NewRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Long Term Care Avera HealthRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Long Term CareMarshall, MN$24.86–$64.16Delivers nursing care by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to residents, families, and friends to understand residents conditions, medications, and self-care skills; noting changing conditions and needs; re-evaluating care objectives. The Registered Nurse in Long Term Care is accountable for providing each resident with professional nursing care, assessment and evaluations and for the management of nursing activities performed by neighborhood staff, ensuring that the highest degree of quality of care is maintained at all times.
Nurse Case Manager - Saint Cloud, MN ParadigmNurse Case Manager - Saint Cloud, MNSaint Cloud, MNTwo years of full-time equivalent direct clinical experience to the consumer (required for casework referred from Accounts requiring accredited case management). A Nurse Case Manager works independently using their own discretion to assist injured workers/consumers in their recovery so that they may return to work.
NewRN Case Manager - Hospice Interim HealthCare of the Twin CitiesRN Case Manager - HospiceMinnetonka, MN$89,419–$106,620 / yearInterim HealthCare of the Twin Cities offers a wide variety of home care ranging from skilled nursing, physical therapy and other licensed health care services, which help with the every day tasks that let people continue living at home where they are most comfortable. Primarily responsible for the coordination of care among IDG members and other healthcare providers external to the IDG, to ensure the continuous assessment of the patient/family needs, as well as the implementation of the IDG plan of care to guide the delivery of services and achieve the goals of hospice care.
NewQuality RN - Sheldon Medical Center - Full Time Sanford HealthQuality RN - Sheldon Medical Center - Full TimeWorthington, MN$33.50–$48Graduate 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). We’re looking for positive, compassionate, hardworking registered nurses (RN) who can provide the high-quality care patients and families have come to expect from us.
RN - Full Time Days - LTC Good SamaritanRN - Full Time Days - LTCEast Grand Forks, MN$32.50–$48Graduate 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). Currently 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.
RN - Sheldon Medical Center - PRN Sanford HealthRN - Sheldon Medical Center - PRNWorthington, MN$33.50–$48Graduate 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). We’re looking for positive, compassionate, hardworking registered nurses (RN) who can provide the high-quality care patients and families have come to expect from us.
RN - Neilson Place - Part Time Evenings Sanford HealthRN - Neilson Place - Part Time EveningsNevis, MN$38.73–$58.33May serve as charge nurse and delegate appropriate tasks to license and unlicensed assistive personnel that are within the job descriptions, skills, resident care needs, and the competence level of the delegate. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. .
RN - Full Time Overnights - LTC Good SamaritanRN - Full Time Overnights - LTCClimax, MN$32.50–$48If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
RN House Manager (Part-time) River's Edge Hospital & ClinicRN House Manager (Part-time)Saint Peter, MN$44.81–$65.55 / yearDescription The House Manager is responsible for promoting and maintaining quality patient care through effective management and supervision of patient care areas during his or her assigned tour of duty. Current certifications in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) through American Heart Association.
NewTravel PACU RN Fusion Medical StaffingTravel PACU RNSaint Paul, MN$1,896–$2,017This role involves assessing patient recovery, implementing post-operative care plans, administering treatments, collaborating with the surgical team, and coordinating care for discharging or transporting patients. Observe and document patient conditions, treatments, and significant incidents and respond to anesthesia and treatments, notifying the care team of significant changes or adverse reactions.
NewTravel OR RN Fusion Medical StaffingTravel OR RNCrookston, MN$2,602–$2,768This role involves preparing the operating room, managing surgical equipment, and collaborating with the surgical team to ensure high-quality, patient-centered care. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
RN - Windsong/Trillium - Full Time Days Sanford HealthRN - Windsong/Trillium - Full Time DaysPuposky, MN$38.73–$58.33May serve as charge nurse and delegate appropriate tasks to license and unlicensed assistive personnel that are within the job descriptions, skills, resident care needs, and the competence level of the delegate. The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to residents.
RN - Neilson Place - Full Time Overnights Sanford HealthRN - Neilson Place - Full Time OvernightsFosston, MN$38.73–$58.33Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. The nursing process is utilized to assess, diagnose, establish a plan with outcome criteria, intervene, evaluate, and document human responses to actual or potential health problems.
RN - Canby Care Center - Part Time Weekends Sanford HealthRN - Canby Care Center - Part Time WeekendsIhlen, MN$37–$48Graduate 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). Currently 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.
NewRegistered Nurse (RN) | Oncology Clinic Avera HealthRegistered Nurse (RN) | Oncology ClinicMarshall, MN$34.46–$55.04Chemotherapy Infusion Essential DutiesAssessment: Collects, charts and relays patient health data including:Establishing and maintaining a baseline history and physical information in collaboration withprovider for new and on-going clients. Provides triage for incoming patient related telephone calls, emergent client visits andemergencies during delivery of therapies with provider input when necessary.
NewRN - ED/ICU/Gen Med - Worthington Medical Center - Part Time Sanford HealthRN - ED/ICU/Gen Med - Worthington Medical Center - Part TimeWorthington, MN$37.19–$54.87Graduate 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). Must be able to communicate effectively to health care providers, families, and patients and other involved providers, i.e. law enforcement, EMS, Crisis intervention team members, other healthcare workers.
NewRN - Women's Center/Gen Med - Worthington Medical Center - Part Time Sanford HealthRN - Women's Center/Gen Med - Worthington Medical Center - Part TimeWorthington, MNGraduate 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). Orientation to this department will include responsibility for delivering care to medical and surgical inpatients and outpatients across units for pediatric to elderly for medical, surgical, intensive care and postpartum/routine newborn nursery care.
NewRN - Women's Center - Worthington Medical Center - PRN Sanford HealthRN - Women's Center - Worthington Medical Center - PRNWorthington, MN$37.19–$54.87Graduate 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). Obtains and subsequently maintains required department specific competencies and certifications, including Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS).
NewRegistered Nurse – Radiology Procedural Nurse - RN Mayo ClinicRegistered Nurse – Radiology Procedural Nurse - RNRochester, MN$42.44–$65.44 / hourBLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode® BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers). All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program as stipulated by the degree requirement program in place at time of hire.
RN Long Term Care - PT Night Good SamaritanRN Long Term Care - PT NightWaskish, MN$38–$48Graduate 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). Currently 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.
RN - PRN - LTC Good SamaritanRN - PRN - LTCEast Grand Forks, MN$32.50–$48Graduate 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). Currently 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.
RN (LTC) - FT Day Good SamaritanRN (LTC) - FT DayDonaldson, MN$32.50–$48Graduate 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). Currently 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.
RN Straight Night Good SamaritanRN Straight NightDonaldson, MN$32.50–$48Graduate 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). Currently 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.
RN - PT Good SamaritanRN - PTAlvarado, MN$32.50–$48Graduate 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). Currently 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.
RN (LTC) FT FLEX Good SamaritanRN (LTC) FT FLEXAlvarado, MN$32.50–$48Graduate 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). Currently 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.
RN Long Term Care (LTC) - PT Nights Good SamaritanRN Long Term Care (LTC) - PT NightsEast Grand Forks, MN$32.50–$48Graduate 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). Currently 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.
RN - FT Day Good SamaritanRN - FT DayEast Grand Forks, MN$32.50–$48Graduate 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). Currently 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.
NewRegistered Nurse (RN) | Medical Surgical Unit Avera HealthRegistered Nurse (RN) | Medical Surgical UnitMarshall, MN$38.29–$61.16A Unit Charge Nurse Supports service excellence strategies by ensuring completion of hourly rounding, consistent use of AIDET, and other skills and expectations as defined by the department leader; evidenced by consistent and thorough documentation, and managing up organizational goals and initiatives to peers, patients, visitors, physicians, and community members. Engages in organizational initiatives and department operations by attending 50% department meetings, at least 1 Employee Forum annually, at least 1 Mission for Staff session annually, at least 1 volunteer experience annually, and other assigned in-services and meetings according to direction of nursing supervisor.
Registered Nurse- Emergency Department Rochester Regional HealthRegistered Nurse- Emergency DepartmentJordan, NY New YorkJoin our Emergency Department (ED), a dynamic unit with 11 medical beds and 6 psychiatric beds, providing urgent care for a wide range of patient needs, including medical, surgical, trauma, pediatric, orthopedic, psychiatric, and behavioral health concerns. Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.
Registered Nurse/ RN, Home Health AccentCare, Inc.Registered Nurse/ RN, Home HealthSaint Paul, MN$88,000–$105,000We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
RN - LTC Full Time Nights Good SamaritanRN - LTC Full Time NightsElbow Lake, MN$36–$48Graduate 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). Currently 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.
RN - Full Time Days - SF Village Good SamaritanRN - Full Time Days - SF VillageSteen, MN$34–$48Graduate 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). Currently 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.
RN - Full Time Nights - SF Village Good SamaritanRN - Full Time Nights - SF VillageKanaranzi, MN$34–$48Graduate 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). Currently 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.
Rehab RN - Full Time Weekend Nights - SF Village Good SamaritanRehab RN - Full Time Weekend Nights - SF VillageLuverne, MN$34–$48Graduate 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). Currently 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.
RN - Full Time PMs - SF Village Good SamaritanRN - Full Time PMs - SF VillageHardwick, MN$34–$48Graduate 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). Currently 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.
RN - Full Time FLEX - LTC Good SamaritanRN - Full Time FLEX - LTCCampbell, MN$36–$48Graduate 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). Currently 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.
NewRN - Full Time Weekdays Good SamaritanRN - Full Time WeekdaysOslo, MN$32.50–$48Graduate 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). Currently 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.
RN - Part Time Overnights - LTC Good SamaritanRN - Part Time Overnights - LTCDeer Creek, MN$36–$48Graduate 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). Currently 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.
Registered Nurse RN, Home Health AccentCare, Inc.Registered Nurse RN, Home HealthBrooklyn Park, MN$80,000–$100,000The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. What You Need to Know: This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care.
NewRN Resource Nurse | Medical Surgical Unit Avera HealthRN Resource Nurse | Medical Surgical UnitMarshall, MN$38.29–$61.16Accountable for helping in the greatest area of need during a given shift in the facility’s acute care settings which include the Behavioral Health Unit, Med Surg Unit, Intensive Care Unit, Emergency Department and Long Term Care. The Resource Nurse is accountable for helping in the greatest area of need during a given shift in the facility's acute care settings while providing individualized, efficient and effective management and delivery of nursing care to all patients.
Surgical Services Nurse Manager River's Edge Hospital & ClinicSurgical Services Nurse ManagerSaint Peter, MN$103,313.60–$153,108.80 / yearDescription The Surgical Services Nurse Manager is responsible for the leadership, coordination, and management of perioperative services, including pre-operative, intra-operative, and post-anesthesia care units (PACU). meetings and report findings to comply with recommended guidelines for perioperative services; including total joints, shoulder, spine surgeries and surgical site infections.
RN Manager - Neilson Place - Full Time Days Sanford HealthRN Manager - Neilson Place - Full Time DaysMizpah, MN$46–$58.50Additionally for Rural Health Network facilities and 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. For Rural Health Network facilities and Good Samaritan Society (GSS) only, employees who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position.
Director of Nursing - RN - Long Term Care - Neilson Place Sanford HealthDirector of Nursing - RN - Long Term Care - Neilson PlaceNevis, MNAdditionally 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).
NewRegistered Nurse Encompass Health Rehabilitation Hospital of Sioux FallsRegistered NurseSteen, MNOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
RN Clinical Care Leader - Rehab - SF Village Good SamaritanRN Clinical Care Leader - Rehab - SF VillageSteen, MN$38.50–$55Utilizes technology to enhance quality resident care, to collaborate with inter-professional team members, effectively delegate to and supervise unlicensed personnel, assume overall nursing accountability for a resident assignment and serve in leadership roles on department/organizational tasks forces and committees. Graduate 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).
Registered Nurse Altru Rehabilitation HospitalRegistered NurseAda, MNOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
Behavioral Health/ Registered Nurse RN, Home Health AccentCare, Inc.Behavioral Health/ Registered Nurse RN, Home HealthBrooklyn Park, MN$88,000–$105,000An RN with a Associate's Degree in psychiatric or mental health nursing must have two years of recent nursing experience, recommended to be within the last 3 years, in an acute treatment unit in a psychiatric hospital, psychiatric home care, a psychiatric Partial Hospitalization Program (PHP), or another out-patient psychiatric service. An RN with a Bachelor's Degree in psychiatric or mental health nursing must have one year of recent nursing experience, recommended to be within the last 3 years, in an acute treatment unit in a psychiatric hospital, psychiatric home care, a psychiatric Partial Hospitalization Program (PHP), or another out-patient psychiatric service.
RN - Flex - Full Time Days Good SamaritanRN - Flex - Full Time DaysPorter, MN$38–$48Graduate 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). Currently 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.