NewMedical Device Sales - Paid Internship Medical Sales CollegeMedical Device Sales - Paid InternshipHollister, CAProactively research and identify new opportunities via outbound efforts utilizing university relationships, word of mouth, LinkedIn, social media platforms, networking, direct referrals, etc. Shall not misrepresent the nature of the school, facility, programs, expected outcome of training, employment, salary expectations, etc. in any way, either directly or indirectly, implied or omitted.
ProSales Associate (Early Career Sales Program) Herc Rentals IncProSales Associate (Early Career Sales Program)Salinas, CA$31–$33 / hourProSales Associates participate in Herc Rentals' exclusive Black and Gold Academy, an immersive sales training and development program that prepares individuals for possible placement into a Territory Sales Representative role upon completion of the 12 month program. Gain visibility with leadership teams and receive coaching toward long term career opportunities including sales management, regional leadership, National Accounts, and other advanced roles.
District Sales Manager - Spirit Spencer Gifts - Spirit HalloweenDistrict Sales Manager - SpiritSan Jose, CA$1,352–$1,377 / weekThe District Sales Manager is responsible for all aspects of the store operation (average 3 stores) including, sales, payroll recruiting, training, employee relations, expense control, shrink and all related functions. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders, setting up fixtures, lifting and moving up to 50 pounds.
NewGoogle Pixel Sales Specialist (Verizon Partner Store) Mosaic North AmericaGoogle Pixel Sales Specialist (Verizon Partner Store)Salinas, CAOver-Performance Bonuses: Unlock massive earning potential with lucrative bonuses tied to hitting and exceeding structured weekly, monthly, and quarterly sales benchmarks. You will not only drive your own direct sales but also act as the "Pixel Guru" for the Verizon retail team, elevating their confidence to pitch the brand and effectively multiplying your sales impact on the floor.
Sales Associate - Spirit Spencer Gifts - Spirit HalloweenSales Associate - SpiritSan Jose, CA$18.45–$18.70 / hourThe Sales Associate will support the Store Management Team by generating sales, sign waving, general housekeeping, merchandising, signing, pricing, POS operations and loss prevention. The physical demands of the job require climbing ladders, setting up fixtures, lifting/moving up to 50 pounds and may require 8 hours of standing/walking.
Sales Associate - Spencer's Spencer Gifts - Spirit HalloweenSales Associate - Spencer'sSalinas, CA$16.90–$17.15 / hourPart timeThe Sales Associate will support the Store Management Team by generating sales, conducting housekeeping, merchandising, signing, pricing, POS operations and loss prevention in adherence to all Company policies and procedures. The physical demands of the job require climbing ladders, lifting up to 50 pounds and may require 8 hours of standing/walking.
NewH&M Sales Advisor- Westfield Oakridge H & M Hennes & Mauritz ABH&M Sales Advisor- Westfield OakridgeSan Jose, CAWe believe in supporting your overall wellbeing and offer comprehensive benefits inclusive of health insurance, wellness and family support programs, company match retirement plan, paid leave programs, and paid time off, including a community day to serve your local community. You''ll also work on garment refill & care, presentation and contribute to a clean and tidy sales floor and back of house, working closely with the rest of your store team to deliver an excellent customer experience.
Tesla Advisor, Sales Tesla IncTesla Advisor, SalesSeaside, CA$20.52–$30.78 / hourYour role is essential in consistently delivering an educational, immersive, and exciting experience to both current and potential customers, exceeding client expectations from their initial showroom visit to their delivery day experience. For roles working in CA, CO, HI, ID, MD, MS, NV, NC, OH, PA, TN, UT, VA, DC: This role requires you to possess a Motor Vehicle Salesperson License issued by the State Department of Motor Vehicles.
Sales Advisor Seeking Former Educator/Coach Monterey DistrictSales Advisor Seeking Former Educator/CoachMonterey, CaliforniaOur Unique Angle: Meticulous Training and Support: We distinguish ourselves by prioritizing a meticulous focus on the process, ensuring sustainable business practices and a predictable high-activity approach, setting us apart from an industry often fixated on end results. Prior Experience: Originally from Stockton, Chandler moved to Aptos to attend Cabrillo Community College before transferring to CSU Monterey Bay, where he earned a bachelor’s degree in Business Administration.
NewSales Representative - Facility Services (Gilroy, CA, US, 95020) Cintas CorpSales Representative - Facility Services (Gilroy, CA, US, 95020)Gilroy, CA$70,304–$150,000 / yearWith offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday. Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best.
Retail Cosmetics Sales Associate, Salinas Northridge - Flex Macy's IncRetail Cosmetics Sales Associate, Salinas Northridge - FlexSalinas, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. Drive sales and client loyalty by maintaining an organized and shoppable space, leveraging clienteling tools to promote offers and product launches, participating in sales events, and staying up to date through ongoing training and vendor education.
Retail Cosmetics Sales Associate, Monterey Del Monte Center - Flex Macy's IncRetail Cosmetics Sales Associate, Monterey Del Monte Center - FlexMonterey, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. Drive sales and client loyalty by maintaining an organized and shoppable space, leveraging clienteling tools to promote offers and product launches, participating in sales events, and staying up to date through ongoing training and vendor education.
Retail Cosmetics Sales Associate - MAC, Monterey Del Monte Center - Part Time Macy's IncRetail Cosmetics Sales Associate - MAC, Monterey Del Monte Center - Part TimeMonterey, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. Drive sales and client loyalty by maintaining an organized and shoppable space, leveraging clienteling tools to promote offers and product launches, participating in sales events, and staying up to date through ongoing training and vendor education.
Retail Cosmetics Sales Associate - CHANEL Beaute, Oakridge - Part Time Macy's IncRetail Cosmetics Sales Associate - CHANEL Beaute, Oakridge - Part TimeSan Jose, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. Drive sales and client loyalty by maintaining an organized and shoppable space, leveraging clienteling tools to promote offers and product launches, participating in sales events, and staying up to date through ongoing training and vendor education.
NewRetail Cosmetics Sales Counter Manager - Trend Beauty, Oakridge - Full Time Macy's IncRetail Cosmetics Sales Counter Manager - Trend Beauty, Oakridge - Full TimeSan Jose, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. You set the tone by reviewing daily sales goals, staying informed on new launches, top-performing products, and current beauty trends - so you''re equipped to lead with confidence, support your team, and deliver exceptional service to every customer.
NewSales Representative - Facility Services CintasSales Representative - Facility ServicesGilroy, CA$70,304–$150,000 / yearWith offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday®. Cintas Corporation helps more than one million businesses of all types and sizes get Ready™ to open their doors with confidence every day by providing products and services that help keep their customers’ facilities and employees clean, safe, and looking their best.
Retail Cosmetics Sales Counter Manager - Estee Lauder, Oakridge - Full Time Macy's IncRetail Cosmetics Sales Counter Manager - Estee Lauder, Oakridge - Full TimeSan Jose, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. You set the tone by reviewing daily sales goals, staying informed on new launches, top-performing products, and current beauty trends - so you''re equipped to lead with confidence, support your team, and deliver exceptional service to every customer.
Retail Cosmetics Sales Associate - Estee Lauder, Salinas Northridge - Part Time Macy's IncRetail Cosmetics Sales Associate - Estee Lauder, Salinas Northridge - Part TimeSalinas, CAWhether you're helping a customer find the perfect gift, streamlining operations in one of our distribution centers, enhancing our online shopping experience, buying in-style and on-trend merchandise to outfit our customers, or designing a balloon for the Thanksgiving Day Parade, we offer unique opportunities to be part of some of the most memorable moments in people's lives. Drive sales and client loyalty by maintaining an organized and shoppable space, leveraging clienteling tools to promote offers and product launches, participating in sales events, and staying up to date through ongoing training and vendor education.
PT Sales Associate Lovesac CoPT Sales AssociateMonterey, CAAble to effectively utilize technology for sales and customer support including demonstrating products, assisting customers and utilizing internal CRM systems to enhance customer experience and drive future outreach. Non-New York City Applicants Only: To the extent permitted by law, conditional offers of employment will be contingent upon successful completion of a background check, including but not limited to education verification, employment history verification, reference checks, criminal history and motor vehicle history (if vehicle required).
Casual Sales Ambassador - Del Monte Center Lush Retail LtdCasual Sales Ambassador - Del Monte CenterMonterey, CAWe recognize that our facilities, along with our settler and newcomer staff are guests on this land and as we act to repair past harm, we do it together in allyship with Indigenous People everywhere, including staff, customers and with leadership from organizations and communities we work with. Building the Brand: Educate customers on our brand values including our stance on Fighting Animal Testing, Freshest Cosmetics, Ethical Buying, 100% Vegetarian, Handmade, and Naked Packaging.
SALES - Home Care Liaison Peggy's Home CareSALES - Home Care LiaisonMonterey, CaliforniaPeggy’s Home Care is seeking an exceptional Sales & Marketing (known in the industry as a Community Liaison)—a connector, strategist, and relationship builder who understands that great sales are rooted in trust, consistency, and outcomes. CNAs and Trained Caregivers Peggy’s Home Care Monterey CA trains all Caring Professionals with our customized training that teaches the individuals providing care a holistic approach to highly skilled care.
Area Sales Director The N2 CoArea Sales DirectorSalinas, CaliforniaThe N2 Company helps small- to mid-sized businesses connect with affluent homeowners through high-quality monthly publications, targeted digital advertising, and creative community events. If you're a relationship-driven seller ready to invest in building a business, this role blends sales, ownership, and community leadership into one unique opportunity.
Temporary Sales Associate - Part-Time PVH CorpTemporary Sales Associate - Part-TimeGilroy, CA$16.50–$19.16 / hourWhat Youll Bring: Friendliness, organization and excellent time-management skills Energy and excitement around our brand goals and values Prior retail experience preferred (but not required) Ability to walk, stand, bend, reach and squat for prolonged periods, and carry up to 20 pounds What Youll Get: Flexible schedule including nights, weekends and holiday availability Competitive pay Brand discount - Up to 75% off Training and career development Your daily 10,000 steps! In addition to complying with all applicable laws, PVH is also committed to ensuring that all current and future PVH associates are compensated solely on job-related factors such as skill, ability, educational background, work quality, experience and potential.
Sales Associate II TapestrySales Associate IIGilroy, CaliforniaDeveloping Direct Reports and Others : Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams : Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Temporary Sales Associate TapestryTemporary Sales AssociateGilroy, CaliforniaDeveloping Direct Reports and Others : Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams : Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Sales Associate III TapestrySales Associate IIIGilroy, CaliforniaDeveloping Direct Reports and Others : Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams : Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Sales Associate Lead Generator FT or PT Bellows Plumbing, Heating, Cooling & ElectricalSales Associate Lead Generator FT or PTCAWe are looking for a highly motivated individual that can generate in home sales leads among our three Costco install categories: HVAC, Generators, Water Treatment. Gaining potential customer details as leads for our outside sales and comfort advisors.
Sales Associate Lead Generator Bellows Plumbing, Heating, Cooling & ElectricalSales Associate Lead GeneratorSalinas, CASales Associate (Lead Generator) at Bellows Plumbing, Heating, Cooling & Electrical Bellows Plumbing, Heating, Cooling & Electrical Sales Associate (Lead Generator) Salinas, CA %LABEL_POSITION_TYPE_FULL_TIME% Sales (FT or PT) $20.00 / hr %BREADCRUMB_JOB_OPENINGS% Sales Associate (Lead Generator) %BUTTON_APPLY_TO_POSITION% %BUTTON_APPLY_USING_INDEED% %BUTTON_APPLY_USING_LINKED_IN% We are looking for a highly motivated individual that can generate in home sales leads among our three Costco install categories: HVAC, Generators, Water Treatment. This is NOT a selling, cold calling or door to door position Job duties will include: Speaking to potential customers/ homeowners Gaining potential customer details as leads for our outside sales and comfort advisors Maintain a high level of professionalism & customer support Work independently including weekends Training will be provided Job Requirements: Professionalism in the warehouse Clean professional Must be High School Graduate & have reliable transportation.
BRIDAL SALES AND STYLIST EPIPHANY BRIDAL BOUTIQUEBRIDAL SALES AND STYLISTCARMEL, CAWe are seeking someone confident in sales, motivated by results, and committed to being present on weekends, as this is when we serve the majority of our brides and achieve full-time hours. This is a 32–40 hour position and requires weekend availability, as weekends are essential to serving our brides.
Sales Representative ($1k - $3k+ Weekly OTE) - No Experience Necessary! SalesDraft RecruitingSales Representative ($1k - $3k+ Weekly OTE) - No Experience Necessary!Salinas, CA$1,000–$2,500 / weekThrough industry-leading elite training, one-on-one mentorship, and a high-performance culture, we help ambitious people develop into top-tier sales professionals with genuine earning potential and clear paths to leadership. Our residential pest control division is growing rapidly, and we're seeking motivated, coachable individuals to join our high-performing team.
Lead Sales Supervisor See's Candy Shops IncLead Sales SupervisorSan Jose, CASee's will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable local, state or federal law (including San Francisco Ordinance #131192 and Los Angeles Municipal Code 189.00). This position involves providing guidance to team members, driving sales initiatives, maintaining excellent customer service, and overseeing day-to-day store activities.
Part-Time Sales Associate MINISO USAPart-Time Sales AssociateSalinas, CaliforniaPart timeThis individual must have the ability to connect with customers, maintain a positive and welcoming environment, and promote the store’s products will directly contribute to creating memorable shopping experiences with enthusiasm and energy. Essential Job Functions: Promptly greet and assist customers: Acknowledge their presence immediately, offer assistance, and efficiently manage multiple customers at once.
Sales Associate-ANN The Talbots IncSales Associate-ANNGilroy, CA$16.90–$21.10 / hourUse technology to stay informed on company priorities and promotions and provide customers with a seamless omnichannel shopping experience by utilizing available tools. You help keep the store looking beautiful by ensuring merchandise is well-organized and in the right place on the sales floor, ready to impress customers.
Contractor Sales Hayward LumberContractor SalesPacific Grove, CaliforniaDetermine customers’ needs and recommend appropriate products and solutions, guiding customers to make the best product and service selections that will provide value to their business. The role involves collaborating with vendors, tracking order progress, resolving issues, and maintaining excellent communication with contractors to meet project timelines and requirements.
Sales Representative Entry Level Northwestern Mutual - Monterey DistrictSales Representative Entry LevelMonterey, CABeyond our work in financial planning, our district is deeply committed to giving back—supporting causes such as Toys for Tots, Samaritan House, Oakland Pride, and local events like the Walnut Creek Trunk or Treat and Salinas Rodeo. Prior Experience: Born and raised in Aptos, California, Sarah began her academic journey at Cabrillo Community College before transferring to CSU Monterey Bay, where she earned her bachelor’s degree in Mathematics.
NewSales Associate II Tapestry IncSales Associate IIGilroy, CA$15–$24.25 / hourDeveloping Direct Reports and Others: Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Sales Associate I Tapestry IncSales Associate ICA$15–$24.25 / hourDeveloping Direct Reports and Others: Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Sales Associate III Tapestry IncSales Associate IIICA$15–$24.25 / hourDeveloping Direct Reports and Others: Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
Temporary Sales Associate Tapestry IncTemporary Sales AssociateGilroy, CA$15–$24.25 / hourDeveloping Direct Reports and Others: Provides challenging and stretching tasks and assignments; holds frequent development discussions; is aware of each person's career goals; constructs compelling development plans and executes them; pushes people to accept developmental moves; will take on those who need help and further development; cooperates with the developmental system in the organization; is a people builder. Building Effective Teams: Blends people into teams when needed; creates strong morale and spirit in their team; shares wins and successes; fosters open dialogue; lets people finish and be responsible for their work; defines success in terms of the whole team; creates a feeling of belonging in the team.
NewInsurance Sales Agent (Base + Commission) Farmers InsuranceInsurance Sales Agent (Base + Commission)Salinas, CA$80,000–$120,000 / yearUlises Gomez's Farmers Insurance Agency, located in Salinas, CA is one of the fastest-growing agencies in the State, and we're handpicking sales consultants to join our team. Farmers Insurance - Ulises Gomez Agency is a vibrant team of agents and staff dedicated to providing tailored coverage solutions to protect families and their assets.
Sales Associate - Mercedes-Benz San Jose AutoNation IncSales Associate - Mercedes-Benz San JoseSan Jose, CAOur e-Commerce Sales Associates provide an exceptional customer experience both before and after purchase, driving loyalty by following up to ensure customer satisfaction and helping transition customers to the Service department to support their ownership experience. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services.
Sales Representative Sleep Number CorpSales RepresentativeSan Jose, CA$47,000–$63,000 / yearThis is exemplified through our 3,000+ purpose-driven team members who passionately innovate to drive value creation through our fully integrated business model, owning the process from start to finish, and care at every step. Clearly explain product benefits and current promotions while delivering personalized customer experiences to drive satisfaction and exceed sales goals.
Sales Lead (SLPT) -Lane Bryant The Talbots IncSales Lead (SLPT) -Lane BryantGilroy, CA$17.33–$17.40 / hourYour leadership is critical to cultivate a store environment where operations run smoothly, the store looks fabulous, and associates are trained and motivated to reach their highest potential. If you love fashion and want to work for a brand that places an emphasis on empowering customers and associates in its community, Lane Bryant is the place for you.
Sales Associate-ANN KnitWell GroupSales Associate-ANNGilroy, CaliforniaUse technology to stay informed on company priorities and promotions and provide customers with a seamless omnichannel shopping experience by utilizing available tools. You help keep the store looking beautiful by ensuring merchandise is well-organized and in the right place on the sales floor, ready to impress customers.
NewInsurance Agent (Sales, Customer Service) Freeway Insurance Services America LLCInsurance Agent (Sales, Customer Service)Watsonville, CA$60,000–$150,000 / yearWith more than 800 retail locations nationwide, we are committed to helping our employees take their careers and income potential to new heights. Drive Growth: Solicit new business while maintaining strong relationships with current customers to achieve or exceed sales production goals.
Sales Representative Luxury Bath TechnologiesSales RepresentativeGilroy, CAFull timeRose Remodeling is a trusted leader in home renovation, serving the Sacramento, North Bay, and San Joaquin regions of California. If you're a motivated sales professional looking to maximize your income and thrive in a high-impact role, apply today and join the Rose Remodeling team!
Tire Sales Specialist (San Jose, CA) Dealer Tire LLCTire Sales Specialist (San Jose, CA)San Jose, CA$28.34–$30.85 / hourWe're laser focused on helping the world's largest and most trusted auto manufacturers grow their tire business-in fact, we've sold more than 60 million tires to date. Respect for Work-Life Balance: Our specialists have more personal time each day than hours spent at work, and a 40 hour, 5-day work week.
Sales Associate - Volvo San Jose AutoNation IncSales Associate - Volvo San JoseSan Jose, CAWith a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs.
Sales Professional - Home Care Liaison Peggy's Home Care - Monterey, CASales Professional - Home Care LiaisonMonterey, CA$70,000–$85,000 / yearPeggy’s Home Care is seeking an exceptional Sales & Marketing (known in the industry as a Community Liaison)—a connector, strategist, and relationship builder who understands that great sales are rooted in trust, consistency, and outcomes. This role is not just about generating leads—it’s about cultivating meaningful partnerships, elevating our presence across Monterey County, and serving as a trusted guide for families navigating pivotal care decisions.