters mostdelivering exceptional patient care. Anchored by Hillsdale College, the town benefits from a vibrant intellectual and cultural presence, including lectures, performances, athletic events, and a picturesque campus that adds energy year-round.
WellNow Urgent CarePhysician Assistant (PA) or Nurse Practitioner (NP) WellNow Urgent CarePhysician Assistant (PA) or Nurse Practitioner (NP)Portage, MIPreferred Qualifications: • 2+ years of experience in emergency medicine or 3+ years of experience in a high-volume urgent care setting, including the ability to manage adult and pediatric patients 2+ years of experience in emergency medicine or 3+ years of experience in a high-volume urgent care setting, including the ability to manage adult and pediatric patients. Minimum Qualifications: • 1 year of experience in emergency medicine or 18 months of experience in a high-volumeurgent care setting, including the ability to manage adult and pediatric patients 1 year of experience in emergency medicine or 18 months of experience in a high-volumeurgent care setting, including the ability to manage adult and pediatric patients.
Grace HealthPediatric Nurse Practitioner/ Physician Assistant Grace HealthPediatric Nurse Practitioner/ Physician AssistantBattle Creek, MIWill care for patients with acute, chronic illness, and minor injuries in a team-based environment while supporting Grace Health's mission of delivering high-quality, accessible care to the community. PA Education: Graduate of an accredited Physician Assistant program and eligible for or currently certified by the National Commission on Certification of Physician Assistants.
Bronson Battle Creek HospitalPRN CNM - Kalamazoo, MI Bronson Battle Creek HospitalPRN CNM - Kalamazoo, MIKalamazoo, MIWith a workforce of more than 9,000, we're one of the area's largest employers and our physicians and staff are nationally recognized for many exceptional achievements in quality, safety and service:Healthgrades 2025 Top 100 Best Hospitals for Stroke CareHealthgrades 2025 Specialty Excellence Award - Top 10% in the Nation for:Critical Care ExcellenceGastrointestinal Care ExcellenceNeurosciences ExcellencePulmonary ExcellenceStroke Care Excellence (23''-25'')Healthgrades 2024 Surgical Care Excellence AwardMagnet Hospital for Nursing - 2009 - 2027Forbes Best-in-State Employer - 2022-2024PINC AI Top 15 Health Systems - 2023Newsweek Greatest Workplace for Women - 2023Best and Brightest Companies to Work For® - 2023-2024PINC AI (in partnership with Fortune): 15 Top Health Systems (2023)Located halfway between Chicago and Detroit, the area offers diverse cultural opportunities affordable real estate, major focus on education and a variety of year-round family attractions, events and festivals. LocationBMH Bronson Methodist HospitalTitlePRN CNM - Kalamazoo, MIPRN CNM or NP - OBGYNDowntown Kalamazoo LocationBronson Medical Group is seeking a PRN Certified Nurse Midwife or Nurse Practitioner to join our team at Bronson Obstetrics & Gynecology Specialists-KalamazooThe practice currently consists of 11 OB GYN's, 4 midwives and 3 nurse practitioners.
HarmonyCaresMedical Assistant (Clinical Partner) HarmonyCaresMedical Assistant (Clinical Partner)Portage, MichiganResponsibilities: The Clinical Partner (Medical Assistant) will assist Harmony Cares Primary Care Physician, Nurse Practitioners and Clinical Teams in the delivery of primary health care and patient care management in a residential setting. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.
Bronson Battle Creek HospitalAPP Medical Oncology / Hematology PA-C or NP - Kalamazoo, MI Bronson Battle Creek HospitalAPP Medical Oncology / Hematology PA-C or NP - Kalamazoo, MIKalamazoo, MIWill join a practice consisting of 7 medical oncology & hematology physicians, 6 advanced practice providers, and multiple other clinical staff providing nurse navigation, survivorship, social work, nutritional support, and palliative care. Work which produces high levels of mental/visual fatigue, e.g., interactive and repetitive or small detailed work requiring alertness and concentration for sustained periods of time, the operation of and full attention to a personal computer or CRT between 40 and 70 percent of the time.
Summit Pointe Job BoardAdvanced Practice Provider (Nurse Practitioner or Physician Assistant) Summit Pointe Job BoardAdvanced Practice Provider (Nurse Practitioner or Physician Assistant)Battle Creek, MichiganThe Advanced Practice Provider collaborates with the medical staff to deliver comprehensive medication assessments and treatments to individuals accessing services through the outpatient medication management clinic and the Certified Community Behavioral Health Clinic (CCBHC). Licensure within the State of Michigan as a Licensed Registered Nurse with Certification as a Nurse Practitioner or Physician Assistant; and must obtain and maintain Controlled Substance Registration (DEA).
Corewell Health SystemPhysician - Hospitalist- Pennock- Full Time -Hastings, MI Corewell Health SystemPhysician - Hospitalist- Pennock- Full Time -Hastings, MIHastings, MICorewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 65,000+ dedicated peopleincluding more than 12,000 physicians and advanced practice providers and more than 15,500 nurses providing care and services in 21 hospitals, 300+ outpatient locations and several post-acute facilitiesand Priority Health, a provider-sponsored health plan serving more than 1.3 million members? Corewell Health Pennock Hospital is seeking a full time Hospitalist to join their team of eight providers (3 physicians and 5 advanced practice providers) providing exceptional care for the hospitalized individuals and families in Hastings, MI.
Optimal Care - EvergreenPhysician Optimal Care - EvergreenPhysicianKalamazoo, MI$150,000–$200,000 / yearThe Physician's practice will focus on caring for the seriously ill population while providing advanced primary care capabilities to assist patients and families with comfort and quality of life. Main Service Area: Kalamazoo County and surrounding areasThis position services patients in facilities and private home settings.
Grace HealthFamily Practice Physician – Walk-In Clinic Grace HealthFamily Practice Physician – Walk-In ClinicBattle Creek, MIThe physician will provide care for patients with chief complaints such as acute illnesses and minor injuries in a fast-paced, team-based environment while supporting Grace Health's mission of delivering high-quality, accessible care to the community. Grace Health, a Federally Qualified Health Center (FQHC), is seeking a Family Practice Physician to join our Walk-In Clinic in Battle Creek, Michigan.
Atlantic MEDsearchLocums Family Practice Job Near Battle Creek, MI Atlantic MEDsearchLocums Family Practice Job Near Battle Creek, MIBattle Creek, MIUrgent need… Well-established community based clinic seeks another primary care physician. Enjoy easy access to Battle Creek, Kalamazoo & nearby communities.
Corewell Health SystemPhysician - Family Practice - Shelbyville, MI - Gun Lake Family Medicine Corewell Health SystemPhysician - Family Practice - Shelbyville, MI - Gun Lake Family MedicineHastings, MICorewell Health West is a region of Corewell Health, formerly the BHSH System (Beaumont Health and Spectrum Health) that provides care and coverage with an exceptional team of 60,000+ dedicated peopleincluding more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilitiesand Priority Health, a provider-sponsored health plan serving over 1.2 million members. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 65,000+ dedicated peopleincluding more than 12,000 physicians and advanced practice providers and more than 15,500 nurses providing care and services in 21 hospitals, 300+ outpatient locations and several post-acute facilitiesand Priority Health, a provider-sponsored health plan serving more than 1.3 million members.
Corewell HealthPhysician - Family Practice - Shelbyville, MI - Gun Lake Family Medicine Corewell HealthPhysician - Family Practice - Shelbyville, MI - Gun Lake Family MedicineWayland, MIRequired - bachelor's degree BE/BC Family/Internal Medicine LIC-Physician (MD) - STATE MI State of Michigan Upon Hire required LIC-Osteopathic Physician (DO) - STATE MI State of Michigan Upon Hire required CRT-DEA Registration - STATE MI State of Michigan Upon Hire required CRT-Basic Life Support (BLS) - AHA American Heart Association 120 Days required CRT-Basic Life Support (BLS) - ARC American Red Cross 120 Days required CRT-Adv Cardiovascular Life Support (ACLS) - AHA American Heart Association If required by specialty or stress test performed 120 Days required. Corewell Health West is a region of Corewell Health, formerly the BHSH System (Beaumont Health and Spectrum Health) that provides care and coverage with an exceptional team of 60,000+ dedicated people-including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities-and Priority Health, a provider-sponsored health plan serving over 1.2 million members.
SCP HealthEmergency Medicine Physician SCP HealthEmergency Medicine PhysicianHillsdale, MIAs a physician-founded and physician-led organization specializing in emergency, hospital, and critical care medicine, we believe clinicians should focus on what matters mostdelivering exceptional patient care. About Hillsdale Hospital - EM:Hillsdale Hospital is a not-for-profit facility serving the residents of Hillsdale County located just over an hour from Detroit, Lansing, Toledo, Ann Arbor and Kalamazoo.
Oli at Home LLCMedical Aesthetics Practice - Experienced Injector (RN / PA / NP) Oli at Home LLCMedical Aesthetics Practice - Experienced Injector (RN / PA / NP)Kalamazoo, MIThe provider will be responsible for meeting with clients, assessing their needs, and administering cosmetic injections, chemical peels and other cosmetic treatments. The goal of the Specialist is to provide clients with safe, effective, and unique cosmetic injections that meet their specific needs.
Grace HealthIntegrated Behavioral Health (PCBH Model) Grace HealthIntegrated Behavioral Health (PCBH Model)Battle Creek, MIDeliver brief, solution-focused interventions (typically 15–20 minutes) to address a wide range of behavioral health concerns such as depression, anxiety, sleep problems, chronic pain, adherence to medical treatments, and health behavior change (e.g., smoking cessation, diet, physical activity). Provides evidence-informed, brief behavioral health interventions and consultation services to patients within the Grace Health primary care setting using the Primary Care Behavioral Health (PCBH) model.
Optimal Care - EvergreenHospice After Hours Registered Nurse Optimal Care - EvergreenHospice After Hours Registered NurseKalamazoo, MI$72,000–$84,000 / yearBe a reassuring presence for patients, families, and our care team, providing clear, compassionate communication with physicians, nurse practitioners, and hospice case managers. Optimized territories: Our territories are designed to minimize drive times while still meeting the urgent needs of our patients, making your work more efficient and focused.
Optimal CarePhysician Assistant Optimal CarePhysician AssistantKalamazoo, MI$100,000–$120,000 / yearThe Physician Assistant practice will focus on caring for geriatric and seriously ill populations to assist patients and families with comfort and quality of life. Performs Annual Wellness Visits and other quality driven assessments to provide patient with preventative services and understanding of disease progression.