NewRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Pediatric Clinic Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Pediatric ClinicPierre, SD$24.50–$41.25To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Rotating days/evenings/nights/weekends/holidays (United States of America)Pay Range:
NewRegistered Nurse (RN) , Licensed Practical Nurse (LPN) | Dialysis Avera HealthRegistered Nurse (RN) , Licensed Practical Nurse (LPN) | DialysisAberdeen, SD$24.50–$48.501-3 years nursing experience if functioning as a home dialysis nurse and an additional 3 months experience in each of the specific modalities (hemodialysis or peritoneal dialysis) for which the nurse will provide self-care training . To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
NewRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Long Term Care Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Long Term CareAberdeen, SD$24.50–$33.75Avera is currently seeking Registered Nurses (RN) or Licensed Practical Nurse (LPN) looking to deliver the best possible nursing care in Avera’s patient-focused settings. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
NewRN Clinical Care Leader - 26th & Sycamore Clinic - FT Days Sanford HealthRN Clinical Care Leader - 26th & Sycamore Clinic - FT DaysSioux Falls, SD$32–$48Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Utilizes technology to enhance quality patient care, to collaborate with physicians and inter-professional team members, and effectively delegates to and supervise unlicensed personnel, assume overall nursing accountability for patient care.
NewLicensed Practical Nurse (LPN) | Long Term Care Avera HealthLicensed Practical Nurse (LPN) | Long Term CarePierre, SD$27–$38.75To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Completes assessments on residents, makes appropriate interventions, applies knowledge, prioritizes resident care, uses nursing process (assess, plan, implement, evaluate).
NewLicensed Practical Nurse (LPN) | Assisted Living Avera HealthLicensed Practical Nurse (LPN) | Assisted LivingYankton, SD$24.50–$33.75To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Student Loan Repayment: This position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money.
NewTravel Long Term Care RN Fusion Medical StaffingTravel Long Term Care RNFlandreau, SD$1,515–$1,741RNs oversee patient care plans, administer treatments, monitor for changes in condition, and collaborate with healthcare teams to provide high-quality, resident-centered care. A Registered Nurse (RN) in a long-term care (LTC) facility provides skilled nursing care to residents, ensuring their health, comfort, and well-being.
RN - Medical Cardio Pulmonary/Pulmonary Acute Sanford HealthRN - Medical Cardio Pulmonary/Pulmonary AcuteSioux Falls, SD$32–$48Patient diagnosis range from pulmonary embolism requiring heparin drips to pneumothorax or empyema requiring chest tube management to complex pneumonia, chronic obstructive pulmonary disease, or congestive heart failure that requires advanced nursing skills for oxygen therapy, intravenous medications, chest trubs, tracheostomies, post procedural care, non-invasive ventilation, and mechanical ventilation, in addition to cardiac monitoring and drip titrations. Graduate from an accredited nursing program required, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
NewDirector of Nursing - RN - Long Term Care Good SamaritanDirector of Nursing - RN - Long Term CareCresbard, SDAdditionally for Rural Health Network facilities Good Samaritan Society (GSS) locations, for current employees, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
NewRN, Minimum Data Set (MDS) - FT Good SamaritanRN, Minimum Data Set (MDS) - FTBrookings, SD$36–$51Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. The RN may serve as charge nurse and delegate appropriate tasks to licensed and unlicensed assistive personnel that are within the job descriptions, skills, resident care needs, and the competence level of the delegate.
NewRN MDS - Miller - FT - Days Good SamaritanRN MDS - Miller - FT - DaysHarrold, SD$34–$51Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. The RN may serve as charge nurse and delegate appropriate tasks to licensed and unlicensed assistive personnel that are within the job descriptions, skills, resident care needs, and the competence level of the delegate.
RN, Minimum Data Set (MDS) - FT Days Good SamaritanRN, Minimum Data Set (MDS) - FT DaysSioux Falls, SD$34–$51Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. The RN may serve as charge nurse and delegate appropriate tasks to licensed and unlicensed assistive personnel that are within the job descriptions, skills, resident care needs, and the competence level of the delegate.
NewRegistered Nurse (RN) | Oncology Outpatient Clinical Nurse Educator Avera HealthRegistered Nurse (RN) | Oncology Outpatient Clinical Nurse EducatorSioux Falls, SD$29–$43.25 / hourTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Delegates, supervises, and evaluates nursing care given by others while retaining accountability for the quality of care given to the patients and provides input to nursing leadership as necessary.
NewTravel ER RN Fusion Medical StaffingTravel ER RN5, KYThis role involves assessing patient conditions, implementing urgent care plans, administering life-saving treatments, and collaborating with multidisciplinary healthcare teams to ensure high-quality, efficient, patient-centered care in critical situations. Collaborate effectively with interdisciplinary teams including physicians, specialists, paramedics, social workers and other support staff to ensure comprehensive care .
NewDialysis Licensed Practical Nurse-LPN Dialysis Clinic, Inc.Dialysis Licensed Practical Nurse-LPNRapid City, SDDCI’s Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.
NewCertified Registered Nurse Anesthetist (CRNA) | ASM Avera HealthCertified Registered Nurse Anesthetist (CRNA) | ASMPierre, SDTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
NewCertified Registered Nurse Anesthetist (CRNA) | Sacred Heart Hospital Avera HealthCertified Registered Nurse Anesthetist (CRNA) | Sacred Heart HospitalYankton, SDTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
NewCertified Registered Nurse Anesthetist (CRNA) Avera HealthCertified Registered Nurse Anesthetist (CRNA)Milbank, SDTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
NewLPN Intake Coordinator Interim HealthCare Eastern DakotasLPN Intake CoordinatorSioux Falls, SD$26–$30 / hourFirst in home care, Interim HealthCare® is more than a business, we are dedicated to delivering exceptional care to the people we serve and supporting the amazing professionals who make it possible. Receive and coordinate all incoming calls, providing clients and referral sources with basic information to assist in accessing appropriate services.
Travel LPN Fusion Medical StaffingTravel LPNRapid City, SD$1,627–$1,870A Licensed Practical Nurse (LPN) provides hands-on nursing care to residents and/or patients, ensuring their medical and daily living needs are met with compassion and efficiency. LPNs monitor patient conditions, administer medications, assist with treatments, and collaborate with the healthcare team to promote residents' overall health and well-being.
NewTelemetry Unit - Travel Registered Nurse Trusted HealthTelemetry Unit - Travel Registered NursePierre, SD$2,460–$2,460No previous experience allowed for Staff at Program: AMN Program - Avera Health and no current placement allowed at Program: AMN Program - Avera Health. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Salem Harrisburg and Tea Clinic Float Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Salem Harrisburg and Tea Clinic FloatSD$20–$41.25 / hourMust have one of the following certifications: • Certified Clinical Medical Assistant (CCMA) - National Healthcareer Association (NHA) • Certified Medical Assistant (CMA) - American Medical Certification Association (AMCA) • Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) • Registered Medical Assistant (RMA) - American Medical Technologists (AMT) • National Certified Medical Assistant (NCMA) - National Center for Competency Testing (NCCT). To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Infectious Disease Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Infectious DiseaseSioux Falls, SD$20–$41.25 / hourStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Averas Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Cancer Institute Float Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Cancer Institute FloatSioux Falls, SD$20–$41.25 / hourStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera's Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | ENT Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | ENTSioux Falls, SDActual pay rate dependent upon experience.$20.00 - $41.25Position HighlightsMay be eligible for up to a $6000 sign on bonusStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera's Student Loan Repayment Program, which helps you pay off your loans and save money. Location:Avera Medical Group Ear Nose Throat-Sioux FallsWorker Type:RegularWork Shift:Day Shift (United States of America)Pay Range:The pay range for this position is listed below.
Primary Nurse - RN or LPN Orthopedic InstitutePrimary Nurse - RN or LPNSioux Falls, SDThe primary nurse role will work closely with the assigned physician and be responsible for the day-to-day activities of the physician's clinic, such as rooming patients, placing orders, prepping procedures, patient education, patient phone calls, etc. Our provider team has grown to include 21 orthopedic surgeons, one pain medicine physician, one physiatrist, and 20 physician assistants/nurse practitioners and over 250 employees.
Registered Nurse (RN) | Oncology Outpatient Clinical Nurse Educator AveraRegistered Nurse (RN) | Oncology Outpatient Clinical Nurse EducatorSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Delegates, supervises, and evaluates nursing care given by others while retaining accountability for the quality of care given to the patients and provides input to nursing leadership as necessary.
Clinical Resource Nurse | Cardiac Services Cath Lab Monument Health.Clinical Resource Nurse | Cardiac Services Cath LabRapid City, SD$39.40–$49.25 / hourThe Clinical Resource Nurse must demonstrate the knowledge and skills necessary to function as a nursing resource to physicians, staff, patients, and families for the age and type of patient cared for on specific departments. Performs quality control audits, monitors and documents problems as they relate to nursing issues related to accuracy, quality of care and the MDS Assures continuity of information including assessment and care plans.
Clinical Resource Nurse | Cardiac Services Cath Lab Monument Health Rapid City HospitalClinical Resource Nurse | Cardiac Services Cath LabRapid City, South DakotaThe Clinical Resource Nurse must demonstrate the knowledge and skills necessary to function as a nursing resource to physicians, staff, patients, and families for the age and type of patient cared for on specific departments. Performs quality control audits, monitors and documents problems as they relate to nursing issues related to accuracy, quality of care and the MDS Assures continuity of information including assessment and care plans.
Registered Nurse - Medical/ICU Huron Regional Medical CenterRegistered Nurse - Medical/ICUHuron, SDRemoteRequires frequent walking, standing, sitting, bending, reaching, stooping, kneeling, crouching, feeling, talking, hearing and moderate (exerting/lifting up to 50 pounds occasionally, up to 20 pounds frequently, or up to 10 pounds constantly) lifting of clients and equipment. For more information on each position and to apply online visit: https://recruiting.paylocity.com/recruiting/jobs/All/1d3f71c3-b5df-4036-ba45-2b31254377ef/Huron-Regional-Medical-Center.
Staff Pharmacist - Full Time - Up to $78/hr + Sign On Bonus Connected Health Care, LLCStaff Pharmacist - Full Time - Up to $78/hr + Sign On BonusRapid CIty, SDConnected Health Care, a leading healthcare recruitment and staffing firm, is currently partnering with a respected healthcare facility in Chadron, Nebraska to hire a Full-Time Staff Pharmacist. This position offers an excellent opportunity for a dedicated pharmacy professional to play a vital role in ensuring safe and effective medication therapy while collaborating closely with physicians, nurses, and other healthcare professionals.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Infectious Disease AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Infectious DiseaseSioux Falls, South DakotaStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Pediatric Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Pediatric ClinicPierre, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Rotating days/evenings/nights/weekends/holidays (United States of America)Pay Range:
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Pulmonary Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Pulmonary ClinicSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Student Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money.
Registered Nurse (RN) , Licensed Practical Nurse (LPN) | Dialysis AveraRegistered Nurse (RN) , Licensed Practical Nurse (LPN) | DialysisAberdeen, South Dakota1-3 years nursing experience if functioning as a home dialysis nurse and an additional 3 months experience in each of the specific modalities (hemodialysis or peritoneal dialysis) for which the nurse will provide self-care training . To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Endocrinology Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Endocrinology ClinicSioux Falls, South DakotaStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Long Term Care AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Long Term CareAberdeen, South DakotaAvera is currently seeking Registered Nurses (RN) or Licensed Practical Nurse (LPN) looking to deliver the best possible nursing care in Avera’s patient-focused settings. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Dermatology Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Dermatology ClinicSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Student Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Salem Harrisburg and Tea Clinic Float AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Salem Harrisburg and Tea Clinic FloatHarrisburg, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Must have one of the following certifications: Certified Clinical Medical Assistant (CCMA) - National Healthcareer Association (NHA).
Registered Nurse (RN), Licensed Practical Nurse (LPN, Medical Assistant (MA) | Cardiology Clinic AveraRegistered Nurse (RN), Licensed Practical Nurse (LPN, Medical Assistant (MA) | Cardiology ClinicAberdeen, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Demonstrates knowledge of the principles of growth and development and possesses the ability to respond to specific issues and data reflective of the patient/customer's status.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Specialty Clinic Float AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Specialty Clinic FloatSioux Falls, South DakotaStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Nurse Manager - RN or LPN Bethany Lutheran HomeNurse Manager - RN or LPNSioux Falls, SD$67,000–$90,000 / yearAt Bethany Home, we are caring people caring for people—and we’re looking for a strong clinical leader to join our team as a Nurse Manager. Interested candidates are invited to submit their resume and cover letter to kleonhardt@bethanylutheranhome.com or call 605.221.8553.
Staff Development Coordinator Bethany Lutheran HomeStaff Development CoordinatorBrandon, SDThis policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Ensure annual CNA and Medication Aide competencies are completed.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Athletic Trainer or Medical Assistant | Orthopedic Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Athletic Trainer or Medical Assistant | Orthopedic ClinicSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Assists in processes of various orthopedic biologic sterile procedures and operating all modalities accompanied with the process, fitting, billing and ordering of all DME within the practice, splinting and casting in accordance to the physician treatment plan of care.
RN - OB/Med/Surg (48-60 hours) Huron Regional Medical CenterRN - OB/Med/Surg (48-60 hours)Huron, SDRemoteRequires frequent walking, standing, sitting, bending, reaching, stooping, kneeling, crouching, feeling, talking, hearing and moderate (exerting/lifting up to 50 pounds occasionally, up to 20 pounds frequently, or up to 10 pounds constantly) lifting of clients and equipment. Subject to inside environmental conditions (protection from weather conditions but not necessarily from temperature change) and to atmospheric conditions (one or more of the following conditions that affect the respiratory system or the skin: fumes, odors, dust, mists, gases or poor ventilation).
Clinical Resource Nurse | Mother Baby Monument Health.Clinical Resource Nurse | Mother BabyRapid City, SD$37.40–$46.75 / hourThe Clinical Resource Nurse must demonstrate the knowledge and skills necessary to function as a nursing resource to physicians, staff, patients, and families for the age and type of patient cared for on specific departments. Performs quality control audits, monitors and documents problems as they relate to nursing issues related to accuracy, quality of care and the MDS Assures continuity of information including assessment and care plans.