NewTravel Rehabilitation RN - $1,543 per week Supplemental Health CareTravel Rehabilitation RN - $1,543 per weekDallas, TX$1,404–$1,543 / weekAs recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve. SHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts.
NewTravel Nurse RN - Rehabilitation - $1,672 per week Health Advocates Network - NursingTravel Nurse RN - Rehabilitation - $1,672 per weekDallas, TXPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. By solving challenges, providing the best placements, and advocating for you, we stand to help you thrive and pave the path forward in your career.
Travel Nurse RN - Rehabilitation - $1,519 per week Health Advocates Network - NursingTravel Nurse RN - Rehabilitation - $1,519 per weekFort Worth, TXPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Health Advocates Network - Nursing is seeking a travel nurse RN Rehabilitation for a travel nursing job in Fort Worth, Texas.
NewTravel Nurse RN - Rehabilitation - $1,587 per week TRS HealthcareTravel Nurse RN - Rehabilitation - $1,587 per weekDallas, TXWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Nurse RN - Rehabilitation - $1,463 per week TRS HealthcareTravel Nurse RN - Rehabilitation - $1,463 per weekFort Worth, TXWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Rehabilitation RN - $1,638 per week GHR Healthcare - TravelTravel Rehabilitation RN - $1,638 per weekDallas, TXGHR Healthcare - Travel is seeking a travel nurse RN Rehabilitation Med Surg for a travel nursing job in Dallas, Texas. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Nurse RN - Rehabilitation - $1,811 per week Vibra TravelsTravel Nurse RN - Rehabilitation - $1,811 per weekDallas, TXWhether you’re looking for an acute care, rehabilitation, critical care, or behavioral health hospital, we have opportunities waiting for you in every corner of the country. As an employee of Vibra Travels, you will be eligible to enroll in Medical and Prescription benefits once you meet the eligibility requirements outlined by the Affordable Care Act (ACA).
Travel Rehabilitation RN - $1,638 per week GHR Healthcare - Travel DivisionTravel Rehabilitation RN - $1,638 per weekDallas, TXGHR Healthcare - Travel Division is seeking a travel nurse RN Rehabilitation Med Surg for a travel nursing job in Dallas, Texas. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewMental Health Group Facilitator - TX Charlie HealthMental Health Group Facilitator - TXCarrollton, TXParticipate in collaborative Treatment Team (Tuesdays) and Group Supervision (every other Friday) with your assigned Charlie Health Group Quality Supervisor or Group Quality Director, peers and other Clinical Leadership team members. Charlie Health is hiring exceptional candidates with a Masters degree in mental health and previous work experience facilitating groups to provide remote, telehealth services to our adolescent and young adult clients.
Licensed Mental Health Therapist (Virtual) HeadwayLicensed Mental Health Therapist (Virtual)Plano, TXHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Licensed Mental Health Therapist - Remote HeadwayLicensed Mental Health Therapist - RemoteArlington, TXRemoteHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
Director of Rehabilitation Downtown Health & Rehabilitation CenterDirector of RehabilitationFort Worth, TexasCreative Solutions in Healthcare is currently seeking an experienced and enthusiastic Director of Rehabilitation to join our in-house team of exceptional professionals. As one of Texas’s largest and most trusted providers of long-term care, we are committed to supporting our employees and delivering excellent outcomes to our residents.
Brain Injury / Physical Medicine & Rehabilitation Physician Baylor Scott & White HealthBrain Injury / Physical Medicine & Rehabilitation PhysicianDallas, TXAs the ninth-largest city and part of the fourth-largest metropolitan area in the nation, Dallas covers approximately 343 square miles and has a population of 1,241,162. Baylor Scott & White Health includes 49 hospitals, more than 900 patient care access points, more than 6,600 affiliated physicians, 43,500 plus employees.
Pediatric Physical Medicine and Rehabilitation Physician Texas Scottish Rite for ChildrenPediatric Physical Medicine and Rehabilitation PhysicianDallas, TexasOur team collaborates with Pediatric Orthopedics, Pediatric Neurosurgery, Pediatric Neurology, Pediatric Rheumatology, Pediatric Anesthesia, Pediatric Developmental Disabilities, and other medical team members to provide care to the whole child. We are seeking a board-certified or board eligible, fellowship-trained Pediatric Physical Medicine and Rehabilitation Physician to lead our Motor Control program.
Director of Rehabilitation Five Points Nursing and Rehab of DeSotoDirector of RehabilitationDeSoto, TexasCreative Solutions in Healthcare is currently seeking an experienced and enthusiastic Director of Rehabilitation to join our in-house team of exceptional professionals. As one of Texas’s largest and most trusted providers of long-term care, we are committed to supporting our employees and delivering excellent outcomes to our residents.
NewRehabilitation Registered Nurse Supplemental Health CareRehabilitation Registered NurseDallas, TXFull timeWith more than 40 years of experience in healthcare staffing, Supplemental Health Care offers reliable support, competitive pay, and great benefits every step of the way. Whether you're looking to travel or stay local, we're committed to helping Rehabilitation RNs find the right fit with top healthcare facilities across the country.
Clinical Liaison Resource - Inpatient Rehabilitation LifePoint Health IncClinical Liaison Resource - Inpatient RehabilitationDallas, TXRemoteOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Coordinate the intake and pre-admission screening process, conduct on-site clinical assessments to determine suitability for acute rehabilitation, educate patients/families on services and participation requirements, and serve as the primary external contact for case managers, discharge planners, physicians, and payors.
TECH/ASSISTANT REHABILITATION DIRECTOR (81931) Regency Integrated Health Services LLCTECH/ASSISTANT REHABILITATION DIRECTOR (81931)Richardson, TXThe Assistant Rehabilitation Director will, in addition to responsibilities as Therapist or Therapist Assistant, lead the rehab department through serving as contact person, attending required facility meetings, and communicating directly with his/her Rehabilitation Director and Regional Rehabilitation Director. Attend all meetings required by the facility, providing required information such as patient caseload, RUG levels, treatments provided, and any pertinent information regarding the rehab program.
Director of Rehabilitation Fair Park Health & Rehabilitation CenterDirector of RehabilitationDallas, TexasCreative Solutions in Healthcare is currently seeking an experienced and enthusiastic Director of Rehabilitation to join our in-house team of exceptional professionals. As one of Texas’s largest and most trusted providers of long-term care, we are committed to supporting our employees and delivering excellent outcomes to our residents.
Director of Rehabilitation \- Fort Worth On Time Talent SolutionsDirector of Rehabilitation \- Fort WorthFort Worth, TexasOn Time Talent Solutions seeking a Director of Rehabilitation with a strong therapy background who will be responsible for the overall clinical quality, integrity, and service excellence of rehabilitation programs to ensure customer expectations are met and exceeded! Ensures staff is properly licensed and trained in skilled therapy documentation; completes reviews for documentation quality and billing integrity; some reviews may be delegated to appropriately credentialed team members.
Registered Nurse (RN) Rehabilitation LifePoint Health IncRegistered Nurse (RN) RehabilitationDallas, TXMethodist Rehabilitation Hospital is a 50 bed hospital located in Dallas, Texas and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. In addition to your base compensation, full time positions also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
Director of Acute Inpatient Rehabilitation Signet HealthDirector of Acute Inpatient RehabilitationDallas, TXAbility to utilize metrics (CMI, Functional Gain, Length of Stay, Discharge Destination)from tools like UDSMR/PEM reports to benchmark performance, drive quality improvement, and manage productivity. Signet Healths Acute Rehabilitation Division is growing and recruiting seasoned Acute Rehabilitation Director to manage a hospital-based inpatient rehab program in Texas.
NewAdjunct Assistant Instructor: Rehabilitation & Health Services University of North Texas SystemAdjunct Assistant Instructor: Rehabilitation & Health ServicesDenton, TexasD. in Health Services Research, Master’s degrees in Rehabilitation Counseling and Health Services Administration; Bachelor’s degrees in Public Health, Rehab Studies, and Addiction Studies and minor in Applied Gerontology. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and University of North Texas Health Fort Worth.
Rehabilitation Technician LifePoint Health IncRehabilitation TechnicianKeller, TXOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. A Rehabilitation Tech who excels in this role: Will be responsible for preparing treatment areas, cleaning treatment areas, positioning patients, procurement and inventory of supplies, transporting and assisting patients and therapist.
Clinical Rehabilitation Specialist HCA Healthcare IncClinical Rehabilitation SpecialistDallas, TXReferral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. What qualifications you will need: Must have an active license in one of the following: Physical Therapist, or Speech Therapist, or RRT/Respiratory Care Practitioner (RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or (RN) Registered Nurse2 years of clinical experience in an inpatient setting requiredThis position is not a remote position.
Physical Therapy Assistant(PTA) / Travel / Rehabilitation MAS Medical StaffingPhysical Therapy Assistant(PTA) / Travel / RehabilitationMesquite, TXMAS Medical Staffing is currently seeking a(n) Physical Therapist Assistant (PTA) professional with Physical Therapy Assistant (Rehabilitation) experience for a 12 week contract in the Mesquite TX area. If you are looking for a staffing agency that has your best interest at heart and a recruiter that will work 1 on 1 with you to find the best assignment available, please reach out to us today!
Assistant Professor - Physical Medicine & Rehabilitation. University of Texas Southwestern Medical CenterAssistant Professor - Physical Medicine & Rehabilitation.Dallas, TXLocated just 10 minutes from downtown Dallas, the 1,000-acre Southwestern Medical District is home to four schools and a rapidly expanding clinical enterprise that delivers care in approximately 80 specialties, with over 3 million outpatient visits, 117,000 hospital admissions, and 360,000 emergency visits annually. The University of Texas Southwestern Medical Center, ranked the No. 1 hospital in the Dallas-Fort Worth area by U.S. News & World Report, is seeking an exceptional, board-certified clinician to join its nationally recognized Department of Physical Medicine & Rehabilitation.
Assistant Director of Rehabilitation Services (PTA) Life Care Centers of America IncAssistant Director of Rehabilitation Services (PTA)Benbrook, TXActive license in physical (BSPT, MSPT, DPT, or PTA), occupational (BSOT, MSOT, COTA), or speech (MA, MS, CCC SLP, or CFY SLP) therapy and meet the educational requirements as defined in the job description for that license type. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
Physical Medicine and Rehabilitation Physician HCA Healthcare IncPhysical Medicine and Rehabilitation PhysicianDenton, TXPlaying host to the University of North Texas, Texas Womans University, and North Central Texas College, Denton has earned a reputation as a diverse and culturally vibrant center in the Dallas-Fort Worth metroplex. Job Summary Medical City Denton is seeking a dedicated PMR to join a thriving physician-led practice and serve the rapidly growing patient population in the area.
Travel Nurse (RN) - Rehab (Rehabilitation Unit) Epic Travel StaffingTravel Nurse (RN) - Rehab (Rehabilitation Unit)Fort Worth, TXBy applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes. We`ll be your ticket to the travel RN - Rehabilitation Unit job you`ll love with unparalleled recruiter support and industry-best benefits.
Rehabilitation KPG HealthcareRehabilitationFort Worth, TXFrom our location in the Western U.S., we build relationships nationwide, ensuring our professionals can access the ideal opportunity for their backgrounds, interests and experience. Our experienced recruiters are experts in the healthcare industry, the locations we serve, and each facility’s unique culture.
Interim Director of Acute Inpatient Rehabilitation Signet HealthInterim Director of Acute Inpatient RehabilitationDallas, TXSignet Healths Acute Rehabilitation Division is growing and recruiting seasoned Interim Acute Rehabilitation Directors to manage hospital-based inpatient rehab programs. As an Interim Acute Rehabilitation Director, you will be responsible for the onsite daily management needs of the Signet Health Client hospital contractual relationship and the supervision of patient care for the unit.
Assistant Director of Rehabilitation Services (PTA) Renaissance Park Multi Care CenterAssistant Director of Rehabilitation Services (PTA)Benbrook, TexasActive license in physical (BSPT, MSPT, DPT, or PTA), occupational (BSOT, MSOT, COTA), or speech (MA, MS, CCC SLP, or CFY SLP) therapy and meet the educational requirements as defined in the job description for that license type. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
Director of Rehabilitation Heritage at Turner Park Health & RehabDirector of RehabilitationGrand Prairie, TexasCreative Solutions in Healthcare is currently seeking an experienced and enthusiastic Director of Rehabilitation to join our in-house team of exceptional professionals. As one of Texas’s largest and most trusted providers of long-term care, we are committed to supporting our employees and delivering excellent outcomes to our residents.
Blind Rehabilitation Outpatient Specialist (BROS) U.S. Department of Veterans AffairsBlind Rehabilitation Outpatient Specialist (BROS)Dallas, TXPreferred Experience: Preferred Experience: Candidate has at least two (2) of the four (4) certifications granted by the Academy for Certification of Vision Rehabilitation & Education Professionals (ACVREP): 1-Certified Orientation and Mobility Specialist (COMS), 2-Certified Vision Rehabilitation Therapists (CVRT), and 3-Certified Low Vision Therapists (CLVT), 4-Assistive technology-Certified Assistive Technology Instructional Specialist (CATIS).Experience working in a an outpatient blind rehabilitation setting. They may then use the designation for the certification they hold (as listed in subparagraph (2)) below BROSs at the GS-12 grade level must obtain and maintain and two certifications at the GS-12 level granted by ACVREP as follows: (a) Orientation and mobility training - Certified Orientation and Mobility Specialists (COMS\u00ae).
NewLicensed Physical Therapist (PT) – Multiple Rehabilitation Settings – Multiple Texas Locations Relient HealthLicensed Physical Therapist (PT) – Multiple Rehabilitation Settings – Multiple Texas LocationsDallas, TexasDallas–Fort Worth, Houston, San Antonio, Austin, El Paso, Corpus Christi, Rio Grande Valley, Lubbock, Amarillo, Abilene, Midland–Odessa, Waco, Temple–Killeen, Tyler, Longview, Texarkana, Beaumont, Wichita Falls, College Station, and additional Texas markets. Opportunities may be available in Skilled Nursing Facilities (SNFs), Assisted Living Facilities (ALFs), retirement communities, hospitals, outpatient clinics, pediatric settings, and home health, depending on the specific location.
NewCertified Occupational Therapy Assistant (COTA) – Multiple Rehabilitation Settings – Multiple Texas Locations Relient HealthCertified Occupational Therapy Assistant (COTA) – Multiple Rehabilitation Settings – Multiple Texas LocationsFort Worth, TexasOur openings include opportunities in Skilled Nursing Facilities (SNFs), Assisted Living Facilities (ALFs), retirement communities, hospitals, outpatient clinics, pediatric settings, and home health, depending on the specific location. Relient Health is seeking licensed Certified Occupational Therapy Assistants (COTAs) for full-time, in-person opportunities within established rehabilitation departments across Texas.
NewLicensed Occupational Therapist (OT) – Multiple Rehabilitation Settings – Multiple Texas Locations Relient HealthLicensed Occupational Therapist (OT) – Multiple Rehabilitation Settings – Multiple Texas LocationsFort Worth, TexasOur openings include opportunities in Skilled Nursing Facilities (SNFs), Assisted Living Facilities (ALFs), retirement communities, hospitals, outpatient clinics, pediatric settings, and home health, depending on the specific location. • OTs seeking experience in SNF, ALF, retirement communities, hospital-based rehab, outpatient, pediatric, home health, or mixed-setting rehabilitation roles.
Rehabilitation & Long-Term Care Pharmacist Pharmacy CareersRehabilitation & Long-Term Care PharmacistFort Worth, TexasSupport patient recovery and independence through personalized medication plans. Review and monitor complex regimens in skilled nursing or rehab facilities.
NewAdjunct Instructor - Rehabilitation & Health Services University of North Texas SystemAdjunct Instructor - Rehabilitation & Health ServicesDenton, TexasThe anticipated need is for Adjunct Instructors whose duties may include, but are not limited to teaching the following courses: Introduction to Public Health; Public Health Policy; Global Public Health; Public Health Management and Leadership; Ethics in Public Health Community and Public Health Education. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and University of North Texas Health Fort Worth.
NewRehabilitation in Fort Worth, TX KPG NursingRehabilitation in Fort Worth, TXArlington, TXHowever, what sets Fort Worth apart is the Stockyards National Historic District, a living testament to the city's rich cowboy heritage where you can witness real cattle drives and immerse yourself in the old West. This unique blend of culture, entertainment, and history ensures that your time off from the hospital is as enriching and fulfilling as your time spent on duty, making Fort Worth not just a place to work, but a place to live and thrive.
QMHP Qualified Mental Health Specialist The Village Life Center TexasQMHP Qualified Mental Health SpecialistFort Worth, Texas$23–$26Minimum Qualifications: Bachelor's or Master’s degree from an accredited college or university with a minimum number of hours that is equivalent to a major in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention. This Opportunity: The Village Life Center is seeking individuals who can provide Targeted Case Management & Mental Health Rehabilitative Services including Skills Building and Intervention Services.
QMHP Liaison TCOOMMI (Mental Health Case Manager) Metrocare ServicesQMHP Liaison TCOOMMI (Mental Health Case Manager)Dallas, TexasThe credit hours include but are not limited to the following course types: psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, special education, early childhood/early childhood intervention, physician assistant, gerontology, and educational psychology. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services.
Adult Intensive QMHP (Mental Health Case Manager) Metrocare ServicesAdult Intensive QMHP (Mental Health Case Manager)Dallas, TexasThe credit hours include but are not limited to the following course types: psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, special education, early childhood/early childhood intervention, physician assistant, gerontology, and educational psychology. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services.
Adult Intensive QMHP (Qualified Mental Health Professional) Metrocare ServicesAdult Intensive QMHP (Qualified Mental Health Professional)Dallas, TexasThe credit hours include but are not limited to the following course types: psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, special education, early childhood/early childhood intervention, physician assistant, gerontology, and educational psychology. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services.
Mental Health Group Facilitator - TX Charlie Health IncMental Health Group Facilitator - TXTXRemoteParticipate in collaborative Treatment Team (Tuesdays) and Group Supervision (every other Friday) with your assigned Charlie Health Group Quality Supervisor or Group Quality Director, peers and other Clinical Leadership team members. Charlie Health is hiring exceptional candidates with a Masters degree in mental health and previous work experience facilitating groups to provide remote, telehealth services to our adolescent and young adult clients.
Qualified Mental Health Professional - QMHP - 1099 Contract TEXAS MHB LLCQualified Mental Health Professional - QMHP - 1099 ContractDuncanville, TXFull timePer Texas Administrative Code §412.316(d), a QMHP-CS must meet one of the following: Bachelor’s degree in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention; OR. Texas Mental Health & Behavior is seeking a passionate and dedicated Qualified Mental Health Professional – Community Services (QMHP-CS) to provide mental health skill-building services to adults and children experiencing depression, anxiety, anger, emotional, and behavioral challenges.
NewPsychiatric Mental Health Nurse Practitioner Deer OaksPsychiatric Mental Health Nurse PractitionerRichardson, TexasYou will have the opportunity to conduct in-person psychiatric assessments, medication management, and implementing Medicare compliant gradual dose reduction strategies for psychotropic medications. Focused exclusively on behavioral health in long-term care since 1992, Deer Oaks serves thousands of skilled nursing and assisted living facilities nationwide.
Play/Child Mental Health Therapist Ellie Mental HealthPlay/Child Mental Health TherapistGrapevine, TexasWe’re looking for someone who thrives in a supportive, fun, and clinician-first environment, enjoys collaborating with families and multidisciplinary teams, and is passionate about providing high-quality, child-centered care. Who We’re Looking For: Licensed & Pre-Licensed Play Therapists We are seeking a dedicated and creative Play Therapist who excels at using play therapy approaches with children ages 3–12.
Fully Licensed Mental Health Therapist Ellie Mental HealthFully Licensed Mental Health TherapistCarrollton, Texas$70,000–$90,000 / yearRequired Qualifications and Skills: Candidates are required to have a master’s degree in one of the behavioral sciences or related fields from an accredited college or university and on track to obtain licensure in their designated field. As an Outpatient Therapist at Ellie Mental Health, you'll share our vision for improving and expanding access to quality mental health care and thrive in an environment driven by our core values of authenticity, humor, compassion, creativity, acceptance, and determination.